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Integrating Psychedelics into Groupwork: A Culturally Responsive Model for the Counseling Profession 将迷幻剂融入团体工作:咨询行业的文化响应模式
Pub Date : 2024-07-18 DOI: 10.3390/psychoactives3030022
Isaac Burt
Psychedelics, combined with talk therapy, indicate promise with challenging clients, such as those struggling with PTSD. Furthermore, groupwork, with the emphasis on social connections, can be an effective modality. There appears, however, little movement with integrating psychedelics with professional counseling and even less in groupwork. Societal perceptions of psychedelics and the concern of practicing outside one’s scope may cause practitioners to hesitate. This article provides a brief overview for the lack of progression in implementing psychedelics in group counseling. I explain what potentially inhibits the utilization of psychedelics, then offer a resolution to these issues by advocating for a psychedelic-assisted groupwork (PAG) model. The argument is that psychedelic approaches can be an innovative and transformative method for group facilitators. I conclude with an overview depicting what a PAG with an interdisciplinary team could entail, including recruitment, screening, selection, therapeutic processes, and termination.
迷幻药与谈话疗法相结合,对具有挑战性的客户(如创伤后应激障碍患者)大有帮助。此外,强调社会联系的小组工作也是一种有效的方式。然而,在将迷幻药与专业咨询相结合方面似乎进展甚微,在小组工作方面更是如此。社会对迷幻药的看法以及对超出自身范围的担忧可能会让从业者犹豫不决。本文简要概述了在团体咨询中使用迷幻药缺乏进展的原因。我解释了阻碍使用迷幻药的潜在原因,然后通过倡导迷幻药辅助团体工作(PAG)模式,提出了解决这些问题的方法。我的论点是,对于团体辅导员来说,迷幻药方法可以是一种创新和变革性的方法。最后,我概述了一个跨学科小组的 PAG 模式,包括招募、筛选、选择、治疗过程和终止。
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引用次数: 0
Evaluation of Density Functional Theory-Generated Data for Infrared Spectroscopy of Novel Psychoactive Substances Using Unsupervised Learning 利用无监督学习评估密度泛函理论生成的用于新型精神活性物质红外光谱分析的数据
Pub Date : 2024-05-16 DOI: 10.3390/psychoactives3020017
Christiano dos Santos, A. Bruni
Novel psychoactive substances (NPSs) are compounds plotted to modify the chemical structures of prohibited substances, offering alternatives for consumption and evading legislation. The prompt emergence of these substances presents challenges in health concerns and forensic assessment because of the lack of analytical standards. A viable alternative for establishing these standards involves leveraging in silico methods to acquire spectroscopic data. This study assesses the efficacy of utilizing infrared spectroscopy (IRS) data derived from density functional theory (DFT) for analyzing NPSs. Various functionals were employed to generate infrared spectra for five distinct NPS categories including the following: amphetamines, benzodiazepines, synthetic cannabinoids, cathinones, and fentanyls. PRISMA software was conceived to rationalize data management. Unsupervised learning techniques, including Hierarchical Cluster Analysis (HCA), Principal Component Analysis (PCA), and t-distributed stochastic neighbor embedding (t-SNE), were utilized to refine the assessment process. Our findings reveal no significant disparities among the different functionals used to generate infrared spectra data. Additionally, the application of unsupervised learning demonstrated adequate segregation of NPSs within their respective groups. In conclusion, integrating theoretical data and dimension reduction techniques proves to be a powerful strategy for evaluating the spectroscopic characteristics of NPSs. This underscores the potential of this combined methodology as a diagnostic tool for distinguishing IR spectra across various NPS groups, facilitating the evaluation of newly unknown compounds.
