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BRAIN A JOURNAL OF NEUROLOGY Gudden’s ventral tegmental nucleus is vital for memory: re-evaluating diencephalic inputs for amnesia Seralynne D. Vann School of Psychology, Cardiff University, Cardiff, CF10 3YG, UK Correspondence to: Dr Seralynne Vann, School of Psychology, Cardiff University, Cardiff, CF10 3YG, UK E-mail: [email protected] Mammillary body atrophy is present in a number of neurological conditions and recent clinical findings highlight the importance of these nuclei for memory. While most accounts of diencephalic amnesia emphasize the functional importance of the hippocampal projections to the mammillary bodies, the present study tested the importance of the other major input to the mammillary bodies, the projections from the ventral tegmental nucleus of Gudden (VTNg). Although the VTNg, and its projec- tions to the mammillary bodies, is present across species, the size and location of this structure has made it an extremely difficult structure to assess in primates. The effects of selective, neurotoxic lesions of the VTNg were, therefore, assessed in rats. The animals with these lesions were impaired on a series of spatial learning tasks, namely delayed-matching-to-place in the water maze, T-maze alternation and working memory in the radial arm maze. Normal performance on these tasks is dependent on those brain structures (e.g. hippocampus and mammillary bodies) that are now assumed to cause anterograde amnesia when damaged in humans. In contrast, the same rats with ventral tegmental nucleus lesions performed normally on two control tasks: the acquisition and subsequent reversal of an egocentric discrimination task and a visually cued task in the water maze. This study provides the first clear evidence that the VTNg is critical for memory, and consequently indicates that diencepha- lic–hippocampal models of memory should be extended to incorporate the limbic midbrain. Keywords: amnesia; dorsal tegmental nucleus; mammillary body; rat Abbreviations: AchE = acetylcholinesterase; ITI = inter-trial interval; VTNg = ventral tegmental nucleus of Gudden Introduction Convergent evidence from both clinical (Van der Werf et al., 2000; Carlesimo et al., 2007; Tsivilis et al., 2008; Vann et al., 2009) and animal (Parker and Gaffan, 1997; Vann and Aggleton, 2003) research increasingly shows that mammillary body dysfunction is a major contributor to diencephalic amnesia. Mammillary body atrophy has now been reported in a number of conditions, including Korsakoff’s syndrome (Victor et al., 1989; Kopelman, 1995), colloid cysts in the third ventricle (Denby et al., 2009), Alzheimer’s disease (Callen et al., 2001; Copenhaver et al., 2006; Grossi et al., 1989), schizophrenia (Bernstein et al., 2007; Briess et al., 1998), heart failure (Kumar et al., 2009) and sleep apnoea (Kumar et al., 2008), highlighting the importance of understanding the functions of this structure. Explanations for the importance of the mammillary bodies to memory have inevitably focused on their dense inputs from the hippocampal formation (Allen and Hopkins, 1989), with the doi:10.1093/brain/awp175 Brain 2009: 132; 2372–2384 | 2372 Received February 20, 2009. Revised April 29, 2009. Accepted May 22, 2009. Advance Access publication July 14, 2009 ß The Author (2009). Published by Oxford University Press on behalf of the Guarantors of Brain. All rights reserved. For Permissions, please email: [email protected] Downloaded from https://academic.oup.com/brain/article/132/9/2372/357919 by guest on 18 February 2022

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BRAINA JOURNAL OF NEUROLOGY

Gudden’s ventral tegmental nucleus is vital formemory: re-evaluating diencephalic inputs foramnesiaSeralynne D. Vann

School of Psychology, Cardiff University, Cardiff, CF10 3YG, UK

Correspondence to: Dr Seralynne Vann,

School of Psychology,

Cardiff University,

Cardiff, CF10 3YG,

UK

E-mail: [email protected]

Mammillary body atrophy is present in a number of neurological conditions and recent clinical findings highlight the importance

of these nuclei for memory. While most accounts of diencephalic amnesia emphasize the functional importance of the

hippocampal projections to the mammillary bodies, the present study tested the importance of the other major input to the

mammillary bodies, the projections from the ventral tegmental nucleus of Gudden (VTNg). Although the VTNg, and its projec-

tions to the mammillary bodies, is present across species, the size and location of this structure has made it an extremely

difficult structure to assess in primates. The effects of selective, neurotoxic lesions of the VTNg were, therefore, assessed in rats.

The animals with these lesions were impaired on a series of spatial learning tasks, namely delayed-matching-to-place in the

water maze, T-maze alternation and working memory in the radial arm maze. Normal performance on these tasks is dependent

on those brain structures (e.g. hippocampus and mammillary bodies) that are now assumed to cause anterograde amnesia when

damaged in humans. In contrast, the same rats with ventral tegmental nucleus lesions performed normally on two control tasks:

the acquisition and subsequent reversal of an egocentric discrimination task and a visually cued task in the water maze.

This study provides the first clear evidence that the VTNg is critical for memory, and consequently indicates that diencepha-

lic–hippocampal models of memory should be extended to incorporate the limbic midbrain.

Keywords: amnesia; dorsal tegmental nucleus; mammillary body; rat

Abbreviations: AchE = acetylcholinesterase; ITI = inter-trial interval; VTNg = ventral tegmental nucleus of Gudden

IntroductionConvergent evidence from both clinical (Van der Werf et al.,

2000; Carlesimo et al., 2007; Tsivilis et al., 2008; Vann et al.,

2009) and animal (Parker and Gaffan, 1997; Vann and

Aggleton, 2003) research increasingly shows that mammillary

body dysfunction is a major contributor to diencephalic amnesia.

Mammillary body atrophy has now been reported in a number of

conditions, including Korsakoff’s syndrome (Victor et al., 1989;

Kopelman, 1995), colloid cysts in the third ventricle (Denby

et al., 2009), Alzheimer’s disease (Callen et al., 2001;

Copenhaver et al., 2006; Grossi et al., 1989), schizophrenia

(Bernstein et al., 2007; Briess et al., 1998), heart failure (Kumar

et al., 2009) and sleep apnoea (Kumar et al., 2008), highlighting

the importance of understanding the functions of this structure.

Explanations for the importance of the mammillary bodies to

memory have inevitably focused on their dense inputs from the

hippocampal formation (Allen and Hopkins, 1989), with the

doi:10.1093/brain/awp175 Brain 2009: 132; 2372–2384 | 2372

Received February 20, 2009. Revised April 29, 2009. Accepted May 22, 2009. Advance Access publication July 14, 2009

� The Author (2009). Published by Oxford University Press on behalf of the Guarantors of Brain. All rights reserved.

