Methods
for details) and reported only if it outperformed the latter. In the reported results, the
first beta estimate in these models relates to the slope and significance before the breakpoint and
the second indicates whether the post-breakpoint slope is different from the first. A separate test
is used to test whether this second slope (which is a sum of the two beta values) is significant itself
(see Methods for details).
We found in all groups a steep decrease of Drop Error during the early periods of the experiment,
indicating fast learning (Figure 1D, 7 trials per object in the Control and APOE-e4 group, and 9
trials per object in the iEEG group, Supplemental Table 7 for details), followed by a significantly
less steep decrease (i.e. slower learning) in the remaining trials. For subsequent analyses, we thus
divided navigation behavior into ‘early’ and ‘late’ learning phases.
Definition of putative strategies via path metrics
We quantified navigation strategies via three metrics that compared in each trial, the path taken by
the participant (“observed”) to the possible “direct” paths between the start location and the drop
location indicated (Figure 2A). The direct paths between the two points are considered in order
to normalize the metrics to a ground truth, i.e., to account for the possibilities in movement given
the locations of start and drop locations within the arena, and thus for any goal location-specific
differences that could contribute to changes in strategy across trials and/or participants.
First, in order to quantify the existence of a “cognitive map” of the environment and relationship
between goal locations (putatively an allocentric strategy), we extracted the Straightness Index
(SI). This was defined as the ratio between the length of the direct path and the length of the
actual path. Values closer to 1 would indicate straighter paths. Second, we analyzed how much
participants used the boundary for orientation, we extracted how much they deviated towards the
boundary (putatively an “anchoring” strategy, which could indicate reliance on a combination of
allocentric and egocentric strategies). This was quantified as the difference between the distance
of the direct paths from the boundary vs. the distance of the observed paths from the boundary.
A positive value indicates that the observed path deviates towards the boundary, a negative that
the observed path deviates towards the center. This metric was measured trial-by-trial by taking
the median of the deviation values across the whole path (DB). Third, we investigated the degree
to which participants approached drop locations via stereotypical paths with matched viewpoint
(putatively an egocentric strategy). Path Overlap (PO) was calculated as the percentage of overlap
in x/y coordinates of a path in a given trial with all other trials taken to a particular goal location.
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C
A
retrieval path
start
goal
cue
retrieval
feedback
re-encoding
Drop Error
trial number
95 1 n
1. establish breakpoint
Drop Error
trial number
2. make new variable
(post breakpoint)
Drop Error
trial number
3. MLM
+ interaction term
for trial number
Drop Error
trial number
95 1 n
1. no breakpoint
Drop Error
trial number
2. MLM 3. Compare piecewise and linear
(ANOVA)
Drop Error ~ trial + (1|Participant)
vs
Drop Error ~ trial + trial_bp + (1|Participant)
linear:
piecewise:
Control APOEe4 iEEG
early late
B
D
Figure 1: Navigation Task and Performance. A) Left: Schematic of a trial in the task (note:
for the iEEG patients, the cue period only showed the object for 2s, not the environment (black
background)). Right: Schematic of arena overview with a hypothetical start location and path
leading to the drop location, as well as the goal location. Participants took part in a desktop
virtual navigation task and searched for hidden object locations within a circular arena. After
an object was presented (“Cue”), participants navigated through the arena (“Retrieval”) and
indicated when they believed to have reached it (drop location). They were given feedback as
to their performance and then were shown the correct object location (goal location) to which
they navigated to start the next trial (“Re-encoding”). Right: During retrieval, we recorded
participants’ paths. Start location was the goal location from the previous trial (the first trial
started from a random location). Performance was measured via the distance between the goal
location and the drop location (“Drop Error”). B) Drop Error (percentile rank against chance,
i.e. corrected for the bias in potential error as a function of object location, see Methods) differed
significantly between groups, with epilepsy patients (iEEG) performing significantly worse (higher
Drop Error) than both Control and APOE-e4 groups (both p < 0.001). C) Schematic of piecewise
regression, used throughout the study and compared to linear regression. D) Drop Error decreased
as a function of trial number per object. Empirically defined breakpoints revealed that a rapid
decrease of Drop Error in the early trials was followed by a slower decrease afterwards (‘early’
and ‘late’ periods). Vertical lines indicate significant breakpoints. Stars above the regression lines
indicate whether they are significant, after FDR correction. In the case of the iEEG group, both
early learning slope and the breakpoint are significant, but the second leg of the regression (i.e.
