Abstract
Data on cognitive aging in chimpanzees are extremely sparse, yet can provide an invaluable phylogenetic perspective, especially since Alzheimer Disease-like (AD) neuropathology has recently been described in the oldest chimpanzee brains. This finding underscores the importance of data on cognitive aging in this fellow hominin, our closest biological relative. We tested 30 female chimpanzees, 12 to 56 years old, on a computerized analog of the Wisconsin Card Sort test. This test assesses cognitive flexibility, which is severely impaired in normal aging and AD. Subjects selected stimuli according to color or shape; the rewarded dimension (i.e. color or shape) switched without warning and the chimpanzee had to adapt her responses accordingly. We found that increasing age was associated with an increased number of perseverative errors and an increased number of trials to reach criterion in each switching dimension. The number of aborted trials was similar across age groups. These data show that like humans, chimpanzees show a clear age-related decline in cognitive flexibility that is already observed at middle-age.
Keywords: Aging, Ape, Cognition, Cognitive Flexibility, Prefrontal Cortex
INTRODUCTION
As the population ages, the burden that cognitive impairment and dementia will pose to the population looms larger (Blazer et al., 2015). Because of limitations of human studies and the need to understand age-related decline at a mechanistic level, research in animal models is essential to uncovering interventions to alleviate age-related cognitive decline. Although numerous animal species have been used as models of human cognitive aging (Arey and Murphy, 2017; Bizon and Woods, 2009; Cotman and Head, 2008; Gallagher et al., 2011; Park and Reuter-Lorenz, 2009), most studies have been conducted in rats and mice (Gallagher et al., 2011). The short life span of rodents permits researchers to observe the aging process and neural hallmarks of decline within individual animals. Developments in transgene technology have also allowed the design of mice with mutant forms of amyloid precursor protein, presenilins, Tau and other genes important for Alzheimer’s disease (AD) (Onos et al., 2016). Although mouse models of AD have furthered our understanding of several aspects of the disease, including the formation of amyloid plaques and neurofibrillary tangles, their repeated failure as preclinical models (Franco and Cedazo-Minguez, 2014) has highlighted a critical need for aging studies in species more closely related to humans.
Research in nonhuman primates (NHPs), permits study of cognitive aging in model systems with neural, physiological and behavioral characteristics that resemble those of our species. Most cognitive aging research in NHPs has been conducted in the rhesus monkey, a species with a maximum lifespan of 40 years, which shares many features of cognitive and brain aging with humans. Several laboratory groups, including our own, have developed batteries of cognitive tests for NHPs designed to assess normal function and decline in a large range of cognitive domains, including recognition memory, working memory and executive function (Bartus et al., 1978; Moss et al., 1988; Rapp, 1988; Voytko, 1993). Overall, studies on cognitive aging in rhesus monkeys have revealed age-related decline in most tasks (Herndon et al., 1997), some starting at middle-age (Moore et al., 2006), that follow a pattern very similar to the human pattern (Park and Reuter-Lorenz, 2009; Salthouse, 2010). It is worth noting that alternative NHP models of human cognitive aging are also being used (Lacreuse and Herndon, 2009), often based on species-specific characteristics advantageous for aging research, such as a shorter life span (e.g., the common marmoset, Callithrix jacchus, Lacreuse et al., 2014a; Tardif et al., 2011; the mouse lemur, Microcebus murinus, Picq, 2006).
The chimpanzee (Pan troglodytes) is the primate species most closely related to humans. It also possesses one of the richest cognitive repertoires among NHPs (Lonsdorf et al., 2010), a brain organization that greatly overlaps with that of the human brain (Rilling, 2014) and a long maximum lifespan of 62 years in captivity (Dyke et al, 1995). Nevertheless, very few studies of chimpanzee aging have been conducted, perhaps because few older chimpanzees were available in the early years of primate research. Two studies conducted in the 1960s were inconclusive with regards to age-related cognitive decline in this species. Bernstein (1961) compared the performance of 8 young (11–19 years of age) and 8 old (28–40 years of age) chimpanzees of unspecified sex in a series of object discriminations and a wheel-rotating task. No difference between the age groups was found in any of the tasks. Riopelle and Rogers (1965) studied 19 chimpanzees (7 to 41 years) of unspecified sex. Confirming the Bernstein study, no effect of age was found on two different object discrimination tasks. An age-related decline was observed in the Spatial Delayed Response task, a classic task of working memory, but the age differences were unexpectedly observed at the short delays of 0s or of 5 s, and not at the longer delay of 10s. A significant decline with age was also noted in a four-choice oddity task, in which chimpanzees had to select the odd object among three identical stimuli. A later study attempted to replicate the findings of Riopelle and Rogers, but revealed no differences in performance as a function of age in two chimpanzees (Bloomstrand and Maple, 1985).
