Nature Neuroscience
June 1, 2023
Rafael Moliner, Mykhailo Girych, Vera Kovaleva et al.
439 citations
Psychedelics such as LSD and psilocin produce fast and lasting antidepressant effects by directly binding to the TrkB receptor, the receptor for brain-derived neurotrophic factor (BDNF). These compounds bind to TrkB with affinities 1,000 times higher than other antidepressants like fluoxetine and ketamine, and they interact with a distinct but partially overlapping site within the transmembrane domain of TrkB dimers. In mice, the neuroplasticity and antidepressant-like effects of psychedelics depend on TrkB binding and endogenous BDNF signaling, not on serotonin 2A receptor activation. However, LSD-induced head twitching requires serotonin 2A activation and is independent of TrkB binding. This suggests that high-affinity TrkB positive allosteric modulators without serotonin 2A activity could retain antidepressant benefits without hallucinogenic effects.
Nature Neuroscience
October 2, 2025
Ahmad Hammo, Stephen Wisser, Joseph Cichon
20 citations
A single dose of psilocybin rapidly and sustainably reversed both mechanical allodynia and anxiety-depression-like behaviors in adult male and female mice with chronic pain. The effect depended on psilocin, the active metabolite, engaging prefrontal cortical circuits. Two-photon calcium imaging showed that psilocin quickly normalized hyperactivity in anterior cingulate cortex layer 2/3 pyramidal neurons, a hallmark of chronic pain. Full agonists of 5-HT2A and 5-HT1A receptors replicated some but not all of psilocin's cellular and behavioral effects, indicating that partial agonism at these receptors within shared pain-and-mood circuits underlies the dual therapeutic action.
Nature Neuroscience
October 13, 2025
Jonah A. Padawer-Curry, Oliver J. Krentzman, Chao‐cheng Kuo et al.
9 citations
Psychedelics like psilocybin and DOI alter the brain's hemodynamic response, potentially disrupting the normal coupling between neuronal activity and blood flow. In human fMRI scans, psilocybin induced changes in hemodynamic response functions. In awake mice, DOI differentially affected the relationship between cortical excitatory neuronal activity and hemodynamic signals, both during whisker stimulation and at rest, leading to discordant changes in functional connectivity measures depending on whether they were based on neuronal or hemodynamic data. A selective serotonin-2A receptor antagonist reversed many of these effects. The findings indicate that the vasoactive effects of psychedelics must be considered when interpreting blood-based measures of brain function.
Nature Neuroscience
December 24, 2025
Charles D. Nichols
The rapid expansion of psychedelic science risks overlooking past achievements and key pharmacological details, particularly regarding 5-HT_2A receptors. Recognizing and addressing these gaps is essential for responsible progress in the field.