新型精神活性物质(NPSs)是一种改变违禁物质化学结构的化合物,为消费提供替代品并规避立法。由于缺乏分析标准,这些物质的迅速出现给健康问题和法医评估带来了挑战。建立这些标准的一个可行替代方法是利用硅学方法获取光谱数据。本研究评估了利用密度泛函理论(DFT)得出的红外光谱(IRS)数据分析 NPSs 的功效。研究人员利用各种函数生成了五种不同类别非兴奋剂的红外光谱,包括:苯丙胺类、苯二氮卓类、合成大麻素类、卡西酮类和芬太尼类。为使数据管理合理化,设计了 PRISMA 软件。无监督学习技术,包括层次聚类分析 (HCA)、主成分分析 (PCA) 和 t 分布随机邻域嵌入 (t-SNE) 被用来完善评估过程。我们的研究结果表明,用于生成红外光谱数据的不同函数之间没有明显差异。此外,无监督学习的应用也证明了核动力源在各自组别中的充分分离。总之,将理论数据与降维技术相结合,被证明是评估核动力源光谱特征的有力策略。这凸显了这一组合方法作为一种诊断工具的潜力,可用于区分不同 NPS 类别的红外光谱,从而促进对新未知化合物的评估。
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引用次数: 0
A Scoping Review of Determinants of Drinking and Driving Behavior among Young Adult College Students in the US 美国年轻成人大学生酒后驾车行为决定因素的范围界定综述
Pub Date : 2024-05-14 DOI: 10.3390/psychoactives3020016
Laurencia Bonsu, T. Grigsby, Christopher Johansen, A. Awan, Sidath Kapukotuwa, Manoj Sharma
College students are a primary population for risky alcohol use behaviors, with one of every eleven students grappling with severe alcohol-related issues. The objective of this scoping review was to synthesize the existing literature to identify factors influencing the prevalence of drinking and driving (DAD) behaviors among college students. A scoping review was conducted using Medline (PubMed), ERIC, The American Journal on Addictions, and the NCHA databases. Criteria for article selection included being published in English and focused on DAD behaviors among college students. Articles excluded from the review were systematic reviews and discussion pieces without empirical findings related to college DAD. Of the included studies (n = 23), most identified a range of factors as being influential in college students’ DAD behavior including a family history of alcohol misuse, the use of other substances such as marijuana, age of initial alcohol consumption, place of residence, propensity for sensation seeking, affiliation with sorority/fraternity groups, and the perception of associated risks. Effective strategies may include education on the risks of combined alcohol and substance use, screening and brief interventions tailored to at-risk students, and the implementation of campus policies that promote responsible alcohol consumption and deter DAD.
大学生是高危饮酒行为的主要人群,每 11 名学生中就有 1 人面临严重的酒精相关问题。本范围综述旨在综合现有文献,找出影响大学生酒后驾车(DAD)行为发生率的因素。我们使用 Medline (PubMed)、ERIC、《美国成瘾期刊》和 NCHA 数据库进行了范围界定综述。文章的选择标准包括:以英文发表,关注大学生的酒后驾车行为。综述中不包括系统综述和讨论文章,这些文章没有与大学生 DAD 相关的实证研究结果。在收录的研究(n = 23)中,大多数研究认为有一系列因素对大学生的 DAD 行为有影响,包括酒精滥用的家族史、使用其他物质(如大麻)、初次饮酒的年龄、居住地、寻求感觉的倾向、与联谊会/兄弟会团体的从属关系以及对相关风险的认知。有效的策略可能包括开展有关酒精和药物混合使用风险的教育、针对高风险学生的筛查和简短干预,以及实施促进负责任饮酒和阻止 DAD 的校园政策。
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引用次数: 0
Unlocking the Potential of Meldonium: From Performance Enhancement to Therapeutic Insights 发掘 "美多纳 "的潜力:从提高成绩到治疗启示
Pub Date : 2024-05-06 DOI: 10.3390/psychoactives3020015
V. Bellman
Meldonium, a promising pharmacological agent initially developed for cardiovascular indications, has sparked considerable interest in recent years due to its potential performance-enhancing effects. This review manuscript delves into the multifaceted roles of meldonium, examining its pharmacological mechanisms, therapeutic applications, and controversial implications in medicine. Beyond its cardiovascular applications, emerging research has shed light on meldonium’s neuroprotective properties and its potential for mitigating various psychiatric conditions. Moreover, recent investigations have explored meldonium’s potential in treating neurodegenerative disorders, alcohol use disorder, and even enhancing cognitive function. However, meldonium’s journey extends beyond the realm of medicine, as its use among athletes has stirred debates surrounding performance enhancement and fair competition. The substance’s inclusion in the World Anti-Doping Agency’s (WADA) prohibited list has intensified scrutiny and raised ethical considerations regarding its use in sports. This manuscript aims to provide a comprehensive resource for researchers, clinicians, and enthusiasts alike, fostering a deeper understanding of meldonium’s complex biological interactions and its potential contributions to psychiatry.
