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Uncovering lipid biomarkers linked to methylphenidate efficacy in treating apathy in Alzheimer's disease: insights from the ADMET 2 trial - PubMed

3 hours ago
  • #Alzheimer's disease
  • #methylphenidate response
  • #lipidomics
  • Methylphenidate (MPH) shows modest efficacy for treating apathy in Alzheimer's disease, but treatment responses vary among patients.
  • Lipidomic profiling identified lipid species associated with MPH response, with robust discrimination between responders and non-responders (AUC around 0.82-0.84).
  • Pathway analysis revealed disruptions in ceramide, phosphosphingolipid, and glycosphingolipid metabolism in MPH responders, with glycosphingolipid metabolism also linked to apathy changes in the placebo group.
  • The findings suggest lipid biomarkers may help predict MPH efficacy and provide insights into molecular mechanisms of apathy and treatment response in Alzheimer's disease.