Probing the antidepressant potential of psilocybin: integrating insight from human research and animal models towards an understanding of neural circuit mechanisms.
Juliet Meccia, Joëlle Lopez, Rosemary C Bagot
Psychopharmacology January 1, 2023 DOI: 10.1007/s00213-022-06297-0
Summary
Psilocybin, the active compound in "magic mushrooms," shows remarkable potential in treating depression by rewiring key brain networks. Research combining human brain imaging and animal studies reveals how this psychedelic substance creates lasting positive changes in cognition and affect. The compound works by modifying connections in the medial prefrontal cortex, a brain region crucial for emotional processing. Preclinical models demonstrate that a single dose can trigger sustained improvements in mood and mental flexibility.
Abstract
Interest in the therapeutic potential of serotonergic psychedelic compounds including psilocybin has surged in recent years. While human clinical research suggests psilocybin holds promise as a rapid and long-lasting antidepressant, little is known about how its acute mechanisms of action mediate enduring alterations in cognition and behavior. Human neuroimaging studies point to both acute and sustained modulation of functional connectivity in key cortically dependent brain networks. Emerging evidence in preclinical models highlights the importance of psilocybin-induced neuroplasticity and alterations in the prefrontal cortex (PFC). Overviewing research in both humans and preclinical models suggests avenues to increase crosstalk between fields. We review how acute modulation of PFC circuits may contribute to long-term structural and functional alterations to mediate antidepressant effects. We highlight the potential for preclinical circuit and behavioral neuroscience approaches to provide basic mechanistic insight into how psilocybin modulates cognitive and affective neural circuits to support further development of psilocybin as a promising new treatment for depression.