Event-related potential and behavioral correlates of semantic processing in Alzheimer's patients and normal controls

Evaluating frontoparietal network topography for diagnostic markers of Alzheimer's disease

Numerous prospective biomarkers are being studied for their ability to diagnose various stages of Alzheimer's disease (AD). High-density electroencephalogram (EEG) methods show promise as an accurate, economical, non-invasive approach to measuring the electrical potentials of brains associated with AD. Event-related potentials (ERPs) may serve as clinically useful biomarkers of AD. Through analysis of secondary data, the present study examined the performance and distribution of N4/P6 ERPs across the frontoparietal network (FPN) using EEG topographic mapping. ERP measures and memory as a function of reaction time (RT) were compared between a group of (n = 63) mild untreated AD patients and a control group of (n = 73) healthy age-matched adults. Based on the literature presented, it was expected that healthy controls would outperform patients in peak amplitude and mean component latency across three parameters of memory when measured at optimal N4 (frontal) and P6 (parietal) locations. It was also predicted that the control group would exhibit neural cohesion through FPN integration during cross-modal tasks, thus demonstrating healthy cognitive functioning consistent with older healthy adults. By targeting select frontal and parietal EEG reference channels based on N4/P6 component time windows and positivity, our findings demonstrated statistically significant group variations between controls and patients in N4/P6 peak amplitudes and latencies during cross-modal testing. Our results also support that the N4 ERP might be stronger than its P6 counterpart as a possible candidate biomarker. We conclude through topographic mapping that FPN integration occurs in healthy controls but is absent in AD patients during cross-modal memory tasks.

Age-related dissociation of N400 effect and lexical priming

The use of contextual information is an important capability to facilitate language comprehension. This can be shown by studying behavioral and neurophysiological measures of accelerated word recognition when semantically or phonemically related information is provided in advance, resulting in accompanying attenuation of the respective event-related potential, i.e. the N400 effect. Against the background of age-dependent changes in a broad variety of lexical capacities, we aimed to study whether word priming is accomplished differently in elderly compared to young persons. 19 young (29.9 ± 5.6 years) and 15 older (69.0 ± 7.2 years) healthy adults participated in a primed lexical decision task that required the classification of target stimuli (words or pseudo-words) following related or unrelated prime words. We assessed reaction time, task accuracy and N400 responses. Acceleration of word recognition by semantic and phonemic priming was significant in both groups, but resulted in overall larger priming effects in the older participants. Compared with young adults, the older participants were slower and less accurate in responding to unrelated word-pairs. The expected N400 effect was smaller in older than young adults, particularly during phonemic word and pseudo-word priming, with a rather similar N400 amplitude reduction by semantic relatedness. The observed pattern of results is consistent with preserved or even enhanced lexical context sensitivity in older compared to young adults. This, however, appears to involve compensatory cognitive strategies with higher lexical processing costs during phonological processing in particular, suggested by a reduced N400 effect in the elderly.

A systematic literature review of automatic Alzheimer's disease detection from speech and language

OBJECTIVE

In recent years numerous studies have achieved promising results in Alzheimer's Disease (AD) detection using automatic language processing. We systematically review these articles to understand the effectiveness of this approach, identify any issues and report the main findings that can guide further research.

MATERIALS AND METHODS

We searched PubMed, Ovid, and Web of Science for articles published in English between 2013 and 2019. We performed a systematic literature review to answer 5 key questions: (1) What were the characteristics of participant groups? (2) What language data were collected? (3) What features of speech and language were the most informative? (4) What methods were used to classify between groups? (5) What classification performance was achieved?

RESULTS AND DISCUSSION

We identified 33 eligible studies and 5 main findings: participants' demographic variables (especially age ) were often unbalanced between AD and control group; spontaneous speech data were collected most often; informative language features were related to word retrieval and semantic, syntactic, and acoustic impairment; neural nets, support vector machines, and decision trees performed well in AD detection, and support vector machines and decision trees performed well in decline detection; and average classification accuracy was 89% in AD and 82% in mild cognitive impairment detection versus healthy control groups.

CONCLUSION

The systematic literature review supported the argument that language and speech could successfully be used to detect dementia automatically. Future studies should aim for larger and more balanced datasets, combine data collection methods and the type of information analyzed, focus on the early stages of the disease, and report performance using standardized metrics.

