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REPORTS
                                                                                                            gotten experiences, with remembered experi-
                 Building Memories:                                                                         ences being associated with a greater posi-
                                                                                                            tive-going response over frontal and parietal

           Remembering and Forgetting of                                                                    regions (4). However, ERP studies are char-
                                                                                                            acterized by limited spatial resolution. Thus,

           Verbal Experiences as Predicted
                                                                                                            the precise functional neuroanatomic encod-
                                                                                                            ing differences that predict whether a partic-
                                                                                                            ular verbal experience will be remembered or
                  by Brain Activity                                                                         forgotten are currently unknown.
                                                                                                                A second unanswered question concerns
             Anthony D. Wagner,* Daniel L. Schacter, Michael Rotte,†                                        the exact roles of medial temporal structures
            Wilma Koutstaal, Anat Maril, Anders M. Dale, Bruce R. Rosen,                                    in memory encoding. Lesion studies in hu-
                                                                                                            mans and other species indicate that medial
                                Randy L. Buckner                                                            temporal regions are essential for the process-
                                                                                                            ing of experiences such that they can be
          A fundamental question about human memory is why some experiences are                             remembered at a later time (5). However,
          remembered whereas others are forgotten. Brain activation during word en-                         modulated medial temporal activation has
          coding was measured using blocked and event-related functional magnetic                           been notably absent in neuroimaging studies
          resonance imaging to examine how neural activation differs for subsequently                       that systematically varied the nature of cog-
          remembered and subsequently forgotten experiences. Results revealed that the                      nitive operations engaged during encoding
          ability to later remember a verbal experience is predicted by the magnitude of                    (2). Rather, parahippocampal gyrus, a sub-
          activation in left prefrontal and temporal cortices during that experience. These                 component of the medial temporal memory
          findings provide direct evidence that left prefrontal and temporal regions jointly                 system, has been indirectly implicated in
          promote memory formation for verbalizable events.                                                 memory encoding because parahippocampal
                                                                                                            activation is greater during the processing of
   Memory encoding refers to the processes by            trial-by-trial comparison between specific en-     novel stimuli relative to familiar stimuli (6 ).
   which an experience is transformed into an            coding trials that lead to subsequent remem-       These results raise the possibility that para-
   enduring memory trace. Psychological stud-            bering and those that lead to subsequent for-      hippocampal contributions to encoding may
   ies have shown that the memorability of an            getting. Results from event-related potential      be restricted to novelty detection processes.
   experience is influenced greatly by the cog-          (ERP) studies, which allow for trial-by-trial          To address these issues, the neural corre-
   nitive operations engaged during initial en-          analysis, suggest that the neural signature        lates of incidental word encoding were exam-
   coding of that experience, with semantic pro-         during verbal encoding differs for subse-          ined in two whole-brain functional magnetic
   cessing leading to superior memorability rel-         quently remembered and subsequently for-           resonance imaging (fMRI) studies. One ex-
   ative to nonsemantic processing (1). Func-
   tional neuroimaging studies have implicated
   left prefrontal cortex in verbal encoding: left       Fig. 1. Statistical activation
   prefrontal activation is greater during seman-        maps are shown for the
                                                         blocked-design and event-re-
   tic relative to nonsemantic encoding (2), and         lated data. Images are trans-
   left prefrontal participation decreases and           verse sections for the data
   memorization is impaired when semantic en-            averaged across subjects. The
   coding operations are disrupted (3). These            left hemisphere of the brain
   studies have all relied on blocked experimen-         corresponds to the left side
   tal designs, where trials from each encoding          of the image. (A) In the
                                                         blocked-design experiment,
   condition are presented sequentially, insepa-         greater activation during
   rable from each other during the functional           word processing relative to
   scan. While blocked designs allow compari-            fixation was noted in the
   son between encoding conditions that yield,           posterior and dorsal extent of
   on average, higher or lower levels of subse-          left inferior frontal gyrus (A:
   quent recollection, they do not allow a direct           34, 6, 34 and 43, 6, 31;
                                                         BA 44/6), right inferior fron-
                                                         tal gyrus (B: 37, 6, 34; BA
   A. D. Wagner and M. Rotte, Massachusetts General
                                                         44/6), left lateral parietal
   Hospital NMR Center, Harvard Medical School,          cortex (C: 28, 68, 43; BA
   Charlestown, MA 02129, USA, and Department of         7), anterior and ventral left
   Psychology, Harvard University, Cambridge, MA         inferior frontal gyrus (D:
   02138, USA. D. L. Schacter, W. Koutstaal, A. Maril,      46, 34, 15 and 43, 28, 12;
   Department of Psychology, Harvard University, Cam-    BA 45/47), bilateral frontal
   bridge, MA 02138, USA. A. M. Dale and B. R. Rosen,    operculum (E: left 31, 19,
   Massachusetts General Hospital NMR Center, Harvard    12, and 40, 25, 3; right 34, 19, 6; BA 47), left middle temporal gyrus (F: 59, 43, 3; BA 21),
   Medical School, Charlestown, MA 02129, USA. R. L.     bilateral visual cortex (G: BA 17/18/19), parahippocampal gyrus near fusiform gyrus (H: 31, 43,
   Buckner, Massachusetts General Hospital NMR Cen-         18; BA 36/37/35), and fusiform gyrus (I: 37, 58, 15; BA 37). Other regions included the
   ter, Harvard Medical School, Charlestown, MA 02129,   hippocampus ( 37, 15, 15), supplementary motor area (0, 6, 62; BA 6), medial superior frontal
   USA, and Department of Psychology, Washington         gyrus ( 3, 6, 50; BA 6), and right lateral cerebellum. (B) Regions demonstrating greater activation
   University, St. Louis, MO 63130, USA.                 during semantic relative to nonsemantic processing included left frontal (A: 43, 9, 34 and 43,
   *To whom correspondence should be addressed. E-       13, 28; D: 40, 22, 21 and 40, 31, 12; E: 28, 22, 6), parahippocampal (H: 34, 40, 12), and
   mail: adwagner@nmr.mgh.harvard.edu                    fusiform (I: 43, 58, 9) cortices. (C) In the event-related study, comparison of word processing
   †Permanent address: Otto v. Guericke University,      trials to fixation trials revealed many of the same regions noted in the blocked-design experiment.
   Neurology II, Magdeburg D-39120, Germany.             Complete listings of stereotaxic coordinates are available from the author upon request.

