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A re-balance of postsynaptic serotonin (5-HT) receptor signalling, with an increase in 5-HT1A and a decrease in 5-HT2A signalling, is a final common pathway multiple antidepressants share. Given that the 5-HT1A/2A agonist lysergic acid diethylamide (LSD), when repeatedly applied, selectively downregulates 5-HT2A, but not 5-HT1A receptors, one might expect LSD to similarly re-balance the postsynaptic 5-HT signalling. Challenging this idea, we use an animal model of depression specifically responding to repeated antidepressant treatment (olfactory bulbectomy), and test the antidepressant-like properties of repeated LSD treatment (0.13 mg/kg/d, 11 d). In line with former findings, we observe that bulbectomised rats show marked deficits in active avoidance learning. These deficits, similarly as we earlier noted with imipramine, are largely reversed by repeated LSD administration. Additionally, bulbectomised rats exhibit distinct anomalies of monoamine receptor signalling in hippocampus and/or frontal cortex; from these, only the hippocampal decrease in 5-HT2 related [(35)S]-GTP-gamma-S binding is normalised by LSD. Importantly, the sham-operated rats do not profit from LSD, and exhibit reduced hippocampal 5-HT2 signalling. As behavioural deficits after bulbectomy respond to agents classified as antidepressants only, we conclude that the effect of LSD in this model can be considered antidepressant-like, and discuss it in terms of a re-balance of hippocampal 5-HT2/5-HT1A signalling.
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For Peer Review
Repeated lysergic acid diethylamide (LSD) in an a
nimal
model of depression: Normalisation of learning behaviour
and hippocampal 5-HT
2
signalling
Journal:
Journal of Psychopharmacology
Manuscript ID:
JOP-2013-2161.R1
Manuscript Type:
Original Paper
Date Submitted by the Author:
09-Feb-2014
Complete List of Authors:
Buchborn, Tobias; Otto-von-Guericke University, Institute of Pharmacology
and Toxicology
Schröder, Helmut; Otto-von-Guericke University, Institute of Pharmacology
and Toxicology
Höllt, Volker; Otto-von-Guericke University, Institute of Pharmacology and
Toxicology
Grecksch, Gisela; Otto-von-Guericke University, Institute of Pharmacology
and Toxicology
Please list at least 3 keywords
which relate to your
manuscript::
Serotonergic hallucinogen, 5-HT2A receptor, Animal model of depression,
LSD, Hippocampus
Abstract:
A re-balance of postsynaptic serotonin (5-HT) receptor signalling, with an
increase in 5-HT
1A
and a decrease in 5-HT
2(A)
signalling, is a final common
pathway multiple antidepressants share. Given that the 5-HT
1A/2A
agonist
lysergic acid diethylamide (LSD), when repeatedly applied, selectively
downregulates 5-HT
2(A)
, but not 5-HT
1A
receptors, one might expect LSD to
similarly re-balance the postsynaptic 5-HT signalling. Challenging this idea,
we use an animal model of depression specifically responding to repeated
antidepressant treatment (olfactory bulbectomy), and test the
antidepressant-like properties of repeated LSD (0.13 mg/kg/d, 11d). In
line with former findings, we observe that bulbectomised rats show marked
deficits in active avoidance learning. These deficits, similar as we earlier
noted with imipramine, are largely reversed by repeated LSD. Additionally,
bulbectomised rats exhibit distinct anomalies of monoamine receptor
signalling in hippocampus and/or frontal cortex; from these, only the
hippocampal decrease in 5-HT
2
related [
35
S]-GTP-gamma-S binding is
normalised by LSD. Importantly, the sham-operated rats do not profit from
LSD, and exhibit reduced hippocampal 5-HT
2
signalling. As behavioural
deficits after bulbectomy respond to agents classified as antidepressants
only, we conclude that LSD’s effect in this model can be considered
antidepressant-like, and discuss it in terms of a re-balance of hippocampal
5-HT
2
/5-HT
1A
signalling.
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Repeated LSD in an animal model of depression
Abstract
A re-balance of postsynaptic serotonin (5-HT) receptor signalling, with an increase in 5-HT
1A
and a
decrease in 5-HT
2(A)
signalling, is a final common pathway multiple antidepressants share. Given that the
5-HT
1A/2A
agonist
lysergic acid diethylamide (LSD), when repeatedly applied, selectively downregulates
5-HT
2(A)
, but not 5-HT
1A
receptors, one might expect LSD to similarly re-balance the postsynaptic 5-HT
signalling. Challenging this idea, we use an animal model of depression specifically responding to
repeated antidepressant treatment (olfactory bulbectomy), and test the antidepressant-like properties of
repeated LSD treatment (0.13 mg/kg/d, 11d). In line with former findings, we observe that bulbectomised
rats show marked deficits in active avoidance learning. These deficits, similar as we earlier noted with
imipramine, are largely reversed by repeated LSD. Additionally, bulbectomised rats exhibit distinct
anomalies of monoamine receptor signalling in hippocampus and/or frontal cortex; from these, only the
hippocampal decrease in 5-HT
2
related [
35
S]-GTP-gamma-S binding is normalised by LSD. Importantly,
the sham-operated rats do not profit from LSD, and exhibit reduced hippocampal 5-HT
2
signalling. As
behavioural deficits after bulbectomy respond to agents classified as antidepressants only, we conclude
that LSD’s effect in this model can be considered antidepressant-like, and discuss it in terms of a re-
balance of hippocampal 5-HT
2
/5-HT
1A
signalling.
