PMID- 29178010 OWN - NLM STAT- MEDLINE DCOM- 20181231 LR - 20181231 IS - 1432-2072 (Electronic) IS - 0033-3158 (Linking) VI - 235 IP - 2 DP - 2018 Feb TI - Psychedelics and reconsolidation of traumatic and appetitive maladaptive memories: focus on cannabinoids and ketamine. PG - 433-445 LID - 10.1007/s00213-017-4793-4 [doi] AB - RATIONALE: Clinical data with 3,4-methylenedioxymethamphetamine (MDMA) in post-traumatic stress disorder (PTSD) patients recently stimulated interest on the potential therapeutic use of psychedelics in disorders characterized by maladaptive memories, including substance use disorders (SUD). The rationale for the use of MDMA in PTSD and SUD is being extended to a broader beneficial "psychedelic effect," which is supporting further clinical investigations, in spite of the lack of mechanistic hypothesis. Considering that the retrieval of emotional memories reactivates specific brain mechanisms vulnerable to inhibition, interference, or strengthening (i.e., the reconsolidation process), it was proposed that the ability to retrieve and change these maladaptive memories might be a novel intervention for PTSD and SUD. The mechanisms underlying MDMA effects indicate memory reconsolidation modulation as a hypothetical process underlying its efficacy. OBJECTIVE: Mechanistic and clinical studies with other two classes of psychedelic substances, namely cannabinoids and ketamine, are providing data in support of a potential use in PTSD and SUD based on the modulation of traumatic and appetitive memory reconsolidation, respectively. Here, we review preclinical and clinical data on cannabinoids and ketamine effects on biobehavioral processes related to the reconsolidation of maladaptive memories. RESULTS: We report the findings supporting (or not) the working hypothesis linking the potential therapeutic effect of these substances to the underlying reconsolidation process. We also proposed possible approaches for testing the use of these two classes of drugs within the current paradigm of reconsolidation memory inhibition. CONCLUSIONS: Metaplasticity may be the process in common between cannabinoids and ketamine/ketamine-like substance effects on the mediation and potential manipulation of maladaptive memories. FAU - Fattore, Liana AU - Fattore L AD - National Research Council of Italy, Institute of Neuroscience-Cagliari, Cagliari, Italy. FAU - Piva, Alessandro AU - Piva A AD - Sezione Farmacologia, Dipt. Diagnostica e Sanita Pubblica, Universita degli Studi di Verona, Policlinico Borgo Roma, P.le Scuro 10, 37134, Verona, Italy. FAU - Zanda, Mary Tresa AU - Zanda MT AD - Department of Biomedical Sciences, Division of Neuroscience and Clinical Pharmacology, University of Cagliari, Cittadella Universitaria di Monserrato, SP 8, Km 0.700, 09042, Monserrato, Italy. FAU - Fumagalli, Guido AU - Fumagalli G AD - Sezione Farmacologia, Dipt. Diagnostica e Sanita Pubblica, Universita degli Studi di Verona, Policlinico Borgo Roma, P.le Scuro 10, 37134, Verona, Italy. FAU - Chiamulera, Cristiano AU - Chiamulera C AUID- ORCID: 0000-0001-5076-8518 AD - Sezione Farmacologia, Dipt. Diagnostica e Sanita Pubblica, Universita degli Studi di Verona, Policlinico Borgo Roma, P.le Scuro 10, 37134, Verona, Italy. cristiano.chiamulera@univr.it. LA - eng PT - Journal Article PT - Review DEP - 20171125 PL - Germany TA - Psychopharmacology (Berl) JT - Psychopharmacology JID - 7608025 RN - 0 (Anesthetics, Dissociative) RN - 0 (Cannabinoids) RN - 0 (Hallucinogens) RN - 690G0D6V8H (Ketamine) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - Anesthetics, Dissociative/pharmacology/therapeutic use MH - Animals MH - Appetitive Behavior/*drug effects/physiology MH - Cannabinoids/pharmacology/*therapeutic use MH - Emotions/drug effects/physiology MH - Hallucinogens/pharmacology/*therapeutic use MH - Humans MH - Ketamine/pharmacology/*therapeutic use MH - Memory Consolidation/*drug effects/physiology MH - N-Methyl-3,4-methylenedioxyamphetamine/pharmacology/therapeutic use MH - Stress Disorders, Post-Traumatic/*drug therapy/psychology MH - Substance-Related Disorders/drug therapy/psychology OTO - NOTNLM OT - Cannabinoids OT - Ketamine OT - Maladaptive memories OT - Post-traumatic stress disorders OT - Reconsolidation OT - Substance use disorders EDAT- 2017/11/28 06:00 MHDA- 2019/01/01 06:00 CRDT- 2017/11/28 06:00 PHST- 2017/06/28 00:00 [received] PHST- 2017/11/14 00:00 [accepted] PHST- 2017/11/28 06:00 [pubmed] PHST- 2019/01/01 06:00 [medline] PHST- 2017/11/28 06:00 [entrez] AID - 10.1007/s00213-017-4793-4 [pii] AID - 10.1007/s00213-017-4793-4 [doi] PST - ppublish SO - Psychopharmacology (Berl). 2018 Feb;235(2):433-445. doi: 10.1007/s00213-017-4793-4. Epub 2017 Nov 25.