Semantic Processing in Healthy Aging and Alzheimer's Disease: A Systematic Review of the N400 Differences

Semantic deficits are common in individuals with Alzheimer’s disease (AD). These deficits notably impact the ability to understand words. In healthy aging, semantic knowledge increases but semantic processing (i.e., the ability to use this knowledge) may be impaired. This systematic review aimed to investigate semantic processing in healthy aging and AD through behavioral responses and the N400 brain event-related potential. The results of the quantitative and qualitative analyses suggested an overall decrease in accuracy and increase in response times in healthy elderly as compared to young adults, as well as in individuals with AD as compared to age-matched controls. The influence of semantic association, as measured by N400 effect amplitudes, appears smaller in healthy aging and even more so in AD patients. Thus, semantic processing differences may occur in both healthy and pathological aging. The establishment of norms of healthy aging for these outcomes that vary between normal and pathological aging could eventually help early detection of AD.

A systematic review of cognitive event-related potentials in mild cognitive impairment and Alzheimer's disease

This systematic review examined whether event-related potentials (ERPs) during higher cognitive processing can detect subtle, early signs of neurodegenerative disease. Original, empirical studies retrieved from PsycINFO and PubMed were reviewed if they analyzed patterns in cognitive ERPs (≥150 ms post-stimulus) differentiating mild cognitive impairment (MCI), Alzheimer's disease (AD), or cognitively intact elders who carry AD risk through the Apolipoprotein-E ε4 allele (ε4+) from healthy older adult controls (HC). The 100 studies meeting inclusion criteria (MCI = 47; AD = 47; ε4+ = 6) analyzed N200, P300, N400, and occasionally, later components. While there was variability across studies, patterns of reduced amplitude and delayed latency were apparent in pathological aging, consistent with AD-related brain atrophy and cognitive impairment. These effects were particularly evident in advanced disease progression (i.e., AD > MCI) and in later ERP components measured during complex tasks. Although ERP studies in intact ε4+ elders are thus far scarce, a similar pattern of delayed latency was notable, along with a contrasting pattern of increased amplitude, consistent with compensatory neural activation. This limited work suggests ERPs might be able to index early neural changes indicative of future cognitive decline in otherwise healthy elders. As ERPs are also accessible and affordable relative to other neuroimaging methods, their addition to cognitive assessment might substantively enhance early identification and characterization of neural dysfunction, allowing opportunity for earlier differential diagnosis and targeting of intervention. To evaluate this possibility there is urgent need for well-powered studies assessing late cognitive ERPs during complex tasks, particularly in healthy elders at risk for cognitive decline.

Effects of Normative Aging on Eye Movements during Reading

Substantial progress has been made in understanding the mostly detrimental effects of normative aging on eye movements during reading. This article provides a review of research on aging effects on eye movements during reading for different writing systems (i.e., alphabetic systems like English compared to non-alphabetic systems like Chinese), focused on appraising the importance of visual and cognitive factors, considering key methodological issues, and identifying vital questions that need to be addressed and topics for further investigation.

Contextual constraints on lexico-semantic processing in aging: Evidence from single-word event-related brain potentials

The current study reports the effects of accumulating contextual constraints on neural indices of lexico-semantic processing (i.e., effects of word frequency and orthographic neighborhood) as a function of normal aging. Event-related brain potentials were measured from a sample of older adults as they read sentences that were semantically congruent, provided only syntactic constraints (syntactic prose), or were random word strings. A linear mixed-effects modeling approach was used to probe the effects of accumulating contextual constraints on N400 responses to individual words. Like young adults in prior work, older adults exhibited a classic word position context effect on the N400 in congruent sentences, although the magnitude of the effect was reduced in older relative to younger adults. Moreover, by modeling single-word variability in N400 responses, we observed robust effects of orthographic neighborhood density that were larger in older adults than the young, and preserved effects word frequency. Importantly, in older adults, frequency effects were not modulated by accumulating contextual constraints, unlike in the young. Collectively, these findings indicate that older adults are less likely (or able) to use accumulating top-down contextual constraints, and therefore rely more strongly on bottom-up lexical features to guide semantic access of individual words during sentence comprehension.

