Science
August 19, 2010
Nanxin Li, Boyoung Lee, Rongjian Liu et al.
2,875 citations
Ketamine, a drug that blocks NMDA receptors, rapidly activates the mTOR pathway in the prefrontal cortex of rats, increasing synaptic signaling proteins and the number and function of new spine synapses. Blocking mTOR signaling prevented ketamine from inducing synaptogenesis and behavioral antidepressant-like responses in depression models. These effects reverse the synaptic deficits caused by stress and may explain ketamine's fast antidepressant action in treatment-resistant depressed patients, which contrasts with the weeks or months needed for standard medications.
Science
October 4, 2012
1,613 citations
Depression involves shrinkage of brain regions that regulate mood and cognition, such as the prefrontal cortex and hippocampus, along with reduced neuronal synapses in those areas. Typical antidepressants can reverse some of these deficits but work slowly and have limited effectiveness. Ketamine, a drug that blocks N-methyl-D-aspartate receptors, rapidly (within hours) improves symptoms in patients who do not respond to standard antidepressants. In basic studies, ketamine quickly promotes the formation of new synapses and reverses the synaptic damage caused by chronic stress. These findings suggest that maintaining healthy mood circuit connections is central to depression and its treatment, forming the basis of a synaptogenic hypothesis.
Science
August 23, 2007
964 citations
An illusion can make people feel as if they are located outside their own bodies, looking at themselves from that external viewpoint. This shows that the sense of being inside one's body is shaped by visual perspective together with matching sensory information from the body.
Science
December 6, 1991
850 citations
Drugs that block NMDA glutamate receptors, such as PCP and ketamine, protect the brain from damage in conditions like stroke, but they also cause psychotic-like symptoms in humans and damage neurons in the rat cerebral cortex. This damage can be prevented by certain anticholinergic drugs or by diazepam and barbiturates, which act on GABA receptors and also suppress the psychotic symptoms caused by ketamine. These findings suggest it may be possible to block the unwanted side effects of NMDA antagonists, making them more useful as neuroprotective treatments.
Science
March 21, 2013
Daniel Wacker, Chong Wang, Vsevolod Katritch et al.
689 citations
Serotonin receptors are targets for drugs treating depression, obesity, and migraine headaches. Crystal structures of two serotonin receptor subtypes bound to antimigraine medications or a precursor of LSD reveal how subtle differences in ligand binding cause substantial differences in receptor signaling and biological responses. The structures show that the same ligand can activate one or both of the two main serotonin receptor signaling mechanisms, depending on which receptor it binds.
Science
March 27, 1970
Robert K. Wallace
659 citations
During the practice of transcendental meditation, oxygen consumption and heart rate decreased, skin resistance increased, and electroencephalogram patterns showed specific frequency changes. These physiological shifts distinguish the meditative state from ordinary waking consciousness and suggest potential practical applications.
Science
December 6, 2007
M. Margarita Behrens, Sameh S. Ali, Diep N. Dao et al.
590 citations
Repeated exposure to the anesthetic ketamine, which blocks NMDA receptors, causes a lasting increase in superoxide in the brain by activating NADPH oxidase in neurons. This increase in superoxide leads to dysfunction of fast-spiking inhibitory interneurons in the prefrontal cortex, specifically reducing their expression of parvalbumin and the GABA-producing enzyme GAD67—changes that mirror those seen in schizophrenia. Lowering superoxide production prevented these effects on inhibitory interneurons. The findings suggest that targeting NADPH oxidase could offer a new approach for treating ketamine-induced psychosis.
Science
February 13, 2009
Dominique Fontanilla, Molly Johannessen, Abdol R. Hajipour et al.
528 citations
The sigma-1 receptor, once mistaken for an opioid receptor, binds many synthetic compounds but not opioid peptides and is now considered an orphan receptor. Its pharmacophore includes an alkylamine core also found in the endogenous compound N,N-dimethyltryptamine (DMT). DMT bound to sigma-1 receptors and inhibited voltage-gated sodium ion channels in both native cardiac myocytes and heterologous cells expressing sigma-1 receptors. DMT induced hypermobility in wild-type mice but not in sigma-1 receptor knockout mice. These experiments indicate that DMT is an endogenous agonist for the sigma-1 receptor.
