The
resurgence
of
interest
in
psychedelics
as
treatments
for
psychiatric
disorders
necessitates
a
better
understanding
potential
sex
differences
response
to
these
substances.
Sex
biological
variable
(SABV)
has
been
historically
neglected
medical
research,
posing
limits
our
treatment
efficacy.
Human
studies
have
provided
insights
into
the
efficacy
across
various
diagnoses
and
aspects
cognition,
yet
sex-specific
effects
remain
unclear,
making
it
difficult
draw
strong
conclusions
about
sex-dependent
psychedelic
treatments.
Compounding
this
further,
animal
used
understand
mechanisms
predominantly
use
one
present
mixed
neurobiological
behavioral
outcomes.
Studies
that
do
include
both
sexes
often
not
investigate
which
may
hinder
translation
findings
clinic.
In
reviewing
responses
psychedelics,
we
will
highlight
direct
interaction
between
estrogen
(the
most
extensively
studied
steroid
hormone)
serotonin
system
(central
mechanism
action
psychedelics),
estrogen-serotonin
interactions
influence
female
participants.
Estrogen
influences
neurotransmission
by
affecting
its
synthesis
release,
well
modulating
sensitivity
responsiveness
receptor
subtypes
brain.
This
could
potentially
females
modifying
their
therapeutic
menstrual
cycles
developmental
stages.
Investigating
context
research
aid
advancement
outcomes,
especially
conditions
with
prevalence.
Nature,
Год журнала:
2023,
Номер
618(7966), С. 790 - 798
Опубликована: Июнь 14, 2023
Abstract
Psychedelics
are
a
broad
class
of
drugs
defined
by
their
ability
to
induce
an
altered
state
consciousness
1,2
.
These
have
been
used
for
millennia
in
both
spiritual
and
medicinal
contexts,
number
recent
clinical
successes
spurred
renewed
interest
developing
psychedelic
therapies
3–9
Nevertheless,
unifying
mechanism
that
can
account
these
shared
phenomenological
therapeutic
properties
remains
unknown.
Here
we
demonstrate
mice
the
reopen
social
reward
learning
critical
period
is
property
across
drugs.
Notably,
time
course
reopening
proportional
duration
acute
subjective
effects
reported
humans.
Furthermore,
reinstate
adulthood
paralleled
metaplastic
restoration
oxytocin-mediated
long-term
depression
nucleus
accumbens.
Finally,
identification
differentially
expressed
genes
‘open
state’
versus
‘closed
provides
evidence
reorganization
extracellular
matrix
common
downstream
underlying
drug-mediated
reopening.
Together
results
important
implications
implementation
psychedelics
practice,
as
well
design
novel
compounds
treatment
neuropsychiatric
disease.
Neuropsychopharmacology,
Год журнала:
2023,
Номер
49(1), С. 128 - 137
Опубликована: Май 22, 2023
Abstract
Accelerated
TMS
is
an
emerging
application
of
Transcranial
Magnetic
Stimulation
(TMS)
aimed
to
reduce
treatment
length
and
improve
response
time.
Extant
literature
generally
shows
similar
efficacy
safety
profiles
compared
the
FDA-cleared
protocols
for
treat
major
depressive
disorder
(MDD),
yet
accelerated
research
remains
at
a
very
early
stage
in
development.
The
few
applied
have
not
been
standardized
vary
significantly
across
set
core
elements.
In
this
review,
we
consider
nine
elements
that
include
parameters
(i.e.,
frequency
inter-stimulation
interval),
cumulative
exposure
number
days,
sessions
per
day,
pulses
session),
individualized
target
dose),
brain
state
context
concurrent
treatments).
Precisely
which
these
critical
what
are
most
optimal
MDD
unclear.
Other
important
considerations
durability
effect,
as
doses
increase
over
time,
possibility
advantage
functional
neuronavigation,
use
biological
readouts,
accessibility
patients
need
treatment.
Overall,
appears
hold
promise
time
achieve
rapid
reduction
symptoms,
but
significant
work
be
done.
