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从床边到实验室:迷幻药研究的前景

Bedside to bench: the outlook for psychedelic research.

作者信息

Acero Victor P, Cribas Emily S, Browne Kevin D, Rivellini Olivia, Burrell Justin C, O'Donnell John C, Das Suradip, Cullen D Kacy

机构信息

Center for Brain Injury and Repair, Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States.

Center for Neurotrauma, Neurodegeneration and Restoration, Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, PA, United States.

出版信息

Front Pharmacol. 2023 Oct 2;14:1240295. doi: 10.3389/fphar.2023.1240295. eCollection 2023.

Abstract

There has recently been a resurgence of interest in psychedelic compounds based on studies demonstrating their potential therapeutic applications in treating post-traumatic stress disorder, substance abuse disorders, and treatment-resistant depression. Despite promising efficacy observed in some clinical trials, the full range of biological effects and mechanism(s) of action of these compounds have yet to be fully established. Indeed, most studies to date have focused on assessing the psychological mechanisms of psychedelics, often neglecting the non-psychological modes of action. However, it is important to understand that psychedelics may mediate their therapeutic effects through multi-faceted mechanisms, such as the modulation of brain network activity, neuronal plasticity, neuroendocrine function, glial cell regulation, epigenetic processes, and the gut-brain axis. This review provides a framework supporting the implementation of a multi-faceted approach, incorporating , and modeling, to aid in the comprehensive understanding of the physiological effects of psychedelics and their potential for clinical application beyond the treatment of psychiatric disorders. We also provide an overview of the literature supporting the potential utility of psychedelics for the treatment of brain injury (e.g., stroke and traumatic brain injury), neurodegenerative diseases (e.g., Parkinson's and Alzheimer's diseases), and gut-brain axis dysfunction associated with psychiatric disorders (e.g., generalized anxiety disorder and major depressive disorder). To move the field forward, we outline advantageous experimental frameworks to explore these and other novel applications for psychedelics.

摘要

最近,基于一些研究表明迷幻化合物在治疗创伤后应激障碍、物质使用障碍和难治性抑郁症方面具有潜在的治疗应用,人们对其兴趣再度兴起。尽管在一些临床试验中观察到了有前景的疗效,但这些化合物的全部生物学效应和作用机制尚未完全明确。事实上,迄今为止的大多数研究都集中在评估迷幻剂的心理机制上,往往忽视了非心理作用模式。然而,重要的是要明白,迷幻剂可能通过多方面的机制介导其治疗效果,比如调节脑网络活动、神经元可塑性、神经内分泌功能、神经胶质细胞调节、表观遗传过程以及肠脑轴。本综述提供了一个框架,支持采用多方面的方法,包括[此处原文缺失相关内容]、[此处原文缺失相关内容]和建模,以帮助全面理解迷幻剂的生理效应及其在治疗精神疾病之外的临床应用潜力。我们还概述了支持迷幻剂用于治疗脑损伤(如中风和创伤性脑损伤)、神经退行性疾病(如帕金森病和阿尔茨海默病)以及与精神疾病相关的肠脑轴功能障碍(如广泛性焦虑障碍和重度抑郁症)的文献。为推动该领域的发展,我们概述了有利的实验框架,以探索迷幻剂的这些及其他新应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76c5/10588653/c2795c81116e/fphar-14-1240295-g001.jpg

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