美多纳铵是一种很有前途的药理制剂,最初开发用于心血管适应症,近年来因其潜在的提高成绩效果而引发了广泛关注。本综述手稿深入探讨了美多萘的多方面作用,研究了其药理机制、治疗应用以及在医学中的争议性影响。除了在心血管方面的应用外,新的研究还揭示了美冬铵盐的神经保护特性及其缓解各种精神疾病的潜力。此外,最近的研究还探索了麦尔多铵在治疗神经退行性疾病、酒精使用障碍,甚至增强认知功能方面的潜力。然而,"美多铵盐 "的发展历程并不局限于医学领域,它在运动员中的使用也引发了关于提高成绩和公平竞争的争论。该物质被列入世界反兴奋剂机构(WADA)的禁用清单后,加强了对其在体育运动中使用的审查,并提出了道德方面的考虑。本手稿旨在为研究人员、临床医生和爱好者提供全面的资源,加深对美多铵复杂的生物相互作用及其对精神病学的潜在贡献的理解。
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引用次数: 0
Producing Altered States of Consciousness, Reducing Substance Misuse: A Review of Psychedelic-Assisted Psychotherapy, Transcendental Meditation and Hypnotherapy 产生意识改变状态,减少药物滥用:迷幻药辅助心理疗法、超凡冥想和催眠疗法综述
Pub Date : 2024-03-25 DOI: 10.3390/psychoactives3020010
Agnieszka D. Sekula, P. Puspanathan, Luke Downey, Paul Liknaitzky
A set of interventions that can produce altered states of consciousness (ASC) have shown utility in the treatment of substance misuse. In this review, we examine addiction-related outcomes associated with three common interventions that produce ASCs: psychedelic-assisted psychotherapy (PP), Transcendental Meditation (TM) and hypnotherapy (HT). While procedurally distinct, all three interventions are associated with some common phenomenological, psychological, and neurobiological features, indicating some possible convergent mechanisms of action. Along with addiction and mental health outcomes, these common features are reviewed, and their impact on substance misuse is discussed. While our review highlights some mixed findings and methodological issues, results indicate that PP and TM are associated with significant improvements in substance misuse, alongside improvements in emotional, cognitive and social functioning, behavior-change motivation, sense of self-identity, and meaning. In contrast, and despite its broader acceptance, HT has been associated with mixed and minimal results with respect to substance misuse treatment. Authors identify key research gaps in the role of ASC interventions in addiction and outline a set of promising future research directions.
一系列能够产生意识改变状态(ASC)的干预措施在治疗药物滥用方面显示出了效用。在这篇综述中,我们研究了与产生意识改变状态的三种常见干预措施有关的成瘾相关结果:迷幻药辅助心理疗法(PP)、超凡冥想(TM)和催眠疗法(HT)。这三种干预方法虽然在程序上各不相同,但在现象学、心理学和神经生物学方面却有一些共同之处,这表明它们可能存在一些趋同的作用机制。我们对这些共同特征以及成瘾和心理健康结果进行了综述,并讨论了它们对药物滥用的影响。虽然我们的综述强调了一些好坏参半的研究结果和方法学问题,但结果表明,除了情绪、认知和社会功能、行为改变动机、自我认同感和意义的改善之外,PP 和 TM 还与药物滥用的显著改善相关。相比之下,尽管 HT 被更广泛地接受,但它在药物滥用治疗方面的效果却好坏参半、微乎其微。作者指出了ASC干预对成瘾的作用方面存在的主要研究空白,并概述了一系列前景广阔的未来研究方向。
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引用次数: 0
New Choking Epidemic Trends in Psychoactive Drugs: The Zombifying Combination of Fentanyl and Xylazine Cause Overdoses and Little Hope in Rehabilitation 精神活性药物的新窒息流行趋势:芬太尼和赛拉嗪的 "僵尸化 "组合导致吸毒过量,康复希望渺茫
Pub Date : 2024-03-15 DOI: 10.3390/psychoactives3010009
R. Dinis-Oliveira
The world of drugs of abuse is a complex clinical and forensic topic since their misuse can lead to devastating consequences [...]