the slope in late learning) is not, indicating that after about 9 trials of an object, performance
plateaued. Controls and APOE-e4 carriers showed steep learning early and continued (though
significantly slower) learning after the breakpoint.
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This measure was again normalized by the overlap of the direct path to all other trials. A positive
value would indicate that the observed path to the drop location overlapped more with the paths
from the other trials involving the same goal location than the direct path did. All metrics were
z-scored to facilitate comparison across metrics (calculated across all trials from all participants,
see Methods for details).
These three metrics were significantly though non-linearly related – for example, straighter
paths were associated with reduced deviation to either the boundary or the center (Supplementary
Figure 1 and Supplementary Table 5). Importantly, however, employment of these strategies was
neither mutually exclusive nor did any of the metrics explain the variance in any other metric
by more than 51%, as quantified in piecewise regressions where metrics were used as outcome
or predictor variables (Figure 2B left panel, also see Supplemental Figure 5 for details). These
relationships highlight that navigation trajectories can be characterized across multiple metrics
simultaneously (see also Figure C for examples), and that they do not necessarily have to be
categorized as belonging to one strategy over another (e.g.: egocentric vs allocentric).
We next tested whether strategy use reflects a stable trait measure or whether it differs substan-
tially across trials. We therefore analyzed the variance in strategy use across trials in individual
participants and compared this to the variance in average strategy use between participants. We
found that the average within-subject variance of strategy use was much higher than the between-
subjects variance of subject-averaged strategy use (all within-subject variance > 0.9, compared
to across-subject variance all < 0.6, Wilcoxon signed-rank tests all p < 0.001, Figure 2B middle
panel). We confirmed this via measuring the random effects variance in mixed effects model (sim-
ple intercept model only) and showed that residuals accounted more than fourfold the variance
as compared to random effects such as participant or object identity (Figure 2B right panel; ICC
values were between 0.18-0.21 for all strategy metrics, further underscoring that the majority of
variability comes from within the grouping variables, i.e. within participant). These findings
strongly suggest that strategies are spontaneously adopted to a variable degree in individual trials,
possibly depending on a multitude of factors, rather than being a characteristic at the individual
participant level.
Finally, we found that these metrics were significantly different when comparing paths from
retrieval and re-encoding phases, i.e. when the goal object was shown to participants (increased SI
and reduced DB/PO in re-encoding, see Supplemental Figure 2), emphasizing that these are strate-
gies employed selectively during memory-based spatial navigation, rather than during movement
per se (or ‘guided navigation’) within the arena.