To predict or not to predict: age-related differences in the use of sentential context

Older adults (as a group) are less likely than younger adults to engage in an anticipatory mode of language comprehension, failing to successfully preactivate information about upcoming likely (predictable) words during online processing. To assess (within one set of materials) age-related changes in the use of sentential context to affect processing of predictable words and in the consequences of violating predictions, event-related brain potentials were recorded while older adults read sentences that varied in sentence-level constraint and expectancy of sentence-final words. Strongly constraining sentences were completed by their most expected, predictable words and weakly constraining sentences were completed by their most expected, less predictable words. Both types of sentences also were completed by unexpected (but plausible) words. Older adults showed reduced and delayed effects of sentential context on processing predictable words. Whereas younger adults elicit an enhanced positive ERP (starting around 500 ms poststimulus onset, largest over prefrontal electrode sites), specifically for unexpected words that violate strong expectancies for a different word, older adults as a group did not exhibit this neural consequence of disconfirmed predictions. Older adults were instead more likely to show a left-lateralized frontal negativity for predictable items. This ERP response has been attributed to processes needed to revisit contextual material in forming an interpretation of message-level meaning, which may be more likely when anticipatory modes of comprehension are not engaged. Taken together, the results suggest that normal aging can affect allocation of resources to different cognitive and neural pathways in achieving comprehension outcomes.

Cognitive event-related potentials: biomarkers of synaptic dysfunction across the stages of Alzheimer's disease

Cognitive event-related brain potential (ERP) studies of decision-making and attention, language, and memory impairments in Alzheimer's disease (AD) and mild cognitive impairment (MCI) are reviewed. Circumscribed lesions of the medial temporal lobe (MTL), as may be the case in individuals with amnestic MCI, generally produce altered plasticity of the late positive P600 component, with relative sparing of earlier sensory ERP components. However, as the neuropathology of AD extends to neocortical association areas, abnormalities of the P300 and N400 (and perhaps even P50) become more common. Critically, ERP studies of individuals at risk for AD may reveal neurophysiological changes prior to clinical deficits, which could advance the early detection and diagnosis of "presymptomatic AD".

Reduced resource optimization in male alcoholics: N400 in a lexical decision paradigm

BACKGROUND

Event Related Potential (ERP) studies have highlighted some measures, notably P3 amplitude, that are associated with both state and trait deficits in alcoholism, while studies examining N400 amplitude in alcoholism are few. The present study aims to examine differences in the N400 component, an electrophysiological correlate of semantic priming, in event-related potentials from a lexical decision task in 87 alcohol dependent subjects and 57 community controls.

METHODS

 Each subject was presented with 300 stimuli sequentially in a quasi-randomized design, where 150 stimuli were words and 150 were non-words. The subjects made a lexical decision indicating the word/non-word status with a button press. Among the words, 50 words (primed) were always preceded by their antonyms (prime, n=50), whereas the remaining 50 words were unrelated. N400 amplitude and latency measures were compiled from ERPs to the primed and unprimed words. Corresponding reaction time (RT) and response characteristics were also analyzed.

RESULTS

Control subjects revealed a significant attenuation of the N400 response to the primed word when compared to the unprimed word. Significantly less attenuation was observed in alcohol dependent subjects. No significant group differences were seen for latency and behavioral measures. All subjects had slower RT for unprimed words compared to primed words; however significantly less RT savings between the unprimed and primed condition was noted for alcoholics.

CONCLUSIONS

 These results suggest a reduced flexibility in the cognitive networks and a lack of resource optimization in alcoholics. The reduced attenuation of N400 during the primed condition in the alcohol dependent subjects may reflect an inability to engage similar neuronal substrates associated with semantic relatedness as seen in the controls. As diminished N400 attenuation during priming is observed in both alcoholics and high risk subjects, it may be a marker of risk and a good endophenotype for alcoholism.

ERP generator anomalies in presymptomatic carriers of the Alzheimer's disease E280A PS-1 mutation

Although subtle anatomical anomalies long precede the onset of clinical symptoms in Alzheimer's disease, their impact on the reorganization of brain networks underlying cognitive functions has not been fully explored. A unique window into this reorganization is provided by presymptomatic cases of familial Alzheimer's disease (FAD). Here we studied neural circuitry related to semantic processing in presymptomatic FAD cases by estimating the intracranial sources of the N400 event-related potential (ERP). ERPs were obtained during a semantic-matching task from 24 presymptomatic carriers and 25 symptomatic carriers of the E280A presenilin-1 (PS-1) mutation, as well as 27 noncarriers (from the same families). As expected, the symptomatic-carrier group performed worse in the matching task and had lower N400 amplitudes than both asymptomatic groups, which did not differ from each other on these variables. However, N400 topography differed in mutation carrier groups with respect to the noncarriers. Intracranial source analysis evinced that the presymptomatic-carriers presented a decrease of N400 generator strength in right inferior-temporal and medial cingulate areas and increased generator strength in the left hippocampus and parahippocampus compared to the controls. This represents alterations in neural function without translation into behavioral impairments. Compared to controls, the symptomatic-carriers presented a similar anatomical shift in the distribution of N400 generators to that found in presymptomatic-carriers, albeit with a larger reduction in generator strength. The redistribution of N400 generators in presymptomatic-carriers indicates that early focal degeneration associated with the mutation induces neural reorganization, possibly contributing to a functional compensation that enables normal performance in the semantic task.

