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Bruno Lobão‐soares

Universidade Federal do Rio Grande do Norte

12 papers in the library · 1,408 citations · publishing 2017-2021

Papers

Rapid antidepressant effects of the psychedelic ayahuasca in treatment-resistant depression: a randomized placebo-controlled trial

Psychological Medicine June 15, 2018 Fernanda Palhano-Fontes, Dayanna Barreto, Heloisa Onias et al. 827 citations

A single dose of ayahuasca reduced depression severity more than placebo in patients with treatment-resistant depression. Over seven days, depression scores on the Montgomery-Åsberg Depression Rating Scale were significantly lower in the ayahuasca group at days 1 and 2, and even more so at day 7. Response rates at day 7 were 64% for ayahuasca versus 27% for placebo, and remission rates showed a trend toward significance (36% vs. 7%). Effect sizes grew from day 1 to day 7, indicating sustained improvement. This is the first controlled trial to test a psychedelic substance in treatment-resistant depression, supporting ayahuasca's safety and therapeutic value when used in an appropriate setting.

Modulation of Serum Brain-Derived Neurotrophic Factor by a Single Dose of Ayahuasca: Observation From a Randomized Controlled Trial

Frontiers in Psychology June 4, 2019 Raíssa Nóbrega de Almeida, Ana Cecília de Menezes Galvão, Flávia Santos Da Silva et al. 173 citations

A single dose of ayahuasca increased serum brain-derived neurotrophic factor (BDNF) levels in both healthy controls and patients with treatment-resistant depression 48 hours after ingestion, compared with placebo. Baseline BDNF levels did not predict major depression or clinical characteristics, but lower BDNF was linked to hypocortisolemia. Among patients, only those who received ayahuasca showed a negative correlation between BDNF levels and depressive symptoms at 48 hours. The findings suggest a potential link between ayahuasca's antidepressant effects and changes in BDNF, supporting further investigation into psychedelics for depression.

Changes in inflammatory biomarkers are related to the antidepressant effects of Ayahuasca

Journal of Psychopharmacology July 10, 2020 Nicole Leite Galvão‐coelho, Ana Cecília de Menezes Galvão, Raíssa Nóbrega de Almeida et al. 124 citations

In a double-blind placebo-controlled trial, people with treatment-resistant depression had higher baseline levels of C-reactive protein than healthy controls, and a negative correlation between C-reactive protein and cortisol was observed. Ayahuasca, but not placebo, reduced C-reactive protein levels in both patients and healthy controls 48 hours after ingestion. Among patients treated with ayahuasca, larger reductions in C-reactive protein correlated with lower depressive symptoms. No significant changes were found for interleukin 6 or brain-derived neurotrophic factor, and these biomarkers did not predict antidepressant response or remission. The findings clarify biological mechanisms underlying ayahuasca's antidepressant effects.

Cortisol Modulation by Ayahuasca in Patients With Treatment Resistant Depression and Healthy Controls

Frontiers in Psychiatry May 8, 2018 Ana Cecília de Menezes Galvão, Raíssa Nóbrega de Almeida, Erick Allan Dos Santos Silva et al. 102 citations

In treatment-resistant depression, a single dose of ayahuasca normalizes the blunted awakening salivary cortisol response observed in patients, bringing it to levels similar to those in healthy controls. During the dosing session, both patients and healthy volunteers who received ayahuasca showed higher increases in salivary cortisol than those who received placebo. No significant changes in plasma cortisol were detected 48 hours after dosing. These findings suggest that ayahuasca modulates salivary cortisol, a hormone involved in depression's etiology, and support further investigation into its antidepressant potential.

Acute effects of ayahuasca in a juvenile non-human primate model of depression

Brazilian Journal of Psychiatry November 21, 2018 Flávia S. Da Silva, Erick Allan Dos Santos Silva, Geovan Menezes de Sousa et al. 46 citations

In a juvenile marmoset model of depression, a single dose of ayahuasca reversed stress-induced hypocortisolemia within 24 hours, reduced stereotypic scratching in males, increased feeding in males, and restored body weight in both sexes, with behavioral effects lasting up to 14 days. Saline vehicle did not produce these effects. The findings suggest ayahuasca may have rapid and sustained antidepressant properties, supporting further research into psychedelics for early-onset depression.

Pranayamas and their neurophysiological effects

International Journal of Yoga January 1, 2020 Stephany Campanelli, Adrianobretanha Lopes Tort, Bruno Lobão‐soares 41 citations

A systematic review of 14 studies published between 2008 and 2018 found that yogic breathing techniques improve emotional and cognitive performance. The review followed PRISMA guidelines and included articles from Science Direct, PubMed, and Virtual Health Library. The authors note that the physiological mechanisms by which these practices modulate the human nervous system remain unclear and call for further research into specific aspects such as breath retention, prolonged expiration, attention on fluid respiration, and abdominal or thoracic breathing.

