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致幻剂启发的方法治疗神经退行性疾病。

Psychedelic-inspired approaches for treating neurodegenerative disorders.

机构信息

Pharmacology and Toxicology Graduate Group, University of California, Davis, Davis, California, USA.

Department of Chemistry, University of California, Davis, Davis, California, USA.

出版信息

J Neurochem. 2022 Jul;162(1):109-127. doi: 10.1111/jnc.15544. Epub 2021 Dec 5.

Abstract

Psychedelics are increasingly being recognized for their potential to treat a wide range of brain disorders including depression, post-traumatic stress disorder (PTSD), and substance use disorder. Their broad therapeutic potential might result from an ability to rescue cortical atrophy common to many neuropsychiatric and neurodegenerative diseases by impacting neurotrophic factor gene expression, activating neuronal growth and survival mechanisms, and modulating the immune system. While the therapeutic potential of psychedelics has not yet been extended to neurodegenerative disorders, we provide evidence suggesting that approaches based on psychedelic science might prove useful for treating these diseases. The primary target of psychedelics, the 5-HT receptor, plays key roles in cortical neuron health and is dysregulated in Alzheimer's disease. Moreover, evidence suggests that psychedelics and related compounds could prove useful for treating the behavioral and psychological symptoms of dementia (BPSD). While more research is needed to probe the effects of psychedelics in models of neurodegenerative diseases, the robust effects of these compounds on structural and functional neuroplasticity and inflammation clearly warrant further investigation.

摘要

迷幻剂越来越被认为具有治疗广泛的脑部疾病的潜力,包括抑郁症、创伤后应激障碍(PTSD)和物质使用障碍。它们广泛的治疗潜力可能源于通过影响神经营养因子基因表达、激活神经元生长和存活机制以及调节免疫系统来挽救许多神经精神疾病和神经退行性疾病中常见的皮质萎缩的能力。虽然迷幻剂的治疗潜力尚未扩展到神经退行性疾病,但我们提供的证据表明,基于迷幻科学的方法可能对治疗这些疾病有用。迷幻剂的主要靶点,即 5-HT 受体,在皮质神经元健康中起着关键作用,并且在阿尔茨海默病中失调。此外,有证据表明迷幻剂和相关化合物可能对治疗痴呆的行为和心理症状(BPSD)有用。虽然还需要更多的研究来探讨迷幻剂在神经退行性疾病模型中的作用,但这些化合物对结构和功能神经可塑性和炎症的强烈影响显然值得进一步研究。

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