Science
March 22, 2013
Chong Wang, Yi Jiang, Jinming Ma et al.
522 citations
Two research teams independently determined the crystal structures of two serotonin receptors bound to antimigraine drugs or a precursor of LSD. The structures show that subtle differences in how ligands bind to these receptors lead to substantial differences in the signals generated and the resulting biological responses. The same ligand can activate one or both of the two main serotonin receptor signaling mechanisms, depending on which specific receptor it binds to.
Science
February 16, 2023
467 citations
Decreased dendritic spine density in the cortex is a hallmark of several neuropsychiatric diseases, and the ability to promote cortical neuron growth has been hypothesized to underlie the rapid and sustained therapeutic effects of psychedelics. Activation of 5-HT2ARs is essential for psychedelic-induced cortical plasticity, but it is unclear why some 5-HT2AR agonists promote neuroplasticity while others do not. Using molecular and genetic tools, the authors demonstrate that intracellular 5-HT2ARs mediate the plasticity-promoting properties of psychedelics, explaining why serotonin does not engage similar plasticity mechanisms. This work emphasizes location bias in 5-HT2AR signaling, identifies intracellular 5-HT2ARs as a therapeutic target, and raises the possibility that serotonin might not be the endogenous ligand for intracellular 5-HT2ARs in the cortex.
Science
August 16, 1968
George K. Aghajanian, Warren E. Foote, Michael Sheard
406 citations
Injections of d-lysergic acid diethylamide (LSD) into the midbrain cause a reversible halt in the spontaneous firing of neurons that contain serotonin. The dose needed is at or below the level that produces noticeable behavioral changes. This inhibition of serotonin-containing neurons may explain the drug's effect of reducing serotonin metabolism.
Science
September 6, 1985
G.a. Ricaurte, Guy K. Bryan, L. Strauss et al.
367 citations
The amphetamine analog MDA, which has hallucinogenic effects, causes long-lasting reductions in serotonin levels, serotonin uptake sites, and a serotonin metabolite in rat brains. Morphological evidence suggests these changes result from degeneration of serotonin nerve terminals. These findings indicate MDA is toxic to serotonin neurons in rats and raise concerns about whether MDA and similar hallucinogenic amphetamines could cause serotonin neurotoxicity in humans.
Science
November 21, 2003
Per Svenningsson, Eleni T. Tzavara, Robert Carruthers et al.
312 citations
Three drug classes—dopaminergic agonists (e.g., D-amphetamine), serotonergic agonists (e.g., LSD), and glutamatergic antagonists (e.g., PCP)—produce schizophrenia-like effects in animals. A common signaling pathway involving the protein DARPP-32 mediates these effects. DARPP-32 is phosphorylated or dephosphorylated at three sites, leading to synergistic inhibition of protein phosphatase-1 and regulation of downstream effectors GSK-3, CREB, and c-Fos. In mice lacking DARPP-32 or with point mutations at its phosphorylation sites, the drugs' effects on sensorimotor gating and repetitive movements were strongly reduced, indicating DARPP-32's essential role in these psychotomimetic actions.
Science
January 27, 2022
Dongmei Cao, Jing Yu, Huan Wang et al.
306 citations
Drugs targeting the human serotonin 2A receptor (5-HT2AR) are used for neuropsychiatric diseases, but many have hallucinogenic effects. Structures of 5-HT2AR complexed with psilocin, LSD, serotonin, and lisuride reveal that serotonin and psilocin show a second binding mode. This insight enabled design of the psychedelic IHCH-7113 and several 5-HT2AR β-arrestin–biased agonists that displayed antidepressant-like activity in mice without hallucinogenic effects. These structures provide a foundation for designing safe, nonhallucinogenic psychedelic analogs with therapeutic potential.
Science
March 17, 1967
199 citations
Lysergic acid diethylamide added to cultured human white blood cells caused a large increase in chromosomal abnormalities. The breaks were not random, with many occurring in chromosome 1. A patient treated with the drug for paranoid schizophrenia over four years also showed similar chromosomal damage.