Keywords
Serotonergic hallucinogen, LSD, 5-HT
2(A)
receptor, antidepressant, animal model, olfactory bulbectomy,
avoidance learning, hippocampus
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Repeated LSD in an animal model of depression
Introduction
Lysergic acid diethylamide (LSD) is a serotonergic hallucinogen known to induce profound alterations of
the human consciousness (Hintzen and Passie, 2010). When abused in an unsupervised context,
hallucinogens can have detrimental effects to the individual (Cohen, 1960; Strassman, 1984), when used
in a controlled environment, however, they might be of medical value (Winkelman and Roberts, 2007; De
Lima Osório et al., 2011; Grob et al., 2011). Although early and extensively recognised for their ability to
facilitate certain strategies of psychotherapy (Unger, 1964; Passie, 1997), notably in the context of
anxiety neuroses and/or depressive reactions (Mascher, 1967; Savage et al., 1973), the therapeutic
potential of serotonergic hallucinogens has hardly been considered pharmacologically, i.e. in terms of
their mere receptor profile (Riedlinger and Riedlinger, 1994; Montagne, 2007; Vollenweider and
Kometer, 2010). Sharing the indolethylamine moiety of the serotonin molecule (Kang and Green, 1970),
LSD is a suitable ligand for a variety of monoaminergic, notably serotonergic (5-HT) receptors; with low-
nanomolar affinity, for instance, it binds to 5-HT
1A
and 5-HT
2A
receptors (Roth et al., 2002). Both
receptor subtypes regulate a variety of functions critically involved in the pathogenesis of depression; the
pyramidal integration of excitatory input to the prefrontal cortex (PFC) (Araneda and Andrade, 1991), the
hypothalamic-pituitary-adrenal axis (Zhang et al., 2002; Osei-Owusu et al., 2005), as well as the
hippocampal neurogenesis and/or cell proliferation (Banasr et al., 2004). In accordance with their
functional relevance, long-term treatment with diverse-class antidepressants has been shown to
downregulate 5-HT
2A
receptors in the frontal cortex, and to increase the responsiveness of hippocampal 5-
HT
1A
receptors in a time frame consistent with their delayed therapeutic onset (Haddjeri et al., 1998; Gray
and Roth, 2001; Szabo and Blier, 2001). As repeated LSD, acting as an agonist at both receptor subtypes,
also downregulates 5-HT
2A
, but not 5-HT
1A
receptors (in areas, such as the frontal cortex or the
hippocampus) (Buckholtz et al., 1985, 1990; Gresch et al., 2005), one might expect it to re-balance the
postsynaptic 5-HT signalling in a way similar to antidepressants. And indeed, given that cross-tolerance
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Repeated LSD in an animal model of depression
between hallucinogens and antidepressant-class drugs develops (Lucki and Frazer, 1982; Goodwin et al.,
1984; Bonson et al., 1996), a mechanistic overlap seems plausible. Challenging this idea of a mechanistic
overlap, we here evaluate whether LSD exerts antidepressant-like effects within an established animal
model of depression. In the forced swim test, an animal model that responds to one-time antidepressant
application, LSD fails (Gorka et al., 1979). Thus, in line with our assumption that 5-HT
2(A)
regulation
(which requires a repeated LSD regimen) (Buckholtz et al., 1985, 1990) is important for an
antidepressant-like effect to occur, an animal model responding to repeated antidepressant treatment
might be of more validity. From the few animal models, which meet such a criterion, we here decide for
the olfactory bulbectomy because it is the only one considered highly reliable and specific (Jesberger and
Richardson, 1985; Cryan et al., 2002). Following the bilateral dissection of the olfactory bulbs, rodents
show a variety of behavioural disturbances, such as stress-associated hyperlocomotion or avoidance
learning deficits, which reliably ameliorate in response to the (sub-)chronic, but not acute application of
drugs specified as antidepressants (Kelly et al., 1997; Song and Leonard, 2005). The bulbectomy induced
hyperlocomotion is considered to be of dopaminergic origin (Masini et al., 2004) and might model
symptoms of the agitated depression. Avoidance learning deficits, on the other hand, involve the
serotonin system (Cairncross et al., 1979; Garrigou et al., 1981; Ögren 1986) and appear to have more
general implications for the human situation. According to the cognitive theory, depression primarily
arises from biases in cognitive processing, including attention and memory, which as a consequence
corrupt emotional integrity (e.g. Mathews and MacLeod, 2004). As (serotonergic) antidepressants are
thought to act on these biases, rather than on mood itself (Harmer, 2008; Harmer et al., 2009), avoidance
learning deficits of bulbectomised rats seem to be an optimal proxy for depressive-like cognition biases
and their responsiveness to serotonin related action of antidepressant-class drugs.
Thus, for evaluating the antidepressant-like action of LSD, we here repeatedly apply the hallucinogen to
bulbectomised rats and investigate its effect on avoidance learning and forebrain 5-HT
1A
/5-HT
2
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Repeated LSD in an animal model of depression
signalling. As LSD, despite having high affinity, is not selective for 5-HT
1A
and 5-HT
2(A)
receptors (Roth
et al., 2002), we additionally investigate its effect on beta, overall 5-HT, dopamine and noradrenaline
signalling. Methodologically, we use the conditioned pole-jumping paradigm and radioligand binding
techniques, respectively.
Methods and Materials
Animals and housing
For experiments, male Wistar rats 400 g) (HsdCpb:WU; Harlan Winkelmann, Germany) were used.
The animals were housed in groups of five each cage, and held under controlled laboratory conditions
(temperature 20 ± 2 °C, air humidity 55-60%, light/dark cycle 12:12 [light on at 6 a.m.]) with standard
food pellets (TEKLAD Global Diet, Harlan-Teklad, UK) and tap water ad libitum. All experiments
conducted comply with the regulations of the National Act on the Use of Experimental Animals
(Germany), as approved by the Tierschutzkommission Sachsen-Anhalt.
Bilateral olfactory bulbectomy
At the age of seven weeks, rats were bulbectomised as described by Grecksch et al. (1997). In brief,
animals were anaesthetised with pentobarbital (40 mg/kg i.p. [10 ml/kg injection volume]) and fixed in a
stereotactic instrument. The scalp was incised at the midline, and two holes (Ø 2 mm) were drilled into
the skull (one above each olfactory bulb [6.5 mm anterior to bregma, 2 mm lateral to midline]). The bulbs
were cut and gently removed by aspiration. The resulting cavities were filled with haemostatic sponges
(Gelitaspon®, Gelita Medical, The Netherlands), and the skin was closed by tissue adhesive
(Histoacryl®, Braun Aesculap AG, Germany). Extent and adequacy of the surgical ablation were assessed
after decapitation at end of the behavioural experiments. Sham-operated rats were treated alike (including
piercing of dura mater), except that their bulbs were not removed.
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Repeated LSD in an animal model of depression
Behavioural experiments
Treatment.
Lysergide[(R,R)-tartrate]-anhydrate (THC Pharm, Germany) was applied for a period of 11
days, once every 24 hours (0.13 mg/kg, s.c., dissolved in isotonic saline, 10 ml/kg). Treatment started five
days before the behavioural experiments, and continued till 24 hours before decapitation. The dose
chosen was extrapolated from literature as adequate for activation of 5-HT
2A
receptors (as indexed by the
occurrence of wet dog shakes) (Bedard and Pycock, 1977). The five days beforehand regimen was chosen
so to allow 5-HT
2A
(down-)regulation to precede the behavioural experiments (Buckholtz et al., 1990). To
avoid interference from LSD’s acute effects (Taeschler et al., 1960; Schmidt, 1963; Domino et al., 1965;
Bignami, 1972), administration was performed two hours after each test session (Castellano, 1979).
Control animals received saline injections without LSD.
Assignment of rats to conditions (sham/saline vs. sham/LSD; bulb/saline vs. bulb/LSD) occurred in a
randomised fashion.
One-way active avoidance learning (pole-jumping test).
Eight weeks after surgery, on the
sixth day of subchronic treatment, pole-jumping experiments set in. On five days in a row, within ten
trials each day, rats had to learn to actively avoid electrical foot stimuli (unconditioned stimulus [US]) by
jumping onto a pole. Every trial started with a sound from a buzzer (80 dB) (conditioned stimulus [CS]),
which –from second four on– was accompanied by the electrical foot stimulation (delivered through
stainless steel rods of the test apparatus’ floor, and adjusted to the rat’s individual pain sensitivity [0.2-0.4
mA]). A trial was restricted to 20 seconds, but stopped earlier when a rat successfully jumped onto the
pole. CS and US overlapped and were co-terminated. The intertrial-interval was stochastically varied (30-
90 s). All five sessions were performed at about the same time during the light period. On the first day,
rats were allowed five minutes for exploration of the test apparatus, on the following days only one
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minute was granted. For evaluation of learning, the number of successful escapes (instrumental reactions,
≤ 20 s) and avoidances (conditioned reactions, ≤ 4 s) was recorded.
