Replaying the Game: Hypnagogic Images in Normals and Amnesics
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R EPORTS temperature of 51¡C, and 40 cycles on a PTC-200 Rc_ubiG1, 5Ј-CTTGTCACTGTCTAATTCTTC-3Ј; Rc_u- region of the DnaE gene in R. felis (9). There is no thermocycler (MJ Research). A positive control was biG2, 5Ј-AAATATTAGACGTCGGTTGC-3Ј; Rc_ubiG3, significant similarity between this RS3-like sequence then performed under the same PCR condition with 5Ј-CAGATTGACGCACAAATTAC-3Ј; and Rc_ubiG4, and our newly described RPE sequence. genomic DNA as template. All primer pairs gener- 5Ј-AATAAACCCTATTCGCCTTG-3Ј. 24. Reviewed in F. B. Perler, Nucleic Acids Res. 27, 346 ated the expected amplicons. RT-PCR were then 20. Amino acid sequence identities for the repeat-de- (1999). performed on the RNA extract with a different rived peptides (and the rest of the proteins) are 43% 25. We examined the following structures whose ho- thermocycler. All primer pairs generated amplicons (85%) for KdtA, 31% (83%) for RP545, and 82% mologs are known to contain inteins: 1TGO, 1AB4, of the expected sizes and sequences. (95%) for PolA. 1ECL, 2REC, 1RLR, and 1SKY. 18. For the location and the designation of selected 21. R. G. Lloyd and G. J. Sharples, Nucleic Acids Res. 18, primers, see Web fig. 4 (11). 26. V. Monchois, personal communication. 6503 (1990). 19. Primer sequences are as follows: Rc_gltX1, 5Ј-TCTT- 27. J. J. Muller, Mutat. Res. 1, 2 (1964). TGGAATCTTGGCTGTAG-3Ј; Rc_gltX2, 5Ј-GATTAG- 22. S. Bachellier, J.-M. Cle«ment, M. Hofnung, Res. Micro- 28. H. Tao, C. Bausch, C. Richmond, F. R. Blattner, T. TGAGCAGGAAATA-3Ј; Rc_gltX3, 5Ј-GGATTGACGT- biol. 150, 627 (1999). Conway, J. Bacteriol. 181, 6425 (1999). Ј Ј 23. As revealed by a partial, low-significance match be- ACAAATTAC-3 ; Rc_gltX4, 5 -CAAAGACTGTAGAG- 29. We thank C. Abergel, D. Gautheret, and J. Weissen- Ј Ј tween RSA and 23 amino acid residues at the 3Ј end ATATTGG-3 ; Rc_hemC1, 5 -TACAGATAGCTTCCAA- bach for their help at various stages of this work. CATC-3Ј; Rc_hemC2, 5Ј-CAAACCAATTTTATGCTC of a Salmonella typhimurium hypothetical ORF GG-3Ј; Rc_hemC3, 5Ј-CGGATTGACGTACAAATTAC- (SwissProt accession number P16656). A RS3-like Ј Ј Ј 3 ; Rc_hemC4, 5 -GTATCTAGATGCTAATTGCC-3 ; inverted repeat is also present in the NH2-terminal 7 April 2000; accepted 24 August 2000 as based on procedural learning (which is Replaying the Game: preserved in amnesia), the amnesic group demonstrated impoverished learning in Hypnagogic Images in Normals comparison with normal novices, suggest- ing that Tetris proficiency may also depend on declarative memory systems. This inter- and Amnesics pretation is supported by the finding that Robert Stickgold,1* April Malia,1 Denise Maguire,1 left and right hippocampal glucose utiliza- David Roddenberry,1 Margaret O’Connor2 tion during Tetris play decreases during training in proportion to improvement in Participants playing the computer game Tetris reported intrusive, stereotypical, performance, suggesting a shift away from visual images of the game at sleep onset. Three amnesic patients with extensive hippocampal dependence as learning pla- bilateral medial temporal lobe damage produced similar hypnagogic reports teaus (22). despite being unable to recall playing the game, suggesting that such imagery Three of the five patients produced a may arise without important contribution from the declarative memory sys- total of eight reports of Tetris imagery tem. In addition, control participants reported images from previously played across three nights. These reports account- versions of the game, demonstrating that remote memories can influence the ed for 7.4% of all hypnagogic reports col- images from recent waking experience. lected, similar to that seen in normal par- ticipants (7.2%; Fig. 2A) (23). In contrast, People who engage in novel physical or men- (9–12). Studies of the role of sleep in there was only a single report of a thought tal activities for extended periods of time learning and memory have generally ig- about Tetris without clearly associated im- often experience a hallucinatory replay of the nored the hypnagogic period, focusing in- agery (Ͻ1%; Fig. 2B). As with the normal activities as they fall asleep, a phenomenon stead on possible roles of REM sleep and participants, the visual imagery reported noted in both literary and scientific sources deep, slow wave sleep (13–16). was highly stereotyped (24). (1–3). Although the origin of these images in We asked 27 participants to play 7 hours Normal controls without prior experi- waking experience appears clear, the source of the computer game Tetris (17) over 3 days, ence playing Tetris had first game scores within the brain and the function of such 2 hours at the first exposure and 1 hour each averaging 786, significantly higher than imagery are uncertain. If these images are subsequent morning and evening (18). Three that of the amnesics (25). They showed mediated by declarative memory systems, groups of participants were studied: 