A renewed interest for cognitive aging in the chimpanzee came about only recently. Using a battery of 12 tasks initially designed to compare social and physical cognition in apes and humans (Herrmann et al., 2007), as well as a task of fine motor function, we tested a group of 38 female chimpanzees ranging in age from young adulthood (10 years) through very old age (52 years), for a period of 3 years. Poorer performance with age was found in 2 tasks of social cognition, an attention-getting task and a gaze-following task. Minimal age differences were observed in tasks of physical cognition, which involved cognitive processing of physical stimuli presented to the subject. An exception among physical cognition tasks was a spatial memory test in which subjects attempted to locate and retrieve food items which were hidden as they observed. Performance on this task declined significantly in the 4 individuals older than 50 years old (Lacreuse et al., 2014b). In another study, 5 species of apes, including chimpanzees, ranging from pre-adolescence to old age, were tested in a motor task requiring sliding a horizontal door to the left or to the right in order to obtain a reward. Following learning, the response requirement was reversed. Both young and old apes made more errors in the reversal phase than the middle-aged ones, suggesting an age-related impairment in executive function (Manrique and Call, 2015).
Decreases in executive function, the ability to modify strategies for solving a complex task, is one salient feature of human age-related cognitive decline. Executive function encompasses several cognitive processes that can be conceptualized as planning, updating, inhibiting and set or task switching (Chudasama and Robbins, 2006). One benchmark measure of set switching in humans is provided by the Wisconsin Card Sorting Test (WCST). In this task, the participant is asked to sort cards based on one of 3 dimensions - color, number or shape- and only receives a yes/no feedback following his/her choice. During the task, the sorting rule is changed from color to shape or number without awareness of the participant, who has to shift response patterns according to the feedback received. The ability to shift from one dimension to another in the WCST is profoundly impaired in human patients by lesions of the prefrontal cortex (PFC; Milner, 1963). In the NHP version of this task, the Conceptual Set Shifting Task (CSST; Moore et al., 2003), the stimuli are presented on a computer touchscreen. The sets or dimensions of stimuli in the test are shape (triangle, circle or star) and color (red, blue or green). Once the subject responds reliably in one of the dimensions (e.g. color) the response contingency switches to the other (shape). Old and middle-aged rhesus monkeys require more time to learn the shifts in dimension than do young ones (Moore et al., 2003; Moore et al., 2006; Voytko et al., 2009). In addition, the decline in performance correlates with monoamine receptor binding in the PFC (Moore et al., 2005), the same brain region involved in age-related declines in WCST performance in humans (Esposito et al., 1999; Head et al., 2009; Nagahama et al., 1997).
We designed the present study to investigate whether aged chimpanzees show a decline in the set-shifting component of executive function as measured by the CSST. This question is of renewed interest in view of recent findings suggesting the occurrence of neurological hallmarks of AD in this species (Edler et al., 2017). Until recently, it was thought that NHPs could develop β-amyloid plaques, but not the neurofibrillary tangles (NFTs) associated with the disease. However, two recent reports describe the presence of NFTs, in addition to β-amyloid plaques, in aged macaques (Paspalas et al, 2018) and aged chimpanzees (Edler et al, 2017), suggesting that AD pathology is not unique to human brains. Interestingly, in macaques, mature tangles were found at the extreme end of the lifespan (>35 years old). The chimpanzee study showed that 4 (aged 45, 49, 57, and 58 years) of the 20 older chimpanzees examined (aged 37–62) had NFT lesions. In the absence of cognitive assessments, however, it is unknown whether brain pathology in either species is associated with a behavioral phenotype resembling AD. The first step towards addressing this question is to conduct comprehensive assessments of age-related cognitive decline in these species. Age-related cognitive decline in aged macaques has been well characterized. Although behavioral signs of AD have never been documented in this species, individuals over 35, coincident with the development of mature NFTs, are typically not included in cognitive aging studies. In the chimpanzee, comprehensive assessments of age-related cognitive decline are lacking. As this great ape most closely matches humans in terms of higher cognitive processes, complex neural organization and longer lifespan, it is imperative to characterize normal age-related decline in this species. This study addresses whether one cognitive domain that is significantly affected by age in humans, cognitive flexibility, is also impaired in aging in our closest relative.