1188                                           21 AUGUST 1998 VOL 281 SCIENCE www.sciencemag.org
REPORTS
periment used blocked-design procedures to         Posterior LIFG                            Fig. 2. Statistical activation
investigate how systematic manipulation of                                                   maps encompassing frontal
                                                                           A                 regions that demonstrate a
the encoding task affects prefrontal and me-
                                                                                             greater response during the
dial temporal activation, whereas the other                                                  encoding of words later re-
used newly developed event-related proce-                                                    membered (high confidence
dures (7) that allow direct comparison be-                                                   hit trials) relative to words
tween specific encoding trials that result in                                                later forgotten (miss trials).
subsequent remembering and forgetting. In                                                    Displayed at the left are trans-
the blocked-design experiment, activation                                                    verse and coronal sections
                                                                                             through the activation foci for
during performance of a semantic processing                                                  the event-related data aver-
task (deciding if a word is abstract or con-                                                 aged across subjects. Greater
                                                   Anterior LIFG
crete) was compared to that during a nonse-                                                  activation was noted in the
mantic processing task (deciding if a word is                              B                 posterior and dorsal extent of
printed in upper- or lowercase letters).                                                     left inferior frontal gyrus
Twelve normal, right-handed subjects were                                                    (LIFG) bordering precentral gy-
                                                                                             rus (A: 50, 9, 34; BA 44/6),
scanned while performing alternating task-                                                   the anterior and ventral extent
blocks consisting of semantic processing,                                                    of LIFG (B: 50, 25, 12; BA
nonsemantic processing, and visual fixation                                                  45/47), and the left frontal
(8, 9). The novelty of the words in the se-                                                  operculum (C: 31, 22, 6; BA
mantic and nonsemantic blocks was equiva-                                                    47). Time courses were derived
lent. Behaviorally, reaction times (RTs) were                                                for each condition within a
                                                   Frontal Operculum                         three-dimensional region sur-
longer for semantic (873 ms) relative to non-                                                rounding the peak voxel and
semantic (539 ms) decisions. Subsequent                                    C                 reflect raw mean signal chang-
memory was superior following semantic                                                       es. Regions were defined, using
(85% recognized) than following nonseman-                                                    an automated algorithm that
tic (47% recognized) processing (10).                                                        identified all contiguous voxels
    Many brain regions demonstrated signifi-                                                 within 12 mm of the peak that
                                                                                             reached the significance level.
cantly greater activation during word pro-
cessing relative to visual fixation (Fig. 1)
(11). These activations likely reflect process-
es associated with memory encoding and also
more general processes associated with stim-
ulus perception and response generation. To
identify regions that demonstrate differential                                               Fig. 3. Activation maps and
activation during encoding conditions that                                                   the corresponding time cours-
yield higher relative to lower subsequent                                                    es from temporal regions are
memory, we directly compared the semantic                                  A/B               shown for the trial comparison
and nonsemantic processing conditions. Re-                                                   of remembered (greater re-
                                                                                             sponse) to forgotten (lesser re-
gions demonstrating greater activation during                                                sponse) words. Temporal foci
semantic processing included several areas in                                                included a region ( 31, 46,
left prefrontal cortex, as well as left parahip-                                                12) that encompassed para-
pocampal and fusiform gyri (Fig. 1). Al-                                                     hippocampal gyrus (A: BA 36/
though these results indicate that temporal                                                  37/35) and the more medial
and prefrontal processes influence the encod-                                                extent of fusiform gyrus (B: BA
                                                                                             37), and a region that encom-
ing of verbal experiences, they do not directly                                              passed the lateral extent of
specify the encoding differences that predict                                                fusiform gyrus and portions of
whether a specific experience will be later                                                  inferior temporal gyrus (C:
remembered or forgotten.                                                   C                    43, 55, 9; BA 37). Other
    In a second experiment, event-related f MRI                                              regions, including visual (L.,
was used while participants performed a single                                               left) and motor (R., right) cor-
                                                                                             tices, did not show modulated
incidental encoding task. The objective was to                                               activation across remembered
determine whether trial-by-trial differences in                                              and forgotten trials.
encoding activation predict subsequent memory
for experiences even when the processing task
was held constant. Thirteen normal, right-hand-
ed subjects underwent six fMRI scans, each
consisting of word and fixation events present-
ed in a continuous series of 120 rapidly inter-
mixed trials (12). During word trials, subjects
made a semantic decision (“abstract or con-
crete?”). Following the encoding scans, memo-
ry for the words was assessed by a recognition
test. Subjects indicated whether they recog-
nized each test word as studied, reporting their
confidence (high or low) when they recognized

                                         www.sciencemag.org SCIENCE VOL 281 21 AUGUST 1998                                  1189
REPORTS
   the word (13). Behavioral results indicated that   temporal regions are engaged during the ex-                       7. A. M. Dale and R. L. Buckner, Hum. Brain Mapp. 5, 329
   subjects discriminated between previously stud-                                                                         (1997); R. L. Buckner et al., Neuron 20, 285 (1998).
                                                      perience. Although modulated parahip-
                                                                                                                        8. Informed consent was obtained from all subjects
   ied and unstudied words when responding with       pocampal activation has not been noted in                            (seven men, five women, aged 18 to 29 years). Echo
   high confidence, but not when responding with      many studies, our experiments demonstrate                            planar and conventional imaging was performed on a
   low confidence (14, 15).                           that left parahippocampal gyrus is more ac-                          1.5-T GE Signa scanner with an ANMR upgrade. Im-
                                                                                                                           aging procedures [see R. L. Buckner, W. Koutstaal,
       The f MRI data were analyzed by catego-        tive during the encoding of verbal experienc-                        D. L. Schacter, A. D. Wagner, B. R. Rosen, Neuroimage
   rizing encoding trials based on whether the        es that are later remembered relative to those                       7, 151 (1998)] included collection of structural im-
   word was subsequently remembered or for-           later forgotten, even though these two classes                       ages [radio frequency–spoiled GRASS (gradient-re-
                                                                                                                           called acquisition in the steady state) sequence, 60-
   gotten on the postscan memory test. There          of experiences were equally novel within the                         slice sagittal, 2.8-mm thickness] and echo planar
   were four trial types: high confidence hits,       context of the experiment [see also (20)].                           functional images sensitive to blood-oxygen level–
   low confidence hits, misses, and fixation.         These results indicate that, although medial                         dependent contrast (118 sequential whole-brain ac-
                                                                                                                           quisitions, 16 slices each, 3.125-mm in-plane resolu-
   Word processing relative to fixation resulted      temporal regions are sensitive to stimulus                           tion, 7-mm thickness, skip 1 mm; T2*-weighted
   in greater activation in many brain regions,       novelty (21), the role of parahippocampal                            asymmetric spin-echo sequence: TR          2 s, TE  50
   replicating most of the regions noted in the       gyrus in memory encoding extends beyond                              ms, 180° offset –25 ms).
                                                                                                                        9. During each of four scans, blocks were ordered: non-
   blocked-design study (Fig. 1). Importantly,        novelty detection and encompasses more                               semantic (40 s), fixation (24 s), semantic (40 s),
   the event-related design also permitted iden-      general encoding mechanisms. Parahip-                                fixation, nonsemantic, fixation, semantic. A brief (8 s)
   tification of regions that demonstrate differ-     pocampal gyrus is the principal neocortical                          fixation block began each scan. During semantic and
   ential activation during the encoding of           input pathway to the hippocampal region                              nonsemantic blocks, 20 words were visually present-
                                                                                                                           ed: 10 abstract and 10 concrete nouns; half in upper-
   words subsequently remembered and those            (22), and thus it is suitably situated to play an                    case and half in lowercase letters. Each word was
   subsequently forgotten. When comparing             important role in memory formation.                                  presented for 1 s followed by 1 s of fixation between
   high confidence hits to misses, greater acti-          Parahippocampal and prefrontal regions                           words. Subjects responded by left-handed key press.