For Permissions, please email: [email protected]

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Page 2: Gudden's ventral tegmental nucleus is vital for memory: re - Brain

mammillary bodies seen as primarily relaying information to the

anterior thalamic nuclei (Delay and Brion, 1969; Gaffan, 1992;

Aggleton and Brown, 1999). Such explanations fail, however, to

account for why there should be a mammillary body relay, given

that there are dense, direct projections from the hippocampus to

the anterior thalamus (Poletti and Creswell, 1977). The explana-

tion is almost certain to come from understanding the functions

of the non-hippocampal inputs to the mammillary bodies, with

priority given to those inputs that do not also project to the

anterior thalamic nuclei.

The two principal inputs to the mammillary bodies are from

the hippocampal formation and the tegmental nuclei of Gudden

(Allen and Hopkins, 1989). The ventral tegmental nucleus of

Gudden (VTNg) has dense, reciprocal connections with the

medial mammillary nucleus, while the dorsal tegmental nucleus

of Gudden (DTNg) is densely interconnected with the lateral

mammillary nucleus. These two, parallel pathways have very

different electrophysiological properties. Cells in the VTNg fire

rhythmically, and highly coherently, in theta bursts (Kocsis et al.,

2001), while the DTNg contains head-direction and angular-

velocity cells (Bassett and Taube, 2001; Sharp et al., 2001;

Bassett et al., 2007). Consequently, it has been supposed that

there are two parallel systems associated with mammillary body

function, i.e. a ‘lateral’ head-direction system and a ‘medial’ theta

system (Vann and Aggleton, 2004). The present study focused

on the ‘medial’ system as only the medial mammillary nucleus is

consistently atrophied in the amnesic Korsakoff’s syndrome (Victor

et al., 1989; Kopelman, 1995). Furthermore, lesion studies in

rodents reinforce the importance of the medial nucleus for spatial

learning and memory (Vann, 2005; Vann and Albasser, 2009).

Finally, there is a report of a man with amnesia that was attributed

to pathology in the VTNg area (Goldberg et al., 1981). The lack of

projections from VTNg to the anterior thalamic nuclei adds to the

potential significance of this pathway for mammillary body

function.

Despite recent discoveries regarding the electrophysiological

properties of the VTNg (Bassant and Poindessous-Jazat, 2001;

Kocsis et al., 2001), there are no lesion studies that have selec-

tively tested the functional importance of this nucleus. Previous

behavioural evidence (Lorens et al., 1975; Wirtshafter and Asin,

1983; Asin and Fibiger, 1984) has come from studies targeted at

adjacent areas (e.g. the median raphe nuclei) and none have used

axon-sparing methods to assess performance on standard spatial

memory tasks. The size and location of the VTNg almost comple-

tely prohibits experimental studies of these nuclei in the primate

brain, where they again project heavily to the mammillary bodies

(R.C. Saunders, unpublished results). The present study, therefore,

examined the impact of selective VTNg lesions in the rat.

The effects of cytotoxic VTNg lesions were assessed on spatial

memory tasks (water maze, T-maze and radial arm maze)

known to be sensitive to both mammillary body and hippocampal

lesions (Sziklas and Petrides, 1993; Cassel et al., 1998; Bannerman

et al., 2002; Vann and Aggleton, 2003). These tasks are informa-

tive as tests of spatial memory in animals are considered to tap

core elements of episodic memory (Aggleton and Pearce, 2001;

Burgess et al., 2002). Immunohistochemical procedures helped to

determine the selectivity of the lesions.

Materials and Methods

Subjects and surgerySubjects were 20 male, pigmented rats (Dark Agouti strain; Harlan,

Bicester, UK) weighing between 238 and 268 g at the time of surgery.

Animals were housed in pairs under diurnal light conditions (14-h

light/10-h dark) and testing was carried out during the light phase.

Animals were given free access to water throughout. All experiments

were carried out in accordance with UK Animals (Scientific Procedures)

Act, 1986 and associated guidelines.

Animals were deeply anaesthetized by intraperitoneal injection

of sodium pentobarbital (60 mg/kg). The 12 rats receiving Gudden’s

ventral tegmental nuclei lesions (VTNx) were then placed in a stereo-

taxic headholder (David Kopf Instruments, Tujunga, CA, USA) with the

nose bar at 0.0, and the scalp was cut and retracted to expose the

skull. The lesions were made by injecting 0.12 M N-methyl-D-aspartate

(NMDA; Sigma Chemical Company Ltd, UK), dissolved in phosphate

buffer (pH 7.2). Injections were made in one site per hemisphere using

a 1 ml Hamilton syringe. The stereotaxic ‘arm’ was set at 20� from

vertical so that the needle enters the same hemisphere for both injec-

tions. The stereotaxic co-ordinates of the lesion placements relative to

bregma were anteroposterior (AP) �8.8, lateral (L) +2.6/+3 and the

depth, from top of cortex, was �7.2 mm. Target co-ordinates had

been determined by prior retrograde tracing studies (injections of

Fluoro-Gold) in separate rats in which those tegmental neurons

that project to the mammillary bodies were identified (Fig. 1).

The lesions involved bilateral injections of 0.18ml NMDA made over

5 min, the needle was then left in situ for a further 5 min. After

the injections of NMDA, animals were injected with 0.05 ml of a

respiratory stimulant (Millophyline, Arnolds Vetinary Products Ltd,

Shrewsbury, UK). At the completion of all surgeries, the skin was

sutured and an antibiotic powder (Acramide: Dales Pharmaceuticals,

Skipton, UK) was applied topically. Animals also received subcutaneous

injections of 5 ml glucose and were given paracetamol and sucrose in

their drinking water for 3 days post-surgery; all animals recovered well

following surgery. The eight animals acting as controls received the

same procedure and drugs as the animals receiving lesions, which

involved the needle being lowered into the same co-ordinates

but no injection was made.

Apparatus and behavioural training

Experiment 1—spontaneous locomotor activity

Animals were food-deprived overnight before being placed in novel

test cages (56 cm�39 cm �19 cm) in a novel room. Activity was mea-

sured using pairs of photobeams situated 20 cm apart and 18 cm from

the end of the cage (Paul Fray Ltd, Cambridge, UK). The total num-

bers of beam breaks were recorded. Data were gathered in 16 intervals

of 5 min each.

Experiment 2—delayed-matching-to-place in thewater maze

The water maze (200 cm diameter, 60 cm deep) was made of

white fibre glass and mounted 58 cm above the floor. The pool

was filled with water (24� 1�C), made opaque by the addition of

non-toxic emulsion (Opacifier, Chesham Chemicals, Harrow, UK).