Group differences in strategy use
To understand how the three groups may differ in their use of these putative strategies, we av-
eraged the path metrics across all trials within participants (Figure 3A). SI did not differ signifi-
cantly between groups (Kruskal-Wallis test: H(2,107)=2.79, p=0.25). DB differed between groups
(H(2,107)=18.16, p≤ 0.001). Compared to Controls, both APOE-e4 carriers (Wilcoxon rank sum
tests: W=957, p=0.009, r=0.33) and iEEG patients (W=249, p ≤ 0.001, r=0.5) deviated more to
the boundary, and iEEG patients deviated by trend more to the boundary than APOE-e4 carriers
(W=522, p=0.069, r=0.14). When compared to a baseline of zero (no deviation), Controls actu-
ally deviated significantly towards the center of the arena (W=185, p=0.02), while iEEG patients
deviated significantly towards the boundary (W=507, p≤ 0.001) and the APOE-e4 group showed a
trend (W=489, p=0.09). Relatedly, APOE-e4 and iEEG groups showed a significant bias towards
indicating drop locations closer to the boundary (both p ≤ 0.001), whereas Controls showed no
such bias in drop location (‘Drop Error boundary bias’, also a significant main effect of group
(H(2,107)=15.25, p ≤ 0.001, Supplemental Table 1). These results corroborate previous findings
that APOE-e4 carriers tend to navigate closer to boundaries/landmarks [Kunz et al., 2015, Bier-
brauer et al., 2020] and show similar effects in iEEG patients who often have dysfunction of MTL
structures (see Discussion). PO differed between groups as well (H(2,107)=12.74, p=0.002), with
Controls (W=875, p=0.002, r=0.4) and APOE-e4 carriers (W=817, p=0.08, r=0.26) using more
overlapping paths than the iEEG group. These findings suggest that APOE-e4 carriers and in par-
ticular iEEG patients employ more “anchoring” strategies than Controls, and the reverse pattern
was found for egocentric “route matching” strategies. Putative strategies did not differ depending
on gender and no age effects were found (except in the APOE-e4 group, increased age was related
to increasingly straight paths and less route matching, but note the age range was only 18-29 years
of age in this group; see Supplemental Table 4).
Supplementary analyses showed the location of the goal object, travel distance, speed and
number of stops were all predictive of the metrics. For example, objects closer to the boundary
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0.03
0.50
0.37
0.31
0.51
0.09
SI
DB
PO
SI
DB
PO
SI
DB
PO
DE
SI
DB
PO
DE
SI
DB
PO
DE
SI
DB
PO
DE
SI
DB
PO
DE
SI
DB
PO
DE
SI
DB
PO
DE
SI
DB
PO
DE
SI
DB
PO
DE
SI
DB
PO
DE
SI
DB
PO
DE
SI
DB
PO
DE
Straightness Index (SI)
direct path length /
observed path length
observed
direct
drop
goal
start
trial i
Deviation to Boundary (DB)
direct path distance to boundary -
observed path distance to boundary
trial i
Path Overlap (PO)
observed path overlap -
direct path overlap
trial i vs all (object x)
start i
start j
start k
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Figure 2: Quantification of movement paths via putative strategies. A) Schematic of three path
metrics computed for each trial. Straightness Index (SI) was taken as the ratio between the length
of the direct path and the length of the actual path [allocentric]. Deviation to Boundary (DB):
Difference between the distance of the direct and observed paths from the boundary, respectively.
A positive value indicates that the observed path deviates towards the boundary, a negative that
the observed path deviates towards the center [anchoring]. Path Overlap (PO) is the difference
between the observed path overlap (of a given trial to all other trials for that particular goal
object) and direct path overlap (of a given trial to all other trials for that particular goal object)
gives a measure of how stereotypical each path was when approaching a specific goal location
[route matching]. B) Left: marginal r2 values from piecewise regressions where each metric was
used to predict each other metric (outcome variable on y axis, predictor on the x axis). Metrics
were related but explained no more than half of the variance between them, and were not linearly
related, see Supplemental Figure 1. Middle: High variability of strategy use across trials as can
be seen from the within-subject variance plotted for three metrics (color coded by group), with
between-participant variance indicated by the grey bar. Right: linear mixed-effects model (simple
intercept model only) showing the same pattern, where residual (i.e. within-participant) variance
is much larger than both random effects of participant as well as objects (which are nested within
participants). C) Path examples with metrics. Each panel shows the observed paths (colored
lines) taken by a participant towards a particular goal location (indicated by a star), as well as the
direct paths (grey dashed lines). Inset are the z-scored metrics, shown on a slider scale for easier
comparison across metrics (scale: z=–2 to 2), along with mean corrected Drop Error (scale: DE =
1-50) for the goal location shown. For this display, we have also averaged the trial-level measures of
Straightness, Deviation to Boundary and Path Overlap metrics across the goal location presented.