                                                                                                                           During fixation blocks, a cross-hair (“ ”) was pre-
   vation was noted in multiple left prefrontal       may act interdependently to promote the en-                          sented for the entire duration.
   regions (Fig. 2) and left parahippocampal and      coding of event attributes important for con-                    10. Alpha was set to P 0.05 for all behavioral analyses.
   fusiform gyri (Fig. 3) (16, 17). This pattern      scious remembrance. Verbal experiences                               Response latencies differed across tasks [F(1,11)
                                                                                                                           89.97]. Memory was assessed in the scanner 20 to
   was independently present and significant for      may be more memorable when semantic and                              40 m later, using a yes-no recognition procedure (8).
   these regions when comparing high confi-           phonological attributes of the experience are                        Subsequent memory differed across tasks [F(1,11)
   dence hits to misses within each of the word       extensively processed via participation of left                      69.50].
                                                                                                                       11. Functional runs were averaged within each subject,
   types (abstract or concrete). The subsequent       prefrontal regions (2, 23). Left prefrontal re-                      transformed into stereotaxic atlas space, and aver-
   memory effect was rather specific: other re-       gions may serve to organize these attributes                         aged across subjects (8). Activation maps were con-
   gions active during word processing relative       in working memory, with this information                             structed using a nonparametric Kolmogorov-Smirnov
                                                                                                                           statistic to compare (i) word processing (semantic
   to fixation failed to demonstrate greater acti-    serving as input to parahippocampal gyrus                            and nonsemantic) to fixation and (ii) semantic to
   vation during high confidence hits relative to     and the medial temporal memory system                                nonsemantic processing. Peak activations were iden-
   misses (Fig. 3).                                   (24). A specific experience may elicit the                           tified by selecting local statistical activation maxima
       Our results specify how the neural signa-      recruitment of these processes to a greater or                       that were P 0.001 within clusters of five contigu-
                                                                                                                           ous significant voxels. These criteria minimize false
   ture during encoding differs for events sub-       lesser extent because of variable task de-                           positives, as verified using the logic of control func-
   sequently remembered and events subse-             mands, shifts in subjects’ strategies, charac-                       tional runs [E. Zarahn, G. K. Aguirre, M. D’Esposito,
   quently forgotten. When task demands were          teristics of target items, or attentional modu-                      Neuroimage 5, 179 (1997)].
                                                                                                                       12. Subjects were six men and seven women (aged 18 to
   held constant across trials, similar regions       lations. Regardless of the source of this vari-                      35 years). Three additional subjects were excluded
   were engaged during the encoding of both           ability, greater recruitment of left prefrontal                      because of excessively poor performance. Imaging
   remembered and forgotten words. However,           and temporal processes will tend to produce                          procedures were similar to experiment one with the
                                                                                                                           exception that imaging was performed using an echo
   the magnitude of activation differed across        more memorable verbal experiences.                                   planar T2*-weighted gradient echo sequence (3.0-T,
   remembered and forgotten experiences in an-                                                                             128 images, TR 2 s, TE 30 ms, flip angle 90°).
   atomically specific brain regions. These ef-                                                                            During each scan, 40 abstract word trials, 40 concrete
                                                          References and Notes                                             word trials, and 40 fixation trials were rapidly inter-
   fects cannot be attributed to differences in        1. F. I. M. Craik and R. S. Lockhart, J. Verbal Learn. Verbal       mixed, with each trial lasting 2 s. For fixation trials,
   performance accuracy during encoding be-               Behav. 11, 671 (1972).                                           the fixation point remained on the screen for the
   cause accuracy was comparable for high con-         2. S. E. Petersen, P. T. Fox, M. I. Posner, M. Mintun, M. E.        entire 2 s. For word trials, the word was presented for
                                                          Raichle, Nature 331, 585 (1988); S. Kapur et al., Proc.          750 ms followed by 1250 ms of fixation. Abstract,
   fidence hits and misses. One possible inter-           Natl. Acad. Sci. U.S.A. 91, 2008 (1994); J. D. E. Gabrieli       concrete, and fixation trials were pseudo-randomly
   pretation is that the present modulations re-          et al., Psychol. Sci. 7, 278 (1996). For reviews, see L.         intermixed with counterbalancing (each trial type
   flect time-on-task or duty-cycle effects (18),         Nyberg, R. Cabeza, E. Tulving, Psychonomic Bull. Rev. 3,         followed every other trial type equally often).
                                                          135 (1996); R. L. Buckner and W. Koutstaal, Proc. Natl.      13. Approximately 20 min later, subjects were adminis-
   such that subsequently remembered experi-              Acad. Sci. U.S.A. 95, 891 (1998).                                tered a memory test consisting of 480 studied and
   ences are those that merely happened to be          3. P. C. Fletcher et al., Brain 118, 401 (1995); C. L. Grady        480 unstudied words. Words were presented individ-
   processed for a longer duration during learn-          et al., Science 269, 218 (1995).                                 ually with self-paced timing. Subjects responded
   ing. To examine the possible contribution of        4. T. F. Sanquist, J. W. Rohrbaugh, K. Syndulko, D. B.              “high confidence studied,” “low confidence studied,”
                                                          Lindsley, Psychophysiology 17, 568 (1980); E. Halgren            or “new.”
   time-on-task, the event-related data were re-          and M. E. Smith, Hum. Neurobiol. 6, 129 (1987); K. A.        14. An Item Type         Response interaction [F(1,12)
   analyzed after matching the encoding RTs for           Paller, M. Kutas, A. R. Mayes, Electroencephalogr.               22.97] revealed that studied items were endorsed as
   high confidence hit and miss trials. Even              Clin. Neurophysiol. 67, 360 (1987); M. Fabiani and E.            “high confidence studied” more frequently than were
                                                          Donchin, J. Exp. Psychol. Learn. Mem. Cogn. 21, 224              unstudied items [52% and 7%, respectively; F(1,12)
   when RTs were matched, left prefrontal and             (1995).                                                              57.04], whereas studied and unstudied items were
   temporal regions still demonstrated signifi-        5. W. B. Scoville and B. Milner, J. Neurol. Neurosurg.              similarly endorsed as “low confidence studied” [24%
   cantly greater activation during the encoding          Psychiatry 20, 11 (1957); L. R. Squire, Psychol. Rev.            and 20%; (F        1.0)]. The low confidence response
                                                          99, 195 (1992); N. J. Cohen and H. Eichenbaum,                   class likely reflects subject guessing and does not
   of items subsequently remembered than dur-             Memory, Amnesia, and the Hippocampal System (MIT                 differentiate between encountered and novel stimuli.
   ing the encoding of items forgotten (19).              Press, Cambridge, MA, 1993).                                 15. Encoding task performance was analyzed based on
       Our studies, together with previous results     6. C. E. Stern et al., Proc. Natl. Acad. Sci. U.S.A. 93,            whether the words were subsequently remembered
   (2), suggest that what makes a verbal expe-            8660 (1996); E. Tulving, H. J. Markowitsch, F. I. M.             with high confidence (“high confidence hits”), low con-
                                                          Craik, R. Habib, S. Houle, Cereb. Cortex 6, 71 (1996);           fidence (“low confidence hits”), or were forgotten
   rience memorable partially depends on the              J. D. E. Gabrieli, J. B. Brewer, J. E. Desmond, G. H.            (“misses”). Accuracy during encoding was comparable
   extent to which left prefrontal and medial             Glover, Science 276, 264 (1997).                                 for high confidence hits (88% correct), low confidence


1190                                        21 AUGUST 1998 VOL 281 SCIENCE www.sciencemag.org
REPORTS
    hits (88% correct), and misses (89% correct) (F 1.0).            19: 31, 77, 34). The superior occipital and medial         20. J. B. Brewer, Z. Zhao, J. E. Desmond, G. H. Glover,
    Semantic decision RTs declined across trial types                superior frontal activations can be seen in Fig. 2. Two        J. D. E. Gabrieli, Science 281, 1185 (1998); G. Fernan-
    [F(2,24)    9.26]: RTs were longer for high confidence            regions demonstrated less activation for high confi-            dez et al., J. Neurosci. 18, 1841 (1998).
    hits (1000 ms) compared to low confidence hits (966               dence hits relative to misses: precuneus (BA 31: 3, 43,    21. R. J. Dolan and P. C. Fletcher, Nature 388, 582 (1997).
    ms) [F(1,12) 5.40], which were in turn longer com-               40) and left middle frontal gyrus (BA 9: 12, 31, 34).      22. W. A. Suzuki and D. G. Amaral, J. Comp. Neurol. 350,
    pared to misses (936 ms) [F(1,12) 3.91, P 0.06].                 No regions demonstrated greater activation for low             497 (1994).
