PMID- 31829932 OWN - NLM STAT- MEDLINE DCOM- 20200518 LR - 20220411 IS - 2105-0686 (Electronic) IS - 2105-0678 (Linking) VI - 213 IP - 3-4 DP - 2019 TI - [Neurotrophic mechanisms of psychedelic therapy]. PG - 121-129 LID - 10.1051/jbio/2019015 [doi] AB - Psychedelic drugs, often referred to as hallucinogens, are quite distinct from other classes of psychotropic drugs. Although the subjective and behavioral effects they induce are quite dramatic, they possess little addictive potential when compared to nicotine, alcohol or opiates. Since the discovery of ketamine antidepressant effects, there has been growing interest for these molecules. Serotonergic psychedelics such as psilocybin and lysergic acid diethylamide (LSD) are gaining attention as potential treatments for depression and addiction, similarly to 3,4-methylenedioxymethamphetamine (MDMA) for post-traumatic stress disorder (PTSD), and ibogaine for addiction. Although they possess distinct pharmacological profiles, their kinetics of action are quite similar: the therapeutic effects are felt within the hours following administration, and last well beyond drug elimination by the organism. This strongly suggests the induction of neurogenic and plastic mechanisms, including the involvement of trophic factors. This review will explore the literature dealing with the effects of psychedelics on neurotrophins, as well as the plastic adaptations that they induce, in an attempt to understand their surprising therapeutic potential. We will show that although ketamine and serotonergic psychedelics have affinity for very different receptors (NMDA, 5-HT2A), they ultimately initiate similar plastic adaptations in the prefrontal cortex through the involvement of the brain-derived neurotrophic factor (BDNF). We will see that although MDMA uses the same receptors as serotonergic psychedelics to alleviate PTSD symptoms, its effect on BDNF levels seem paradoxical and quite different. Finally, we show how ibogaine could exert its anti-addictive properties through a completely different neurotrophic factor than other psychedelic drugs, the glial cell line-derived neurotrophic factor (GDNF). While the current literature concerning the psychiatric applications of psychedelic therapy is encouraging, it remains to be determined whether their benefits could be obtained without their psychotomimetic effects, or concerns over potential toxicity. CI - (c) Societe de Biologie, 2019. FAU - Corne, Remi AU - Corne R AD - CNRS ERL 3649 << Neuroplasticite et therapies des addictions >>, UMR-S 1124, Universite Paris Descartes, 4, avenue de l'Observatoire, 75006 Paris, France. FAU - Mongeau, Raymond AU - Mongeau R AD - CNRS ERL 3649 << Neuroplasticite et therapies des addictions >>, UMR-S 1124, Universite Paris Descartes, 4, avenue de l'Observatoire, 75006 Paris, France. LA - fre PT - Journal Article PT - Review TT - Utilisation des psychedeliques en psychiatrie : lien avec les neurotrophines. DEP - 20191212 PL - France TA - Biol Aujourdhui JT - Biologie aujourd'hui JID - 101544020 RN - 0 (Hallucinogens) RN - 0 (Nerve Growth Factors) RN - 0 (Serotonin Agents) RN - 333DO1RDJY (Serotonin) RN - 3S814I130U (Ibogaine) RN - 690G0D6V8H (Ketamine) SB - IM MH - Animals MH - Hallucinogens/*therapeutic use MH - Humans MH - Ibogaine/pharmacology/therapeutic use MH - Ketamine/pharmacology MH - Mental Disorders/etiology/therapy MH - Nerve Growth Factors/pharmacology/*physiology MH - Psychiatry/*methods/trends MH - Serotonin/pharmacology MH - Serotonin Agents/pharmacology MH - Substance-Related Disorders/drug therapy OTO - NOTNLM OT - BDNF OT - LSD OT - addiction OT - depression OT - depression OT - ketamine OT - ketamine EDAT- 2019/12/13 06:00 MHDA- 2020/05/19 06:00 CRDT- 2019/12/13 06:00 PHST- 2019/04/29 00:00 [received] PHST- 2019/12/13 06:00 [entrez] PHST- 2019/12/13 06:00 [pubmed] PHST- 2020/05/19 06:00 [medline] AID - jbio190015 [pii] AID - 10.1051/jbio/2019015 [doi] PST - ppublish SO - Biol Aujourdhui. 2019;213(3-4):121-129. doi: 10.1051/jbio/2019015. Epub 2019 Dec 12.