The color of the circle indicates group membership (green = Controls, pink = APOE-e4, blue =
iEEG). From left to right: examples of high straightness trials, paths that are deviating to the
center or the boundary, and varying levels of path overlap on the goal approach.
resulted in straighter paths toward them, and similarly, when goal objects were further from the
starting point (for full details see Supplementary Figure 3, Supplementary Table 6).
Strategy Use Over the Course of Learning
Next, we investigated whether and how strategy use changed over the experiment. Significant
changes in all three metrics were found in the Control and APOE-e4 groups (Figure 3B, Table
1, Supplemental Table 6), but not the iEEG group (thus iEEG results are not reported below).
Controls took progressively less straight paths for the first 3 trials of each goal object (B=-1.3, p ≤
0.001), with no significant change afterwards (B2=0.002,p>0.1). By contrast, the APOE-e4 group
consistently went on less straight paths as the experiment progressed, with no significant breakpoint
(B=-0.005, p≤ 0.001). Controls initially (in the first 2-3 trials) deviated more and more towards
the center of the arena (B=-1.8, p ≤ 0.001), after which this center-directed deviation diminished
- but did not reverse into boundary-directed deviation; instead, overall deviation decreased (B =
0.005, p ≤ .001). Upon closer inspection, we found that when looking at the DB score for the first
trial across all objects, Controls were significantly deviating towards the boundary (p ≤ 0.001),
however already by the second trial (across all objects) this was not the case (p >0.1), and by the
fourth trial they were significantly deviating towards the center of the arena (p=0.023) – thus the
initial dip in DB score represents a rapid shift from deviating towards the boundary to deviating
towards the center. The APOE4 group showed an inverted pattern, as they deviated increasingly
towards the boundary until 30 trials per object, when they began to deviate less and less towards
the boundary (B=0.007, p ≤ 0.001; B2=-0.035, p=0.001). To be exact, by the fourth trial the
APOE-e4 group significantly deviated towards the boundary (p=0.002) and by the 32nd trial the
deviation was no longer significant (p>0.1). Controls took increasingly overlapping paths in earlier
trials and less overlapping paths in later trials (B= 0.024, p ≤ 0.001, B2=-0.004, p=0.03) while the
APOE-e4 group took increasingly overlapping paths early in the experiment (B=0.015, p ≤ 0.001;
B2=0.0003, p>0.1). These findings show that the overall group differences described above mainly
reflected the patterns in early rather than late trials.
Strategy Use Predicts Performance
Having quantified the three path metrics for every trial, we tested whether they predicted per-
formance on the task, i.e. trial-wise drop error, again using piecewise regression analyses with
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Straightness Index (SI) Deviation to Boundary (DB)A Path Overlap (PO)
B
center boundary center boundary
Figure 3: Group Differences in Strategy Use and Use of Strategies Changes Across the Experiment.
A) Groups differed in their use of anchoring and route matching strategies. B) Controls and APOE-
e4 groups showed differences in how they used strategies across the experiment. Significance (“*”)
of the first slope (i.e. first leg of the piecewise regression) and breakpoint is shown after correcting
for multiple comparisons using FDR (all p< 0.05). The significance of the second slope is also
indicated by a “*” where applicable.
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the different strategy metrics as predictors (separately), and (corrected) drop error as dependent
variable (Figure 4A; see also Table 1). In Controls, we found that going on more straight paths
(higher SI) predicted better performance (lower drop error) until a breakpoint (B=-0.59, p≤0.001),
after which the relationship reversed and became significant in the opposite direction (B2=14.94,
p≤ 0.001). Notably, this reversal occurred for very straight paths, and putatively reflects instances
where participants were unsure and travelled in a short straight line to terminate the trial (see
Supplemental Figure 4 for details). Deviating towards the center (DB 0.1)
– in line with the overall tendency of Controls to deviate to the center (see also Kunz et al 2015).