16. The procedures for selective averaging and statistical           confidence hits relative to misses, which is in accord      23. J. Jonides et al., Nature 363, 623 (1993); J. A. Fiez et
    map generation for rapidly intermixed trials are de-             with the behavioral data indicating that these two trial       al., J. Neurosci. 16, 808 (1996); R. L. Buckner, Psy-
    scribed elsewhere (7). Statistical activation maps               types likely did not mnemonically differ.                      chonomic Bull. Rev. 3, 149 (1996); A. D. Wagner, J. E.
    were constructed based on the differences between            18. M. D’Esposito et al., Neuroimage 6, 113 (1997). A              Desmond, J. B. Demb, G. H. Glover, J. D. E. Gabrieli, J.
    trial types using a t-statistic (7). Fixation trial events       similar interpretation may be applicable to the re-            Cogn. Neurosci. 9, 714 (1997).
    were subtracted from the word trial events (collaps-             sults from the blocked-design experiment. However,         24. M. Moscovitch, J. Cogn. Neurosci. 4, 257 (1992).
    ing across subsequent memory). Miss trial events and             greater left prefrontal activation during semantic
                                                                                                                                25. Supported by grants from the National Institute on
    high confidence hit events were subtracted from each              processing has been noted even when the nonseman-
                                                                                                                                    Aging (AG08441 and AG05778), the National Insti-
    other, as were those for miss trial events and low               tic processing task has a longer duty cycle [ J. B. Demb
    confidence hit events. Clusters of five or more voxels             et al., J. Neurosci. 15, 5870 (1995)].                         tute on Deafness and Other Communication Disor-
    exceeding a statistical threshold of P        0.001 were                                                                        ders (DC03245-02), the Human Frontiers Science
                                                                 19. RTs were matched as follows. First, the median RT
    considered significant foci of activation (7).                                                                                   Program, and the Deutsche Forschungsgemeinschaft
                                                                     across all trial types was determined for each
                                                                                                                                    (SFB426). We thank Y. and W. Jacobson and two
17. In addition, modest but significantly greater activation          subject. Trials with response latencies that fell
                                                                                                                                    anonymous referees for helpful comments on an
    for high confidence hits relative to misses was noted in          below the median RT were selected and sorted
                                                                                                                                    earlier version of this manuscript, and C. Brenner and
    a more ventral extent of left inferior frontal gyrus             based on subsequent memory. Selection of trials in
                                                                                                                                    C. Racine for assistance with data collection.
    [Brodmann’s area (BA) 47: 34, 31, 3], left precentral            this manner resulted in matched RTs for the high
    gyrus (BA 6: 31, 0, 56), medial superior frontal gyrus           confidence hit (852 ms) and miss (839 ms) trial
    (BA 8: 3, 28, 43), and left superior occipital gyrus (BA         types [F(1,12)       2.32, P    0.15)].                        15 May 1998; accepted 20 July 1998




            Prevention of Allogeneic Fetal                                                                                      in maternal uterus or embryonic tissues.
                                                                                                                                These findings are consistent with the known

               Rejection by Tryptophan                                                                                          expression of IDO in human syncytiotropho-
                                                                                                                                blast (6).
                                                                                                                                    Pregnant mice (n        8 to 32) carrying
                      Catabolism                                                                                                syngeneic or allogeneic concepti were
                                                                                                                                treated with 1-methyl-tryptophan or with
              David H. Munn, Min Zhou, John T. Attwood, Igor Bondarev,                                                          placebo, beginning at 4.5 dpc (10). Concep-
                  Simon J. Conway, Brendan Marshall, Corrie Brown,                                                              ti were examined macroscopically and his-
                                 Andrew L. Mellor*                                                                              tologically at various times during gesta-
                                                                                                                                tion (11). At 6.5 dpc, mice from all treat-
         In 1953 Medawar pointed out that survival of the genetically disparate (allo-                                          ment groups carried normal numbers of
         geneic) mammalian conceptus contradicts the laws of tissue transplantation.                                            concepti and embryonic development was
         Rapid T cell–induced rejection of all allogeneic concepti occurred when pregnant                                       normal (Table 1). At 7.5 to 8.5 dpc, the
         mice were treated with a pharmacologic inhibitor of indoleamine 2,3-dioxy-                                             mean number of allogeneic concepti in fe-
         genase (IDO), a tryptophan-catabolizing enzyme expressed by trophoblasts and                                           males treated with IDO inhibitor was re-
         macrophages. Thus, by catabolizing tryptophan, the mammalian conceptus                                                 duced significantly (P       0.01) and exten-
         suppresses T cell activity and defends itself against rejection.                                                       sive hemorrhaging surrounded most of
                                                                                                                                those that remained (Fig. 2A). However, at
Medawar (1) considered three mechanisms                          response to interferon- and other signals                      7.5 dpc, most remaining allogeneic concep-
that might explain the immunological par-                        from activating T cells, inhibit T cell pro-                   ti were developmentally normal (Fig. 2C),
adox of fetal survival: (i) anatomic separa-                     liferation in vitro by rapidly consuming                       with rare embryos showing signs of degen-
tion of mother and fetus, (ii) antigenic im-                     tryptophan (4, 5); some tissue macrophages                     eration. By 8.5 (Fig. 2F) to 9.5 dpc, all alloge-
maturity of the fetus, and (iii) immunologic                     may use this immunosuppressive mecha-                          neic embryos showed signs of inflammation
“inertness” (tolerance) of the mother. In                        nism in vivo. Because IDO is also ex-                          and progressive deterioration (12). After 9.5
view of evidence that the entire repertoire                      pressed by human syncytiotrophoblast cells                     dpc, no allogeneic concepti remained in any
of maternal T cells specific for paternally                      (6 ) and systemic tryptophan concentration                     mice treated with IDO inhibitor. In contrast, the
inherited major histocompatibility complex                       falls during normal pregnancy (7), we for-                     mean number of syngeneic concepti and the
(MHC) class I alloantigens is transiently                        mulated the hypothesis that IDO expression                     developmental status of embryos were not af-
affected and tolerized during pregnancy (2,                      at the maternal-fetal interface is necessary
3), the first two mechanisms cannot explain                      to prevent immunological rejection of fetal                           6.5            7.5            9.5            dpc
fetal allograft survival, and attention has                      allografts. To test this hypothesis, we ex-
                                                                                                                                   s         a    s         a    s         a
focused on the third mechanism. Certain                          posed pregnant mice (carrying syngeneic or
macrophages, induced to express IDO in                           allogeneic fetuses) to 1-methyl-tryptophan,
