Few studies have investigated autobiographical amnesia in neurodegenerative diseases and yet these pathologies are particularly relevant when addressing the issue of theories of long-term memory consolidation. According to the standard model, the medial temporal lobe (MTL) is involved in the storage and retrieval of episodic and semantic memories during a limited period of years. An alternative model, the multiple trace theory (MTT), suggests that the capacity of the MTL to recollect episodic memories is of a more permanent nature. In order to test these models, we studied three groups of patients with a neurodegenerative disease predominantly affecting different cerebral structures namely the MTL (13 patients in the early stages of Alzheimer's disease) and the neocortex involving either the anterior temporal lobe (10 patients with semantic dementia) or the frontal lobe (15 patients with the frontal variant of frontotemporal dementia, fv-FTD). We compared these groups of patients with control subjects using an original and reliable autobiographical memory task designed specially to assess strictly episodic memory over the entire lifespan. This task, developed on the basis of the most up-to-date definition of episodic memory, takes into account the ability to mentally travel back in time and re-experience the source of acquisition (remembering, i.e. autonoetic consciousness) via the remember/know paradigm. All three groups of patients produced strongly contrasting profiles of autobiographical amnesia (regardless of the nature of the memories), which also differed markedly from that of the control group: temporally graded memory loss in Alzheimer's disease, showing that remote memories are better preserved than recent ones; memory loss with a reversed gradient in semantic dementia; and memory loss without any clear gradient in fv-FTD. Most strictly episodic memories (i.e. unique, specific in time and space, and detailed) were impaired, whatever the time interval considered in the three groups, though the memory loss was ungraded in Alzheimer's disease and fv-FTD, and temporally graded in semantic dementia, sparing the most recent period. A deficit of autonoetic consciousness emerged in Alzheimer's disease and fv-FTD, but not in semantic dementia, though beyond the most recent 12-month period, the latter group could not justify their subjective sense of remembering to the same extent as the controls, in terms of the actual contextual information retrieved-phenomenological, spatial or temporal details. Our results demonstrate that autobiographical amnesia varies according to the nature of the memories under consideration and the locus of cerebral dysfunction. They are discussed in the light of the two competing models of long-term memory consolidation and recent conceptions of autobiographical recollection: new insights based on current concepts of episodic memories challenge the standard model and tend to support the MTT instead.

Many laboratory studies have demonstrated an age effect on episodic memory which is in contrast with the preservation of semantic memory. The aim of this study was the assessment of age effects on autobiographical memory according to the length of the retention interval, taking into account the episodic and semantic components. A total of 52 subjects, aged between 40 and 79, were divided into four age groups. They were tested with a sophisticated autobiographical questionnaire consisting of two tasks, one involving the recall of semantic information and another the recall of episodic events. Results revealed that episodic recall deteriorated more with age and retention interval than semantic recall. These data, gathered using an ecological test, confirm age differences demonstrated by laboratory tests on the episodic-semantic distinction. Furthermore, the profile of results obtained for the recall of specific detailed events, and analysed according to age of encoding, confirms the distribution of episodic memories across the lifespan, as modelled by Rubin, Wetzler, and Nebes (1986) with the cue-word technique.

The self has been the topic of philosophical inquiry for centuries. Neuropsychological data suggest that the declarative self can be fractionated into three functionally independent systems processing personal information at several levels of abstraction, including episodic memories of one's own life (episodic autobiographical memory, EAM), semantic knowledge of facts about one's own life (semantic autobiographical memory, SAM), and semantic summary representations of one's personal identity (conceptual self, CS). Our proposal here was to present a comprehensive description of the neural networks underpinning self-representations. To this aim, we performed three meta-analyses, one each for EAM, SAM, and CS, using the activation likelihood estimation (ALE) method. We expected a shift from posterior to anterior structures associated with the incrementally increasing level of abstraction of self-representations. The key finding was that EAM predominantly activates posterior and limbic regions including hippocampus. SAM is associated with anterior activations and also posterior and limbic activations in a lesser degree than EAM. CS mainly recruits medial prefrontal structures. Interestingly, medial prefrontal cortex is activated irrespective of the level of abstraction, but a more caudal part is recruited during CS, while SAM and EAM activate more rostral portions. To conclude, in line with the previous proposals, our results corroborate the idea that the declarative self is not monolithic but a multidimensional construct comprising distinct representations at different levels of abstraction.