Automatic semantic priming abnormalities in schizophrenia

Abnormal activation of semantic networks characterizes schizophrenia and can be studied using the N400 event-related potential (ERP). N400 is elicited by words that are not primed by the preceding context and provides a direct measure of the neural mechanisms underlying semantic priming. Semantic priming refers to facilitated semantic processing gained through pre-exposure to semantic context, which can happen automatically if the interval between the prime and target is very short. We predicted that (1) schizophrenia patients have overly inclusive semantic networks, reflected in a less negative than expected N400 to relatively unprimed words, and (2) schizophrenia patients are deficient in their use of semantic context, responding to primed words as if they were unprimed, reflected in a more negative than expected N400 to primed words. N400s were acquired from patients with DSM-IV schizophrenia (n=26) and age-matched healthy comparison subjects (n=29) performing a picture-word verification (match vs. non-match) task. Word targets were presented 325ms after a picture prime, which either matched (CAMEL-->"camel"), or did not match (In Category: CAMEL-->"cow"; Out Category: CAMEL-->"candle") the prime. N400 data suggest that both patients and controls are sensitive to the difference between primed and unprimed words, but patients are less sensitive than controls. Similarly, N400 data suggest that both groups were sensitive to the subtler difference between classes of unprimed words (In Category versus Out Category picture-word non-matches), but patients are less sensitive, especially those with prominent negative symptoms.

Priming deficiency in male subjects at risk for alcoholism: the N4 during a lexical decision task

BACKGROUND

While there is extensive literature on the relationship between the P3 component of event-related potentials (ERPs) and risk for alcoholism, there are few published studies regarding other potentially important ERP components. One important candidate is the N4(00) component in the context of semantic processing, as abnormalities in this component have been reported for adult alcoholics.

METHOD

A semantic priming task was administered to nonalcohol dependent male offspring (18 to 25 years) of alcoholic fathers [high risk (HR) n = 23] and nonalcoholic fathers [low risk (LR) n = 28] to study whether the 2 groups differ in terms of the N4 component. Subjects were presented with 150 words and 150 nonwords. Among the words, 50 words (primed) were preceded by their antonyms (prime, n = 50), whereas the remaining 50 words were unprimed. For the analysis, N4 amplitude and latency as well as behavioral measures for the primed and unprimed words were considered.

RESULTS

A significant interaction effect was observed between semantic condition and group, where HR subjects did not show N4 attenuation for primed stimuli.

CONCLUSION

The lack of N4 attenuation to primed stimuli and/or inability to differentiate between primed and unprimed stimuli, without latency and reaction time being affected, suggest deficits in semantic priming, especially in semantic expectancy and/or postlexical semantic processing in HR male offspring. Further, it indicates that it might be an electrophysiological endophenotype that reflects genetic vulnerability to develop alcoholism.

Event-related potentials in clinical research: guidelines for eliciting, recording, and quantifying mismatch negativity, P300, and N400

This paper describes recommended methods for the use of event-related brain potentials (ERPs) in clinical research and reviews applications to a variety of psychiatric and neurological disorders. Techniques are presented for eliciting, recording, and quantifying three major cognitive components with confirmed clinical utility: mismatch negativity (MMN), P300, and N400. Also highlighted are applications of each of the components as methods of investigating central nervous system pathology. The guidelines are intended to assist investigators who use ERPs in clinical research, in an effort to provide clear and concise recommendations and thereby to standardize methodology and facilitate comparability of data across laboratories.

Some effects of aging on event-related potentials during a linguistic monitoring task

Two groups of adults, one young and one elderly, were compared on a dichotic task in which continuous speech was monitored for grammatically and semantically anomalous words. Event-related potentials (ERPs) elicited by these anomalies were analyzed in terms of peak amplitude and peak latency of the evoked late-positive component (LPC). Results showed that while LPC peak amplitudes were overall reduced for the group of seniors, LPC peak latencies were similar between both groups of listeners. These findings are consistent with the hypothesis that elderly persons can offset declines in memory, perceptual processes, and speed of mental processing by taking advantage of contextual and prosodic cues in running speech. Additionally, an apparently asymmetric processing negativity was observed in the waveforms of young adults but not seniors. Possible mechanisms include the N400 response to semantic incongruity and a processing negativity component associated with attentional bias toward right hemispace.