                                                                                                                                                                                    IDO
                                                                 a pharmacologic agent that inhibits IDO
D. H. Munn, M. Zhou, J. T. Attwood, I. Bondarev, S. J.           enzyme activity (8).
                                                                                                                                                                                    Actin
Conway, B. Marshall, A. L. Mellor, Programs in Molec-                First, IDO transcription during pregnancy
ular Immunology and Developmental Biology, Insti-                (9) was assessed in females mated with CBA
tute of Molecular Medicine and Genetics, and Depart-             (syngeneic) or C57BL/6 (B6, allogeneic)                        Fig. 1. Analysis of IDO transcription during
ment of Pediatrics, Medical College of Georgia (MCG),                                                                           murine gestation. PCR products were generated
1120 15th Street, Augusta, GA 30912, USA. C. Brown,
                                                                 males (Fig. 1). IDO transcripts were detected
                                                                                                                                by RT-PCR amplification from RNA samples
Department of Pathology, University of Georgia, Ath-             from 7.5 to 9.5 days post coitus (dpc) in all                  prepared from pooled syngeneic (s) or alloge-
ens, GA 30602, USA.                                              concepti but were not detected at 6.5 dpc. At                  neic (a) concepti, at the gestation times indi-
*To whom correspondence should be addressed. E-                  later gestation times (10.5 and 13.5 dpc), IDO                 cated (9). Results are representative of three
mail: mellor@immag.mcg.edu                                       transcripts were detected in placenta but not                  separate experiments.

                                                     www.sciencemag.org SCIENCE VOL 281 21 AUGUST 1998                                                                                     1191

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10.1.1.70.30

  • 1. REPORTS gotten experiences, with remembered experi- Building Memories: ences being associated with a greater posi- tive-going response over frontal and parietal Remembering and Forgetting of regions (4). However, ERP studies are char- acterized by limited spatial resolution. Thus, Verbal Experiences as Predicted the precise functional neuroanatomic encod- ing differences that predict whether a partic- ular verbal experience will be remembered or by Brain Activity forgotten are currently unknown. A second unanswered question concerns Anthony D. Wagner,* Daniel L. Schacter, Michael Rotte,† the exact roles of medial temporal structures Wilma Koutstaal, Anat Maril, Anders M. Dale, Bruce R. Rosen, in memory encoding. Lesion studies in hu- mans and other species indicate that medial Randy L. Buckner temporal regions are essential for the process- ing of experiences such that they can be A fundamental question about human memory is why some experiences are remembered at a later time (5). However, remembered whereas others are forgotten. Brain activation during word en- modulated medial temporal activation has coding was measured using blocked and event-related functional magnetic been notably absent in neuroimaging studies resonance imaging to examine how neural activation differs for subsequently that systematically varied the nature of cog- remembered and subsequently forgotten experiences. Results revealed that the nitive operations engaged during encoding ability to later remember a verbal experience is predicted by the magnitude of (2). Rather, parahippocampal gyrus, a sub- activation in left prefrontal and temporal cortices during that experience. These component of the medial temporal memory findings provide direct evidence that left prefrontal and temporal regions jointly system, has been indirectly implicated in promote memory formation for verbalizable events. memory encoding because parahippocampal activation is greater during the processing of Memory encoding refers to the processes by trial-by-trial comparison between specific en- novel stimuli relative to familiar stimuli (6 ). which an experience is transformed into an coding trials that lead to subsequent remem- These results raise the possibility that para- enduring memory trace. Psychological stud- bering and those that lead to subsequent for- hippocampal contributions to encoding may ies have shown that the memorability of an getting. Results from event-related potential be restricted to novelty detection processes. experience is influenced greatly by the cog- (ERP) studies, which allow for trial-by-trial To address these issues, the neural corre- nitive operations engaged during initial en- analysis, suggest that the neural signature lates of incidental word encoding were exam- coding of that experience, with semantic pro- during verbal encoding differs for subse- ined in two whole-brain functional magnetic cessing leading to superior memorability rel- quently remembered and subsequently for- resonance imaging (fMRI) studies. One ex- ative to nonsemantic processing (1). Func- tional neuroimaging studies have implicated left prefrontal cortex in verbal encoding: left Fig. 1. Statistical activation prefrontal activation is greater during seman- maps are shown for the blocked-design and event-re- tic relative to nonsemantic encoding (2), and lated data. Images are trans- left prefrontal participation decreases and verse sections for the data memorization is impaired when semantic en- averaged across subjects. The coding operations are disrupted (3). These left hemisphere of the brain studies have all relied on blocked experimen- corresponds to the left side tal designs, where trials from each encoding of the image. (A) In the blocked-design experiment, condition are presented sequentially, insepa- greater activation during rable from each other during the functional word processing relative to scan. While blocked designs allow compari- fixation was noted in the son between encoding conditions that yield, posterior and dorsal extent of on average, higher or lower levels of subse- left inferior frontal gyrus (A: quent recollection, they do not allow a direct 34, 6, 34 and 43, 6, 31; BA 44/6), right inferior fron- tal gyrus (B: 37, 6, 34; BA A. D. Wagner and M. Rotte, Massachusetts General 44/6), left lateral parietal Hospital NMR Center, Harvard Medical School, cortex (C: 28, 68, 43; BA Charlestown, MA 02129, USA, and Department of 7), anterior and ventral left Psychology, Harvard University, Cambridge, MA inferior frontal gyrus (D: 02138, USA. D. L. Schacter, W. Koutstaal, A. Maril, 46, 34, 15 and 43, 28, 12; Department of Psychology, Harvard University, Cam- BA 45/47), bilateral frontal bridge, MA 02138, USA. A. M. Dale and B. R. Rosen, operculum (E: left 31, 19, Massachusetts General Hospital NMR Center, Harvard 12, and 40, 25, 3; right 34, 19, 6; BA 47), left middle temporal gyrus (F: 59, 43, 3; BA 21), Medical School, Charlestown, MA 02129, USA. R. L. bilateral visual cortex (G: BA 17/18/19), parahippocampal gyrus near fusiform gyrus (H: 31, 43, Buckner, Massachusetts General Hospital NMR Cen- 18; BA 36/37/35), and fusiform gyrus (I: 37, 58, 15; BA 37). Other regions included the ter, Harvard Medical School, Charlestown, MA 02129, hippocampus ( 37, 15, 15), supplementary motor area (0, 6, 62; BA 6), medial superior frontal USA, and Department of Psychology, Washington gyrus ( 3, 6, 50; BA 6), and right lateral cerebellum. (B) Regions demonstrating greater activation University, St. Louis, MO 63130, USA. during semantic relative to nonsemantic processing included left frontal (A: 43, 9, 34 and 43, *To whom correspondence should be addressed. E- 13, 28; D: 40, 22, 21 and 40, 31, 12; E: 28, 22, 6), parahippocampal (H: 34, 40, 12), and mail: adwagner@nmr.mgh.harvard.edu fusiform (I: 43, 58, 9) cortices. (C) In the event-related study, comparison of word processing †Permanent address: Otto v. Guericke University, trials to fixation trials revealed many of the same regions noted in the blocked-design experiment. Neurology II, Magdeburg D-39120, Germany. Complete listings of stereotaxic coordinates are available from the author upon request. 1188 21 AUGUST 1998 VOL 281 SCIENCE www.sciencemag.org
