College of Medicine, University of Illinois at Chicago, Chicago, IL 60612, USA.
Louisiana State University Health Sciences Center, New Orleans, LA 70112, USA.
Trends Pharmacol Sci. 2017 Nov;38(11):992-1005. doi: 10.1016/j.tips.2017.08.003. Epub 2017 Sep 22.
Psychedelic drugs, such as lysergic acid diethylamide (LSD), mescaline, and psilocybin, exert profound effects on brain and behavior. After decades of difficulties in studying these compounds, psychedelics are again being tested as potential treatments for intractable biomedical disorders. Preclinical research of psychedelics complements human neuroimaging studies and pilot clinical trials, suggesting these compounds as promising treatments for addiction, depression, anxiety, and other conditions. However, many questions regarding the mechanisms of action, safety, and efficacy of psychedelics remain. Here, we summarize recent preclinical and clinical data in this field, discuss their pharmacological mechanisms of action, and outline critical areas for future studies of psychedelic drugs, with the goal of maximizing the potential benefits of translational psychedelic biomedicine to patients.
迷幻药,如麦角酸二乙基酰胺(LSD)、三甲氧苯乙胺和裸盖菇素,对大脑和行为有深远的影响。经过几十年对这些化合物的研究困难之后,迷幻药再次被测试为治疗顽固性生物医学疾病的潜在方法。迷幻药的临床前研究补充了人类神经影像学研究和试点临床试验,表明这些化合物是治疗成瘾、抑郁、焦虑和其他疾病的有前途的方法。然而,关于迷幻药的作用机制、安全性和疗效的许多问题仍然存在。在这里,我们总结了该领域的最新临床前和临床数据,讨论了它们的药理学作用机制,并概述了未来迷幻药物研究的关键领域,目标是最大限度地提高转化迷幻生物医学对患者的潜在益处。