Rigorous
clinical
trials
combining
outcomes
neuroscientific
measures
such
electroencephalogram,
magnetic
resonance
imaging
e-field
modeling
needed
define
future
MDD.
Neuropsychopharmacology,
Год журнала:
2024,
Номер
49(4), С. 747 - 756
Опубликована: Янв. 11, 2024
Major
depressive
disorder
(MDD)
is
one
of
the
most
disabling
psychiatric
disorders
in
world.
First-line
treatments
such
as
selective
serotonin
reuptake
inhibitors
(SSRIs)
still
have
many
limitations,
including
a
resistance
to
treatment
30%
patients
and
delayed
clinical
benefit
that
observed
only
after
several
weeks
treatment.
Increasing
evidence
indicates
acute
administration
psychedelic
agonists
5-HT
Biological Psychiatry Cognitive Neuroscience and Neuroimaging,
Год журнала:
2024,
Номер
9(5), С. 472 - 489
Опубликована: Фев. 1, 2024
Psychedelic
compounds,
including
psilocybin,
LSD,
DMT,
and
5-MeO-DMT
all
of
which
are
serotonin
(5-HT)
2A
receptor
agonists
being
investigated
as
potential
treatments.
This
review
aims
to
summarize
the
current
clinical
research
on
these
four
compounds
mescaline
guide
future
research.
Their
mechanism/s
action,
pharmacokinetics,
pharmacodynamics,
efficacy,
safety
were
reviewed.
While
evidence
for
therapeutic
indications,
with
exception
psilocybin
depression,
is
still
relatively
scarce,
we
noted
no
differences
in
psychedelic
effects
beyond
effect
duration.
It
remains
therefore
unclear
whether
different
profiles
contribute
compounds.
More
needed
differentiate
order
inform
might
be
best
uses.
Frontiers in Psychiatry,
Год журнала:
2024,
Номер
14
Опубликована: Янв. 8, 2024
There
is
growing
scientific
evidence
for
the
therapeutic
benefits
of
Amazonian
plant-based
psychedelic
"ayahuasca"
neuropsychiatric
disorders
such
as
depression
and
anxiety.
However,
there
are
certain
challenges
when
incorporating
botanical
ayahuasca
into
biomedical
research
clinical
therapy
environments.
Formulations
inspired
by
ayahuasca,
which
contain
specific
standardized
active
components,
a
potential
remedy.
Headache The Journal of Head and Face Pain,
Год журнала:
2024,
Номер
64(1), С. 55 - 67
Опубликована: Янв. 1, 2024
Abstract
Objective
To
evaluate
the
feasibility
and
prophylactic
effect
of
psilocybin
as
well
its
effects
on
hypothalamic
functional
connectivity
(FC)
in
patients
with
chronic
cluster
headache
(CCH).
Background
CCH
is
an
excruciating
difficult‐to‐treat
disorder
incompletely
understood
pathophysiology,
although
dysfunction
has
been
implicated.
Psilocybin
may
have
beneficial
effects,
but
clinical
evidence
limited.
Methods
In
this
small
open‐label
trial,
10
were
included
maintained
diaries
for
weeks.
Patients
received
three
doses
peroral
(0.14
mg/kg)
first
day
weeks
five,
six,
seven.
The
4
served
baseline
last
follow‐up.
Hypothalamic
FC
was
determined
using
magnetic
resonance
imaging
before
dose
1
week
after
dose.
Results
treatment
tolerated.
Attack
frequency
reduced
by
mean
(standard
deviation)
31%
(31)
from
to
follow‐up
(
p
FWER
=
0.008).
One
patient
experienced
21
complete
remission.
Changes
hypothalamic–diencephalic
correlated
negatively
a
percent
change
attack
0.03,
R
−0.81),
implicating
neural
pathway
response.
Conclusion
Our
results
indicate
that
potential
implicates
hypothalamus
possible
Further
studies
are
warranted.
Journal of Psychopharmacology,
Год журнала:
2024,
Номер
38(5), С. 489 - 499
Опубликована: Апрель 28, 2024
Background:
Psilocybin
offers
new
hope
for
treating
mood
disorders
due
to
its
rapid
and
sustained
antidepressant
effects,
as
standard
medications
require
weeks
or
months
exert
their
effects.