  • 2. REPORTS periment used blocked-design procedures to Posterior LIFG Fig. 2. Statistical activation investigate how systematic manipulation of maps encompassing frontal A regions that demonstrate a the encoding task affects prefrontal and me- greater response during the dial temporal activation, whereas the other encoding of words later re- used newly developed event-related proce- membered (high confidence dures (7) that allow direct comparison be- hit trials) relative to words tween specific encoding trials that result in later forgotten (miss trials). subsequent remembering and forgetting. In Displayed at the left are trans- the blocked-design experiment, activation verse and coronal sections through the activation foci for during performance of a semantic processing the event-related data aver- task (deciding if a word is abstract or con- aged across subjects. Greater Anterior LIFG crete) was compared to that during a nonse- activation was noted in the mantic processing task (deciding if a word is B posterior and dorsal extent of printed in upper- or lowercase letters). left inferior frontal gyrus Twelve normal, right-handed subjects were (LIFG) bordering precentral gy- rus (A: 50, 9, 34; BA 44/6), scanned while performing alternating task- the anterior and ventral extent blocks consisting of semantic processing, of LIFG (B: 50, 25, 12; BA nonsemantic processing, and visual fixation 45/47), and the left frontal (8, 9). The novelty of the words in the se- operculum (C: 31, 22, 6; BA mantic and nonsemantic blocks was equiva- 47). Time courses were derived lent. Behaviorally, reaction times (RTs) were for each condition within a Frontal Operculum three-dimensional region sur- longer for semantic (873 ms) relative to non- rounding the peak voxel and semantic (539 ms) decisions. Subsequent C reflect raw mean signal chang- memory was superior following semantic es. Regions were defined, using (85% recognized) than following nonseman- an automated algorithm that tic (47% recognized) processing (10). identified all contiguous voxels Many brain regions demonstrated signifi- within 12 mm of the peak that reached the significance level. cantly greater activation during word pro- cessing relative to visual fixation (Fig. 1) (11). These activations likely reflect process- es associated with memory encoding and also more general processes associated with stim- ulus perception and response generation. To identify regions that demonstrate differential Fig. 3. Activation maps and activation during encoding conditions that the corresponding time cours- yield higher relative to lower subsequent es from temporal regions are memory, we directly compared the semantic A/B shown for the trial comparison and nonsemantic processing conditions. Re- of remembered (greater re- sponse) to forgotten (lesser re- gions demonstrating greater activation during sponse) words. Temporal foci semantic processing included several areas in included a region ( 31, 46, left prefrontal cortex, as well as left parahip- 12) that encompassed para- pocampal and fusiform gyri (Fig. 1). Al- hippocampal gyrus (A: BA 36/ though these results indicate that temporal 37/35) and the more medial and prefrontal processes influence the encod- extent of fusiform gyrus (B: BA 37), and a region that encom- ing of verbal experiences, they do not directly passed the lateral extent of specify the encoding differences that predict fusiform gyrus and portions of whether a specific experience will be later inferior temporal gyrus (C: remembered or forgotten. C 43, 55, 9; BA 37). Other In a second experiment, event-related f MRI regions, including visual (L., was used while participants performed a single left) and motor (R., right) cor- tices, did not show modulated incidental encoding task. The objective was to activation across remembered determine whether trial-by-trial differences in and forgotten trials. encoding activation predict subsequent memory for experiences even when the processing task was held constant. Thirteen normal, right-hand- ed subjects underwent six fMRI scans, each consisting of word and fixation events present- ed in a continuous series of 120 rapidly inter- mixed trials (12). During word trials, subjects made a semantic decision (“abstract or con- crete?”). Following the encoding scans, memo- ry for the words was assessed by a recognition test. Subjects indicated whether they recog- nized each test word as studied, reporting their confidence (high or low) when they recognized www.sciencemag.org SCIENCE VOL 281 21 AUGUST 1998 1189
  • 3. REPORTS the word (13). Behavioral results indicated that temporal regions are engaged during the ex- 7. A. M. Dale and R. L. Buckner, Hum. Brain Mapp. 5, 329 subjects discriminated between previously stud- (1997); R. L. Buckner et al., Neuron 20, 285 (1998). perience. Although modulated parahip- 8. Informed consent was obtained from all subjects ied and unstudied words when responding with pocampal activation has not been noted in (seven men, five women, aged 18 to 29 years). Echo high confidence, but not when responding with many studies, our experiments demonstrate planar and conventional imaging was performed on a low confidence (14, 15). that left parahippocampal gyrus is more ac- 1.5-T GE Signa scanner with an ANMR upgrade. Im- aging procedures [see R. L. Buckner, W. Koutstaal, The f MRI data were analyzed by catego- tive during the encoding of verbal experienc- D. L. Schacter, A. D. Wagner, B. R. Rosen, Neuroimage rizing encoding trials based on whether the es that are later remembered relative to those 7, 151 (1998)] included collection of structural im- word was subsequently remembered or for- later forgotten, even though these two classes ages [radio frequency–spoiled GRASS (gradient-re- called acquisition in the steady state) sequence, 60- gotten on the postscan memory test. There of experiences were equally novel within the slice sagittal, 2.8-mm thickness] and echo planar were four trial types: high confidence hits, context of the experiment [see also (20)]. functional images sensitive to blood-oxygen level– low confidence hits, misses, and fixation. These results indicate that, although medial dependent contrast (118 sequential whole-brain ac- quisitions, 16 slices each, 3.125-mm in-plane resolu- Word processing relative to fixation resulted temporal regions are sensitive to stimulus tion, 7-mm thickness, skip 1 mm; T2*-weighted in greater activation in many brain regions, novelty (21), the role of parahippocampal asymmetric spin-echo sequence: TR 2 s, TE 50 replicating most of the regions noted in the gyrus in memory encoding extends beyond ms, 180° offset –25 ms). 