Neurochemical experiments
5-HT
2A
receptor binding.
Twenty-four hours after the last treatment, rats were decapitated, brain
regions of interest (frontal cortices and hippocampi) were removed and frozen in liquid nitrogen. For
measuring ketanserin-sensitive [
3
H]spiroperidol binding to 5-HT
2A
receptors, thawed tissue was
homogenised. Cell membranes were pelleted by centrifugation (10 min, 50,000 x g, 4 °C), washed in Tris
buffer (pH 8.0), and resuspended in incubation buffer (50 mM Tris-HCI, containing 120 mM NaCl, 5 mM
KCl, 2.5 mM CaCl
2
, 1 mM MgCl
2
, and 50 nM d-butaclamol [D
2
receptor mask] [Sigma-Aldrich,
Germany], pH 8.0). Aliquots of the crude membrane suspension (150-250 µg protein) were incubated for
30 minutes at 37 °C with [
3
H]spiroperidol (specific activity: 800 GBq/mM [Perkin-Elmer, USA]). The
membrane fraction was then collected on GF/A glass-fibre filters, washed with buffer (50 mM Tris-HCl,
pH 8.0), and a taken for liquid scintillation counting in a toluene containing scintillation cocktail. Specific
binding was calculated by subtracting non-specific binding (as seen in presence of 0.25 nM
[
3
H]spiroperidol and 1 µM unlabelled ketanserin [Sigma-Aldrich, Germany]) from total binding (obtained
with 0.25 nM [
3
H]spiroperidol alone), and expressed in fmol per mg of protein (as determined by Lowry
Method).
[
35
S]-GTP-gamma-S binding.
For measuring G-protein coupling by 5-HT
(1A/2)
, dopamine, and (beta)
adrenergic receptors, tissue was homogenised in Tris buffer (50 mM Tris-HCl, 1 mM EGTA, 10 mM
EDTA, pH 7.4) and pelleted by centrifugation. After resuspension in assay buffer (50 mM Tris-HCl, 3
mM MgCl
2
, 0.2 mM EGTA, 100 mM NaCl, pH 7.4), aliquots containing 15-20 µg protein were incubated
with 3 µM GDP and 0.05 nM [
35
S]-GTP-gamma-S (specific activity: 46.3 TBq/mM [Perkin-Elmer,
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Repeated LSD in an animal model of depression
USA]) in presence and absence of the relevant agonist (1h, 30 °C) (10 µM alpha-methylserotonin [alpha-
MS for 5-HT
2
], 100 µM 8-hydroxy-2-[di-n-propylamino] tetralin [8-OH-DPAT for 5-HT
1A
], 100 µM
isoprenaline [for beta], 10 µM serotonin, 100 µM dopamine, and 10 µM noradrenaline [Sigma-Aldrich,
Germany]). Incubation was terminated by rapid filtration, filters were rinsed in washing buffer (50 mM
Tris-HCl, 3 mM MgCl
2
, 1 mM EGTA, pH 7.4), and taken for liquid scintillation counting of bound
radioactivity. Total [
35
S]-GTP-gamma-S binding was corrected for unspecific binding (in presence of 10
µM unlabelled GTP-gamma-S), and expressed as E
max
, percent stimulation over basal specific binding.
All determinations were performed at least in duplicate.
Statistical analysis
A two-factor ANOVA with repeated measures on one factor (mixed model) was conducted to assess main
effects and interaction of time and group in avoidance learning, and followed by pairwise contrast
analysis. Intergroup differences in specifically bound radioactivity were analysed using nonparametric
Mann-Whitney U-tests (a-priori planned comparisons). Calculations were carried out by SPSS and
GraphPad Prism software. Statistical significance was assumed if the null hypothesis could be rejected at
.05 probability level.
Results
Behavioural experiments
The omnibus F-test revealed significant main effects for both factors, time (F
[4, 124]
= 69.04, p =.000
[conditioned]; F
[4, 124]
= 43.22, p =.000 [instrumental]) and group (F
[3, 31]
= 6.39, p = .002 [conditioned];
F
[3, 31]
= 2.93, p = .049 [instrumental]), and a significant time x group interaction for conditioned reactions
(F
[12, 124]
= 2.62, p = .004). Results were further probed by pairwise comparison with a-priori specified
contrasts. As can be seen in Figure 1, sham-operated rats showed good progress in learning instrumental
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Repeated LSD in an animal model of depression
and conditioned avoidance behaviour. Irrespective of treatment, they rapidly learnt to avoid and/or to
escape from the aversive foot stimuli (sham/saline vs. sham/LSD: F
[1, 17]
= .08, p = .78 [conditioned]; F
[1,
17]
= .963, p = .34 [instrumental]). Saline treated bulbectomised rats failed to achieve the level of
performance shown by the sham-operated controls; the acquisition of both, the conditioned and
instrumental reactions, was disturbed (sham/saline vs. bulb/saline: F
[1, 14]
= 13.15, p = .003 [conditioned];
F
[1, 14]
= 4.85, p = .045 [instrumental]). The repeated administration of LSD, however, led to a
normalisation of conditioned avoidance learning: LSD treated bulbectomised rats caught up with the
sham-operated controls (sham/saline vs. bulb/LSD: F
[1, 16]
= 2.16, p = .16), and significantly differed from
their saline treated counterparts (bulb/saline vs. bulb/LSD: F
[4, 56]
= 2.6, p = .045) (Figure 1 [a]). As to the
instrumental reactions, LSD treated bulbectomised rats did not significantly differ from the sham-
operated controls (sham/saline vs. bulb/LSD: F
[1, 16]
= .813, p = .38), the difference from the saline treated
bulbectomised animals, however, failed to achieve statistical significance (see Figure 1 [b]) (bulb/saline
vs. bulb/LSD: F
[4, 56]
= .766, p = .55).
[Figure 1 near here]
Neurochemical experiments
5-HT
2A
receptor binding.
As shown in Figure 2, bulbectomy slightly increased the ketanserin-
sensitive [
3
H]spiroperidol binding in hippocampus. This trend of increase (sham/saline vs. bulb/saline: u
= 4, p = .095) was partially counteracted by the repeated LSD treatment. Although the difference between
LSD and saline treated bulbectomised rats fell short of significance (bulb/saline vs. bulb/LSD: u = 6, p =
.063), the difference between LSD treated bulbectomised rats and saline treated, sham-operated controls
was not significant either (sham/saline vs. bulb/LSD: u = 11, p = .46). As opposed to its decreasing effect
in bulbectomised rats, repeated LSD treatment did not affect the hippocampal [
3
H]spiroperidol/ketanserin
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binding of the sham-operated animals (sham/saline vs. sham/LSD: u = 11, p = .46). In the frontal cortex,
bulbectomy had no significant effect on the ketanserin-sensitive [
3
H]spiroperidol binding (sham/saline vs.
bulb/saline: u = 9, p = .27); LSD, however, induced a significant increase (sham/saline vs. sham/LSD: u =
0, p = .002) (Figure 2).