From amnesia to dementia: ERP studies of memory and language

Cognitive event-related potential (ERP) studies of memory and language impairments in amnesia and Alzheimer's disease (AD) are reviewed. Well-circumscribed lesions of the medial temporal lobe (MTL) or diencephalon causing an amnestic syndrome, an inability to encode and retrieve episodic memories beyond the brief duration of working memory, appear to produce altered plasticity of the late positive P600 component, but usually spare P300 and N400 components. The neuropathology of AD affects MTL and extends to neocortical association areas, causing deficits of episodic and semantic memory. In AD dementia, the P300, N400, and P600 all commonly show abnormalities. ERP studies of individuals with mild cognitive impairment may reveal neurophysiological changes prior to the emergence of clinical deficits, which could advance the early detection and diagnosis of AD.

Age-related differences in automatic stimulus-response associations: insights from young and older adults' parity judgments

Young and older adults completed a parity judgment task (i.e., judging whether a target digit was odd or even) in which target numbers were preceded by masked prime numbers presented for 43 msec. Targets were either congruent (i.e., they had the same parity status as their primes) or incongruent (i.e., odd primes were paired with even targets, and even primes were paired with odd targets). Response times, percent errors, and event-related potentials (ERPs) were recorded for all items to compare automatic stimulus-response association (ASRA) and congruence effects (i.e., better performance on congruent than on incongruent trials) across age groups. Two important original sets of findings were obtained in this sample of participants. First, both age groups showed ASRA effects in behavioral measures. Second, age-related differences were observed in amplitude, timing, and scalp distributions for each congruent and incongruent ERP. These findings have implications for furthering the understanding of ASRA effects and of general characteristics of cognitive processes affected (or not affected) by aging.

Error processing in patients with Alzheimer's disease

Patients with dementia are prone to make errors while they perform a task. To evaluate error detection and action monitoring in patients with dementia of the Alzheimer type (DAT) at a relatively early stage of the illness, error negativity (Ne) and error positivity (Pe) of event-related potentials (ERPs) obtained by averages time-locked to error response were studied using a lexical recognition paradigm composed of Japanese 'kanji' ideogram characters. In the DAT patients, reaction times were significantly slower and error rates were higher. Not only in healthy elderly subjects but also in the DAT patients, the Ne component obtained by averages time-locked to error response showed a larger amplitude than negativity for correct response (Nc). The Ne and Pe amplitudes were significantly smaller for the DAT patients than for the healthy elderly subjects, whereas there were no significant differences in the Nc amplitude between the two subject groups. Latencies of the Ne, Pe and positivity for correct response (Pc) were prolonged in the DAT patients. These findings suggest that information processing and error detection are slower and somewhat impaired at a relatively early stage of DAT, although error detection and awareness are still preserved.

N400 as an index of semantic expectancies: differential effects of alcohol and cocaine dependence

BACKGROUND

Chronic substance abuse has been associated with decrements in the processing and expression of language. The present study utilized the N400 event-related electroencephalographic potential to index semantic processing in 133 adults with (n=49) or without (n=84) a history of alcohol and/or cocaine dependence. The contributions of age, gender, and comorbid marijuana and nicotine dependence, and antisocial symptomology to N400 decrements were either covaried or controlled.

METHODS

A continuous series of 300 stimuli was presented for 150 ms each (interstimulus interval=1475 ms) on a computer screen. The series was arranged such that a word (approximately 17% of stimuli) immediately preceded presentations of its antonym (primed condition; approximately 17% of stimuli), or a semantically unrelated word (unprimed condition; approximately 17% of stimuli). The remaining 50% of stimuli consisted of unpronounceable letter combinations (non-word condition). EEG responses to the antonyms, unrelated words, and letter jumbles were retained for analysis. Throughout the task, the subject pressed response keys to discriminate words from non-words.

RESULTS

Analyses revealed a detrimental effect of alcohol dependence on N400 amplitude and no significant main or interactive effects of cocaine dependence.

CONCLUSION

The present findings suggest that alcohol-dependent individuals may exhibit verbal processing decrements. These findings also challenge hypotheses suggesting that the combined use of cocaine and alcohol is more deleterious to brain function than alcohol use alone.