An escape platform (10 cm diameter, 2 cm below water surface)

could be placed in the pool. The pool was in a room measuring

440�400 cm. Lighting was provided by four floor-mounted spotlights

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(500 W) and the room contained salient visual cues such as geometric

shapes and high-contrast stimuli on the walls. There was a curtain

hanging from the ceiling around the pool that could be opened or

closed. Swim paths were tracked with a video camera suspended

directly above each pool. Data were collected and analysed on-line

with an HVS Image analyser (HVS Image Ltd, Hampton, UK) connected

to a computer that used Water-maze Software (Edinburgh, UK).

For this experiment, both food and water were available ad libitum.

The animals were trained on a working memory task (‘delayed

matching-to-place’) in the water maze. For this, 12 platform positions,

which varied in their distance from the pool perimeter, were used

along with eight possible start positions. Animals received 2 days of

pre-training with four swims a day. For this, the curtain was drawn

closed around the pool and both the start position and platform

position were changed for every forced swim. Each swim was

terminated when the animal either located the submerged platform

or after 120 s had elapsed. If the animal had not located the platform

at the end of 120 s, it was guided there by the experimenter and then

had to remain on the platform for 30 s. The animals were transported

between the holding room and water maze in an opaque, aluminium

travelling box. They were also placed in the opaque holding box

in-between each trial.

For the 16 days of actual training, the curtain was removed from

around the pool, i.e. room cues were visible. The location of the plat-

form remained constant across the four trials of a given day but varied

between days. The same start position was used for the first two

trials of each session but was then varied for the remaining two

trials. This made it possible to match distances for trials 1 and 2, the

key comparison. Each trial terminated when the animal had either

located the platform or 120 s had elapsed. The animals were then

left on the platform for 30 s. The next trial began almost immediately

afterwards, giving an inter-trial interval (ITI) of �15 s.

Experiment 3—reinforced spatial alternation in theT-maze

Testing was carried out in a modifiable four-arm (cross-shaped) maze.

The four arms (70 cm long, 10 cm wide) were made of wood, while

the walls (17 cm high) were made of clear Perspex. At any time, one

of the arms could be blocked off to form a T-shaped maze. Aluminium

Figure 1 (A) Diagram of coronal sections showing the level and position of the ventral tegmental nucleus, taken from Paxinos

and Watson (1997); (B) VTNx following an injection of Fluoro-Gold into the mammillary bodies in a surgical sham; (C) AChE-stained

sections from a VTNx lesion animal; (D) AChE-stained sections from a surgical sham at the level of the Gudden’s VTNx; (E) Nissl-

stained section from a VTNx lesion animal; (F) Nissl-stained section showing the ventral tegmental of nuclei in a surgical sham.

All arrows point to the Gudden’s VTNx. Scale bars = 1 mm.

2374 | Brain 2009: 132; 2372–2384 S. D. Vann

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barriers could be positioned �25 cm from the end of each arm to

create a start area. For this experiment, the location of the start arm

remained constant such that the T-maze was in the same orientation

throughout testing. The maze was supported by two stands (94 cm

high), and was situated in a rectangular room (280�300� 240 cm)

with salient visual cues.

Animals were food deprived to 485% of their free-feeding body

weight. Each animal was given 7 days of 5 min pre-training in order

to train them to run reliably down the stem of the maze and to

find food pellets in the food wells in both arms; rats were prevented

from ‘turning’ (e.g. going from start arm to either choice arm) in the

acquisition stage by blocking off the arms and the stem and placing

the rats in each part of the T-maze separately. Following pre-training,

the acquisition phase began.

At the start of each acquisition trial, which consisted of two stages,

two food pellets (45 mg; Noyes Purified Rodent Diet, Lancaster, NH,

USA) were placed in each food well and an aluminium block was

placed at the neck of the T-maze so closing off one arm. As a con-

sequence, on each ‘sample run’ the animal was forced to enter the

open arm where it was allowed to eat the food at the end of the arm.

The animal was then picked up and confined in the start box for a

delay of 10 s, during which the aluminium block was removed. The

door to the start arm was then opened and the animal allowed a free

choice between the two arms of the T-maze. On this ‘choice run’, the

animal was considered to have chosen the correct arm if it had alter-

nated, i.e. had entered the arm not previously entered on the ‘sample

run’ and would then be allowed to eat the food reward before being

returned to the holding box. If the animal made an incorrect choice,

i.e. returned to the arm visited on the ‘sample run’, the rat was con-

fined to that arm for �5 s before being returned to the travelling box.

The rats were tested in groups of four with each animal having one

trial in turn so that the ITI was �4 min. The animals received six trials a

day for a total of 6 days.

The acquisition phase was immediately followed by five sessions on

a test of continuous alternation. At the start of each of these sessions,

the rat was forced to either the right or left arm and this initial sample

run was rewarded with two pellets. This sample run was immediately

followed by 12 consecutive massed trials in which the correct choice

was always the opposite arm to the one chosen on the previous trial;

the ITI was 15 s and there were no correction trials.

This test was completed with four final continuous alternation

sessions, each of 12 trials. After each arm choice the maze was rotated

by 90�, either clockwise or anticlockwise, so that the previous choice

arm became the start arm for the subsequent trial. This manipulation

was to control for the use of intra-maze cues such as odour trails.

Experiment 4—radial arm maze

Testing was carried out in an eight-arm radial maze. The maze

consisted of an octagonal central platform (34 cm diameter) and

eight equally spaced radial arms (87 cm long, 10 cm wide). The base

of the central platform and the arms were made of wood, whereas

panels of clear Perspex (24 cm high) formed the walls of the arms.

At the start of each arm was a clear Perspex guillotine door

(12 cm high) attached to a pulley. The maze was positioned in a

room (255�330�260 cm), which contained salient visual cues such

as geometric shapes and high-contrast stimuli on the walls.

Animals were maintained on restricted feeding at 485%, of their

free-feeding body weight. Pre-training for the radial arm maze began

10 days after the completion of testing in the T-maze and involved

two habituation sessions where the animals were allowed to explore

the maze freely for 5 min with the guillotine doors raised and food

pellets (45 mg; Noyes Purified Rodent Diet) scattered down the arms.

The animals were then trained on the standard radial arm maze task

(see below). A time limit of 10 min was placed on each session.

Animals were tested until they had completed 15 sessions in Stage 1

and six sessions in Stage 2.