Another preferred strategy of Controls, travelling along overlapping routes, was also beneficial until
a certain point when the benefit plateaued (B= -1.45, p≤ 0.001; B2= -0.063, p>0.1) and this point
was at about 3% increase in path overlap.
The APOE-e4 group showed a similar pattern for both straightness (B=-0.38, p=0.008; B2=67.79,
p≤ 0.001) and overlapping paths (B=-1.75, p ≤ 0.001; B2=0.097, p >0.1). Contrary to Controls,
however, this group benefitted from deviating towards the center and the boundary the arena
(B1=0.42, p=0.044, B2= -0.67, p≤ 0.001). In the iEEG group, only straightness was associated
with better performance, as in the other groups (B=-0.88, p=0.013; B2=427.32, p ≤ 0.001). No
clear benefit of the other two strategies was found, in fact deviating to the center and increasingly
overlapping paths were detrimental to performance. Potentially, this could be a result of the large
variability in performance in this group thus obscuring any clear beneficial use of strategies.
For completeness, we also examined the results of the piecewise regressions when including the
other metrics as covariates in the model (e.g.: predictor variables would be main effect of Straight-
ness and the corresponding interaction term, as well as main effects of Deviation to Boundary and
Overlap of Paths). We found the results were qualitatively very similar (see Supplemental Table
7B).
We also investigated, given the changes in strategy use (Figure 3B) and reductions in Drop
Error (Figure 1D) over the course of the experiment, the relationship between strategies and Drop
Error separately for the early phase (up to 6 trials per object in the Control/APOE-e4 groups, and
9 trials per object in the iEEG group; see Figure 1D), and the late phase (all trials after the early
phase) separately (thus breakpoints were the same as above, but only early - or late - learning
phase trials were included in each model). During the early phase of learning, Controls benefitted
from taking increasingly overlapping paths (early PO: B= -1.21, p=0.009), and APOE -e4 carriers
benefitted from deviating towards the boundary (B= -1.09, p=0.025), and going on straighter
paths until the breakpoint (B=-1.59, p=0.001; B2=77.51, p ≤ 0.001) (Figure 4B top panel). In
later learning, Controls benefitted from going on straighter paths until the breakpoint (B=-0.37,
p=0.002; B2=5.38 p≤ 0.001) and taking overlapping paths up until a point (B=-0.73, p≤ 0.001;
B2=0.09, p >0.1), while the APOE -e4 group showed a benefit only from deviating towards the
center of the arena (B=0.57, p=0.001, B2=-0.16, p >0.1) rather than the boundary as early in
learning. They also showed a similar pattern to controls in the benefit of using overlapping paths
(B=-1.42, p ≤ 0.001; B2=0.04, p >0.1, Figure 4B lower panel). No effects were observed for the
iEEG group.
In summary, these analyses again show that the overall preference of the different groups
(deviation to the boundary in APOE-e4 carriers and using an egocentric strategy in Controls)
corresponded to the benefit in earlier rather than later trials. They also suggest that in Controls,
switching from a more egocentric strategy early in learning (route matching) to putative cognitive
map use (straight trials) during later learning stages benefits performance. The APOE-e4 carriers,
however, consistently use the geometry of the arena, first adaptively using the boundary and then
adaptively deviating towards the center.