Patients with mild Alzheimer's disease attribute conceptual fluency to prior experience

Patients with Alzheimer's disease (AD) have been found to be relatively dependent on familiarity in their recognition memory judgments. Conceptual fluency has been argued to be an important basis of familiarity. This study investigated the extent to which patients with mild AD use conceptual fluency cues in their recognition decisions. While no evidence of recognition memory was found in the patients with AD, enhanced conceptual fluency was associated with a higher rate of "Old" responses (items endorsed as having been studied) compared to when fluency was not enhanced. The magnitude of this effect was similar for patients with AD and healthy control participants. Additionally, ERP recordings time-locked to test item presentation revealed preserved modulations thought critical to the effect of conceptual fluency on test performance (N400 and late frontal components) in the patients with AD, consistent with the behavioral results. These findings suggest that patients with mild AD are able to use conceptual fluency in their recognition judgments and the neural mechanisms supporting such processing is maintained.

Clinical applications of cognitive event-related potentials in Alzheimer's disease

This article has reviewed several abnormalities in the cognitive ERPs of AD patients. These abnormalities are prominent from latencies of approximately 200 msec and later. In contrast, sensory-dependent evoked potentials, such as N100, are generally normal in AD. This finding is as one familiar with the neuropathology of AD would predict. Predilection sites in early AD include the medial temporal lobe, other limbic areas, and multimodal association cortices with sparing of primary sensory areas. Unimodal association cortex is involved in AD, but not as heavily as multimodal cortex. Particular advantages of studying a given ERP paradigm or component depend largely on the specific application or hypothesis being tested. A P300 paradigm can be useful in detecting a disorder of attention or in quantifying the effects of drugs that improve attention, such as the cholinesterase inhibitors. For the early diagnosis of AD or other memory disorders, a word-repetition paradigm with an explicit recognition task or one that fosters associative learning would be recommended. This article has discussed potential use of N400 in tracking disease progression. ERPs provide a flexible and powerful technique, with superb temporal resolution, which can be used as a probe into subtle "subclinical" abnormalities of cognitive processes. Despite being applied to AD for about 25 years since the early P300 studies, the full potential of ERPs in helping diagnose and treat AD patients has yet to be realized. In this era of rapidly evolving brain-imaging techniques, electrophysiologic data are important in advancing understanding of cognition. Brain-mapping techniques that can inform where and when key cognitive processes occur are finally emerging. A final example of potential clinical application of cognitive ERPs is in the development of rational combinational treatment of cognitive enhancing drugs. Along these lines, P300 investigations in epilepsy proved helpful in ranking the cognitive side effects of anticonvulsant drugs. Drug studies that use 2 x 2 combinational designs, which compare the effects of drug A, drug B, with A + B, are currently prohibitively expensive for full-scale clinical trials in AD. It is likely that precise ERP measures could hasten drug development in several ways. Smaller samples could be used, at lower cost, to test the cognitive effects of each specific drug combination. Optimal doses of combinational therapy perhaps could be identified by repeated within-subject ERP measures. Longitudinal changes in the ERP hold promise as a marker of individual responsivity to a particular agent, which could have diagnostic utility (eg, testing response to cholinergic or dopaminergic therapy). This horizon and many others remain wide open for well-planned explorations.

Sounds, Words, Sentences: Age-Related Changes Across Levels of Language Processing

Age-related changes in sensory, lexical, and sentence processing were examined and compared using event-related potentials (ERPs) recorded as young and elderly participants listened to natural speech for comprehension. Lexically associated and unassociated word pairs were embedded in meaningful or syntactically legal but meaningless sentences. Early, general sensory, and attention-related responses (N1, P2) were delayed by about 25 ms for older participants, but later components indexing semantic processing (N400) were not delayed. There were no differences in the size, timing, or distribution of lexical associative effects for the two groups. In contrast, message-level context effects were delayed by more than 200 ms in the elderly group. The results support models that posit age-related changes primarily in higher order language processes.

Electrophysiological analysis of context effects in Alzheimer's disease

Event-related potentials elicited by semantically associated and unassociated word pairs embedded in congruous and semantically anomalous spoken sentences were recorded from patients with Alzheimer's disease (AD) and healthy older and young controls as a means of examining the nature, time course, and relation between word and sentence context effects. All groups demonstrated lexical priming in nonsensical sentences, but it was earlier in the young (200-600 ms) than in the older controls (600-800 ms), and even later in the probable AD patients (800-1,000 ms). Moreover, processing in both the elderly and AD groups benefited disproportionately from a meaningful sentence context. The results do not accord well with either a strictly structural or a strictly functional account of the semantic impairments in AD.