MATERIAL AND METHODS
Subjects
Thirty-six female chimpanzees were initially included in the study. Chimpanzees were maintained in social groups at the Yerkes National Primate Research Center (YNPRC) of Emory University in Atlanta Georgia. Animal care and housing were provided according to standard procedures at the YNPRC. Housing units for each group provided access to both indoor and outdoor areas. The specific procedures of this study were approved by the Institutional Animal Care and Use Committee of Emory University.
The chimpanzees ranged in age from 12 years to 56 years of age (YOA), a range covering nearly the entire life span from young adulthood to very old age. The original sample of subjects included equal numbers of Young, Middle-aged Adult, and Old Adult chimpanzees. Three Young Adult and 3 Old Adult chimpanzees did not reliably perform the touch screen task, and were removed from the study. Thus, 9 Young (12–17, mean 15.6 YOA), 12 Middle-aged (17–31, mean 22.5 YOA), and 9 Old (33–56, mean 45.5 YOA) Adult chimpanzees participated in the study. All subjects had participated in a wide variety of studies of social and cognitive behavior over previous decades, and all had participated in the study reported in Lacreuse et al (2014b).
Executive Function Testing
Chimpanzees in the study had a history of cognitive testing in which they responded manually to a touch or joystick-based sensitive screen for food rewards (such as pieces of fruit or candy) given by researchers when a desired response was produced. For the present study we used the CSST, a version of the Wisconsin Card Sorting test modified by Moore et al (2003) to be performed by NHPs using a computerized touchscreen. The chimpanzee was presented with 3 sets of shapes (triangle, disk, and star) of 3 different colors (red, blue, and green) on a touchscreen. At each trial, the chimpanzee had to touch one of the 3 stimuli. The correct choice was indicated by an auditory cue and the provision of a food reward (squirt of juice or preferred food item) by the experimenter. Food items were supplementary to the normal feeding regimen, which was not altered during the study. An incorrect answer was accompanied by a different sound and not rewarded. Each day of testing consisted of 80 trials, separated by an inter-trial interval of 15s. Testing continued on successive days, resuming at the point left off in the prior session, until a learning criterion of 10 consecutive correct answers was achieved. This learning criterion was also employed in earlier studies using the CSST (Moore et al, 2003, 2005, 2006). Following attainment of criterion, the correct dimension was switched to another dimension without any warning. The chimpanzee had to adapt her response pattern to the new rule based on reward feedback. The test began within the color dimension, or concept, with “Red” as the correct response. This initial discrimination was followed by 3 discriminations in which the rewarded dimension was switched. The same sequence of dimensions was used for all subjects; after the initial concept of “Red” was learned, 2nd, 3rd, and 4th concepts were “Triangle”, “Blue”, and “Star”. There were thus 4 Levels or concepts, in the study. A schematic diagram of the CSST is presented in Figure 1.
The primary dependent measure for the study was the number of trials each chimpanzee required to learn each discrimination; that is, the number of trials completed before the first correct response of the 10 successive correct responses required to reach criterion (trials to criterion, TTC). We also analyzed the number of errors and the number of trials on which the chimpanzee refused to respond. Performance on specific tasks, including tasks dependent upon the PFC, has been shown to fluctuate as a function of the menstrual cycle in women (Hampson and Morley, 2013). Female chimpanzees may continue to experience ovarian cycles and to remain capable of producing viable offspring until near the end of the natural lifespan (Lacreuse et al, 2008). However, a substantial proportion fail to show menstrual cycles even at young ages (Herndon et al, 2012). In the present study, 4 (of 9) Young, 5 (of 12) Middle-aged, and 3 (of 6) Old subjects did not show menstrual cycles. For this reason, we also considered Cycling Status (cycling versus non-cycling) as a factor in statistical analysis of cognitive data in the present study. The data on trials, errors, and refusals were analyzed by means of a Linear Mixed Effects Model (LME), in which Age (in years) and Level (i.e. discriminations 1–4) were considered as Fixed Effects and the Individual Subjects were considered as Random Effects. In a subsequent phase of the analysis, Cycling Status and the interaction of Age x Level were added to this initial model.
We also tabulated perseverative errors, defined as incorrect responses following a shift in concept or correct dimension, that would have been correct under the previous response contingency. We employed a 1-way ANOVA to compare the perseverative errors in the 3 age groups.