Stage 1 (Sessions 1–15) was the standard working memory version

of the radial arm maze task (Olton et al., 1978) where the animals’

optimal strategy was to retrieve the reward pellets from all eight arms

without re-entering any previously entered arms. At the start of a trial,

all eight arms were baited with two food pellets. The animal would

make an arm choice and then return to the central platform and all

the doors were closed for �10 s before they were opened again,

permitting the animal to make another choice. This continued until

all eight arms had been visited or 10 min had elapsed. Only trials

where animals made a minimum of eight arm choices were included

in the analyses. The number of sequential choice responses was

calculated, which is when the animals’ successive choices involve

immediately adjacent arms in a constant direction. It is measured by

giving the animal a score of +1 (clockwise) or �1 (anticlockwise) if the

arm is immediately adjacent to previous choice and 0 for any other

arm choice. A higher absolute score would therefore reflect the use of

a sequential response strategy (Olton and Samuelson, 1976; Ennaceur

and Aggleton, 1997). To compensate for overall differences in arm

entries across the two groups, the overall sequential choice score

was divided by total arm choices to give a ratio.

Stage 2 (Sessions 16–21) was to test for the possible use of intra-

maze cues in performing the task. The start of the session was as

before, but after the animal had made four different arm choices it

was kept in the centre of the maze while the maze was rotated by 45�

(clockwise/anticlockwise on alternate days), and the remaining food

pellets moved so that they were still in the same allocentric locations

but the actual arms had changed. The session then continued until

all reward pellets had been retrieved.

Experiment 5—egocentric discrimination in thecross-maze

The egocentric task started the day following completion of the radial

arm maze task and was carried out in the same room, using the same

apparatus, as the T-maze task. For this task all four arms of the maze,

and arm locations, were used. Each rat received 12 consecutive trials

a day. One of the four arms was randomly selected as the start arm

for each rat, and the opposite arm was blocked off, thereby creating

a T-maze. One of the arms of the resultant T-maze was baited with a

single food pellet (45 mg; Noyes Purified Rodent Diet), so that the rat

was rewarded for always selecting the arm in a given direction (always

left or always right). After reaching the end of the chosen arm, the rat

was placed at the end of another randomly chosen arm, and the

process was repeated. The direction to be rewarded was decided on

the first trial of the first session, when neither arm had been baited.

The direction that the rat chose was noted and for all continuing

trials the rat was rewarded only if it turned in the opposite direction.

This was to ensure that rats were not being rewarded for following

any prior bias. When rats had reached a criterion level of 30 or more

correct responses over three consecutive sessions (36 trials), they were

then moved onto reversal learning. For this, animals were now

rewarded for turning in the opposite direction to that which was

rewarded during acquisition. All rats were tested on this reversal

stage for 12 days.

Experiment 6—visual-cued task in the water maze

Animals were returned to ad libitum feeding following completion of

the egocentric discrimination task; after 4 days, testing began on the

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visual task in the water maze. The same pool was used as for the

previous water maze experiment, but with the curtain pulled closed

throughout; there was a metal ‘stick’ (14 cm high, 1 cm diameter,

with alternating black and white tape around the circumference)

attached to the edge of the platform. Animals received four trials

a day for 4 days. The platform positions and start positions varied

across trials.

Experiment 7—delayed-matching-to-place in thewater maze

In order to determine whether performance in the last two experi-

ments was a result of functional recovery, animals were re-tested on

the delayed-matching-to-position task in the water maze for 4 days.

Exactly the same procedure was used as earlier in the study.

Histological proceduresOn completion of the experiments, rats were deeply anaesthetized

with sodium pentobarbital (60 mg/kg, Euthatal, Rhone Merieux, UK)

and transcardially perfused with 0.1 M phosphate buffer saline (PBS)

followed by 4% paraformaldehyde (PFA) in 0.1 M PBS. The brains

were removed and postfixed in PFA for 4 h and then transferred to

25% sucrose overnight at room temperature with rotation. Sections

were cut at 40 mm on a freezing microtome in the coronal plane.

A one-in-three series of sections was mounted onto gelatine-coated

slides and stained with cresyl violet, a Nissl stain and a further

two series (also one-in-three sections) were collected in PBS to be

processed for either serotonin or the neuronal nuclei protein (NeuN).

NeuN and serotonin immunostainingIn a subset of eight animals with lesions, a series of sections was

processed for the immunohistochemical demonstration of NeuN to

enable a more accurate evaluation of nuclei in the vicinity of the

lesions (Jongen-Relo and Feldon, 2002); in the remaining six animals,

a series was processed for serotonin to assess the integrity of the

nearby raphe nuclei. Free-floating sections were rinsed in 0.1 M

PBST (PBS with 0.2% Triton X-100) and treated with 0.3% H2O2 in

0.1 M PBST for 10 min to suppress endogenous peroxidase activity.

Sections were rinsed four times with 0.1 M PBST for 10 min each.

Sections were subsequently incubated for 48 h at 4�C in the mono-

clonal anti-NeuN serum (1:5000; Chemicon, Temecula, CA, USA)

diluted in PBST or anti-serotonin antibody (1:20000, ab66047,

AbCam, UK). After rinsing four times in 0.1 M PBST (10 min each),

sections were incubated for 2 h at room temperature in biotinylated

horse anti-mouse serum (5 ml per ml PBST, Vector Laboratories,

Peterborough, UK) in secondary diluent consisting of normal horse

serum (15 ml per ml PBST, Vector Laboratories, Peterborough, UK) in

0.1 M PBST. After four rinses in 0.1 M PBST (10 min each), sections

were incubated for 1 h in an avidin–biotin–horseradish peroxidase

complex (1:200, ABC-Elite, Vector Laboratories, Peterborough, UK)

in PBST. Following four rinses in 0.1 M PBST and two rinses in

0.05 M Tris buffer, sections were placed for 1–2 min in a chromagen

solution consisting of 0.05% diaminobenzidine (Sigma Chemical

Company Ltd), buffer solution and 0.01% H2O2 (DAB substrate kit;

Vector Laboratories, Burlingame, CA, USA). The reaction was visually

monitored and stopped in rinses of cold 0.1 M PBS. The sections were

mounted and dried on gelatin-coated slides, and then dehydrated in

ascending alcohols and xylene before being cover-slipped using DPX

mounting medium.

Acetylcholinesterase staining—modified Koelle methodTissue from a subset of six rats was processed for acetylcholinesterase

(AChE). Sections were mounted onto gelatin-coated glass slides and

dried overnight in a slide oven. Slides were then immersed in incuba-

tion medium (copper sulphate 0.781 g/l, glycine 0.75 g/l and sodium

acetate 2.88 g/l dissolved in distilled water and adjusted to pH 5),

then acetylthiocholine iodide, 1.15 g/l, and ethopropazine, 0.05 g/l,

were added and the incubating solutions left overnight. Slides were

then washed four times in distilled water and then placed in sulphide

solution (10 g/l dissolved in distilled water and adjusted to pH 7.5).

