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Mary Beth Nebel

Center for Neurodevelopmental and Imaging Research, Kennedy Krieger Institute, Baltimore, MD 21205, USA; Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA.

3 papers in the library · 236 citations · publishing 2021-2022

Papers

Models of psychedelic drug action: modulation of cortical-subcortical circuits

Brain October 22, 2021 Manoj K Doss, Maxwell B Madden, Andrew Gaddis et al. 196 citations

Classic psychedelic drugs like psilocybin and LSD may help treat psychiatric disorders by altering brain circuits. Two existing models—the cortico-striatal thalamo-cortical (CSTC) model and the relaxed beliefs under psychedelics (REBUS) model—highlight different subcortical structures in mediating these effects. This paper introduces a third circuit-level model, the cortico-claustro-cortical (CCC) model, focusing on the claustrum, a thin strip of grey matter that densely expresses serotonin 2A receptors. The CCC model proposes that the claustrum entrains canonical cortical network states, and psychedelic drugs disrupt 5-HT2A-mediated coupling between claustrum and cortex, attenuating these networks. Together, the three models may explain many phenomena of the psychedelic experience.

Psilocybin induces spatially constrained alterations in thalamic functional organizaton and connectivity.

NeuroImage October 15, 2022 Andrew Gaddis, Daniel E Lidstone, Mary Beth Nebel et al. 38 citations

Psilocybin alters the functional organization of distinct thalamic subregions and their connections to cortical networks, particularly the mediodorsal and pulvinar nuclei. Using a novel ICA-based approach in 18 healthy meditators, psilocybin-induced changes in intrathalamic spatial organization correlated with subjective drug effects. Thalamocortical connectivity predominantly decreased with visual and default mode networks. In contrast, treating the thalamus as a single unit showed a non-significant numerical increase in connectivity, suggesting that whole-thalamus analyses may mask focal decreases in specific nuclei that express serotonin 2A receptors.

Psilocybin induces spatially constrained alterations in thalamic functional organizaton and connectivity

bioRxiv (Cold Spring Harbor Laboratory) March 2, 2022 Andrew Gaddis, Daniel E. Lidstone, Mary Beth Nebel et al. 2 citations preprint

Psilocybin, a classic psychedelic, alters perception and cognition by affecting connectivity between the thalamus and cortex. Using a novel analysis of resting-state fMRI data, this study found that psilocybin changes the functional organization within specific thalamic nuclei—primarily the mediodorsal and pulvinar nuclei—and alters their connections with visual and default mode networks. These changes correlated with subjective drug effects. When the thalamus was treated as a single unit, a numerical but not statistically significant increase in thalamocortical connectivity was observed, suggesting that psilocybin causes widespread modest increases offset by strong focal decreases in relevant nuclei.