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Why Do People with Dementia Wander?

60% of people with dementia wander off at some point. It's long been a dangerous mystery. Japanese researchers tracked down the cause of this behavior. Find out more.
An Elderly Man Sitting on a Park Bench

Alzheimer’s disease is one of the most serious diseases in an aging society, yet the cause is often unclear and there is no appropriate treatment method. Many patients with Alzheimer’s disease develop spatial memory impairment which causes symptoms such as wandering, putting a great stress on caregivers. However, the cause of spatial memory impairment has been long unclear.

A research group led by Kei Igarashi, an assistant professor at University of California, Irvine elucidated the brain circuit mechanism that causes spatial memory impairment in Alzheimer’s disease. The research group used Alzheimer’s disease model mice developed at RIKEN in 2014 and analyzed the brain activity of mice performing memory behaviors using an electrophysiological technique(1). The results showed that brain function to distinguish different locations called as “remapping”(2), a function of the hippocampus(3) of healthy brain, become impaired. The results also showed that this hippocampal dysfunction was caused by decreased activity in the brain region called the entorhinal cortex(4).

These results indicate that the impairment of remapping causes spatial memory impairment in Alzheimer’s disease. In the future, improving brain remapping function may reverse spatial memory impairment in patients with Alzheimer’s disease, for example using deep brain stimulation methods.

The study was conducted jointly with Takaomi Saido, a team leader at the RIKEN and Professor Takashi Saito at Nagoya City University, as part of the JST Strategic Basic Research Programs.


Footnotes:

  1. Electrophysiological technique
    This is a method for directly measuring electrical signals using metal electrodes for recording brain activity.
  2. Remapping
    The function of place cells and grid cells to distinguish different rooms. Since there are countless place cells in the hippocampus, every time an animal moves into a different room, activity patterns of many place cells will change all at once. Since the combination of place cell group patterns is different in each room, combinations of place cells create spatial memory of different locations.
  3. Hippocampus
    The memory center of the brain. The hippocampus, the Greek word for seahorse, is so named because it has a shape similar to that of a seahorse. It has special electric circuits to store and recall memory information. When the hippocampus is damaged, memory impairment occurs.
  4. Entorhinal cortex
    A part of the brain that forms the memory center of the brain along with the hippocampus. Information from various parts of the brain enters the hippocampus through the entorhinal cortex and is stored in memory. The information stored in the hippocampus is transferred to various parts of the brain through the entorhinal cortex. Therefore, damage to the entorhinal cortex also causes memory impairment.

SOURCE:


REFERENCE:
  • Heechul Jun, Allen Bramian, Shogo Soma, Takashi Saito, Takaomi C. Saido, Kei M. Igarashi. Disrupted Place Cell Remapping and Impaired Grid Cells in a Knockin Model of Alzheimer’s Disease. Neuron, 2020; DOI: 10.1016/j.neuron.2020.06.023

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Peter Berger

With experience in dementia caregiving, public education, and Alzheimer’s-focused writing—and a professional research background shaped in what many consider one of the world’s top laboratories—I work to make complex findings clear, practical, and genuinely helpful for families and professionals providing care.

This site was inspired by my Mom’s autoimmune dementia.

It is a place where we separate out the wheat from the chafe, the important articles & videos from each week’s river of news. Google gets a new post on Alzheimer’s or dementia every 7 minutes. That can overwhelm anyone looking for help. This site filters out, focuses on and offers only the best information. it has helped hundreds of thousands of people since it debuted in 2007. Thanks to our many subscribers for your supportive feedback.

The site is dedicated to all those preserving the dignity of the community of people living with dementia.

Peter Berger, Editor

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Welcome

Alzheimer’s & Dementia Weekly was inspired by my mother’s journey with autoimmune dementia and my dad’s with Parkinson’s dementia.

Walking beside them opened my eyes to the confusion, the courage, and the deep humanity found in families and professionals caring for someone they love.

Since its debut in 2007, this site has had one clear mission:
to separate the wheat from the chaff — to highlight only the most essential articles, studies, tools, and videos from the overwhelming river of dementia-related information.
(At last count, Google receives a new post on Alzheimer’s or dementia every seven minutes.) For anyone seeking clarity or support, that constant flow can be exhausting and discouraging.

Alzheimer’s Weekly filters, translates, and explains what matters most, helping hundreds of thousands of families, clinicians, and care teams around the world make sense of the latest research and best practices.

This site is dedicated to everyone who works—often quietly and tirelessly—to preserve dignity in the community of people living with dementia.


About the Editor

With experience in dementia caregiving, public education, and Alzheimer’s-focused writing—and a professional research background shaped in what many consider one of the world’s top laboratories—I work to make complex findings clear, practical, and genuinely helpful for both families and professionals providing care.

My goal is simple:
Translate the best science into guidance that lightens the load, strengthens understanding, and helps every person with dementia live with dignity.

Peter Berger
Editor, Alzheimer’s Weekly

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