由血类精神药物引起的迷幻体验:大脑中的分子机制和功能连接性变化
Rivka Vollebregt1, Alaya E M Storm1, Paul J Lucassen2
1Department of Psychiatry, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht, the Netherlands; Brain Plasticity Group, Swammerdam Institute for Life Sciences, University of Amsterdam, Amsterdam, the Netherlands.
Neuroscience and biobehavioral reviews
|December 18, 2025
概括
经典的迷幻药物,如 псилоцибин,通过改变大脑连接来显示精神疾病的治疗潜力. 了解它们的神经生物学机制,特别是血清素5-HT2A受体活性,是优化治疗的关键.
科学领域:
- 神经科学是一个神经科学.
- 心理药理学 心理药理学
- 分子生物学分子生物学
背景情况:
- 经典的迷幻药物 (LSD,DMT,psilocybin) 在治疗精神疾病,特别是抑郁症方面表现有前途.
- 它们的主观和临床影响的神经生物学基础尚未完全理解.
- 关于它们对细胞过程,神经回路和大脑连接的影响的文档有限.
研究的目的:
- 审查由古典血清类迷幻药引起的分子和网络层面的变化.
- 专注于对受体活性,细胞内信号和功能性大脑连接的短期影响.
- 综合从1990年起实验和临床前研究的发现.
主要方法:
- 实验和临床前研究的系统审查.
- 对1990年至今发表的研究进行分析.
- 在迷幻状态期间,专注于分子和系统层面的变化.
主要成果:
- 迷幻药物作为血清素5-HT2A受体激动剂,调节神经可塑性,谷氨酸释放和皮质刺激性.
- 它们会破坏功能网络连接,特别是在默认模式网络中.
- 观察到大脑区域之间增强的全球整合,与自我溶解和改变的感知有关.
结论:
- 迷幻诱导的网络变化,特别是在默认模式网络中,与治疗潜力有关.
- 叠加理论正在出现,将受体活动与大规模的大脑连接连接起来.
- 进一步了解神经生物学机制可以指导量身定制的治疗应用.
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