滥用药物是一个复杂的临床和法医学课题,因为滥用药物可能导致毁灭性的后果 [...]
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引用次数: 0
Disparities in Substance Co-Use among Sexual Minority and Heterosexual Adult Hookah Smokers: Findings from Wave 4 (2016–2018) and Wave 5 (2018–2019) of the Population Assessment of Tobacco and Health Study 性少数群体和异性恋成人胡克烟吸食者在共同使用药物方面的差异:烟草与健康人群评估研究第 4 波(2016-2018 年)和第 5 波(2018-2019 年)的结果
Pub Date : 2024-03-15 DOI: 10.3390/psychoactives3010008
Chandni Sakthi, Amanda Adolfo, Umme Warda, Asmaa Khaled, M. Brecht, M. Rezk-Hanna
Heavily advertised as a harmless tobacco alternative, hookah (i.e., waterpipe)-flavored tobacco smoking has contributed to the wider epidemic of smoking, especially amongst marginalized sexual minority (SM) populations. Evidence regarding the concurrent use of substances and other drugs, among SM current hookah smokers, is scarce. We utilized nationally representative data from the Population Assessment of Tobacco and Health (PATH) Study (2016–2019) to examine patterns of the concurrent use of substances (i.e., marijuana, painkillers, sedatives, tranquilizers, cocaine, stimulants (specifically methamphetamines), and others), in SM adult hookah smokers and their heterosexual counterparts. Current hookah smoking is higher among SM adults (Wave 4: 4.22% [95% CI = 2.94–5.94] and Wave 5: 2.65% [95% CI = 1.81–3.48]) than heterosexuals (Wave 4: 1.31% [95% CI = 1.13–1.50] and Wave 5: 1.07% [95% CI = 0.89–1.25]). Among current SM hookah users, the co-use of substances, including alcohol, marijuana, and cocaine, is comparable to heterosexuals (p = ns). Adjusting for gender alone and all covariates, including age, sex, race/ethnicity, education, income, and education, no differences in concurrent substance use were observed between SM and heterosexual hookah users. While the co-use of substances is comparable between SM and heterosexual hookah smoker adults, the prevalence of current hookah use more than doubled among SM individuals than heterosexual individuals during 2018–2019. Our findings highlight the critical value of prevention efforts directed to increase education and awareness about hookah smoking use and known health effects, particularly tailored towards sexual minorities.
作为一种无害的烟草替代品,水烟(即水烟)口味的烟草烟雾被大肆宣传,助长了更广泛的吸烟流行,尤其是在边缘化的性少数群体(SM)中。目前,有关性少数群体水烟吸食者同时使用药物和其他毒品的证据还很少。我们利用烟草与健康人群评估(PATH)研究(2016-2019年)中具有全国代表性的数据,研究了性少数群体成年水烟吸食者及其异性恋吸食者同时使用药物(即大麻、止痛药、镇静剂、镇定剂、可卡因、兴奋剂(特别是甲基苯丙胺)和其他药物)的模式。目前吸食水烟的SM成人(第四波:4.22% [95% CI = 2.94-5.94],第五波:2.65% [95% CI = 1.81-3.48])高于异性恋者(第四波:1.31% [95% CI = 1.13-1.50],第五波:1.07% [95% CI = 0.89-1.25])。在目前的 SM 水烟吸食者中,同时吸食酒精、大麻和可卡因等物质的比例与异性恋者相当(P = ns)。仅对性别和所有协变量(包括年龄、性别、种族/民族、教育程度、收入和教育程度)进行调整后,SM 和异性恋水烟吸食者在同时使用药物方面没有发现差异。虽然SM和异性恋水烟吸食者成人之间同时使用药物的情况相当,但在2018-2019年期间,SM个体当前使用水烟的流行率比异性恋个体高出一倍多。我们的研究结果凸显了预防工作的重要价值,这些工作旨在提高关于水烟使用和已知健康影响的教育和认识,特别是针对性少数群体。
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引用次数: 0
The Clinical Potential of Dimethyltryptamine: Breakthroughs into the Other Side of Mental Illness, Neurodegeneration, and Consciousness 二甲基色胺的临床潜力:突破精神疾病、神经变性和意识的另一面
Pub Date : 2024-02-26 DOI: 10.3390/psychoactives3010007
Frankie A. Colosimo, Philip Borsellino, Reese I. Krider, Raul E. Marquez, Thomas A Vida