When an appropriate colour had developed, the sections were washed

a further four times in distilled water. Sections were dried and then

cover-slipped as described above.

Image capturing and assessmentImages were captured using a Q Imaging MicroPublisher 3.3 RTV

camera attached to a Zeiss Axiostar Plus microscope. Intensity mea-

sures for the AChE-stained sections were acquired on a Macintosh

computer using the public domain NIH Image programme (developed

at the US National Institutes of Health and available on the Internet

at http://rsb.info.nih.gov/nih-image/). To assess the integrity of the

adjacent laterodorsal tegmental nuclei, AChE intensity measures were

taken for the anteroventral thalamic nuclei and interpeduncular

nucleus. The laterodorsal tegmental nucleus is the sole source of

anterior thalamic cholinergic innervation, as demonstrated by lesion

studies, and the laterodorsal tegmental nuclei are also a major

source of interpeduncular cholinergic inputs (Satoh and Fibiger,

1986; Sikes and Vogt, 1987). Intensity measures were taken for the

anteroventral or interpeduncular nuclei across four sections (i.e. eight

total measures for the anteroventral thalamic nuclei for both

hemispheres) and for white matter adjacent to the nuclei for each

section, the stria medullaris of the thalamus and the cerebral peduncle,

respectively. The white matter value was then subtracted from the

nucleus value, for each section separately, and the mean values

calculated.

Results

Histological analysisA stringent criterion was adopted for final inclusion in the study,

and as a consequence the final groups comprised seven Gudden’s

VTNx animals and eight surgical shams (Sham). Histological anal-

yses were performed blind to the individual animal’s behavioural

performance. In the excluded lesion animals, there was either

appreciable sparing of the VTNg (three animals) or the lesions

were complete but extended into additional structures (two

animals). Of the final seven rats, the cellular lesions of Gudden’s

ventral tegmental nucleus appeared complete in six of the animals,

while the seventh had a very small amount of sparing in the

caudal-most aspect of the nucleus.

Lesions were assessed using Nissl, NeuN and AChE-stained

sections (Fig. 1), and the loss of the large, distinctive cells in the

ventral tegmental nucleus could be clearly seen. In all animals,

there was a very small amount of damage to the medial-most

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part of the oral part of the reticular pontine nucleus; this damage

was always unilateral and on the contralateral side of the brain

to that in which the needle was inserted to make the lesion. The

raphe nuclei were assessed using NeuN, Nissl and serotonin-

stained sections. The dorsal and median raphe nuclei were densely

stained in both lesion and control animals (Supplementary Fig. 1),

and there did not appear to be any loss of raphe neurons at any

level other than that of the VTNg. At just this level, there was a

restricted loss of cells in the most dorsal part of the median raphe

nuclei, i.e. limited to just that part directly adjacent to the ventral

tegmental nucleus. There was no evidence that the lesions

extended into either the dorsal tegmental nuclei of Gudden or

the laterodorsal tegmental nuclei, both of which stained densely

for AChE. Although neurons in the laterodorsal and dorsal teg-

mental nuclei appeared intact, the overall volume of the structures

appeared smaller than in the surgical shams, which is consistent

with previous reports of their retrograde degeneration (Briggs and

Kaelber, 1971). Inspection of the mammillary bodies in the VTNx

lesion animals revealed them to be severely atrophied, with

the medial nuclei being most affected. These changes are again

consistent with degeneration reported in previous anatomical

studies (e.g. Briggs and Kaelber, 1971). Assessment of the

mammillary nuclei with NeuN staining suggests that this atrophy

may reflect some loss of neurons and not just fibres.

In four animals, 0.06ml Fluoro-Gold (Fluorochrome, LLC,

4% solution in distilled water) was injected into the mammillary

bodies to assess the extent of the VTNx in normal animals (Fig. 1)

and completeness of the lesion. These injections confirmed the

findings from the Nissl and NeuN-stained sections.

AChE assessmentTo confirm that the behavioural deficits were not due to the loss

of acetylcholine projections from the nearby laterodorsal tegmen-

tal nuclei, the cholinergic projection from this structure was

assessed using AChE-stained sections (Supplementary Fig. 2).

The integrity of this cholinergic projection was demonstrated by

a lack of difference in staining in either the anteroventral thalamic

nuclei or the rostral part of the interpeduncular nuclei. The

mean grey values (�SD) for the anteroventral thalamic nuclei

were: VTNx: 93.1� 7.13, 105.8� 14.77, 95.8� 5.99; Sham:

88.5� 5.83, 97.8� 6.20. The mean density (�SD) for the

interpeduncular nucleus (rostral part) were: VTNx: 122.7� 4.38,

132.9� 14.30, 115.0� 9.97; Sham: 115.0� 5.91, 128.4� 9.71.

Experiment 1—spontaneous locomotoractivityAnimals’ activity was measured in 5 min intervals across 80 min

(Fig. 2). The VTNx group was significantly more active than the

Sham group [F(1,13) = 29.94, P50.0005]. There was a main

effect of time [F(15,195) = 24.20, P50.0001] reflecting the ani-

mals’ habituation to their surroundings. In addition, there was a

significant group� time interaction [F(15,195) = 3.85, P50.0001]

as the groups only differed in activity levels during the first 30 min,

and final 5 min, of the test phase.

Experiment 2—delayed-matching-to-place in the water mazeConsistent with the hyperactivity seen in the VTNx animals in

Experiment 1, the VTNx group also had significantly faster swim

speeds than the Sham group in the water maze [F(1,13) = 84.14,

P50.0001; mean� SD: VTNx = 31.1� 5.3; Sham = 19.5� 4.9];

the VTNx group’s swim speeds remained the same throughout

training (F51), whereas the swim speeds of the Sham group

reduced across training [F(15,195) = 2.54, P = 0.002]. Due

to these differences in swim speeds only path-length data were

analysed. An analysis of variance (ANOVA) using the factors group

(2)� day (16)� trial (4) revealed that the VTNx group had signifi-

cantly longer path lengths [F(1,13) = 17.07, P50.005; Fig. 3].

There was no effect of day [F(15,195) = 1.36, P40.1] or group�

day interaction [F(15,195) = 1.29, P40.2]. There was a significant

trial effect [F(3,39) = 9.93, P50.0005] showing some improvement

by both groups over the trials. Although there was no group� trial

interaction [F(3,39) = 2.28, P = 0.09], analysis of the simple effects

revealed no group difference at Trial 1 (P40.05) but significant

group differences at Trials 2 –4 (all P50.01).