RESULTS
As shown in Figure 2, the number of trials required to master the discriminations generally increased as the chimpanzees progressed from the initial (Level 1) discrimination through the 3 dimension-shifts (Levels 2 – 4) of the CSST. This increase was strongly significant, as indicated by the LME model (t = 4.90, df = 72, P < 0.0001; Table 1). The same model also indicated that increasing Age was associated with an increasing number of trials required to reach criterion, across all 4 Levels of the study (t = 2.44, df = 28, P = 0.02, Table 1). The presence or absence of menstrual cycles and the Age x Level interaction were not significant and these terms were not included in the final LME model. A 1-way ANOVA revealed no difference in the number of trials required to acquire the initial discrimination (F = 0.81, df = 2,27, P = 0.48; Figure 2). Essentially identical results were obtained in the LME model for the number of errors made by the 3 age groups during the initial discrimination and the 3 shifts (Table 1). Chimpanzees failed to select any of the stimuli on about 2% of the trials. This rate of refusals did not change significantly across the four discrimination levels (t= 1.29, df = 75, P = 0.77) or differ among the three age groups (t = 0.30, df = 28, P = 0.77).
Table 1.
Value | SE | DF | t | P-value | ||
---|---|---|---|---|---|---|
Trials | Intercept | −52.4 | 174.1 | 72 | −0.30 | 0.76 |
Age | 13.1 | 5.4 | 28 | 2.44 | 0.02 | |
Level | 135.2 | 27.6 | 72 | 4.90 | <0.0001 | |
Errors | Intercept | −202.5 | 142.7 | 75 | −1.42 | 0.16 |
Age | 13.2 | 4.4 | 28 | 3.03 | 0.01 | |
Level | 94.6 | 21.6 | 75 | 4.39 | <0.0001 | |
Refusals | Intercept | 3.3 | 9.0 | 75 | 0.37 | 0.71 |
Age | 0.1 | 0.3 | 28 | 0.30 | 0.77 | |
Level | 2.3 | 1.8 | 75 | 1.29 | 0.20 | |
We also analyzed the total number of perseverative errors made by each age group.Total perseverative errors differed significantly among the three age groups (Figure 3; 1-Way ANOVA; F = 3.75, df = 2,25, p=0.037). Post hoc tests (with false discovery rate correction) revealed that the Old and Middle-aged groups did not differ in number of perseverative errors (P = 0.63). The Young group had significantly fewer perseverative errors than both the Old (P = 0.047) and the Middle-aged groups (P = 0.047).
DISCUSSION
Thirty female chimpanzees ranging in age from young adulthood (12 years) through very old age (56 years) were tested in the CSST, a computerized version of the Wisconsin Card Sorting Test, a benchmark measure of executive function. A significant age-related decline in performance on this set-shifting task was found, indicating impaired cognitive flexibility with increasing age in our closest relative.
Executive function, including set-switching, is markedly impaired with age in humans (Head et al., 2009), monkeys (Moore, 2003), and rats (Barense et al., 2002). Neuropsychological investigations in humans (Milner, 1963), and lesion studies in rats (Dias et al., 1996) and monkeys (Moore et al., 2009), indicate that performance on the WCST or its analogs is dependent on the PFC. In monkeys, the role of the PFC in set-shifting task has also been demonstrated by means of functional MRI (Nakahara et al., 2002). In human neuroimaging studies, consistent activation of the inferior frontal cortex (Konishi et al., 1998; Berman et al., 1995; Nagahama et al., 1998) and/or dorsolateral PFC (Berman et al., 1995; Monchi et al., 2001; Nagahama et al., 2001) is observed during WCST performance.