9. During each of four scans, blocks were ordered: non- blocked-design study (Fig. 1). Importantly, novelty detection and encompasses more semantic (40 s), fixation (24 s), semantic (40 s), the event-related design also permitted iden- general encoding mechanisms. Parahip- fixation, nonsemantic, fixation, semantic. A brief (8 s) tification of regions that demonstrate differ- pocampal gyrus is the principal neocortical fixation block began each scan. During semantic and ential activation during the encoding of input pathway to the hippocampal region nonsemantic blocks, 20 words were visually present- ed: 10 abstract and 10 concrete nouns; half in upper- words subsequently remembered and those (22), and thus it is suitably situated to play an case and half in lowercase letters. Each word was subsequently forgotten. When comparing important role in memory formation. presented for 1 s followed by 1 s of fixation between high confidence hits to misses, greater acti- Parahippocampal and prefrontal regions words. Subjects responded by left-handed key press. During fixation blocks, a cross-hair (“ ”) was pre- vation was noted in multiple left prefrontal may act interdependently to promote the en- sented for the entire duration. regions (Fig. 2) and left parahippocampal and coding of event attributes important for con- 10. Alpha was set to P 0.05 for all behavioral analyses. fusiform gyri (Fig. 3) (16, 17). This pattern scious remembrance. Verbal experiences Response latencies differed across tasks [F(1,11) 89.97]. Memory was assessed in the scanner 20 to was independently present and significant for may be more memorable when semantic and 40 m later, using a yes-no recognition procedure (8). these regions when comparing high confi- phonological attributes of the experience are Subsequent memory differed across tasks [F(1,11) dence hits to misses within each of the word extensively processed via participation of left 69.50]. 11. Functional runs were averaged within each subject, types (abstract or concrete). The subsequent prefrontal regions (2, 23). Left prefrontal re- transformed into stereotaxic atlas space, and aver- memory effect was rather specific: other re- gions may serve to organize these attributes aged across subjects (8). Activation maps were con- gions active during word processing relative in working memory, with this information structed using a nonparametric Kolmogorov-Smirnov statistic to compare (i) word processing (semantic to fixation failed to demonstrate greater acti- serving as input to parahippocampal gyrus and nonsemantic) to fixation and (ii) semantic to vation during high confidence hits relative to and the medial temporal memory system nonsemantic processing. Peak activations were iden- misses (Fig. 3). (24). A specific experience may elicit the tified by selecting local statistical activation maxima Our results specify how the neural signa- recruitment of these processes to a greater or that were P 0.001 within clusters of five contigu- ous significant voxels. These criteria minimize false ture during encoding differs for events sub- lesser extent because of variable task de- positives, as verified using the logic of control func- sequently remembered and events subse- mands, shifts in subjects’ strategies, charac- tional runs [E. Zarahn, G. K. Aguirre, M. D’Esposito, quently forgotten. When task demands were teristics of target items, or attentional modu- Neuroimage 5, 179 (1997)]. 12. Subjects were six men and seven women (aged 18 to held constant across trials, similar regions lations. Regardless of the source of this vari- 35 years). Three additional subjects were excluded were engaged during the encoding of both ability, greater recruitment of left prefrontal because of excessively poor performance. Imaging remembered and forgotten words. However, and temporal processes will tend to produce procedures were similar to experiment one with the exception that imaging was performed using an echo the magnitude of activation differed across more memorable verbal experiences. planar T2*-weighted gradient echo sequence (3.0-T, remembered and forgotten experiences in an- 128 images, TR 2 s, TE 30 ms, flip angle 90°). atomically specific brain regions. These ef- During each scan, 40 abstract word trials, 40 concrete References and Notes word trials, and 40 fixation trials were rapidly inter- fects cannot be attributed to differences in 1. F. I. M. Craik and R. S. Lockhart, J. Verbal Learn. Verbal mixed, with each trial lasting 2 s. For fixation trials, performance accuracy during encoding be- Behav. 11, 671 (1972). the fixation point remained on the screen for the cause accuracy was comparable for high con- 2. S. E. Petersen, P. T. Fox, M. I. Posner, M. Mintun, M. E. entire 2 s. For word trials, the word was presented for Raichle, Nature 331, 585 (1988); S. Kapur et al., Proc. 750 ms followed by 1250 ms of fixation. Abstract, fidence hits and misses. One possible inter- Natl. Acad. Sci. U.S.A. 91, 2008 (1994); J. D. E. Gabrieli concrete, and fixation trials were pseudo-randomly pretation is that the present modulations re- et al., Psychol. Sci. 7, 278 (1996). For reviews, see L. intermixed with counterbalancing (each trial type flect time-on-task or duty-cycle effects (18), Nyberg, R. Cabeza, E. Tulving, Psychonomic Bull. Rev. 3, followed every other trial type equally often). 135 (1996); R. L. Buckner and W. Koutstaal, Proc. Natl. 13. Approximately 20 min later, subjects were adminis- such that subsequently remembered experi- Acad. Sci. U.S.A. 95, 891 (1998). tered a memory test consisting of 480 studied and ences are those that merely happened to be 3. P. C. Fletcher et al., Brain 118, 401 (1995); C. L. Grady 480 unstudied words. Words were presented individ- processed for a longer duration during learn- et al., Science 269, 218 (1995). ually with self-paced timing. Subjects responded ing. To examine the possible contribution of 4. T. F. Sanquist, J. W. Rohrbaugh, K. Syndulko, D. B. “high confidence studied,” “low confidence studied,” Lindsley, Psychophysiology 17, 568 (1980); E. Halgren or “new.” time-on-task, the event-related data were re- and M. E. Smith, Hum. Neurobiol. 6, 129 (1987); K. A. 14. An Item Type Response interaction [F(1,12) analyzed after matching the encoding RTs for Paller, M. Kutas, A. R. Mayes, Electroencephalogr. 22.97] revealed that studied items were endorsed as high confidence hit and miss trials. Even Clin. Neurophysiol. 67, 360 (1987); M. Fabiani and E. “high confidence studied” more frequently than were Donchin, J. Exp. Psychol. Learn. Mem. Cogn. 21, 224 unstudied items [52% and 7%, respectively; F(1,12) when RTs were matched, left prefrontal and (1995). 57.04], whereas studied and unstudied items were temporal regions still demonstrated signifi- 5. W. B. Scoville and B. Milner, J. Neurol. Neurosurg. similarly endorsed as “low confidence studied” [24% cantly greater activation during the encoding Psychiatry 20, 11 (1957); L. R. Squire, Psychol. Rev. and 20%; (F 1.0)]. The low confidence response 99, 195 (1992); N. J. Cohen and H. Eichenbaum, class likely reflects subject guessing and does not of items subsequently remembered than dur- Memory, Amnesia, and the Hippocampal System (MIT differentiate between encountered and novel stimuli. ing the encoding of items forgotten (19). Press, Cambridge, MA, 1993). 15. Encoding task performance was analyzed based on Our studies, together with previous results 6. C. E. Stern et al., Proc. Natl. Acad. Sci. U.S.A. 93, whether the words were subsequently remembered (2), suggest that what makes a verbal expe- 8660 (1996); E. Tulving, H. J. Markowitsch, F. I. M. with high confidence (“high confidence hits”), low con- Craik, R. Habib, S. Houle, Cereb. Cortex 6, 71 (1996); fidence (“low confidence hits”), or were forgotten rience memorable partially depends on the J. D. E. Gabrieli, J. B. Brewer, J. E. Desmond, G. H. (“misses”). Accuracy during encoding was comparable extent to which left prefrontal and medial Glover, Science 276, 264 (1997). for high confidence hits (88% correct), low confidence 1190 21 AUGUST 1998 VOL 281 SCIENCE www.sciencemag.org