[Figure 2 near here]
[
35
S]-GTP-gamma-S binding.
In the hippocampus, bulbectomy led to a significant reduction in
alpha-MS stimulated guanine nucleotide exchange (sham/saline vs. bulb/saline: u = 5, p = .041) which
was reversed by subchronic LSD (bulb/saline vs. bulb/LSD: u = 6, p = .032) (Figure 3). In contrast to its
resensitising effect in bulbectomised rats, LSD caused a desensitisation of alpha-MS stimulated [
35
S]-
GTP-gamma-S binding in the hippocampus of the sham-operated animals (sham/saline vs. sham/LSD: u
= 3, p = .0015). Other significant effects and/or trends of bulbectomy, such as the hippocampal decrease
in isoprenaline and noradrenaline stimulated receptor signalling (sham/saline vs. bulb/saline: u = 0, p =
.004; u = 2, p = .057), or the fronto-cortical increase in alpha-MS, 8-OH-DPAT, and isoprenaline induced
[
35
S]-GTP-gamma-S binding (sham/saline vs. bulb/saline: u = 4, p = .026; u = 2, p = .016; u = 1, p = .036)
were not reversed by LSD (Figure 3 and 4). The hippocampal signalling stimulated by 8-OH-DPAT,
serotonin, and dopamine was neither influenced by bulbectomy (sham/saline vs. bulb/saline: u = 15, u =
18, and u = 8, respectively, n. s.), nor by its interaction with repeated LSD (bulb/saline vs. bulb/LSD: u =
14.5, u = 15.5, and u = 16, n. s.) (Figure 3). Finally, in the frontal cortex of the sham-operated animals,
LSD led to a sensitisation of all receptors investigated, including 5-HT
2
(sham/saline vs. sham/LSD: u =
3.5, p = .022) (Figure 4).
[Figure 3 near here] [Figure 4 near here]
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Discussion
Exploratory evidence suggests that serotonergic hallucinogens –when psychotherapeutically embedded–
might be assistant to the treatment of neurotic-type depression (Mascher, 1967; Savage et al., 1973), or
emotional distress associated with advanced stages of cancer (Kurland et al., 1973; Grob et al., 2011). As
their acute effects on affection are highly fluctuant and critically dependent on the pre-existing mood,
though (Metzner et al., 1963; Katz et al., 1968), hallucinogens should not be (mis-)conceptualised as
acute mood-enhancers or antidepressants in a literal sense. Instead, they might rather be seen as a tool for
psychotherapy to facilitate access to emotion-salient cognitions (e.g. memory) and work on the inherent
biases that negatively prime the patient’s affective mindset (compare Kurland et al., 1973; Harmer, 2008;
Carhart-Harris et al., 2012). Here, we refer to the idea that hallucinogens –similar as hypothesised
relevant for repeated antidepressant treatment (Gray and Roth, 2001; Harmer, 2008; Savitz et al., 2009)–
might affect mood-relevant cognitive biases by regulation of 5-HT
1A/2(A)
receptors. We repeatedly apply
LSD to bulbectomised rats, and test its effect on depressive-like avoidance learning deficits and forebrain
5-HT
1A/2
signalling. In keeping with former findings (Marks et al., 1971; Thomas, 1973; Cairncross et al.,
1979; Gebhardt et al., 2013), we confirm that bulbectomised rats are deficient in active avoidance
learning. Similar as we earlier noted with imipramine under comparable experimental conditions
(Grecksch et al., 1997), or as noted by other labs with amitriptyline or trazodone (Cairncross et al., 1973;
Otmakhova et al., 1992), repeated LSD treatment –in dosing known to induce 5-HT
2A
related wet dog
shakes (Bedard and Pycock, 1977)– largely reverses this deficiency. As the avoidance learning deficits
after bulbectomy are reversible by drugs classified as antidepressant only (Kelly et al., 1997), we infer
that LSD’s behavioural effect in this model can be considered antidepressant-like. Our inference is
strengthened by the fact that LSD specifically helps bulbectomised, but not sham-operated rats.
In addition, we show that bulbectomised rats exhibit various anomalies of monoamine receptor signalling,
with 5-HT
1A
, 5-HT
2
and beta signalling being sensitised in the frontal cortex, and the latter two being
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Repeated LSD in an animal model of depression
desensitised in the hippocampus. From the given anomalies, the desensitisation of hippocampal 5-HT
2
signalling, as indicated by a decrease in alpha-MS stimulated [
35
S]-GTP-gamma-S binding, is the only to
be normalised by subchronic LSD. Despite alpha-MS being a mixed 5-HT
1/2
agonist (Ismaiel et al., 1990)
rather than selective for 5-HT
2
receptors, we think 5-HT
2
receptors might be more implicated, because
neither bulbectomy nor its interaction with LSD significantly influences hippocampal 5-HT
1A
signalling.
Also, the relevance of hippocampal 5-HT
2(A)
receptors might be inferred from our finding that bulbectomy
is associated with trends for increased ketanserin-sensitive [
3
H]spiroperidol binding, and LSD to
counteract it. Although these trends should be interpreted with caution, they yet are reminiscent on former
findings about bulbectomy upregulating, and/or antidepressants downregulating hippocampal 5-HT
2
receptors (Gurevich et al., 1993; Earley et al., 1994). Hippocampal 5-HT
2(A)
anomalies might be a
consequence of the bulbectomy induced raphe degeneration (Nesterova et al., 1997), and the (associated)
reduction in local serotonin (van der Stelt et al. 2005). Remarkably, similar as seen for the avoidance
learning deficiency, LSD’s (counter-)regulatory action on 5-HT
2(A)
receptors
is specific for the
pathological condition; in sham-operated animals, it desenitises alpha-MS signalling, and leaves
ketanserin-sensitive [
3
H]spiroperidol binding unaffected.
LSD exhibits high 5-HT
1A
and
2A
affinity, but it is not selective for these receptors. In fact, it binds to a
variety of monoamine receptors (Roth et al., 2002), with beta and D
4
, for instance, complementing 5-
HT
2A
in LSD’s behavioural profile (Mittman and Geyer, 1991; Marona-Lewicka et al., 2009). As neither
bulbectomy nor its interaction with LSD, however, affects overall dopamine signalling, and LSD
normalises hippocampal 5-HT
2
, but not beta signalling, we think it is reasonable to discuss the LSD
induced normalisation of avoidance learning in terms of a re-balance of hippocampal 5-HT
2
(vs.