The human brain is an extraordinarily complex organ responsible for all aspects of cognition and control. Billions of neurons form connections with thousands of other neurons, resulting in trillions of synapses that create a vast and intricate network. This network is subjected to continuous remodeling that adapts to environmental and developmental changes. The resulting neuroplasticity is crucial to both healthy states and many forms of mental illness and neurodegeneration. This narrative review comprehensively examines N,N-dimethyltryptamine (DMT), a naturally occurring hallucinogen and psychedelic compound, focusing on its implications in promoting neuroplasticity via neuritogenesis. We examine DMT’s pharmacology, including its interaction with serotonergic, sigma-1, and trace amine-associated receptors and their associated signaling pathways. The therapeutic potential of DMT in both animal models and clinical trials is discussed with impacts on perception, cognition, emotion, and consciousness. We uniquely focus on current directions centered on unveiling the direct mechanisms of DMT’s therapeutic effects that demonstrate transformative effects on mental well-being, particularly for conditions like depression, anxiety, and post-traumatic stress disorder. We discuss the connection between DMT and neuroplasticity, offering the potential for forming new neural connections, improving learning, memory, and aiding recovery from brain injuries, including neurorehabilitation and neuroregeneration. The ultimate potential of DMT’s therapeutic efficacy to enhance neurogenesis, especially for neurodegenerative conditions, is also discussed.
人脑是一个异常复杂的器官,负责认知和控制的各个方面。数十亿个神经元与成千上万个其他神经元形成连接,从而产生数万亿个突触,形成一个庞大而复杂的网络。这一网络不断重塑,以适应环境和发育变化。由此产生的神经可塑性对健康状态以及多种形式的精神疾病和神经变性都至关重要。这篇叙述性综述全面研究了 N,N-二甲基色胺(DMT)这种天然致幻剂和迷幻化合物,重点探讨了它通过神经元发生促进神经可塑性的意义。我们研究了 DMT 的药理学,包括它与血清素能、sigma-1 和微量胺相关受体及其相关信号通路的相互作用。我们讨论了 DMT 在动物模型和临床试验中的治疗潜力,以及对感知、认知、情感和意识的影响。我们特别关注当前的研究方向,其核心是揭示 DMT 治疗效果的直接机制,这些机制对心理健康,尤其是抑郁症、焦虑症和创伤后应激障碍等疾病具有变革性影响。我们讨论了 DMT 与神经可塑性之间的联系,这为形成新的神经连接、改善学习和记忆以及帮助脑损伤恢复(包括神经康复和神经再生)提供了可能性。我们还讨论了 DMT 在增强神经发生(尤其是神经退行性疾病)方面的最终治疗功效潜力。
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引用次数: 0
Does Conformation Affect the Analytical Response? A Structural and Infrared Spectral Evaluation of Phenethylamines (2C-H, 25H-NBOH, and 25I-NBOMe) Using In Silico Methodology 构象会影响分析反应吗?利用硅学方法对苯乙胺(2C-H、25H-NBOH 和 25I-NBOMe)进行结构和红外光谱评估
Pub Date : 2024-02-25 DOI: 10.3390/psychoactives3010006
L. Mariotto, C. Rodrigues, A. Bruni
The identification of new psychoactive substances (compounds that mimic the effects of outlawed substances) poses a significant challenge due to their rapid emergence and continuous modifications. This phenomenon results in these molecules escaping legal regulation, allowing them to circumvent legislation. The phenethylamine class has garnered attention because its molecules replicate the effects of LSD and are associated with numerous cases of intoxication. In this study, we focused on three phenethylamines—2C-H, 25H-NBOH, and 25I-NBOMe—with crystallographic structures available in the Cambridge Crystallographic Data Center (CCDC) database. We conducted a systematic conformational analysis and compared the structural information obtained. Subsequently, we compared the spectra derived from this analysis with experimental details from the ENFSI database. Structural comparisons were made based on the RMSDs between the lower energy conformations and experimental crystallographic structures. Additionally, structures obtained from direct optimization were compared. We then simulated the spectra based on the X-ray structures and compared them with those in the experimental database. Interpretation was carried out using heat maps and PCA in Pirouette software. Combining in silico methods with experimental approaches provides a more comprehensive understanding of the characterization process of new psychoactive substances (NPSs).