Metaphorical and non-metaphorical links: a behavioral and ERP study in young and elderly adults

Event-related potentials (ERPs) and reaction times were recorded in a semantic decision task with isolated word pairs. The two words in each pair had either a metaphorical semantic link or a non-metaphorical semantic link. The metaphorical semantic link implied familiar expressions. Two conditions without any semantic link were also used, where the two words had a phonological relationship or not. Normal young adults and elderly people participated in this task. Subjects had to decide whether a target word presented 700 ms after a prime word was or was not semantically linked to the prime. Among word pairs with semantic relation, some pairs presented a metaphorical link, and the others presented a non-metaphorical link. Among word pairs without semantic relation, some pairs had a phonological relationship, and the others had no specific relationship. Familiar metaphorical expressions were used. In the two groups, target words elicited larger N400 components when they were related to the prime word by a metaphorical semantic link than when the semantic link was not metaphorical. No significant differences were found between the metaphorical semantic link condition and the two conditions without semantic link. The reaction times analysis showed that young and elderly people took more time to respond to the metaphorical semantic link than to the non-metaphorical semantic link. These results suggest that understanding metaphorical semantic links requires a lexical controlled process and that metaphors have a special status in the semantic memory.

Neurophysiological efficiency in male and female alcoholics

Chronic alcoholics often exhibit impairment in behavioral indicators of cognitive efficiency. However, potential neurophysiological correlates of this deficit are understudied. To examine this function, semantic expectancy was measured by recording the N400 component of the event-related potential (ERP), which is elicited by incongruent semantic information. Abstinent alcoholics, 21-45 days sober (n = 26; 12 males, 14 females), as well as age and education equated community controls (n = 26; 12 males, 14 females), were instructed to read silently 218 sentences ending with either congruent, related/incongruent, or unrelated/incongruent terminal words. Difference waveforms to the terminal word were derived, and amplitude and latency measures of the most negative peak between 300 and 600 ms were obtained. Electrode sites included the midline sites, Fz, Cz, and Pz; the temporal sites T3 and T4; and parietal sites P3 and P4. Significant group effects in amplitude were observed for the difference waveform under the unrelated/incongruent condition at T3, T4, and P4 (P < or = .05). Measures at P3, Pz, Fz, and Cz approached significance (P < or = .15). Although the overall pattern did not change when regression techniques were used to control for age, only the T4 site retained significance (P < or = .05). Across all electrode sites, alcoholics produced reduced N400 amplitudes relative to community controls. Latency was unaffected. There were no group effects for amplitude or latency measures in the related/incongruent condition. These data are consistent with the hypothesis that alcoholics suffer from a subtle deficiency in neurophysiologically based cognitive efficiency which renders them less likely to respond appropriately to irrelevant information.

Event-related brain potential evidence of spared knowledge in Alzheimer's disease

The authors recorded event-related brain potentials (ERPs) to picture primes and word targets (picture-name verification task) in patients with Alzheimer's disease (AD) and in elderly and young participants. N400 was more negative to words that did not match pictures than to words that did match pictures in all groups: In the young, this effect was significant at all scalp sites; in the elderly, it was only at central-parietal sites; and in AD patients, it was limited to right central-parietal sites. Among AD patients pretested with a confrontation-naming task to identify pictures they could not name, neither the N400 priming effect nor its scalp distribution was affected by ability to name pictures correctly. This ERP evidence of spared knowledge of these items was complemented by 80% performance accuracy. Thus, although the name of an item may be inaccessible in confrontation naming, N400 shows that knowledge is intact enough to prime cortical responses.

Disturbance of semantic processing in temporal lobe epilepsy demonstrated with scalp ERPs

We investigated event-related potentials (N400, LPC and CNV) elicited in temporal lobe epilepsy (TLE) patients and control subjects from scalp electrodes, using a word-pair category matching paradigm. Each prime consisted of a Japanese noun (constructed from 2-4 characters of the Hiragana) followed by a Chinese character (Kanji) as the target, the latter representing one of five semantic categories. There were two equally probable target conditions: match or mismatch. Each target was preceded by a prime, either belonging to, or not belonging to, the same semantic category. The subjects were required to respond with a specified button press to the given target, according to the condition. We found RTs to be longer under the mismatch condition in both subject groups. The N400 amplitude was reduced in TLE subjects under both conditions, although LPC and CNV amplitudes showed no significant differences. These results suggest that scalp N400 is capable of demonstrating disturbance of semantic processing in TLE non-invasively.