1A
)
signalling. Deficits in avoidance learning as well as their reversal by antidepressants have been linked to
5-HT
2(A)
receptors (Broekkamp et al. 1980; Gurevich et al. 1993; Ögren 1986), and LSD is known to
affect learning via hippocampal 5-HT
2A
regulation (Romano et al., 2010). Bulbectomy leads to deficient
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hippocampal neurogenesis, and to an upregulation of brain-derived neurotrophic factor (BDNF) (Jaako-
Movits and Zharkovsky, 2005; Hellweg et al., 2007). Although generally considered antidepressant-like,
too much BDNF might be detrimental and compromise avoidance learning (Croll et al., 1999). As a
model of LSD’s antidepressant-like activity one could, therefore, hypothesise that LSD (by activating 5-
HT
1A
and resensitising 5-HT
2
signalling) might re-balance the anti-BDNF effect of 5-HT
2A
against the
neurotrophic effect of 5-HT
1A
receptors (Vaidya et al., 1999; Santarelli et al., 2003). Consequently, a
more coordinated turnover of hippocampal neurons might occur, allowing the stress-integration system of
bulbectomised rats to more effectively meet the demands of avoidance learning (compare Sairanen et al.,
2005; Surget et al., 2011). This model is speculative, however, and needs further investigation. Also, to
more clearly establish the role of 5-HT
2(A)
and
1A
receptors, future research might co-apply selective
antagonists with LSD, combine a selective 5-HT
1A
with a selective 5-HT
2(A)
agonist, or use selective dual
agonists instead. As the latter seem sparse (Ray, 2010), the repeated combination of two agents will raise
pharmacokinetic problems, and 5-HT
2(A)
antagonists act antidepressant-like themselves (e.g. Otmakhova
et al., 1992), such a study might be complicated, though.
Intriguingly in the frontal cortex of the sham-operated rats, LSD significantly increases all binding
parameters investigated (including those of 5-HT
2[A]
), which in bulbectomised animals –for the most
part– cannot be found. Likewise in hippocampus, the desensitisation of 5-HT
2
and dopamine signalling
specifically occurs in the sham rats. Our results contrast with the notion that LSD selectively
downregulates 5-HT
2(A)
receptors (Buckholtz et al., 1985, 1990). Yet, possibly varying with application
scheme, strain, and/or embedding of the rats into behavioural procedures, hallucinogens might provoke a
more or less complex pattern of receptor regulation (e.g. 5-HT
1A
downregulation for psilocybin, alpha
1
upregulation for DOI, or regional 5-HT
2A
down- vs. upregulation for DOM) (Buckholtz et al., 1988,
1990; Doat-Meyerhoefer et al., 2005). The fact that LSD –despite regulating their neurochemistry– does
not affect avoidance learning of the sham rats, underlines that our application scheme was well chosen.
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Repeatedly applying LSD –such as noted for antidepressant-class drugs– might have counteracted the
neurochemical imbalance induced by bulbectomy (including hippocampal 5-HT
2
signalling), thus,
normalising the learning capacity (or re-shifting the cognitive bias) of the bulbectomised rats. For the
sham animals, as opposed, there had never been such an imbalance (or bias), and the only (or most likely)
way in which LSD might have affected their avoidance learning would have been by acutely interfering.
Applying LSD two hours after each learning session, however, we minimised the chance of such an
interference (compare Castellano, 1979; Frieder and Allweis, 1982). Therefore, the LSD induced changes
of the sham rats’ neurochemistry might rather be unspecific and (temporally) unrelated to the processes
involved in avoidance learning.
In summary, our data demonstrate that in bulbectomised rats, repeated LSD treatment reverses
depressive-like avoidance learning deficits, possibly engaging a re-balance of hippocampal 5-HT
2
(vs.
1A
)
signalling. Given the postulated interrelation between the reversal of mood-relevant cognitive biases and
5-HT
(2A)
receptor regulation (Harmer, 2008), our findings might have implications for the understanding
of how hallucinogens alleviate emotional distress, such as seen in advanced-stage cancer.
Acknowledgements
The professional technical assistance of Michaela Böx, Petra Dehmel, Doreen Heidemann, and Gabriele
Schulze is gratefully acknowledged.
Funding
This research received no specific grant from any funding agency in the public, commercial, or not-for-
profit sectors.
Conflict of Interest Statement
The authors declare that there is no conflict of interest.
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Figures and legends
Figure 1. Effect of bulbectomy and repeated LSD administration on conditioned (a) vs. instrumental (b)
pole-jumping learning over five consecutive days (mean +/- standard error of mean [SEM]): Repeated
measures ANOVA with pairwise contrast analysis revealed significant differences between sham/saline
and bulb/saline (F
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[1, 16]
= .813, n. s.
[b]). Sham = sham-operated rats, bulb = bulbectomised rats.
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Figure 2. Effect of bulbectomy and repeated LSD treatment on specific ketanserin-sensitive
[
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H]spiroperidol binding to frontocortical and hippocampal membranes. Note the trends of bulbectomy to
increase hippocampal 5-HT
2A
binding, and of LSD to counteract it. Mean + SEM (n = 4-6); comparison
of groups of interest, * p < .05, (NS) = trend (p < .10). Sham = sham-operated rats, bulb = bulbectomised
rats.
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Figure 3. Effect of bulbectomy and repeated LSD application on [
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hippocampal membranes stimulated by various agonists (per cent of basal binding). Note that from the
bulbectomy associated anomalies, LSD selectively normalised 5-HT
2
signalling (as induced by alpha-
MS). Mean + SEM (n = 4-6); comparison of groups of interest, * p < .05, (NS) = trend (p < .10). Sham =
sham-operated rats, bulb = bulbectomised rats; alpha-MS = alpha-methylserotonin.
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Figure 4. Effect of bulbectomy and repeated LSD application on [
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Effect of bulbectomy and repeated LSD administration on conditioned (a) vs. instrumental (b) pole-jumping
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with pairwise contrast analysis revealed significant differences between sham/saline and bulb/saline (F
[1, 14]
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but not between sham/saline and bulb/LSD (F
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[1, 16]
= .813, n. s. [b]). Sham =
sham-operated rats, bulb = bulbectomised rats.
112x51mm (300 x 300 DPI)
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Effect of bulbectomy and repeated LSD treatment on specific ketanserin-sensitive [
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(NS) = trend (p < .10). Sham = sham-operated rats, bulb = bulbectomised rats.
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Effect of bulbectomy and repeated LSD application on [
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Effect of bulbectomy and repeated LSD application on [
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Repeated LSD in an animal model of depression
Original Paper
Repeated lysergic acid diethylamide (LSD) in an animal model of depression:
Normalisation of learning behaviour and hippocampal 5-HT
2
signalling
Tobias Buchborn
1,*
, Helmut Schröder
1
, Volker Höllt
1
, Gisela Grecksch
1
1
Institute of Pharmacology and Toxicology, Otto-von-Guericke University Magdeburg, 39120
Magdeburg, Germany
*Corresponding author: Dipl. Psych. Tobias Buchborn, Institute of Pharmacology and Toxicology,
Faculty of medicine, Otto-von-Guericke University Magdeburg, Leipziger Straße 44, 39120 Magdeburg,
Germany; phone: +49(0)391-67-21983, fax: +49(0)391-67-15869; e-mail: tobias.buchborn@med.ovgu.de
Disclaimer:
This research received no specific grant from any funding agency in the public,
commercial, or not-for-profit sectors.
The authors declare that there is no conflict of interest.