Experiment 3—reinforced spatialalternation in the T-mazeFor the 6 days of initial acquisition, where each trial was separated

by an ITI of �4 min and comprised a sample and test run, an

analysis carried out on the total correct choices revealed a signif-

icant group difference [F(1,13) = 14.7, P50.005] as the VTNx

group made fewer correct choices than the Shams (Fig. 4A).

There was no effect of day (F51) or group� day interaction

[F(5,65) = 1.47, P40.2] reflecting the stable performance

of both the groups across the acquisition stage.

Figure 2 Spontaneous activity (Experiment 1). Mean number

of beam breaks (�SE) in 5 min bins over 80 min.

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The animals were then tested for 5 days (12 trials a day) on the

continuous alternation procedure, which is designed to increase

levels of proactive interference (Fig. 4B). A comparison of the

number of correct choices again revealed that the VTNx group

was significantly impaired [F(1,13) = 17.01, P50.005]. There was

no overall effect of day [F(4,52) = 1.02, P40.4] although there

was a borderline group�day interaction [F(4,52) = 2.54,

P = 0.050] as the VTNx group’s performance improved over

the test days [F(4,52) = 3.06, P50.05], whereas the Shams’

performance stayed stable (F51).

The third condition assessed continuous alternation performance

but with the maze being rotated in-between trials to discourage

the use of intra-maze cues (Fig. 4B). Again, there was a significant

group difference with the VTNx group making fewer correct

choices than the Shams [F(1,13) = 8.42, P50.05]. There was no

effect of day (F51) or group�day interaction (F51) showing

that the performance of both groups was stable across test days.

To determine the effect of maze rotation on animals’

performance, an analysis was carried out on the final 2 days of

continuous alternation and on the first 2 days of continuous

alternation with maze rotation. The overall performance of the

VTNx group was significantly worse than that of the Shams

[F(1,13) = 10.16, P50.01], and there was a significant effect of

the rotation manipulation on task performance [F(1,13) = 20.20,

P50.001]. However, the lack of group� rotation interaction

(F51) indicates that the lesion group was no more sensitive

to the manipulation than the control group, although there was

a potential scaling effect.

Experiment 4—radial arm maze(acquisition and rotation)Both total errors made and number of correct entries in the first

eight choices were analysed. For the first 15 days (Stage 1), an

analysis of the number of correct entries in the first eight choices

revealed a significant difference between the sham and lesion

groups [F(1,13) = 36.3, P50.0001] as the lesion group made

fewer correct entries (Fig. 5A). There was a significant effect of

day [F(14,182) = 12.2, P50.001] but no group� day interaction

(F51), again reflecting the improvement of both groups across

training. An analysis using the number of errors also revealed a

significant main effect of group [F(1,13) = 54.7, P50.001] as

the VTNx animals made more errors than the Shams (Fig. 5B).

Figure 4 Reinforced alternation in the T-maze (Experiment 3).

(A) Mean correct choices (�SE) during the six acquisition ses-

sions where each trial comprised a sample run and a choice run

and an ITI of �4 min (six trials per session); (B) Mean correct

choices (�SE) for five sessions of continuous alternation with

12 trials per session and subsequent four sessions when the

maze was rotated between choices.

Figure 3 Delayed-matching-to-place in the water maze

(Experiment 2). Mean path length (�SE) to find the hidden

platform across the four trials of a day. Data are presented in

two blocks (Days 1–8 and Days 9–16).

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Again, there was a main effect day [F(14, 182) = 6.58, P50.001]

but no group� day interaction (F51) reflecting the improvement

in both groups’ performance across test days. An analysis of

sequential choice responses showed no group difference (F51)

or overall effect of the day [F(14,182) = 1.07, P40.3], although

there was a significant group� day interaction [F(14,182) = 2.77,

P50.001] as the ratio of sequential choice responses was greater

for the Shams during the first half of training but a higher

proportion of sequential choice responses was made by the

lesion group in the last 5 days of task acquisition (Fig. 5C),

which coincided with them making fewer errors (Fig. 5B).

The next 6 days of testing (Stage 2) involved trials with a

rotation of the maze after the first four choices. This was to tax

the use of extra-maze cues. The VTNx group made significantly

more errors [F(1,13) = 22.9, P50.001; Fig. 5A] and fewer correct

entries in the first eight choices [F(1,13) = 28.6, P50.001; Fig. 5B].

There was neither an effect of day using either measure [errors,

F51; entries, F(5,65) = 1.03, P40.4] nor was there a group�day

interaction (both F51).

To determine the effect of maze rotation on the rats’ perfor-

mance, analyses were carried out using the last 3 days of standard

radial arm maze acquisition and the first 3 days of rotation. The

VTNx group was impaired overall, which is reflected by a main

effect of group using both errors [F(1,13) = 38.0, P50.001] and

correct entries [F(1,13) = 32.9, P50.001]. Overall performance on

the radial arm maze task was worse when maze rotation was

included, as measured by both total errors [F(1,13) = 12.6,

P50.005] and correct entries in first eight [F(1,13) = 26.3,

P50.001]. The lack of a clear group� condition interaction

using either errors [F(1,13) = 3.72, P = 0.076] or correct entries

(F51) indicates that the lesion group was not selectively disrupted

by the maze rotation, although there is a potential scaling effect.

Experiment 5—egocentricdiscrimination in the cross-mazeAnalyses of the total number of errors made by the animals before

reaching criterion of 30/36 revealed no difference between the

two groups (t51; Fig. 6A). Animals were subsequently tested

for 12 days on reversal learning where they were reinforced for

turning in the opposite direction to that rewarded during the

acquisition stage (Fig. 6B). There was no overall group difference

in the number of errors made (F51) and no group�day interac-

tion (F51), reflecting the equivalent improvement of both groups

across sessions.

Experiment 6—visually cued task inthe water mazeAnimals were tested for 4 days on a visually cued version of the

water maze task during which the platform position was indicated

by the presence of a black and white ‘stick’. There was no group

difference in swim paths to reach the platform [F(1,13) = 2.88,

P40.1; Fig. 7]. While there were significant main effects of trial

[F(3,39) = 10.9, P50.001] and day [F(3,39) = 17.2, P50.001],

there were no group� trial (F51) or group� day (F51)

Figure 5 Radial arm maze task (Experiment 4). (A) Mean

number of correct entries (�SE) in first eight arm choices.