ERPs, semantic processing and age

ERPs (N400, LPC and CNV) were elicited in two sets of subjects grouped according to age (young vs. elderly) using a word-pair category matching paradigm. Each prime consisted of a Japanese noun (constructed from two to four characters of the Hiragana) followed by one Chinese character (Kanji) as the target, this latter representing one of five semantic categories. There were two equally probable target conditions: match or mismatch. Each target was preceded by a prime, either belonging to, or not belonging to, the same semantic category. The subjects were required to respond with a specified button press to the given target according to the condition. We found RTs to be longer in the elderly subjects and under the mismatch condition. N400 amplitude was reduced in the elderly subjects under the mismatch condition and there was no difference between match and mismatch response, which were similar in amplitude to that under match condition for the young subjects. In addition, the CNV amplitudes were larger in the elderly subjects. These results suggested that functional changes in semantic processing through aging (larger semantic networks and diffuse semantic activation) were the cause of this N400 reduction, attributing a subsidiary role to attentional disturbance. We also discuss the importance of taking age-related changes into consideration in clinical studies.

Semantic processing of spoken words in Alzheimer's disease: an electrophysiological study

Patients suffering from Alzheimer's disease (AD) have severe difficulties in tasks requiring the use of semantic knowledge. The semantic deficits associated with AD have been extensively studied by using behavioral methods. Many of these studies indicate that AD patients have a general deficit in voluntary access to semantic representations but that the structure of the representations themselves might be preserved. However, several studies also provide evidence that to some extent semantic representations in AD may in fact be degraded. Recently, a few studies have utilized event-related brain potentials (ERPs) that are sensitive to semantic factors in order to investigate the electrophysiological correlates of the semantic impairment in AD. Interest has focused on the N400 component, which is known to reflect the on-line semantic processing of linguistic and pictorial stimuli. The results from studies of N400 changes in AD remain somewhat controversial: Some studies report normal or enlarged N400 components in AD, whereas others report diminished ones. One issue not reported in previous studies is whether word-elicited ERPs other than N400 remain normal in AD. In the present study our aim was to find out whether the ERP waveforms N1, P2, N400, and Late Positive Component (LPC) to semantically congruous and incongruous spoken words are abnormal in AD and whether such abnormalities specifically reflect deficiencies in semantic activation in AD. Auditory ERPs from 20 scalp sites to semantically congruous and incongruous final words in spoken sentences were recorded from 17 healthy elderly adults and 9 AD patients. The early ERP waveforms N1 and P2 were relatively normal for the AD patients, but the N400 and LPC effects (amplitude difference between congruous and incongruous conditions) were significantly reduced. We interpret the present results as showing that semantic-conceptual activation and other high-level integration processes are defective in AD. However, a word congruity effect earlier than N400 (phonological mismatch negativity), reflecting lexical selection processes, is at least to some extent preserved in AD.

ERP assessment of semantic memory in Alzheimer's disease

This study used the technique of Event-Related Potentials (ERPs), specifically the component N400, to evaluate semantic functions in Alzheimer's disease (AD). ERPs of 10 patients with probable AD and 10 asymptomatic elderly control subjects were recorded during a semantic categorization task using pictures as stimuli, 50% of the stimuli were congruent and the other 50% were incongruent. Significant differences for the incongruent ERPs, with a diminished N400 component, was observed in the patients group whereas the amplitude of the congruent ERPs was similar in both groups. The characteristics of the N400 in the patients with probable AD suggest that there is a lack of efficiency in accessing information and shows that there are deficient associative connections within the semantic network.

N400 evidence of abnormal responses to speech in Alzheimer's disease

The status of semantic priming in Alzheimer's disease (AD) was examined using the speech elicited N400 component of the event-related brain potential (ERP). Speech was naturally paced, with 1 s of silence before the final word. In the semantic task, subjects attended to the meaning of the sentences for a subsequent memory test. In the phonemic monitoring task, they counted the words beginning with the letter 'p'. The effects of age were assessed by comparing young and elderly, and the effects of disease by comparing elderly and AD subjects. In healthy young and elderly subjects, N400s were large to semantically unprimed words and small to semantically primed words. In AD subjects, N400s were large to primed words, reflecting a failure of the sentence stem to prime the final word, and probably an impairment in semantic knowledge. The N400 priming effect was not smaller during the phonemic than semantic task in any group, suggesting that the semantic qualities of speech are processed even when subjects are attending to phonemic qualities. N400 latency was delayed with age and further delayed with dementia.