Sakloth Farhana, Leggett Elizabeth, Moerke Megan J, Townsend E Andrew, Banks Matthew L, Negus S Stevens
Department of Pharmacology and Toxicology.
Exp Clin Psychopharmacol. 2019 Jun;27(3):215-226. doi: 10.1037/pha0000253. Epub 2019 Jan 10.
The prototype 5-HT2A receptor agonist hallucinogens LSD, mescaline, and psilocybin are classified as Schedule 1 drugs of abuse by the U.S. Drug Enforcement Administration. Accumulating clinical evidence has also suggested that acute or repeated "microdosing" with these drugs may have utility for treatment of some mental health disorders, including drug abuse and depression. The goal of the present study was to evaluate LSD, mescaline, and psilocybin effects on intracranial self-stimulation (ICSS), a procedure that has been used to evaluate abuse-related effects of other classes of abused drugs. Effects of repeated LSD were also examined to evaluate potential changes in its own effects on ICSS or changes in effects produced by the abused psychostimulant methamphetamine or the prodepressant kappa opioid receptor (KOR) agonist U69,593. Male Sprague-Dawley rats were implanted with microelectrodes targeting the medial forebrain bundle and trained to respond under a "frequency-rate" ICSS procedure, in which many drugs of abuse increase (or "facilitate") ICSS. In acute dose-effect and time-course studies, evidence for abuse-related ICSS facilitation was weak and inconsistent; the predominant effect of all 3 drugs was dose- and time-dependent ICSS depression. Repeated LSD treatment failed to alter either its own ICSS depressant effects or the abuse-related effects of methamphetamine; however, repeated LSD did attenuate ICSS depression by U69,593. These results extend those of previous preclinical studies to suggest weak expression of abuse-related effects by 5-HT2A agonist hallucinogens and provide supportive evidence for therapeutic effects of repeated LSD dosing to attenuate KOR-mediated depressant effects but not abuse potential of psychostimulants. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
5-羟色胺2A(5-HT2A)受体激动剂原型致幻剂麦角酸二乙酰胺(LSD)、三甲氧苯乙胺( mescaline)和裸盖菇素(psilocybin)被美国药物执法管理局列为一类滥用药物。越来越多的临床证据还表明,对这些药物进行急性或反复“微剂量”使用可能对治疗某些精神健康障碍有效,包括药物滥用和抑郁症。本研究的目的是评估LSD、三甲氧苯乙胺和裸盖菇素对颅内自我刺激(ICSS) 的影响;ICSS是一种用于评估其他类滥用药物与滥用相关效应的程序。还研究了反复使用LSD的影响,以评估其自身对ICSS效应的潜在变化,或滥用精神兴奋剂甲基苯丙胺或促抑郁κ阿片受体(KOR)激动剂U69,593所产生效应的变化。雄性斯普拉格-道利大鼠植入靶向内侧前脑束的微电极,并在“频率-速率”ICSS程序下进行训练以做出反应;在该程序中许多滥用药物会增强(或“促进”)ICSS。在急性剂量效应和时间进程研究中,与滥用相关的ICSS促进作用的证据微弱且不一致;所有这三种药物的主要作用是剂量和时间依赖性的ICSS抑制。反复使用LSD治疗未能改变其自身的ICSS抑制作用或甲基苯丙胺与滥用相关的效应;然而,反复使用LSD确实减弱了U69,593引起的ICSS抑制。这些结果扩展了先前临床前研究的结果;表明5-HT2A激动剂致幻剂与滥用相关效应的表达较弱,并为反复使用LSD给药减弱KOR介导的抑制作用而非精神兴奋剂的滥用潜力提供了治疗效果的支持性证据。(《心理学文摘数据库记录》(c)2019美国心理学会,保留所有权利)