However,
the
mechanisms
underlying
this
action
of
psilocybin
have
not
been
identified.
Aims:
To
investigate
whether
has
antidepressant-like
effects
in
mice
potential
are
related
promoted
neuroplasticity.
Methods:
We
first
examined
normal
by
forced
swimming
test
chronic
corticosterone
(CORT)-exposed
sucrose
preference
novelty-suppressed
feeding
test.
Furthermore,
explore
role
neuroplasticity
mediating
psilocybin,
we
measured
structural
neuroplasticity-associated
protein
levels
prefrontal
cortex
(PFC)
hippocampus.
Results:
observed
that
a
single
dose
had
both
healthy
CORT-exposed
mice.
Moreover,
ameliorated
CORT
exposure-induced
inhibition
PFC
hippocampus,
including
increasing
(total
number
dendritic
branches
spine
density),
synaptic
(p-GluA1,
PSD95
synapsin-1)
levels,
BDNF-mTOR
signalling
pathway
activation
(BDNF,
TrkB
mTOR
levels),
promoting
neurogenesis
(number
DCX-positive
cells).
Conclusions:
Our
results
demonstrate
elicits
robust,
which
is
accompanied
promotion
Brain Sciences,
Год журнала:
2025,
Номер
15(2), С. 117 - 117
Опубликована: Янв. 25, 2025
Background:
Psychedelics
are
increasingly
recognized
as
a
promising
and
innovative
treatment
strategy
for
several
mental
disorders.
However,
there
is
still
lively
controversy
in
the
medical
community
regards
rationale
of
their
employment,
specifically
indications
potential
dangers.
Methods:
A
comprehensive
literature
search
on
“MEDLINE/PubMed”
“Web
Science”
was
performed
from
inception
to
26
June
2024,
cross-checking
obtained
references.
We
included
all
studies,
i.e.,
both
clinical
preclinical,
that
supplied
original
data.
Results:
initially
total
1083
entries,
813
MEDLINE/PubMed
270
Web
Science.
After
duplicate
elimination,
903
underwent
systematic
selection.
Primary
abstract
screening
yielded
572
candidates
eligibility
assessment
excluded
331
entries
formal
grounds.
Eligibility
led
exclusion
501
titles.
Finally,
70
articles
were
this
review.
Discussion:
Preclinical
evidence
genetic
expression,
histology
behavioral
studies
soundly
consistent
with
psychedelics
possessing
neuroplasticity-inducing
properties.
Despite
methodological
difficulties,
seems
be
inferentially
agreement
preclinical
findings.
it
unclear
whether
“neuroplastic
boost”
induced
by
classic
might
dissociable
psychodysleptic
effects,
thereby
reducing
psychopathological
hazards
implied
these
compounds.
Moreover,
fact
so-called
“relaxation
priors”
should
unconditionally
beneficial
appears
debatable,
further
research
clarify
possible
contraindications
psychedelic
psychoplastogens
within
precision
medicine
perspective.
American Journal of Psychiatry,
Год журнала:
2023,
Номер
180(5), С. 340 - 347
Опубликована: Май 1, 2023
Over
the
past
decade,
psychedelic
compounds
have
emerged
as
potentially
transformative
therapeutics
for
a
variety
of
intractable
neuropsychiatric
conditions.
However,
historically
most
basic
science
has
utilized
these
probes
to
interrogate
various
endogenous
neurotransmitter
systems-mainly
serotonin
5-HT2A
receptor.
With
renewed
interest
in
utilizing
and
explosion
clinical
trials,
psychedelics
been
purported
treat
many
disorders,
including
depression,
cluster
headaches,
migraines,
anxiety,
obsessive-compulsive
disorder.
It
is
therefore
imperative
understand
biology
pharmacology
behind
their
therapeutic
mechanisms
well
expose
any
potential
pitfalls
widespread
use
treatments.
This
review
covers
latest
advances
understanding
biological
mechanisms,
newest
efforts
drug
discovery,
when
it
comes
this
class
emerging
therapeutics.