  • 4. REPORTS hits (88% correct), and misses (89% correct) (F 1.0). 19: 31, 77, 34). The superior occipital and medial 20. J. B. Brewer, Z. Zhao, J. E. Desmond, G. H. Glover, Semantic decision RTs declined across trial types superior frontal activations can be seen in Fig. 2. Two J. D. E. Gabrieli, Science 281, 1185 (1998); G. Fernan- [F(2,24) 9.26]: RTs were longer for high confidence regions demonstrated less activation for high confi- dez et al., J. Neurosci. 18, 1841 (1998). hits (1000 ms) compared to low confidence hits (966 dence hits relative to misses: precuneus (BA 31: 3, 43, 21. R. J. Dolan and P. C. Fletcher, Nature 388, 582 (1997). ms) [F(1,12) 5.40], which were in turn longer com- 40) and left middle frontal gyrus (BA 9: 12, 31, 34). 22. W. A. Suzuki and D. G. Amaral, J. Comp. Neurol. 350, pared to misses (936 ms) [F(1,12) 3.91, P 0.06]. No regions demonstrated greater activation for low 497 (1994). 16. The procedures for selective averaging and statistical confidence hits relative to misses, which is in accord 23. J. Jonides et al., Nature 363, 623 (1993); J. A. Fiez et map generation for rapidly intermixed trials are de- with the behavioral data indicating that these two trial al., J. Neurosci. 16, 808 (1996); R. L. Buckner, Psy- scribed elsewhere (7). Statistical activation maps types likely did not mnemonically differ. chonomic Bull. Rev. 3, 149 (1996); A. D. Wagner, J. E. were constructed based on the differences between 18. M. D’Esposito et al., Neuroimage 6, 113 (1997). A Desmond, J. B. Demb, G. H. Glover, J. D. E. Gabrieli, J. trial types using a t-statistic (7). Fixation trial events similar interpretation may be applicable to the re- Cogn. Neurosci. 9, 714 (1997). were subtracted from the word trial events (collaps- sults from the blocked-design experiment. However, 24. M. Moscovitch, J. Cogn. Neurosci. 4, 257 (1992). ing across subsequent memory). Miss trial events and greater left prefrontal activation during semantic 25. Supported by grants from the National Institute on high confidence hit events were subtracted from each processing has been noted even when the nonseman- Aging (AG08441 and AG05778), the National Insti- other, as were those for miss trial events and low tic processing task has a longer duty cycle [ J. B. Demb confidence hit events. Clusters of five or more voxels et al., J. Neurosci. 15, 5870 (1995)]. tute on Deafness and Other Communication Disor- exceeding a statistical threshold of P 0.001 were ders (DC03245-02), the Human Frontiers Science 19. RTs were matched as follows. First, the median RT considered significant foci of activation (7). Program, and the Deutsche Forschungsgemeinschaft across all trial types was determined for each (SFB426). We thank Y. and W. Jacobson and two 17. In addition, modest but significantly greater activation subject. Trials with response latencies that fell anonymous referees for helpful comments on an for high confidence hits relative to misses was noted in below the median RT were selected and sorted earlier version of this manuscript, and C. Brenner and a more ventral extent of left inferior frontal gyrus based on subsequent memory. Selection of trials in C. Racine for assistance with data collection. [Brodmann’s area (BA) 47: 34, 31, 3], left precentral this manner resulted in matched RTs for the high gyrus (BA 6: 31, 0, 56), medial superior frontal gyrus confidence hit (852 ms) and miss (839 ms) trial (BA 8: 3, 28, 43), and left superior occipital gyrus (BA types [F(1,12) 2.32, P 0.15)]. 15 May 1998; accepted 20 July 1998 Prevention of Allogeneic Fetal in maternal uterus or embryonic tissues. These findings are consistent with the known Rejection by Tryptophan expression of IDO in human syncytiotropho- blast (6). Pregnant mice (n 8 to 32) carrying Catabolism syngeneic or allogeneic concepti were treated with 1-methyl-tryptophan or with David H. Munn, Min Zhou, John T. Attwood, Igor Bondarev, placebo, beginning at 4.5 dpc (10). Concep- Simon J. Conway, Brendan Marshall, Corrie Brown, ti were examined macroscopically and his- Andrew L. Mellor* tologically at various times during gesta- tion (11). At 6.5 dpc, mice from all treat- In 1953 Medawar pointed out that survival of the genetically disparate (allo- ment groups carried normal numbers of geneic) mammalian conceptus contradicts the laws of tissue transplantation. concepti and embryonic development was Rapid T cell–induced rejection of all allogeneic concepti occurred when pregnant normal (Table 1). At 7.5 to 8.5 dpc, the mice were treated with a pharmacologic inhibitor of indoleamine 2,3-dioxy- mean number of allogeneic concepti in fe- genase (IDO), a tryptophan-catabolizing enzyme expressed by trophoblasts and males treated with IDO inhibitor was re- macrophages. Thus, by catabolizing tryptophan, the mammalian conceptus duced significantly (P 0.01) and exten- suppresses T cell activity and defends itself against rejection. sive hemorrhaging surrounded most of those that remained (Fig. 2A). However, at Medawar (1) considered three mechanisms response to interferon- and other signals 7.5 dpc, most remaining allogeneic concep- that might explain the immunological par- from activating T cells, inhibit T cell pro- ti were developmentally normal (Fig. 2C), adox of fetal survival: (i) anatomic separa- liferation in vitro by rapidly consuming with rare embryos showing signs of degen- tion of mother and fetus, (ii) antigenic im- tryptophan (4, 5); some tissue macrophages eration. By 8.5 (Fig. 2F) to 9.5 dpc, all alloge- maturity of the fetus, and (iii) immunologic may use this immunosuppressive mecha- neic embryos showed signs of inflammation “inertness” (tolerance) of the mother. In nism in vivo. Because IDO is also ex- and progressive deterioration (12). After 9.5 view of evidence that the entire repertoire pressed by human syncytiotrophoblast cells dpc, no allogeneic concepti remained in any of maternal T cells specific for paternally (6 ) and systemic tryptophan concentration mice treated with IDO inhibitor. In contrast, the inherited major histocompatibility complex falls during normal pregnancy (7), we for- mean number of syngeneic concepti and the (MHC) class I alloantigens is transiently mulated the hypothesis that IDO expression developmental status of embryos were not af- affected and tolerized during pregnancy (2, at the maternal-fetal interface is necessary 3), the first two mechanisms cannot explain to prevent immunological rejection of fetal 6.5 7.5 9.5 dpc fetal allograft survival, and attention has allografts. To test this hypothesis, we ex- s a s a s a focused on the third mechanism. Certain posed pregnant mice (carrying syngeneic or macrophages, induced to express IDO in allogeneic fetuses) to 1-methyl-tryptophan, IDO a pharmacologic agent that inhibits IDO D. H. Munn, M. Zhou, J. T. Attwood, I. Bondarev, S. J. enzyme activity (8). Actin Conway, B. Marshall, A. L. Mellor, Programs in Molec- First, IDO transcription during pregnancy ular Immunology and Developmental Biology, Insti- (9) was assessed in females mated with CBA tute of Molecular Medicine and Genetics, and Depart- (syngeneic) or C57BL/6 (B6, allogeneic) Fig. 1. Analysis of IDO transcription during ment of Pediatrics, Medical College of Georgia (MCG), murine gestation. PCR products were generated 1120 15th Street, Augusta, GA 30912, USA. C. Brown, males (Fig. 1). IDO transcripts were detected by RT-PCR amplification from RNA samples Department of Pathology, University of Georgia, Ath- from 7.5 to 9.5 days post coitus (dpc) in all prepared from pooled syngeneic (s) or alloge- ens, GA 30602, USA. concepti but were not detected at 6.5 dpc. At neic (a) concepti, at the gestation times indi- *To whom correspondence should be addressed. E- later gestation times (10.5 and 13.5 dpc), IDO cated (9). Results are representative of three mail: mellor@immag.mcg.edu transcripts were detected in placenta but not separate experiments. www.sciencemag.org SCIENCE VOL 281 21 AUGUST 1998 1191