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... Evidence from rodent studies demonstrates that not only psilocybin [71] but also other classical psychedelic substances, such as Lysergic acid diethylamide (LSD) [71,72], psilocin, and N,N-dimethyltryptamine (DMT) [73], elicit enduring behavioral outcomes akin to those achieved with conventional antidepressant treatments, especially concerning coping strategies and cognitive functions. Furthermore, insights from animal research suggest that psychedelic compounds might enhance associative learning [72], a cognitive aspect often compromised by neuropsychiatric disorders. ...
... Evidence from rodent studies demonstrates that not only psilocybin [71] but also other classical psychedelic substances, such as Lysergic acid diethylamide (LSD) [71,72], psilocin, and N,N-dimethyltryptamine (DMT) [73], elicit enduring behavioral outcomes akin to those achieved with conventional antidepressant treatments, especially concerning coping strategies and cognitive functions. Furthermore, insights from animal research suggest that psychedelic compounds might enhance associative learning [72], a cognitive aspect often compromised by neuropsychiatric disorders. However, the literature addressing the consequences of psychedelic substances on rodent behavior in the context of psychiatric and cognitive functions is limited, and the outcomes of diverse investigations may appear harmonious or conflicting without true comparability [73]. ...
Article
Full-text available
Treatment-resistant depression (TRD) is a subgroup of major depressive disorder in which the use of classical antidepressant treatments fails to achieve satisfactory treatment results. Although there are various definitions and grading models for TRD, common criteria for assessing TRD have still not been established. However, a common feature of any TRD model is the lack of response to at least two attempts at antidepressant pharmacotherapy. The causes of TRD are not known; nevertheless, it is estimated that even 60% of TRD patients are so-called pseudo-TRD patients, in which multiple biological factors, e.g., gender, age, and hormonal disturbances are concomitant with depression and involved in antidepressant drug resistance. Whereas the phenomenon of TRD is a complex disorder difficult to diagnose and successfully treat, the search for new treatment strategies is a significant challenge of modern pharmacology. It seems that despite the complexity of the TRD phenomenon, some useful animal models of TRD meet the construct, the face, and the predictive validity criteria. Based on the literature and our own experiences, we will discuss the utility of animals exposed to the stress paradigm (chronic mild stress, CMS), and the Wistar Kyoto rat strain representing an endogenous model of TRD. In this review, we will focus on reviewing research on existing and novel therapies for TRD, including ketamine, deep brain stimulation (DBS), and psychedelic drugs in the context of preclinical studies in representative animal models of TRD.
... Buchborn et al., 2014;Hibicke et al., 2020), psilocybin(Hibicke et al., 2020), psilocin(Horsley et al., 2018), and DMTCameron et al., 2019) correlate long-term beneficial behavioral effects like measures of coping strategy and cognitive function similar to those of traditional antidepressants. The most relevant nonclinical studies for each psychedelic are emphasized below.3.5.1 | Acute and repeat-dose toxicity studiesMedian lethal doses (LD 50 ) of psilocybin, LSD, DMT, and 5-MeO-DMT are shown inTable 3. Studies defining a NOAEL and LOAEL have not been located.A study demonstrated LSD-induced stimulus control in the mouse following the administration of a dose of 0.17 mg/kg. ...
... This process was possibly caused by rebalancing of hippocampal 5-HT 2 (vs. 5-HT 1A ) signaling(Buchborn et al., 2014). An intraperitoneal (IP) single dose of LSD (0.15 mg/kg) or psilocybin (1 mg/kg) profoundly affected long-term behavioral measures of male Wistar-Kyoto rats in a time-dependent and context-dependent way, although the effect of psilocybin was far greater than the effect of LSD(Hibicke et al., 2020). ...
Article
Serotonergic psychedelics, such as lysergic acid diethylamide (LSD), psilocybin, dimethyltryptamine (DMT), and 5-methoxy-N,N-dimethyltryptamine (5-MeO-DMT), are currently being investigated for the treatment of psychiatric disorders such as depression and anxiety. Clinical trials with psilocybin and LSD have shown improvement in emotional and psychological scores. Although these drugs are reported to be safe in a controlled environment (such as clinical trials), exposure to low doses of these drugs can result in psychedelic effects, and therefore, occupational safety is an important consideration to prevent adverse effects in the workplace from low daily exposure. This article will discuss the factors involved in the derivation of occupational exposure limits (OELs) and risk assessment of these psychedelic drugs. To support the OEL derivations of psychedelic drugs, information regarding their mechanism of action, adverse effect profiles, pharmacokinetics, clinical effects, and nonclinical toxicity were considered. Additionally, psilocybin and LSD, which are the most extensively researched psychedelic substances, are employed as illustrative examples in case studies. The OELs derived for psilocybin and for LSD are 0.05 and 0.002 μg/m3 , respectively, which indicates that these are highly hazardous compounds, and it is important to take into account suitable safety measures and risk-management strategies in order to minimize workplace exposure.
... 109 Repeated LSD administration elicited antidepressant-like effects in a preclinical model without affecting controls, suggesting that, although the improvements elicited by LSD may be noticeable in disease E311 states, they may not be so remarkable in physiologic states. 110 More recently, it has been reported that the receptor for brainderived neurotrophic factor (BDNF) tyrosine receptor kinase B (TrkB) mediated plasticity-related and antidepressant-like effects of LSD on neuronal networks and behaviour, even if the antidepressant effect on the forced swimming test was detectable only after repeated swimming sessions and 7 days after a single administration of LSD, 111 providing in vitro validation of the similarity between LSD and some antidepressant drugs that also act through the TrkB receptor. Other effects of LSD in animals and humans are reported in detail in our recent review. ...
Article
For 3000 years, psychedelics have been used in religious contexts to enhance spiritual thinking, well-being, and a sense of community. In the last few years, a renaissance in the use of psychedelic drugs for mental disorders has occurred in Western society; consequently, a pressing scientific need to elucidate the intricate mechanisms underlying their actions has arisen. Psychedelics mainly bind to serotonin (5-HT) receptors, particularly 5-HT2A receptors, but may also bind to other receptors. Unlike conventional psychotropic drugs used in psychiatry, psychedelics introduce a distinctive complexity. They not only engage in receptor activation, but also exert influence over specific neural circuits, thereby facilitating transformative cognitive experiences and fostering what many have identified as a spiritual contemplation or mystical experience. This comprehensive review describes clinical studies that have examined the propensity of psychedelics to enhance spiritual, mystical, and transcendent cognitive states. This multifaceted nature, encompassing diverse components and paradigms, necessitates careful consideration during the investigation of psychedelic mechanisms of action to avoid oversimplification. The present review endeavours to elucidate the mechanisms underlying the actions of 2 principal psychedelic substances, psilocybin and lysergic acid diethylamide (LSD), with a focus on monoamine and glutamate receptor mechanisms; molecular aspects, such as neuroplasticity and epigenetics; as well as the impact of psychedelics on brain circuits, including the default mode network and the cortico-striato-thalamo-cortical network. Given their distinctive and intricate mechanisms of action, psychedelics necessitate a novel conceptual framework in psychiatry, offering insight into the treatment of mental health disorders and facilitating the integration of the realms of brain, mind, and spirituality.