Several observations indicate that the PFC is a region particularly vulnerable to aging. First, the lateral PFC is the region that undergoes the largest volumetric reduction with age in humans (Raz et al., 2005). There are also substantial age-related alterations of white matter within the PFC, as assessed by atrophy (Raz, 1997; Salat et al., 1999a), increases in white matter intensities (Prins and Scheltens, 2015) and reductions in the micro-structure integrity of fiber tracts measured by Diffusion Tensor Imaging (Madden et al., 2007; Madden et al., 2004; O’Sullivan et al., 2001; Raz et al., 2005; Salat et al., 1999b). In addition to these anatomical changes, there are reductions in dopamine receptor density and dopamine transporter availability in the PFC (Volkow, 1998). Data from macaque models of human aging have confirmed the loss of subcortical white matter with age (Peters and Sethares, 2002; Peters and Rosene, 2003), showed reductions in dopamine concentration in the PFC (Goldman-Rakic and Brown, 1981) and revealed an age-related loss of dendritic spines (Duan et al., 2003), and of synapses (Peters et al., 2008; Peters et al., 1998) in area 46 Furthermore, electrophysiological investigations in aged NHPs have highlighted some of the molecular mechanisms contributing to impaired PFC functioning with age. With advancing age, monkeys show reduced PFC neuron firing during the delay of working memory tasks which correlates with impaired performance (Wang et al, 2011). Age-related reduction in neuronal firing in the PFC is related to increased cAMP-K+ channel signaling with age, a mechanism also involved in the vulnerability to degeneration, as assessed by increased phosphorylated Tau, in the aged macaque PFC (Carlyle et al., 2014).
Not surprisingly, age-related decrements in WCST performance have been attributed to some of these PFC alterations. For example, significant associations between age-related increases in perseveration in the WCST and smaller PFC volume were reported in several MRI studies in humans (Gunning-Dixon and Raz, 2003; Head et al., 2009; Raz et al., 1998; reviewed in the meta-analysis by Yuan and Raz, 2014). In addition, functional neuroimaging studies have found associations between age-related decreases in the activation of the left dorsolateral PFC and left inferior lobule and poor WCST performance in older adults (Nagahama et al., 1997; d’Esposito, 1999). Other studies have found perseveration errors on the WCST to be related to the volume of white matter intensities within the PFC (Gunning-Dixon and Raz, 2003).
Unlike in humans, no overt alterations of the PFC with age, as assessed by MRI, have been observed in the chimpanzee (Sherwood et al., 2011). It should be cautioned, however, that these data only included structural MRIs from individuals aged 10 to 45 years old and therefore did not capture volumetric measures in oldest old chimpanzee brains. Herndon et al (1999) reported significant age-related brain shrinkage in chimpanzees aged 7 to 59 years old, suggesting that significant brain atrophy may occur in this species in the last decade of life. Given these findings, it remains possible that the chimpanzee PFC as well undergoes some of the age-related changes observed in humans but late in their lifetime (see Chen, 2013 for similar conclusions). In addition, cellular and molecular analyses of age-related brain changes have not been conducted in the chimpanzee PFC, leaving open the possibility of more subtle changes (in receptor densities, dendritic spines, cAMP channel signaling) not detectable by MRI that could significantly impact PFC function.
To conclude, we found evidence for age-related changes in PFC function in the chimpanzee that resemble the age-related decline in cognitive flexibility observed in humans, monkeys and rodents. These changes can already be detected in middle-age, supporting the idea that executive function is the domain that undergoes the earliest age-related cognitive decline, as shown in rhesus monkeys (Moore et al., 2006). Available data on cognitive aging in the chimpanzee are extremely sparse, leaving the question of age-related decline in other cognitive domains (i.e, declarative memory) unanswered. As reviewed in the introduction, early research on cognitive aging in the chimpanzee provided inconsistent results. The more recent research from Lacreuse et al (2014) assessed cognitive function in a battery tasks that did not strongly tax memory. Thus, it remains unclear whether chimpanzees show a similar pattern of age-related cognitive impairment in multiple domains as established in humans and macaque models of human aging. Additional research in aging chimpanzees, other great apes and monkeys is critically needed, as comparative studies of age-related cognitive decline and neuropathology in humans vs. other primates with different brain architectures, life histories and lifespans are likely to provide new key findings for understanding how aging impacts cortical circuitry and cognition, and increases vulnerability to AD.
Highlights (MS 18–512).
A set-shifting task was used to assess cognitive flexibility in female chimpanzees
Middle-aged and Old chimpanzees made more perseverative errors than the Young
Cognitive flexibility significantly declines with age in female chimpanzees
Acknowledgements
This study was funded by the National Center for Research Resources P51RR000165, Office of Research Infrastructure Programs P51OD011132, and NIA P01AG02642.
Footnotes
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Disclosure Statement: The authors declare no conflict of interest.
The chimpanzees were humanely treated in accordance with the Animal Welfare Act and the US Department of Health and Human Services “Guide for the Care and Use of Laboratory Animals.” All research reported in this manuscript complied with the protocols approved by the Animal Care and Use Committee of Emory University. The YNPRC is accredited by the Association for Assessment and Accreditation of Laboratory Animal Care International.
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