Barker Steven A
Louisiana State University, Department of Comparative Biomedical Sciences, Baton Rouge, LA 70803, United States of America.
Prog Neuropsychopharmacol Biol Psychiatry. 2025 Mar 20;137:111259. doi: 10.1016/j.pnpbp.2025.111259. Epub 2025 Jan 19.
Renewed interest in the clinical use of psychedelic drugs acknowledges their therapeutic effectiveness. It has also provided a changing frame of reference for older psychedelic drug study data, especially regarding concentrations of N, N-dimethyltryptamine (DMT) reported in rodent brains and recent discoveries in DMT receptor interactions in rat brain neurons and select brain areas. The mode of action of DMT in its newly defined role as a neuroplastogen, its effectiveness in treating neuropsychiatric disorders, and its binding to intracellular sigma-1 and 5HT2a receptors may define these possible roles. Recent data also show psychedelics promote neuroplasticity via activation of sigma-1 receptors associated with the endoplasmic reticulum and binding to 5-HT2a receptors predominantly related to the intracellular membrane of the Golgi apparatus in cortical neurons and the failure of DMT to occupy cell surface 5-HT2a receptors. While DMT has been proposed as the endogenous ligand for sigma-1, there is no identified ligand for intracellular 5-HT2a receptors, which serotonin cannot acquire. DMT is proposed to be the missing endogenous ligand. These data further suggest that DMT may be involved in brain development in rat pups. Brain levels of DMT have also been shown to be elevated by stress in the rat and appear to be under an inducible, adaptive, physiological regulatory system control. With DMT acting as the natural ligand for intracellular 5HT2a receptors in the Golgi, it may also explain the subjective effects observed from the administration of psychedelics in general and define some of the natural roles for DMT in particular.
对迷幻药物临床应用的新兴趣认可了它们的治疗效果。这也为早期迷幻药物研究数据提供了不断变化的参考框架,特别是关于啮齿动物大脑中报告的N,N - 二甲基色胺(DMT)浓度以及大鼠脑神经元和特定脑区中DMT受体相互作用的最新发现。DMT作为一种神经可塑性物质的新定义作用方式、其在治疗神经精神疾病中的有效性以及其与细胞内sigma - 1和5HT2a受体的结合可能定义了这些潜在作用。最新数据还表明,迷幻药物通过激活与内质网相关的sigma - 1受体并与主要与皮质神经元中高尔基体的细胞内膜相关的5 - HT2a受体结合来促进神经可塑性,并且DMT无法占据细胞表面的5HT2a受体。虽然DMT已被提议作为sigma - 1的内源性配体,但细胞内5HT2a受体尚未确定配体,血清素无法获取该配体。有人提出DMT是缺失的内源性配体。这些数据进一步表明DMT可能参与幼鼠的大脑发育。大鼠大脑中的DMT水平也已被证明会因应激而升高,并且似乎受诱导性、适应性生理调节系统控制。由于DMT作为高尔基体中细胞内5HT2a受体的天然配体,它也可能解释了一般迷幻药物给药后观察到的主观效应,并特别定义了DMT的一些天然作用。