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迷幻剂对脑源性神经营养因子水平的影响:一项系统评价和荟萃分析。

The effect of psychedelics on the level of brain-derived neurotrophic factor: A systematic review and meta-analysis.

作者信息

Shafiee Arman, Arabzadeh Bahri Razman, Rafiei Mohammad Ali, Esmaeilpur Abianeh Fatemeh, Razmara Parsa, Jafarabady Kyana, Amini Mohammad Javad

机构信息

Student Research Committee, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.

Department of Psychiatry and Mental Health, Alborz University of Medical Sciences, Karaj, Iran.

出版信息

J Psychopharmacol. 2024 May;38(5):425-431. doi: 10.1177/02698811241234247. Epub 2024 Feb 22.

Abstract

BACKGROUND

Recent interest in the potential therapeutic effects of psychedelics has led to investigations into their influence on molecular signaling pathways within the brain.

AIMS

Integrated review and analysis of different studies in this field.

METHODS

A systematic search was conducted across international databases including Embase, Scopus, Web of Science, and PubMed from inception to 9 July 2023. Eligibility criteria encompassed published and peer-reviewed studies evaluating changes in brain-derived neurotrophic factor (BDNF) levels after psychedelic consumption.

OUTCOMES

A total of nine studies were included in our study. The meta-analysis demonstrated significantly higher BDNF levels in psychedelic consumers compared to healthy controls, with a pooled standardized mean difference of 0.26 (95% CI: 0.10-0.42,  = 38.51%,  < 0.001). Leave-one-out analysis indicated robustness in results upon removal of individual psychedelics. No significant publication bias was observed. The results highlight the potential influence of psychedelics on neuroplasticity by altering BDNF levels.

CONCLUSIONS

More precisely, the documented rise in BDNF levels indicates a neurobiological mechanism by which psychedelics could enhance synaptic plasticity and foster the growth of neurons. Given the limited data available on this topic, the conclusions remain uncertain. Consequently, we highly recommend additional research with more extensive sample sizes to yield more reliable evidence in this field.

摘要

背景

近期对迷幻药潜在治疗效果的关注引发了对其对大脑分子信号通路影响的研究。

目的

对该领域不同研究进行综合综述与分析。

方法

从数据库创建至2023年7月9日,在包括Embase、Scopus、科学网和PubMed在内的国际数据库中进行系统检索。纳入标准包括已发表且经同行评审的研究,这些研究评估了服用迷幻药后脑源性神经营养因子(BDNF)水平的变化。

结果

我们的研究共纳入9项研究。荟萃分析表明,与健康对照组相比,服用迷迷幻药者的BDNF水平显著更高,合并标准化平均差为0.26(95%CI:0.10 - 0.42,I² = 38.51%,P < 0.001)。逐一剔除分析表明,剔除个别迷幻药后结果具有稳健性。未观察到显著的发表偏倚。结果突出了迷幻药通过改变BDNF水平对神经可塑性的潜在影响。

结论

更确切地说,记录到的BDNF水平升高表明了一种神经生物学机制,通过该机制迷幻药可增强突触可塑性并促进神经元生长。鉴于该主题可用数据有限,结论仍不确定。因此,我们强烈建议开展更多样本量更大的研究,以在该领域获得更可靠的证据。

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