12 nov- considerable improvement in performance amnesic patients with bilateral hippocampal ices with no prior Tetris experience, 10 ex- over the 3 days and six sessions (Fig. 1) lesions should not experience them. Because perts with considerable Tetris experience, (26). The appearance of hypnagogic Tetris amnesics are capable of reporting dream ex- and 5 amnesics with extensive, bilateral me- images in novices was very similar to that periences (4, 5), the question can be mean- dial temporal lobe damage (19). Participants seen with amnesics. Nine of 12 Tetris nov- ingfully addressed. were repetitively prompted for mentation re- ices produced a total of 19 reports of Tetris Most studies of dreaming involve re- ports during the first hour of attempted sleep imagery over two nights of recording, a ports of mental activity after forced awak- (20). report rate very similar to that of the am- enings from rapid eye movement (REM) Even though the five amnesic patients nesics (Fig. 2A). The imagery described sleep (6, 7) or after spontaneous awaken- were of average intelligence, they were un- showed the same highly stereotyped con- ings in the middle of the night or morning able to learn and retain new episodic infor- tent as seen with the amnesics (27). Nov- (8). Hypnagogic mentation represents an- mation regardless of modality of presentation ices produced 12 reports of thoughts of other source of sleep-state mental imagery or the nature of the material. The perfor- Tetris without imagery (Fig. 2B). Such re- mance of the amnesic patients showed only ports, clearly linked to declarative memo- 1Laboratory of Neurophysiology, Department of Psy- minimal, albeit significant, improvement ries, were virtually absent in the amnesics. chiatry, Harvard Medical School, 74 Fenwood Road, over 7 hours of play (Fig. 1). The mean score Ninety percent of the reports with images 2 Boston, MA 02115, USA. Memory Disorders Research increased from 537 points on participants’ from these novices (17 out of 19) were ob- Center, Boston University Medical School, Division of Behavioral Neurology, Beth Israel Deaconess Medical first game to a first session average of 651. tained on the second night. In contrast, two- Center, Boston, MA 02118 USA. Over the next five sessions, the scores in- thirds of the reports of thoughts alone (8 out *To whom correspondence should be addressed. E- creased by 36% to 884 points per game of 12) occurred on the first night (Fig. 2). mail: [email protected] (21). Although game playing is often seen Although this difference in distributions is 350 13 OCTOBER 2000 VOL 290 SCIENCE www.sciencemag.org R EPORTS highly significant (28), further studies will be Identifying the sources of memories third night. These images, both conceivably needed to confirm the finding. Nevertheless, used in dream construction is normally con- sleep onset REM reports, were more complex the distribution of images is not what would tingent on the investigator’s subjective in- and bizarre than the others in our sample be expected if the images were the product of terpretation of obscure symbolic transfor- (34). either demand characteristics or a simple and mations of the original memory or on the The questions of how material is selected automatic replay of recent, repetitive, sensory dreamer’s own subjective evaluation. In the for and then incorporated into dreams and stimuli. case of hypnagogic reports of Tetris imag- what function this entire process serves re- Normal participants with extensive ex- es, no such subjective interpretations are main largely unresolved. But the data pre- perience playing Tetris, but who in general needed. Only reports that explicitly de- sented here, looking at sleep onset hypnago- had no recent practice (29), produced high scribed images or thoughts related to Tetris gic imagery, provide some insight into these scores from the start and showed no signif- were counted. Indeed, what was most strik- issues. icant improvement over the six sessions ing about the data was the strong similarity Out of 27 participants, 17 (63%) report- (Fig. 1) (30). Nevertheless, they also pro- in reports from different individuals. In all ed stereotypical hypnagogic images of Te- duced hypnagogic Tetris imagery. Over the cases, reported images included seeing tris during the first nights of play, imagery three nights, 5 of the 10 experts produced Tetris pieces, usually falling in front of clearly induced by the earlier Tetris play. 11 reports of hypnagogic Tetris imagery one’s eyes and sometimes rotating or fitting Unlike the images of REM sleep dreams, (4.7% of 235 reports), as well as 13 reports into empty spaces at the bottom of the these images were relatively accurate rep- of thoughts without images (5.5% of 235 screen. On rare occasions, participants also resentations of the actual visual imagery reports). As with the other groups, the im- reported seeing completed lines disappear- perceived during play of the game, albeit agery reported was stereotyped (31). In ing.