... Variantes de 5-HTR induzem diferentes respostas. Diversos antidepressivos reestabelecem o sinalização celular serotoninérgica pós-sináptica a partir do aumento da atividade de 5-HT1AR e uma redução da sinalização a partir de 5-HT2A, como via final (Boulougouris et al., 2008;Buchborn et al., 2014). 5-HT1AR pode ser expresso com autorreceptor somatodendrítico, estando localizado na membrana pré-sináptica, mas também na membrana pós-sináptica. ...
Article
Full-text available
Introdução: O Transtorno Depressivo Maior afeta globalmente cerca de 5% da população, com etiologia complexa envolvendo interações entre cérebro, mente e ambiente. Cerca de 50% dos casos não respondem ao tratamento farmacológico padrão, destacando a necessidade de abordagens terapêuticas inovadoras. Objetivo: Este trabalho visa explorar o potencial terapêutico da psilocibina no transtorno depressivo maior, analisando sua interação com receptores serotoninérgicos, e investigando os efeitos da substância na conectividade cerebral. Metodologia: Trata-se de uma revisão narrativa da literatura, com busca de artigos na base de dados Pubmed. A seleção considerou critérios de inclusão, resultando em uma amostra de artigos relevantes para a análise. Resultados e Discussão: Os resultados revelam que a psilocibina, um agonista serotoninérgico, induz efeitos terapêuticos duradouros e rápidos, modulando receptores como 5-HT2AR. A substância promove neuroplasticidade, melhorando a conectividade cerebral e reduzindo sintomas depressivos. Conclusão: A eficácia da psilocibina no tratamento da depressão aponta para uma compreensão inovadora dos mecanismos neurobiológicos. Sua capacidade de induzir neuroplasticidade sugere implicações promissoras, destacando a segurança da combinação com terapias tradicionais.
... A single LSD (0.05 mg/kg) dose reduced alcohol consumption in mice (Alper et al., 2018), while repeated LSD (0.13 mg/ kg/d, 11 d) administration produced an antidepressant-like effect in bulbectomized rats (Buchborn et al., 2014). Likewise, reported an antidepressant-like effect in the forced swim test in rats 5 weeks following a single LSD (0.15 mg/kg) injection. ...
Article
Background: In clinical studies, psychedelics including psilocybin and D-lysergic acid diethylamide (LSD) demonstrate rapid and persistent antidepressant effects. Since the effective treatment with psychedelics is usually provided with psychotherapy, it is debatable whether their prolonged efficacy can be observed in infrahuman species. Preclinical reports on psychedelics’ effects most often address their acute actions, and different tests and models provide inconsistent results. The goal of this study was to examine whether the treatment with psilocybin and/or LSD would demonstrate immediate and/or sustained antidepressant-like effects in the differential reinforcement of low-rate responding (DRL) schedule in rats. In contrast to the antidepressant screening tools, the DRL 72s test is known to detect antidepressants with high predictive validity as it differentiates clinically effective antidepressants from other psychoactive drugs in non-stressed animals. Methods: Adult male Sprague Dawley rats were injected over three consecutive days with psilocybin (1 mg/kg), LSD (0.08 mg/kg), or saline and then tested in DRL 72s for the following 4 weeks. Results: Treatment with psilocybin but not LSD demonstrated an immediate antidepressant-like effect, manifested as an increased number of reinforced presses and response efficiency. By contrast, neither of the drugs showed a long-term (up to 4 weeks following administration) antidepressant-like effect. Conclusions: Using DRL 72s schedule of reinforcement, we demonstrated the acute antidepressant-like effect of psilocybin but not of LSD, and failed to detect their persistent antidepressant-like efficacy. The present study suggests that the detection of long-lasting antidepressant-like activity in rats could be challenging and may require entirely novel behavioral methods.
Chapter
Serotoninergic psychedelics or hallucinogens such as lysergic acid diethylamide (LSD), ayahuasca/dimethyltryptamine, and psilocybin are currently being investigated as possible therapeutics in psychiatry. Preliminary clinical trials with promising results have been performed in major depressive disorder (MDD) (including treatment-resistant major depressive disorder), substance use disorders (alcohol and tobacco), anxiety disorders (social anxiety disorder, generalized anxiety disorder), and cancer-related depression and/or anxiety. These trials use single or few doses of these drugs, and suggest rapid (hours/days) and sustained (weeks/months) antidepressive, anxiolytic, and antiaddictive effects. Agonism at cortical layer V 5-HT2A receptors present in the frontal and limbic regions seems to be the main mechanism of action of these drugs, which appears to lead to an increase in glutamatergic tone, neuroplasticity, and cognitive flexibility (especially social cognition). Other effects include increases in introspection, positive mood, openness to new experiences, and improvements in emotional regulation. The most relevant of these trials is critically discussed in this chapter, highlighting their promising (but preliminary) results, limitations, and the challenges associated with the possible use of these drugs in psychiatry.
Article
Full-text available
Psilocybin is the main psychoactive compound found in hallucinogenic/magic mushrooms and can bind to both serotonergic and tropomyosin receptor kinase b (TrkB) receptors. Psilocybin has begun to show efficacy for a range of neuropsychiatric conditions, including treatment‐resistant depression and anxiety disorders; however, neurobiological mechanisms are still being elucidated. Clinical research has found that psilocybin can alter functional connectivity patterns in human brains, which is often associated with therapeutic outcomes. However, preclinical research affords the opportunity to assess the potential cellular mechanisms by which psilocybin may exert its therapeutic effects. Preclinical rodent models can also facilitate a more tightly controlled experimental context and minimise placebo effects. Furthermore, where there is a rationale, preclinical researchers can investigate psilocybin administration in neuropsychiatric conditions that have not yet been researched clinically. As a result, we have systematically reviewed the knowledge base, identifying 82 preclinical studies which were screened based on specific criteria. This resulted in the exclusion of 44 articles, with 34 articles being included in the main review and another 2 articles included as Supporting Information materials. We found that psilocybin shows promise as a lead candidate molecule for treating a variety of neuropsychiatric conditions, albeit showing the most efficacy for depression. We discuss the experimental findings, and identify possible mechanisms whereby psilocybin could invoke therapeutic changes. Furthermore, we critically evaluate the between‐study heterogeneity and possible future research avenues. Our review suggests that preclinical rodent models can provide valid and translatable tools for researching novel psilocybin‐induced molecular and cellular mechanisms, and therapeutic outcomes. image
Article
Background In clinical studies, psychedelics including psilocybin and D-lysergic acid diethylamide (LSD) demonstrate rapid and persistent antidepressant effects. Since the effective treatment with psychedelics is usually provided with psychotherapy, it is debatable whether their prolonged efficacy can be observed in infrahuman species. Preclinical reports on psychedelics’ effects most often address their acute actions, and different tests and models provide inconsistent results. The goal of this study was to examine whether the treatment with psilocybin and/or LSD would demonstrate immediate and/or sustained antidepressant-like effects in the differential reinforcement of low-rate responding (DRL) schedule in rats. In contrast to the antidepressant screening tools, the DRL 72s test is known to detect antidepressants with high predictive validity as it differentiates clinically effective antidepressants from other psychoactive drugs in non-stressed animals. Methods Adult male Sprague Dawley rats were injected over three consecutive days with psilocybin (1 mg/kg), LSD (0.08 mg/kg), or saline and then tested in DRL 72s for the following 4 weeks. Results Treatment with psilocybin but not LSD demonstrated an immediate antidepressant-like effect, manifested as an increased number of reinforced presses and response efficiency. By contrast, neither of the drugs showed a long-term (up to 4 weeks following administration) antidepressant-like effect. Conclusions Using DRL 72s schedule of reinforcement, we demonstrated the acute antidepressant-like effect of psilocybin but not of LSD, and failed to detect their persistent antidepressant-like efficacy. The present study suggests that the detection of long-lasting antidepressant-like activity in rats could be challenging and may require entirely novel behavioral methods.
