Knowledge gaps in psychedelic medicalisation: Preclinical and neuroimaging mechanisms

Drummond E-Wen McCulloch , Juan Pablo Lopez , Christina Dalla , Eero Castrén , David Erritzoe , Vibe G. Frokjaer , Johan Lundberg , Katrin H. Preller , Patrick MacDonald Fisher , Gitte Moos Knudsen
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Abstract

Classical psychedelic drugs, e.g., psilocybin and LSD, stimulate the serotonin 2A receptor (5-HT2AR) and have recently been intensely investigated for their clinical effects in various brain disorders. At the ECNP “New Frontiers meeting” in March 2023, scientific experts in psychedelics met to identify key knowledge gaps in the mechanism of action of psychedelics as investigated using preclinical models and clinical neuroimaging. Key themes included the development of appropriate behavioural models for measuring acute and persisting effects, dose optimisation, molecular mechanisms of action, sex differences, and the acute and persisting effects of psychedelics on neurotransmitter release and functional brain activity.

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迷幻药医学化的知识空白:临床前和神经成像机制
经典的迷幻药物,如迷幻药和迷幻剂,会刺激血清素2A受体(5-HT2AR),最近对其在各种脑部疾病中的临床效果进行了深入研究。在 2023 年 3 月举行的欧洲迷幻药网络 "新前沿会议 "上,迷幻药方面的科学专家汇聚一堂,利用临床前模型和临床神经影像学研究,找出迷幻药作用机制方面的关键知识空白。会议的主要议题包括:开发适当的行为模型来测量急性和持续性影响、剂量优化、分子作用机制、性别差异以及迷幻药对神经递质释放和大脑功能活动的急性和持续性影响。
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