PMID- 36358968 OWN - NLM STAT- MEDLINE DCOM- 20221114 LR - 20221201 IS - 2218-273X (Electronic) IS - 2218-273X (Linking) VI - 12 IP - 11 DP - 2022 Nov 2 TI - Molecular Pathways of the Therapeutic Effects of Ayahuasca, a Botanical Psychedelic and Potential Rapid-Acting Antidepressant. LID - 10.3390/biom12111618 [doi] LID - 1618 AB - Ayahuasca is a psychoactive brew traditionally used in indigenous and religious rituals and ceremonies in South America for its therapeutic, psychedelic, and entheogenic effects. It is usually prepared by lengthy boiling of the leaves of the bush Psychotria viridis and the mashed stalks of the vine Banisteriopsis caapi in water. The former contains the classical psychedelic N,N-dimethyltryptamine (DMT), which is thought to be the main psychoactive alkaloid present in the brew. The latter serves as a source for beta-carbolines, known for their monoamine oxidase-inhibiting (MAOI) properties. Recent preliminary research has provided encouraging results investigating ayahuasca's therapeutic potential, especially regarding its antidepressant effects. On a molecular level, pre-clinical and clinical evidence points to a complex pharmacological profile conveyed by the brew, including modulation of serotoninergic, glutamatergic, dopaminergic, and endocannabinoid systems. Its substances also interact with the vesicular monoamine transporter (VMAT), trace amine-associated receptor 1 (TAAR1), and sigma-1 receptors. Furthermore, ayahuasca's components also seem to modulate levels of inflammatory and neurotrophic factors beneficially. On a biological level, this translates into neuroprotective and neuroplastic effects. Here we review the current knowledge regarding these molecular interactions and how they relate to the possible antidepressant effects ayahuasca seems to produce. FAU - Rossi, Giordano Novak AU - Rossi GN AUID- ORCID: 0000-0002-1952-1207 AD - Department of Neurosciences and Behavior, Ribeirao Preto Medical School, University of Sao Paulo, Ribeirao Preto 14040-900, Brazil. FAU - Guerra, Lorena T L AU - Guerra LTL AD - Department of Neurosciences and Behavior, Ribeirao Preto Medical School, University of Sao Paulo, Ribeirao Preto 14040-900, Brazil. FAU - Baker, Glen B AU - Baker GB AUID- ORCID: 0000-0003-1581-6486 AD - National Institute of Science and Technology-Translational Medicine, Ribeirao Preto 3900, Brazil. AD - Department of Psychiatry (Neurochemical Research Unit) and Neuroscience & Mental Health Institute, University of Alberta, Edmonton, AB T6G 2G3, Canada. FAU - Dursun, Serdar M AU - Dursun SM AUID- ORCID: 0000-0001-9943-851X AD - National Institute of Science and Technology-Translational Medicine, Ribeirao Preto 3900, Brazil. AD - Department of Psychiatry (Neurochemical Research Unit) and Neuroscience & Mental Health Institute, University of Alberta, Edmonton, AB T6G 2G3, Canada. FAU - Saiz, Jose Carlos Bouso AU - Saiz JCB AD - Department of Neurosciences and Behavior, Ribeirao Preto Medical School, University of Sao Paulo, Ribeirao Preto 14040-900, Brazil. AD - ICEERS Foundation, International Center for Ethnobotanical Education, Research and Services, 08015 Barcelona, Spain. AD - Medical Anthropology Research Center (MARC), Universitat Rovira i Virgili, 43001 Tarragona, Spain. FAU - Hallak, Jaime E C AU - Hallak JEC AD - Department of Neurosciences and Behavior, Ribeirao Preto Medical School, University of Sao Paulo, Ribeirao Preto 14040-900, Brazil. AD - National Institute of Science and Technology-Translational Medicine, Ribeirao Preto 3900, Brazil. AD - Department of Psychiatry (Neurochemical Research Unit) and Neuroscience & Mental Health Institute, University of Alberta, Edmonton, AB T6G 2G3, Canada. FAU - Dos Santos, Rafael G AU - Dos Santos RG AUID- ORCID: 0000-0003-2388-4745 AD - Department of Neurosciences and Behavior, Ribeirao Preto Medical School, University of Sao Paulo, Ribeirao Preto 14040-900, Brazil. AD - National Institute of Science and Technology-Translational Medicine, Ribeirao Preto 3900, Brazil. AD - ICEERS Foundation, International Center for Ethnobotanical Education, Research and Services, 08015 Barcelona, Spain. AD - Departamento de Neurociencias e Ciencias do Comportamento, Faculdade de Medicina de Ribeirao Preto, Universidade de Sao Paulo, Hospital das Clinicas, Terceiro Andar, Av. Bandeirantes, Ribeirao Preto 3900, Brazil. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20221102 PL - Switzerland TA - Biomolecules JT - Biomolecules JID - 101596414 RN - 0 (Hallucinogens) RN - WUB601BHAA (N,N-Dimethyltryptamine) RN - 0 (Alkaloids) RN - 0 (Plant Extracts) RN - 0 (Antidepressive Agents) SB - IM MH - *Banisteriopsis MH - *Hallucinogens/pharmacology MH - N,N-Dimethyltryptamine/pharmacology MH - *Alkaloids MH - Plant Extracts/pharmacology/therapeutic use MH - Antidepressive Agents/pharmacology PMC - PMC9687782 OTO - NOTNLM OT - DMT OT - antidepressant OT - ayahuasca OT - psychedelic COIS- The authors declare no conflict of interest. EDAT- 2022/11/12 06:00 MHDA- 2022/11/15 06:00 PMCR- 2022/11/02 CRDT- 2022/11/11 01:08 PHST- 2022/09/12 00:00 [received] PHST- 2022/10/27 00:00 [revised] PHST- 2022/10/29 00:00 [accepted] PHST- 2022/11/11 01:08 [entrez] PHST- 2022/11/12 06:00 [pubmed] PHST- 2022/11/15 06:00 [medline] PHST- 2022/11/02 00:00 [pmc-release] AID - biom12111618 [pii] AID - biomolecules-12-01618 [pii] AID - 10.3390/biom12111618 [doi] PST - epublish SO - Biomolecules. 2022 Nov 2;12(11):1618. doi: 10.3390/biom12111618.