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La microdosificación (o las microdosis) hace referencia al ingerir una dosis muy baja de una sustancia psicodélica, donde no hay efectos de alteraciones cognitivas, afectivas, perceptivas y neurofisiológicas. Recientemente instituciones como la MAPS, la Universidad Johns Hopkins, el Imperial College of London y la FDA, a dicha microdosificación le han designado como «terapia innovadora», ya que es un enfoque alternativo muy prometedor para el tratamiento de salud mental.El propósito del presente es mostrar una revisión sobre estudios (a doble ciego, longitudinales, abiertos, ensayos aleatorizados y controlados [en su mayoría con placebo]) del uso de microdosificación con alucinógenos que combinan técnicas psicoterapéuticas con administraciones de LSD, MDMA o psilocibina, como complementos farmacológicos en psicopatologías crónicas, trastornos moderados, altos, graves o crónicos, así como en enfermedades máximamente mortales. A través, primero, de exponer los mecanismos de acción de los alucinógenos; segundo, explicar la metodología de inclusión de las investigaciones relevantes en un período de quince años (2006-2021); tercero, mostrar los clinicos; cuarto y último, compartir una discusión sobre posibles efectos adversos reportados.
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The behavioral effects of bulbectomy and subsequent antidepressant treatment in two mice strains were compared on measures of open field behavior and passive and active avoidance 2 and 4 weeks after surgery. After bulbectomy, both strains displayed elevated locomotion in open field, corrected by antidepressants. Enhanced rearing was decreased by antidepressants in C57B1/6J, but not in DBA/2J mice. Passive avoidance, being intact 2 weeks after surgery in both strains, was strongly impaired 4 weeks after bulbectomy in C57B1/6J mice, with antidepressants restoring the performance. Active avoidance acquisition and retention were also dramatically disturbed in C57B1/6J mice 2 and 4 weeks after surgery, and antidepressants had recuperative effect. In contrast, bulbectomized DBA/2J mice didn't show any significant passive or active avoidance deficits, and antidepressant treatment seemed to have no effect on their learning ability. The observed strain differences suggest that bulbectomy may produce quite diverse neurophysiological and neurochemical alterations in two strains.
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Alterations of 5‐hydroxytryptaminergic mechanisms are thought to play a special role in the pathogenesis of depression and antidepressant treatments are assumed to restore these changes. We have used one of the most reliable models of depression, the olfactory bulbectomized rat to study the long term consequences of this manipulation and of subchronic imipramine treatment on two parameters of 5‐hydroxytryptaminergic presynapses, 5‐hydroxytryptamine (5‐HT) transporter density and tryptophan hydroxylase apoenzyme concentration, in the frontal cortex as well as on active avoidance learning several weeks after bulbectomy. The B max value of [ ³ H]‐paroxetine binding and the concentration of the 5‐HT synthesizing enzyme were both significantly elevated in the frontal cortex of bulbectomized rats compared to sham‐operated controls. Imipramine treatment, either by daily injections or by subcutaneous implantation of slow release imipramine‐containing polymers reduced the elevated tryptophan hydroxylase apoenzyme levels in the frontal cortex of bulbectomized, but not of sham‐operated control rats and restored the deficient learning performance of bulbectomized rats. Both effects were more pronounced after continuous drug administration by imipramine‐releasing polymers compared to daily i.p. injections. These findings indicate that bulbectomy leads to a compensatory 5‐hydroxytryptaminergic hyperinnervation of the frontal cortex. Chronic antidepressant treatment seems to attenuate the increased output of the 5‐hydroxytryptaminergic projections in the frontal cortex through the destabilization of the rate limiting enzyme of 5‐HT synthesis of the 5‐hydroxytryptaminergic nerve endings in this brain region.
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Bilateral removal of the olfactory bulbs in rats produces a behavioural abnormality that is defined by hyperactivity in the open-field test. This abnormality may be related to depression since these behavioural effects can be attenuated by antidepressant drugs. Moreover, changes in the cholinergic and serotonergic system may be involved in the pathogenesis of depression. Thus, muscarinic cholinergic and serotonin2 receptors were measured by quantitative autoradiography after the bilateral removal of the olfactory bulbs from the rat. In OB rats, muscarinic receptor density was decreased in several brain regions including the amygdaloid cortex, the basal ganglia, hippocampus, hypothalamus, cortex and olfactory regions. Serotonin2 receptors were increased in all cortical regions, in the hippocampus and the thalamus. When OB rats were treated chronically for 35 days with mianserin (5 mg/kg i. p.) or desipramine (7·5 mg/kg i. p.) the behavioural hyperactivity was reversed and muscarinic receptor density was increased in the hippocampus and cortical regions while serotonin2 receptors were normalized. The results are consistent with a cholinergic and serotonin involvement in depressive illness and suggest that the cholinergic and serotonergic modulatory properties of antidepressant drugs may contribute to their therapeutic effectiveness.
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1 Alterations of 5-hydroxytryptaminergic mechanisms are thought to play a special role in the pathogenesis of depression and antidepressant treatments are assumed to restore these changes. 2 We have used one of the most reliable models of depression, the olfactory bulbectomized rat to study the long term consequences of this manipulation and of subchronic imipramine treatment on two parameters of 5-hydroxytryptaminergic presynapses, 5-hydroxytryptamine (5-HT) transporter density and tryptophan hydroxylase apoenzyme concentration, in the frontal cortex as well as on active avoidance learning several weeks after bulbectomy. 3 The B max value of [ 3 H]-paroxetine binding and the concentration of the 5-HT synthesizing enzyme were both signi®cantly elevated in the frontal cortex of bulbectomized rats compared to sham-operated controls. 4 Imipramine treatment, either by daily injections or by subcutaneous implantation of slow release imipramine-containing polymers reduced the elevated tryptophan hydroxylase apoenzyme levels in the frontal cortex of bulbectomized, but not of sham-operated control rats and restored the de®cient learning performance of bulbectomized rats. 5 Both e€ects were more pronounced after continuous drug administration by imipramine-releasing polymers compared to daily i.p. injections. 6 These ®ndings indicate that bulbectomy leads to a compensatory 5-hydroxytryptaminergic hyperinnervation of the frontal cortex. Chronic antidepressant treatment seems to attenuate the increased output of the 5-hydroxytryptaminergic projections in the frontal cortex through the destabilization of the rate limiting enzyme of 5-HT synthesis of the 5-hydroxytryptaminergic nerve endings in this brain region.