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Control
APOEe4
iEEG
center boundary more path overlapmore straight
A
B navigation phase: early
navigation phase: late
Figure 4: Performance is Related to Strategy Use. A) Relationship of path metrics and performance
across the entire experiment. B) Relationship of path metrics and performance separately for the
early and late learning phases, as seen in Figure 1D. Significance (“*”) of the first slope (i.e. first leg
of the piecewise regression) and breakpoint is shown after correcting for multiple comparisons using
FDR (all p<0.05). The significance of the second slope is also indicated by a “*” where applicable
(note: second leg only marked as significant if the breakpoint and second leg were significant). If
there is no breakpoint (i.e. no dashed line), then a linear model was fitted as a piecewise model
provided no additional benefit.
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A B C
end (1 sec)
start (1 sec)
early late
learning
Figure 5: The hippocampus is recruited to aid performance in group-specific manner A) Perfor-
mance, i.e. corrected Drop Error, was used to predict hippocampal activity. Left: Hippocampal
BOLD activity predicted better performance in APOE-e4 carriers, but not in Controls. Right:
In the iEEG group, higher gamma power was related to better performance (gray line), while no
effect was found for theta activity (blue line). B) Relationships of Drop Error and hippocampal
activity (extracted parameter estimates plotted) separately for early vs late learning phases and
C) for the first (”start”) and last (”end”) second of every trial. Plotted are the extracted beta
estimates for each phase/trial period, per group. Results are corrected for FDR (* p < 0.05).
Hippocampal Recruitment Benefits Performance only in APOe4 carriers
and iEEG patients
We investigated if hippocampal activity was associated with better performance. Hippocampal
activity was measured by extracting bilateral (see Methods for details) BOLD activity in Control
and APOE-e4 participants, and theta power (3-8Hz) and high gamma power (60-90Hz) in iEEG
patients (electrode locations plotted in Supplemental Figure 10), timepoint-by-timepoint. Mixed-
effects models were corrected for temporal autocorrelations of neural activity, see Methods.
In Controls, there was no overall relationship between hippocampal BOLD activity and drop
error (p >0.1). By contrast, in the APOE -e4 group higher hippocampal BOLD was associated
with lower drop errors (B= -0.0009, p=0.001). In the iEEG group, theta power (3-8Hz aver-
aged) was unrelated to performance (p>0.1), but higher gamma (60-90Hz) power predicted better
performance (B= -0.00015, p=0.001) (Figure 5A).
When looking at early and late learning phases separately, BOLD activity in both Controls and
APOE -e4 carriers was associated with better performance during late learning (both B=-0.001,
both p .01). By contrast, in the iEEG group, gamma
power consistently predicted performance both during the early (B= -0.0001, p=0.021) and the
late learning period (B= -0.0002, p=0.042) (Figure 5B left).
An alternative way to understand how hippocampal activity relates to performance is to analyze
activity at the start (first second during retrieval) or end (last second during retrieval right before
drop) of a trial (Figure 5C right inset). We found a benefit of hippocampal recruitment during
the initial part of the navigation trajectory in both Controls and APOE -e4 carriers (Figure 5C,
Controls B= -0.001, p=0.016; APOE-e4 B= -0.002, p=0.001), indicating some form of beneficial
retrieval-related activity as to the intended goal location. Interestingly, in Controls we also found a
significant effect at the end of the retrieval trial (i.e. last second before drop) – but in the opposite
direction, thus more hippocampal BOLD reflected higher Drop Error (B=0.002, p=0.001). This
might relate to more extensive learning in trials with high drop error, in which Controls may engage
in more re-encoding (supported by the fact that hippocampal activity in both Control and APOE
-e4 groups is overall higher in the reencoding phase than during retrieval, Supplemental Figure 5).
Previous studies suggest that entorhinal cortex could be dysfunctional even at early ages in
APOE-e4 carriers [Kunz et al., 2015] and that in addition to the MTL, striatal networks contribute
to navigation as well [Bohbot et al., 2007, Goodroe et al., 2018, Henke, 2010]. We thus investigated
the relationship between drop error and neural activity in bilateral entorhinal cortex and bilateral
caudate nucleus in the Control and APOE -e4 group (for details on ROIs and for details on why
the entorhinal contacts in the iEEG group were not used in this analysis please see Methods-
Preprocessing). We did not find that drop error was significantly related to neural activity in
bilateral entorhinal cortex in either group (p>0.1). However, increased BOLD in the caudate was
related to better performance in the APOE-e4 group (B=-0.001, p=0.030, Supplemental Figure 9
and Supplemental Table 13).