由于新精神活性物质(模仿违禁物质效果的化合物)的快速出现和不断变化,对其识别构成了巨大挑战。这种现象导致这些分子逃避法律监管,从而规避立法。苯乙胺类药物之所以备受关注,是因为其分子复制了迷幻剂的效果,并与大量中毒案例有关。在本研究中,我们重点研究了三种苯乙胺-2C-H、25H-NBOH 和 25I-NBOM--它们的晶体结构可从剑桥晶体学数据中心(CCDC)数据库中获得。我们对所获得的结构信息进行了系统的构象分析和比较。随后,我们将分析得出的光谱与 ENFSI 数据库中的实验细节进行了比较。结构比较是根据低能构象与实验晶体结构之间的 RMSD 进行的。此外,我们还对直接优化得到的结构进行了比较。然后,我们根据 X 射线结构模拟光谱,并与实验数据库中的光谱进行比较。我们使用 Pirouette 软件中的热图和 PCA 进行了解读。将硅学方法与实验方法相结合,可以更全面地了解新精神活性物质(NPSs)的表征过程。
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引用次数: 0
The Effects of Psilocybin on Lipopolysaccharide-Induced Inflammation in THP-1 Human Macrophages 迷幻药对脂多糖诱导的 THP-1 人类巨噬细胞炎症的影响
Pub Date : 2024-01-28 DOI: 10.3390/psychoactives3010004
Esmaeel Ghasemi Gojani, Bo Wang, Dongping Li, O. Kovalchuk, Igor Kovalchuk
Psilocybin, an innate compound produced by mushrooms belonging to the Psilocybe genus, is primarily known for its agonistic effects on the serotonin 5-HT2A receptor. This receptor’s functioning is involved in many neurological processes. In the context of this research, our primary aim was to comprehensively investigate the influence of psilocybin as a serotonin receptor agonist on the intricate cascade of events involved in THP-1 macrophages stimulated by lipopolysaccharide (LPS). THP-1 monocyte cells were subjected to differentiation into macrophages through a controlled incubation with phorbol 12-myristate 13-acetate (PMA). The next step involved the induction of an inflammatory response by exposing THP-1 macrophages to 500 ng/mL LPS for 4 h. Subsequently, we triggered the activation of the second phase of the NLRP3 inflammasome by introducing adenosine triphosphate (ATP) immediately following LPS stimulation. Our findings have revealed a dose-dependent inverse correlation between psilocybin exposure and the production of LPS-induced proinflammatory cytokines and proteins. Our work indicates that psilocybin likely mediates these responses by influencing key signaling pathways, including NF-κB, IL-6/TYK2/STAT3, and TYK2/STAT1.
银环蛇毒素是一种由银环蛇属蘑菇产生的天然化合物,主要因其对血清素 5-HT2A 受体的激动作用而闻名。这种受体的功能参与了许多神经过程。在这项研究中,我们的主要目的是全面研究作为血清素受体激动剂的迷迭香对受脂质多糖(LPS)刺激的 THP-1 巨噬细胞所涉及的复杂级联事件的影响。THP-1 单核细胞通过与 12-肉豆蔻酸 13-乙酸磷脂(PMA)的可控培养分化成巨噬细胞。下一步是将 THP-1 巨噬细胞暴露于 500 毫微克/毫升的 LPS 中 4 小时,诱导炎症反应。我们的研究结果表明,西洛赛宾暴露与 LPS 诱导的促炎细胞因子和蛋白质的产生之间存在剂量依赖性反相关关系。我们的研究表明,迷幻药可能通过影响关键信号通路(包括 NF-κB、IL-6/TYK2/STAT3 和 TYK2/STAT1)来介导这些反应。
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引用次数: 0
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Psychoactives
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