The retrosplenial cortex: A memory gateway between the cortical default mode network and the medial temporal lobe.

The retrosplenial cortex (RSC) acts as a critical gateway between the medial temporal lobe (MTL) and other cortical regions of the default mode network (DMN), supporting episodic memory in older adults. In 180 healthy adults aged 64-68, functional connectivity between MTL and RSC was stronger than between MTL and other DMN regions like the posterior cingulate cortex, and only MTL-RSC connectivity was significantly associated with episodic memory performance. Mediation analysis showed that MTL-cortical DMN connectivity increased with RSC as a mediator, and graph-theoretical analysis revealed the highest betweenness centrality for RSC. The degree of RSC mediation was associated with better episodic memory, indicating that individuals with greater mediation have a memory advantage.

Study at a glance

Abstract

The default mode network (DMN) involves interacting cortical areas, including the posterior cingulate cortex (PCC) and the retrosplenial cortex (RSC), and subcortical areas, including the medial temporal lobe (MTL). The degree of functional connectivity (FC) within the DMN, particularly between MTL and medial-parietal subsystems, relates to episodic memory (EM) processes. However, past resting-state studies investigating the link between posterior DMN-MTL FC and EM performance yielded inconsistent results, possibly reflecting heterogeneity in the degree of connectivity between MTL and specific cortical DMN regions. Animal work suggests that RSC has structural connections to both cortical DMN regions and MTL, and may thus serve as an intermediate layer that facilitates information transfer between cortical and subcortical DMNs. We studied 180 healthy old adults (aged 64-68 years), who underwent comprehensive assessment of EM, along with resting-state fMRI. We found greater FC between MTL and RSC than between MTL and the other cortical DMN regions (e.g., PCC), with the only significant association with EM observed for MTL-RSC FC. Mediational analysis showed that MTL-cortical DMN connectivity increased with RSC as a mediator. Further analysis using a graph-theoretical approach on DMN nodes revealed the highest betweenness centrality for RSC, confirming that a high proportion of short paths among DMN regions pass through RSC. Importantly, the degree of RSC mediation was associated with EM performance, suggesting that individuals with greater mediation have an EM advantage. These findings suggest that RSC forms a critical gateway between MTL and cortical DMN to support EM in older adults.