Examining the potential of psilocybin and 5-MeO-DMT as therapeutics for traumatic brain injury.
Progress in neuro-psychopharmacology & biological psychiatry July 14, 2025 Zoe Plummer, Josh Allen, Justin Brand et al. 4 citations
Traumatic brain injury (TBI) causes neuroinflammation, oxidative stress, impaired neuroplasticity, neurotransmitter imbalances, and cell death, leading to neurological and psychiatric disorders. The serotonergic psychedelics psilocybin and 5-MeO-DMT may help treat TBI by promoting neuroplasticity, reducing inflammation, and protecting neurons. Psilocybin acts through 5-HT1A, 5-HT2A, and neurotrophic TrkB receptors, while 5-MeO-DMT targets sigma-1 receptors with neuroprotective properties. Preclinical and clinical research suggests these compounds can alleviate cognitive and affective dysfunction and neuroinflammation after TBI. The review critically examines safety, dosing, and clinical challenges, highlighting the potential of these psychedelics as adjunctive treatments in neurorehabilitation.