Evidence map›Paper›PMID 41073581›Full record

ArticleMolecular psychiatry2026

Alzheimer's disease and memantine effects on NMDA-receptor blockade: non-invasive in vivo insights from magnetoencephalography.

Juliette H Lanskey, Amirhossein Jafarian, Laura E Hughes, Melek Karadag, Ece Kocagoncu, Matthew A Rouse, Natalie E Adams, Michelle Naessens, Vanessa Raymont, Mark Woolrich and 3 more

Abstract read
In one paragraph

Article in Molecular psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Juliette H LanskeyMRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK.ORCID 0000-0002-6626-7686
Amirhossein JafarianMRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK.
Laura E HughesMRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK.
Melek KaradagDepartment of Clinical Neurosciences and Cambridge University Hospitals NHS Foundation Trust, Cambridge Biomedical Campus, Cambridge, UK.
Ece KocagoncuDepartment of Clinical Neurosciences and Cambridge University Hospitals NHS Foundation Trust, Cambridge Biomedical Campus, Cambridge, UK.
Matthew A RouseMRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK.
Natalie E AdamsDepartment of Clinical Neurosciences and Cambridge University Hospitals NHS Foundation Trust, Cambridge Biomedical Campus, Cambridge, UK.
Michelle NaessensMRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK.
Vanessa RaymontDepartment of Psychiatry, University of Oxford, Oxford, UK.
Mark WoolrichOxford Centre for Human Brain Activity, Wellcome Centre for Integrative Neuroimaging, Department of Psychiatry, University of Oxford, Oxford, UK.ORCID 0000-0001-8460-8854
Krish D SinghCardiff University Brain Research Imaging Centre, School of Psychology, Cardiff University, Cardiff, UK.ORCID 0000-0002-3094-2475
Richard N HensonMRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK.ORCID 0000-0002-0712-2639
James B RoweMRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK. James.Rowe@mrc-cbu.cam.ac.uk.ORCID 0000-0001-7216-8679

Funding

Alzheimer's Research UK (ARUK) ARUK-PG2017B-19RCUK | MRC | Medical Research Foundation SUAG/092 G116788; SUAG/096 G116788Wellcome Trust 220258
6 · The paper itself

Abstract

To accelerate new treatments for Alzheimer's disease, there is the need for human pathophysiological biomarkers that are sensitive to treatment and disease mechanisms. In this proof-of-concept study, we assess new biophysical models of non-invasive human MEG imaging to test the pharmacological and disease modulation of NMDA-receptor inhibition. Magnetoencephalography was recorded during an auditory mismatch negativity paradigm from (1) neurologically-healthy people on memantine or placebo (n = 19, placebo-controlled crossover design); (2) people with Alzheimer's disease at baseline and 16-months (n = 42, amyloid-biomarker positive, longitudinal observational design). Optimised dynamic causal models inferred voltage-dependent NMDA-receptor blockade using Parametric Empirical Bayes to test group effects. The mismatch negativity amplitude was attenuated when Alzheimer's disease was more severe (lower baseline mini-mental state examination) and after follow-up (versus baseline). Memantine increased NMDA-receptor inhibition, compared to placebo. Alzheimer's disease reduced NMDA-receptor inhibition in proportion to severity and over time. In line with preclinical studies, we confirm in humans that memantine and Alzheimer's disease have opposing effects on NMDA-receptor inhibition. The ability to infer such receptor dynamics and pharmacology from non-invasive physiological recordings has wide applications, including the assessment of other neurological disorders and novel drugs intended for symptomatic or disease-modifying treatments.

Indexed as

Alzheimer DiseaseMemantineReceptors, N-Methyl-D-AspartateAgedAged, 80 and overBayes TheoremCross-Over StudiesExcitatory Amino Acid AntagonistsFemaleHumansLongitudinal StudiesMagnetoencephalographyMaleMiddle AgedExcitatory Amino Acid AntagonistsMemantineReceptors, N-Methyl-D-Aspartate

Identifiers

PMID41073581
PMCPMC12916295

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.