First five blocks represent acquisition of the tasks and the final

two blocks include rotation of the maze; (B) mean number of

errors (�SE) during acquisition (first five blocks) and rotation

(final two blocks); (C) ratio of sequential choice responses (�SE)

during task acquisition.

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interactions, reflecting the similar patterns of performance across

both groups.

Experiment 7—delayed-matching-to-place in the water mazeTo determine whether the null effects in Experiments 5 and

6 might be a result of functional recovery, Experiment 2 was

repeated so that animals were tested for a final 4 days on

the ‘delayed-matching-to-place’ task (Fig. 7). The VTNx group’s

performance was similar to that originally found in Experiment 2

as they required significantly longer swim paths to reach hidden

platforms [F(1,13) = 11.02,P50.01]. There was also a main effect

of trial [F(3,39) = 10.78, P50.0001] reflecting reduced path

lengths across trials as animals learnt the position of the platform

within a session. There was also a significant group� trial interac-

tion [F(3,39) = 3.05, P = 0.04] as the groups only differed on Trial

2 [F(1,44) = 18.66, P50.001] but not Trial 3 [F(1,44) = 2.32,

P = 0.14] or Trial 4 (F51), whereas there was a borderline

difference at Trial 1 [F(1,44) = 4.46, P = 0.05].

DiscussionWhile current theories of diencephalic amnesia emphasize the con-

tribution of the hippocampal–fornix–mammillary body pathway

(Delay and Brion, 1969; Gaffan, 1992; Aggleton and Brown,

1999), the present study provides clear evidence that a quite

separate input to the mammillary bodies has a key role in support-

ing learning and memory. Selective, excitotoxic lesions of the

VTNg impaired the performance on spatial memory tasks in the

water maze, T-maze and radial arm maze that are all sensitive to

mammillary body and mammillothalamic tract lesions (Sziklas and

Petrides, 1993; Vann and Aggleton, 2003), as well as to lesions of

the anterior thalamic nuclei (e.g. Warburton et al., 1997) and

hippocampus (e.g. Cassel et al., 1998; Bannerman et al., 2002).

The impairments following VTNg lesions were not due to sensori-

motor disturbances, gross learning impairments or an inability to

adapt behaviour as the same rats were unimpaired on a visually

cued task in the water maze, and showed unimpaired acquisition

and reversal learning of an egocentric discrimination task. The

VTNg lesions also led to hyperactivity in a novel environment

and in the water maze, as signified by increased swimming

speeds. This hyperactivity is consistent with previous findings

that mammillary body lesions, mammillotegmental tract lesions,

mammillothalamic tract lesions and supramammillary nucleus

Figure 6 Egocentric discrimination in the cross-maze

(Experiment 5). (A) Mean errors (�SE) to reach criterion of

30/36 correct choices during task acquisition; (B) mean errors

(�SE) made during the 12 sessions of reversal learning.

Figure 7 Left-hand panel: mean path lengths (�SE) to find

visually cued platform in the water maze; right-hand panel:

mean path lengths (�SE) to find the hidden platform in a

delayed-matching-to-place task in the water maze.

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lesions can produce hyperactivity (Field et al., 1978; Pan and

McNaughton, 2002; Vann and Aggleton, unpublished results).

There is also a striking parallel with the hyperactivity so frequently

reported after hippocampal lesions (Gray and McNaughton,

1983). It is, however, most unlikely that this hyperactivity was

responsible for the spatial impairments following VTNg lesions as

very clear water maze deficits were observed using path length as

opposed to latency. Furthermore, this hyperactivity does not

explain the normal acquisition of the egocentric task in a cross-

maze when contrasted with the marked deficits on T-maze

alternation.

The principal goal of the study was to test whether the VTNg

is necessary for the normal performance of spatial memory tasks

that are sensitive to hippocampal and mammillary body damage.

A key feature was the selectivity of the lesions. Although there

was inevitable loss of those few median raphe nuclei cells imme-

diately adjacent to the VTNg, this damage was very restricted as

determined both by Nissl and NeuN staining. Consistent with this

conclusion was evidence that serotonin staining in all other parts

of the raphe nuclei appeared unaffected. Furthermore, the selec-

tive loss of serotonergic fibres/cells in the median raphe nucleus is

not sufficient to disrupt T-maze alternation (Asin and Fibiger,

1984). Likewise, the cholinergic outputs from the nearby latero-

dorsal tegmental nucleus to sites such as the anterior thalamic

nuclei and lateral mammillary nuclei were also shown to be

unaffected by the VTNg lesions. Of special note was the integrity

of the cholinergic projection from the laterodorsal tegmental nuclei

to the interpeducuncular nuclei as this pathway runs in the vicinity

of the lesion site. These findings help to confirm that the lesions

were axon-sparing and, hence, that the spatial memory

impairments were due to a selective loss of VTNg neurons.

A small number of previous lesion studies have unintentionally

included the VTNg, and while these earlier experiments failed to

make selective lesions, their findings are consistent with those

from the present study. For example, electrolytic lesions that

included the VTNg region impaired spatial memory, including

delayed alternation and radial arm maze tasks (Wirtshafter and

Asin, 1983; Asin and Fibiger, 1984), though damage to fibres of

passage and adjacent bundles limited any conclusion. Likewise,

while a study of excitotoxic median raphe nuclei lesions reported

a significant correlation between the extent of VTNg damage and

the number of errors made on a reinforced T-maze task (Asin and

Fibiger, 1984), the consistent presence of extensive raphe cell loss

made it impossible to determine the impact of selective damage to

VTNg. However, the previously reported correlation between

extent of VTNg damage and spatial memory performance (Asin

and Fibiger, 1984) is consistent with the data from those animals

in the present study, which were excluded due to appreciable

VTNg sparing. While only two animals fitted the partial lesion

criteria, making it difficult to draw any strong conclusions, their

performance levels typically fell between those of the controls and

of the complete VTNg lesion group. From both this observation,

and the correlation reported by Asin and Fibiger (1984), it is likely

that even partial damage to the VTNx is sufficient to produce

some degree of mnemonic impairment.

