RT Journal Article SR Electronic T1 The medial temporal lobe is critical for spatial relational attention JF bioRxiv FD Cold Spring Harbor Laboratory SP 765222 DO 10.1101/765222 A1 Nicholas A. Ruiz A1 Michael R. Meager A1 Sachin Agarwal A1 Mariam Aly YR 2020 UL http://biorxiv.org/content/early/2020/01/15/765222.abstract AB The medial temporal lobe (MTL) is traditionally considered to be a system that is specialized for long-term memory. Recent work has challenged this notion by demonstrating that this region can contribute to many domains of cognition beyond long-term memory, including perception and attention. One potential reason why the MTL (and hippocampus specifically) contributes broadly to cognition is that it contains relational representations — representations of multidimensional features of experience — that are useful in many different cognitive domains. Here, we explore the hypothesis that the hippocampus/MTL plays a critical role in attention via relational representations. We compared human participants with MTL damage to healthy age- and education-matched individuals on attention tasks that varied in the type and amount of relational processing required. On each trial, participants viewed two images (rooms with paintings). On room relational trials, they judged whether the rooms had the same spatial layout from a different perspective. On art relational trials, they judged whether the paintings could have been painted by the same artist. Control trials placed fewer demands on relational processing: Participants simply had to detect identical paintings or rooms. Patients were significantly and selectively impaired on the room relational task. This work provides further evidence that the hippocampus/MTL plays a ubiquitous role in cognition by virtue of relational representations, and highlights that spatial relations may be particularly important.