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Hippocampal Recruitment is Dependent on Adaptive Strategy Use and
is Group Specific
While all strategies seem to be adaptive (i.e., beneficial for performance) to some extent depending
on group membership, we next investigated their neural underpinnings. In addition, we aimed to
understand the relationship between a particular strategy use and neural activity as a function of
whether it was adaptive or not. We therefore used the breakpoints from the Drop Error analysis
(and associated path metric interaction terms) in mixed-effect models to predict hippocampal
activity (Figure 6).
In Controls, going on straighter paths (which led to better performance) was associated with
decreased BOLD activity in the hippocampus; for very straight paths that were associated with
poor performance, this decrease in BOLD was even steeper (B1= -0.008, p=0.024, B2= -0.17,
p≤ 0.001). Adaptive deviation towards the center of the arena was associated with increased BOLD
activity, as was deviation towards the boundary, despite the latter not relating to performance
in the Controls (B1= -0.016, p=0.001, B2= 0.018, p ≤ 0.001). Taking more overlapping paths
(route matching), while beneficial to a point, was associated with a linear increase in hippocampal
BOLD (B= 0.015, p=0.001). These findings show that in Controls some adaptive strategies were
associated with reductions and others with increases of hippocampal BOLD activity, which may
explain the lack of an overall linear relationship between BOLD activity and performance in this
group (Figure 5A).
In the APOE-e4 carrier group, going on straighter paths was associated with a decrease of
hippocampal BOLD activity, independent of whether it was adaptive or not (B=-0.014, p=0.001).
Adaptive deviation towards the center and boundary of the arena was associated with increased
BOLD activity (B1= -0.017, p=0.001; B2=0.011, p=0.008). As in Controls, taking overlapping
paths (route matching) was associated with higher hippocampal BOLD (B=0.014, p=0.001). Thus,
“anchoring” at the boundary – the predominant strategy in this group – was associated with
higher hippocampal BOLD activity, putatively accounting for the overall benefit of hippocampal
recruitment.
In the iEEG group, going on straighter paths was associated with a significant linear increase in
hippocampal theta power (and decrease in gamma power; theta: B=0.006, p=0.014; gamma: B=-
0.003, p=0.001). Deviating towards the boundary and taking increasingly overlapping paths led
to significant linear decreases in theta power (DB: B= -0.006, p=0.012; PO: B=-0.005, p=0.018),
and deviating towards the boundary was in addition associated with significantly increased gamma
power (B=0.002, p=0.007). See also Supplemental Figure 6 and Table 12 for results at individual
theta frequencies. Thus, anchoring and route matching strategies were associated with lower
theta power, while straighter paths were associated with increased theta power – and theta power
overall was inversely related to BOLD activity. Increased gamma power was overall beneficial to
performance (Figure 5A right) and was also increased when deviating to boundary (only), which is
the strategy that iEEG patients used more than the other groups, albeit without being beneficial to
them. However, gamma power was also increased for low SI/PO values (Figure 6 lower left/right),
i.e. when patients were taking non-matching routes, putatively when they were moving on very
idiosyncratic paths. Interestingly, this was also when they showed significant decrease in Drop
Error (Figure 4A right), thus the overall performance benefit of higher gamma power in this group
may be driven by these curvy non-typical paths. It is worth noting that while behaviorally very
straight trials did relate positively to speed (Supplemental Figure 3), we did not find that higher
speeds resulted in higher theta power (Supplemental Figure 8C) and thus our finding of higher
theta power with increasingly straight paths is unlikely to be the result of speed changes.