The rationale for the present study assumed that the principal

VTNg lesion effect on spatial learning would be via its interactions

with the medial mammillary nucleus. This reasoning stems from

the density of the reciprocal connections between these two sites,

the evidence of impaired delayed alternation following mammillo-

tegmental tract lesions (Field et al., 1978), and the impact of

mammillary body lesions on such tasks (e.g. Vann and Aggleton,

2003). The VTNg does, however, innervate a number of other

sites, with light projections to the lateral hypothalamus, preoptic

area, medial septum, oral and caudal parts of the reticular pontine

nucleus, median raphe nuclei, supramammillary nucleus and

ventral tegmental area (Petrovicky, 1973; Leichnetz et al., 1989;

Hayakawa et al., 1993). Even though their inputs from the VTNg

appear very light, and in some cases are disputed, a contribution

from the disconnection of these sites cannot be excluded. A

number of these sites are, for example, directly connected with

the hippocampus, e.g. the medial septum, the supramammillary

nucleus, the lateral hypothalamus, the median raphe and ventral

tegmental area. Of those sites within the medial diencephalon, the

supramammillary nucleus is of particular interest as it contains cells

that control the frequency of theta rhythm in the hippocampus,

and damage to this nucleus can induce hyperactivity (Pan and

McNaughton, 2002; 2004). Nevertheless, the finding that supra-

mammillary nucleus lesions can have no apparent effect on either

working or reference memory in a water maze (Pan and

McNaughton, 2002) indicates that the disconnection of this

nucleus is not sufficient to explain the present findings.

The clear implication is that the loss of the reciprocal connec-

tions between VTNg and the medial mammillary nucleus best

accounts for the learning deficits seen in the present study.

Consistent with this explanation is the finding that cytotoxic

lesions of the mammillary bodies produce deficits on the same

array of spatial memory tasks at what appears to be a similar

degree of severity (Vann and Aggleton, 2003). Furthermore,

selective lesion studies indicate that medial mammillary nucleus

damage is primarily responsible for these deficits as selective

lesions of the lateral mammillary nuclei only produce mild, tran-

sient deficits on the spatial memory tasks used in the current

study (Vann, 2005). At the same time, it remains possible that

the loss of other VTNg connections could contribute to the array

of deficits, though only the loss of mammillary body interactions

appears sufficient to account for the learning impairments. The

next step is to consider why these tegmental inputs might be

critical for normal learning.

The dorsal and ventral nucleus of Gudden have very different

anatomical connections and electrophysiological properties; while

the dorsal tegmental nucleus forms part of a ‘lateral’ system

involved in generating head-direction information (Bassett et al.,

2007), the VTNg forms part of a ‘medial’ theta system (Vann and

Aggleton, 2004). The VTNg is reciprocally connected with the

medial mammillary nucleus, and all VTNg cells are thought to

fire rhythmically and highly coherently with hippocampal

theta (Kocsis et al., 2001). Consistent with this finding is the

identification of theta-related cells in the medial mammillary

nucleus (Alonso and Llinas, 1992; Kocsis and Vertes, 1994;

Bland et al., 1995; Kirk et al., 1996; Kirk, 1998). The present

study focused on the VTNg for several reasons: (i) the medial

mammillary nucleus is always affected in the amnesic Korsakoff’s

syndrome (Kopelman, 1995; Victor et al., 1989); (ii) the medial

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mammillary body projections to the anterior thalamic nuclei are

necessary for normal hippocampal, prefrontal and retrosplenial

function (Vann and Albasser, 2009); (iii) there is a single report

of a patient with persistent amnesia attributed to pathology in the

VTNg and surrounding area (Goldberg et al., 1981); and (iv) there

is a growing evidence that theta plays an important role in opti-

mizing the conditions for information storage (e.g. Hasselmo

et al., 2002; Hasselmo, 2005).

Although the relative size of VTNg is smaller in primates, the

structure and connections of the mammillary bodies and Gudden’s

tegmental nuclei are remarkably similar across species (Petrovicky,

1973; Irle and Markowitsch, 1982; Hayakawa and Zyo, 1984;

Huang et al., 1992; R.C. Saunders, unpublished results). The pro-

jections from VTNg to medial mammillary bodies use GABA and

appear to form inhibitory synapses (Allen and Hopkins, 1989;

Wirthshafter and Stratford, 1993; Gonzalo-Ruiz et al., 1999),

which led to the proposal that the VTNg acts as an inhibitory

feedback loop that controls the transfer of information from the

hippocampus to the anterior thalamic nuclei (Wirtshafter and

Stratford, 1993). More recently, VTNg function has been linked

to its rhythmic firing properties; one proposal is that it moderates

the hippocampal-driven rhythmic firing in the medial mammillary

(Kocsis et al., 2001; Vertes et al., 2004). A more radical account is

that the VTNg is a generator of hippocampal theta (Bassant and

Poindessous-Jazat, 2001). However, while lesions of the supra-

mammillary nuclei, which may also involve the mammillary

bodies, can disrupt some aspects of hippocampal theta, they do

not eliminate it completely (Thinschmidt et al., 1995; Sharp and

Koester, 2008). As the normal VTNg effects would presumably be

moderated via these structures, it is unlikely that the VTNg is a

generator of hippocampal theta, though it may possibly modulate

hippocampal theta frequency.

The present study focused on those tasks in animals that are

sensitive to damage to the hippocampus, mammillary bodies and

anterior thalamic nuclei (Sziklas and Petrides, 1993; Warburton

et al., 1997; Bannerman et al., 2002; Vann and Aggleton,

2003). There appears to be a close relationship between brain

regions that result in spatial memory impairments when damaged

in animals and those that result in anterograde amnesia/episodic

memory impairments in humans (Aggleton and Pearce, 2001).

There is also a strong relationship between those structures (e.g.

hippocampus and retrosplenial cortex) that result in topographical

amnesia in humans and those that result in episodic memory

impairments (e.g. Maguire et al., 1996; Maguire, 2001). These

relationships suggest that the VTNg contributes to episodic

memory and new learning in humans as well as spatial memory.

From the single reported case of a patient with damage to the

VTNg (Goldberg et al., 1981), it is also possible that this structure

contributes to retrograde memory although this has not been

assessed in the present study.

In conclusion, Gudden’s tegmental nuclei were first described

over 100 years ago (Gudden, 1884), yet have remained poorly

understood. The intriguing report of a patient with persistent

amnesia attributed to pathology in the VTNg and surrounding

area (Goldberg et al., 1981) appears to have not been pursued,

presumably because pathology localization was based on

CT imaging and so may well have involved neighbouring sites

and tracts. By producing selective, axon-sparing lesions centred

in the VTNg, the present study not only reveals that this tegmen-

tal nucleus may be vital for an array of memory tasks, but also

suggests that its projections, e.g. to the mammillary bodies, are an

integral element of how medial diencephalic nuclei support

memory.

Supplementary materialSupplementary material is available at Brain online.

AcknowledgementsThanks to John Aggleton, Heather Phillips and Moira Davies.

FundingBiotechnology and Biological Sciences Research Council UK

(BBSRC) David Phillips Research fellowship (BB/B501955/1).

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