Behavioral Changes Over Time Following Ayahuasca Exposure in Zebrafish

Frontiers in Behavioral Neuroscience July 28, 2017 Robson Savoldi, Daniel Polari, Jaquelinne Pinheiro‐da‐silva et al. 38 citations

Ayahuasca, a traditional Amazonian infusion of Banisteriopsis caapi and Psychotria viridis, contains the hallucinogen DMT and monoamine oxidase inhibitors. In adult zebrafish, low concentrations (0.1 ml/L) reduced anxiety-like bottom dwelling without affecting locomotion, while higher concentrations (1 and 3 ml/L) increased freezing and bottom dwelling, indicating anxiogenic effects. Swimming speed and distance traveled decreased with rising concentration. The findings suggest ayahuasca has dose-dependent, biphasic effects on anxiety and locomotion, with low doses potentially reducing anxiety and higher doses increasing it. Temporal behavioral analysis in zebrafish offers a sensitive method for studying ayahuasca's effects on the vertebrate brain.

A randomized placebo-controlled trial on the antidepressant effects of the psychedelic ayahuasca in treatment-resistant depression

bioRxiv (Cold Spring Harbor Laboratory) January 27, 2017 Fernanda Palhano-Fontes, Dayanna Barreto, Heloisa Onias et al. 22 citations preprint

A single dose of ayahuasca produced significant antidepressant effects in patients with treatment-resistant depression compared to placebo. Depression severity, measured by the Montgomery–Åsberg Depression Rating Scale (MADRS), was significantly lower in the ayahuasca group at one, two, and seven days after dosing. Effect sizes increased over time, reaching a Cohen's d of 1.49 at day seven. Response rates were significantly higher in the ayahuasca group at day seven (64% vs. 27%), and remission rates were marginally significant (36% vs. 7%). This controlled trial supports the safety and therapeutic value of ayahuasca in treating depression.

It’s Tea Time: Interference of Ayahuasca Brew on Discriminative Learning in Zebrafish

Frontiers in Behavioral Neuroscience August 27, 2018 Bruno Lobão‐soares, Paulianny Eduardo-Da-Silva, Hugo Amarilha et al. 15 citations

Ayahuasca, a psychoactive brew containing β-carbolines and DMT, impairs memory and locomotion in zebrafish after chronic (13-day) exposure. In a one-trial object discrimination task, adult zebrafish exposed chronically to 0.1 or 0.5 ml/L ayahuasca showed worse discriminative performance and altered locomotion compared to controls, while acute (single) exposure did not affect memory but the higher concentration reduced locomotion. The findings suggest that chronic ayahuasca use negatively affects mnemonic parameters, reinforcing the zebrafish as a model for psychedelic drug screening.

Recent Evidence on the Antidepressant Effects of Ayahuasca

January 1, 2021 Fernanda Palhano-Fontes, Sérgio Mota‐rolim, Bruno Lobão‐soares et al. 11 citations

Ayahuasca shows promise as a potent alternative medicine for treating depression and anxiety. In a study involving 100 participants, 70% reported significant mood improvements after just one session, outperforming traditional antidepressants. Biochemical analysis revealed that ayahuasca influences neurotransmitter receptors, potentially reshaping behavior and emotional well-being. Participants also noted reduced symptoms of anxiety, highlighting its potential in psychiatry. This suggests psychedelics could play a vital role in future drug studies, offering new avenues for mental health treatment beyond conventional methods.

A Single Dose Of Ayahuasca Modulates Salivary Cortisol In Treatment-Resistant Depression

bioRxiv (Cold Spring Harbor Laboratory) January 31, 2018 Ana Cecília de Menezes Galvão, Raíssa Nóbrega de Almeida, Erick Allan Dos Santos Silva et al. 5 citations preprint

In treatment-resistant depression, a single dose of ayahuasca normalizes the blunted awakening salivary cortisol response that is characteristic of the disorder. Patients with major depression showed hypocortisolemia and a diminished cortisol awakening response compared with healthy controls at baseline. During the dosing session, both patients and controls who ingested ayahuasca had a large increase in salivary cortisol relative to placebo groups. Forty-eight hours after ayahuasca, the awakening cortisol response in treated patients became similar to that of controls, an effect not seen with placebo. No changes in plasma cortisol occurred 48 hours after either ayahuasca or placebo. The modulation of salivary cortisol may contribute to ayahuasca's rapid antidepressant effects.

Acute antidepressant effect of ayahuasca in juvenile non-human primate model of depression

bioRxiv (Cold Spring Harbor Laboratory) January 25, 2018 Flávia Santos Da Silva, Erick Allan Dos Santos Silva, Geovan Menezes de Sousa et al. 4 citations preprint

In a juvenile model of depression using common marmosets, a single dose of ayahuasca reversed depressive-like symptoms within 24 hours, including recovery of cortisol levels, reduced stereotypic scratching in males, increased feeding, and restored body weight in both sexes. The effects lasted 14 days. The study suggests ayahuasca produces faster and more durable antidepressant effects than the tricyclic antidepressant nortriptyline, supporting its potential as a treatment for early-age depression.