In summary, while overall, there was an inverse relationship between BOLD activity and theta
power (vs gamma power), adaptive strategy use was not always associated with increases or de-
creases in hippocampal involvement, but rather hippocampal activity was strategy and group spe-
cific. Beneficial strategies in the Control and APOE-e4 groups, such as using (modestly) straight
paths and deviating to the center/boundary, were associated with opposite (lower and higher,
respectively) BOLD activities, and route matching was associated with increased BOLD, despite
not conferring any additional benefit after a certain point. These results suggest that changes in
direction of BOLD activity are not directly reflecting a specific strategy but also indicate whether
it is adaptive or not (see Discussion).
We also investigated how the relationship between strategies and hippocampal activity changes
as a function of learning (early vs late) and trial period (start vs end), see Supplemental Figure
7 and Supplemental Table 10 & 11. For completeness, we also report results of predictors for
hippocampal power consisting of behavioral variables similar to those relating to previous reports
(e.g.: distance to drop location, speed etc., see Supplemental Figure 8), as well as the relationship
13
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preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
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theta
gamma
breakpoint
from
Drop Error
adaptive adaptive
center boundary
~
Figure 6: Hippocampus Is Involved Differently Depending on Adaptive Strategy Use.We used
piecewise mixed-effects models, with breakpoints taken as established for Drop Error (Figure 4),
in order to understand how hippocampal activity related to strategy use as a function of whether
it was beneficial or not. In Controls and APOE-e4, more straight paths (SI), leading to better
performance, were associated with lower hippocampal BOLD activity, while deviating either to
the center or the boundary was associated with higher hippocampal BOLD activity, which was
also related to better performance (albeit adaptive deviation to either center or boundary was
only present in APOE-e4s and only adaptive deviation to center in Controls). This implies that
changes in the direction of BOLD response in the hippocampus can occur as a function of the type
of adaptive strategy use. Hippocampal BOLD also increased when taking more overlapping paths,
although this was not clearly related to performance. In the iEEG group, higher theta power and
lower gamma power were associated with adaptively taking straighter paths, theta power decreased
when deviating more towards the boundary and route matching, and gamma activity increased
when deviating towards the boundary. Significance (“*”) is shown after correcting for multiple
comparisons using FDR.
between strategies and hippocampal theta power per individual frequency (i.e. 3-8Hz separately,
Supplemental Figure 6).
14
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preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
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Table 1: Summary of Main Findings. For each strategy, whether it was adaptive overall as well
as separately for early and late learning periods (relates to Figure 4), whether its use changed
over the experiment (related to Figure 3B), and how it related to changes in hippocampal activity
(related to Figure 6).
Strategy Group Beneficial
Strategy?
Change in
use?
Hippocampal
Relation-
ship?
Straightness
(SI)
CONTROLS Yes overall
(late)
Decreasing
early on then
stable
Negative
APOE-e4 Yes overall
(early)
Decreasing
over the
course of
learning
Negative
iEEG Yes overall No Theta: Posi-
tive
Gamma:
Negative
Deviation to
Boundary
(DB)
CONTROLS Center:
Yes overall
(late),
Boundary:
No
More devia-
tion to cen-
ter early on,
then decreas-
ing deviation
Center: Neg-
ative,
Boundary:
Positive
APOE-e4 Center:
Yes overall
(late),
Boundary:
Yes overall
(early)
More de-
viation to
boundary
for most of
learning,
then no
deviation
Center: Neg-
ative,
Boundary:
Positive
iEEG No No Theta: Neg-
ative,
Gamma:
Positive
Path Over-
lap (PO)
CONTROLS Not overall
(early)
Increasingly
overlapping
paths early
on then
reduction
Positive
APOE-e4 No No Positive
iEEG No No Theta: Neg-
ative,
Gamma:
(Positive)
15
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