Science
August 4, 1961
Julius Axelrod
183 citations
An enzyme that N-methylates serotonin and tryptamine into the psychotomimetic compounds bufotenine and N,N-dimethyltryptamine has been identified. This enzyme is highly concentrated in rabbit lung and also acts on phenylethylamine derivatives including tyramine, phenylethylamine, mescaline, and dopamine.
Science
September 27, 2002
George A. Ricaurte, Jie Yuan, George Hatzidimitriou et al.
179 citations
The recreational drug MDMA (ecstasy) is widely believed to selectively damage serotonin neurons in animals and possibly humans. However, nonhuman primates given several sequential doses of MDMA—a pattern similar to human use—developed severe damage to brain dopamine neurons, along with milder serotonin damage. This dopamine loss was linked to increased vulnerability to movement problems. The findings suggest that recreational MDMA users may unknowingly risk developing neuropsychiatric disorders related to dopamine or serotonin deficiency, either as young adults or later in life.
Science
November 3, 1967
Solomon H. Snyder, Louis A. Faillace, Leo E. Hollister
146 citations
In two independent trials with normal volunteers, 2,5-dimethoxy-4-methyl-amphetamine (the active chemical in the hallucinogenic drug STP) produced mild euphoria at low doses. Doses above 3 milligrams caused pronounced hallucinogenic effects lasting about 8 hours, similar to those from hallucinogenic doses of lysergic acid diethylamide, mescaline, and psilocybin. The compound is chemically related to both mescaline and amphetamine, about 100 times more potent as a hallucinogen than mescaline, and only one-thirtieth as potent as lysergic acid diethylamide. Chlorpromazine did not accentuate its psychological effects.
Science
April 30, 1971
Norman I. Dishotsky, William D. Loughman, Robert E. Mogar et al.
145 citations
Pure LSD ingested in moderate doses does not damage chromosomes in vivo, cause detectable genetic damage, or act as a teratogen or carcinogen in humans. In vitro studies showed chromatid breakage only at concentrations and exposure durations unachievable in humans, with no dose-response relation. Among 126 subjects given pure LSD, only 14.29% had elevated chromosome aberrations, versus 48.91% of 184 users of illicit LSD. Chromosome damage correlated with general drug abuse, not LSD alone. LSD is a weak mutagen effective only at extremely high doses. No cause-and-effect relation with neoplasia has been demonstrated, and case reports of leukemia are rare. Pure LSD is not teratogenic in humans, though illicit LSD use was linked to spontaneous abortions.
Science
July 21, 1967
S. T. Irwin, José Egozcue
139 citations
Chromosomal abnormalities were significantly more frequent in leukocytes from LSD-25 users (six out of eight) than in nonuser controls (one out of nine). The two users without damage had the lowest estimated average dose. Damaged cells were observed in samples taken between 1 day and 6 months after the last dose.
Science
May 21, 1976
Ronald I. Schoenfeld
118 citations
Lysergic acid diethylamide (LSD), at doses as low as 1 microgram per kilogram of body weight, reduced the suppressive effect of electric shock on rats' licking behavior. Mescaline produced a similar attenuation of punishment, while dimethyltryptamine and Δ9-tetrahydrocannabinol did not. Drugs that interfere with serotonin-containing neurons, cyproheptadine and α-propyldopacetamide, had comparable behavioral effects, suggesting that LSD and mescaline may attenuate punishment by decreasing the activity of these neurons.
Science
September 15, 1967
Robert Auerbach, James A. Rugowski
96 citations
Injecting lysergic acid diethylamide tartrate into mice during early pregnancy led to 57% of embryos developing gross abnormalities. The finding suggests a strong teratogenic effect of LSD in this animal model.
Science
June 18, 1976
95 citations
Transcendental meditation does not produce a unique metabolic state; biochemically, it appears to be a resting state. In 12 volunteers, plasma epinephrine, norepinephrine, and lactate levels measured before, during, and after meditation were essentially the same as those in matched controls who rested instead of meditating.
Science
October 27, 1967
William D. Loughman, Thornton W. Sargent, David M. Israelstam
94 citations
Leukocyte cultures from eight people who had recently taken large doses of LSD showed no significant increase in chromosome abnormalities compared to control cultures.
Science
July 20, 1956
E Shaw, D. W. Woolley
88 citations
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