Uncovering Psychedelics: From Neural Circuits to Therapeutic Applications

Psychedelics, historically celebrated for their cultural and spiritual significance, have emerged as potential breakthrough therapeutic agents due to their profound effects on consciousness, emotional processing, mood, and neural plasticity. This review explores the mechanisms underlying psychedelic...

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Main Authors: Alice Melani, Marco Bonaso, Letizia Biso, Benedetta Zucchini, Ciro Conversano, Marco Scarselli
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Pharmaceuticals
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Online Access:https://www.mdpi.com/1424-8247/18/1/130
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author Alice Melani
Marco Bonaso
Letizia Biso
Benedetta Zucchini
Ciro Conversano
Marco Scarselli
author_facet Alice Melani
Marco Bonaso
Letizia Biso
Benedetta Zucchini
Ciro Conversano
Marco Scarselli
author_sort Alice Melani
collection DOAJ
description Psychedelics, historically celebrated for their cultural and spiritual significance, have emerged as potential breakthrough therapeutic agents due to their profound effects on consciousness, emotional processing, mood, and neural plasticity. This review explores the mechanisms underlying psychedelics’ effects, focusing on their ability to modulate brain connectivity and neural circuit activity, including the default mode network (DMN), cortico-striatal thalamo-cortical (CSTC) loops, and the relaxed beliefs under psychedelics (REBUS) model. Advanced neuroimaging techniques reveal psychedelics’ capacity to enhance functional connectivity between sensory cerebral areas while reducing the connections between associative brain areas, decreasing the rigidity and rendering the brain more plastic and susceptible to external changings, offering insights into their therapeutic outcome. The most relevant clinical trials of 3,4-methylenedioxymethamphetamine (MDMA), psilocybin, and lysergic acid diethylamide (LSD) demonstrate significant efficacy in treating treatment-resistant psychiatric conditions such as post-traumatic stress disorder (PTSD), depression, and anxiety, with favorable safety profiles. Despite these advancements, critical gaps remain in linking psychedelics’ molecular actions to their clinical efficacy. This review highlights the need for further research to integrate mechanistic insights and optimize psychedelics as tools for both therapy and understanding human cognition.
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spelling doaj-art-c5cd04f60d7d431e84bdcfb853b3ada02025-01-24T13:45:30ZengMDPI AGPharmaceuticals1424-82472025-01-0118113010.3390/ph18010130Uncovering Psychedelics: From Neural Circuits to Therapeutic ApplicationsAlice Melani0Marco Bonaso1Letizia Biso2Benedetta Zucchini3Ciro Conversano4Marco Scarselli5Department of Biology, University of Pisa, 56126 Pisa, ItalyDepartment of Translational Research and New Surgical and Medical Technologies in Medicine and Surgery, University of Pisa, 56126 Pisa, ItalyDepartment of Translational Research and New Surgical and Medical Technologies in Medicine and Surgery, University of Pisa, 56126 Pisa, ItalyDepartment of Translational Research and New Surgical and Medical Technologies in Medicine and Surgery, University of Pisa, 56126 Pisa, ItalyDepartment of Surgical, Medical and Molecular Pathology, and Critical Care Medicine, University of Pisa, 56126 Pisa, ItalyDepartment of Translational Research and New Surgical and Medical Technologies in Medicine and Surgery, University of Pisa, 56126 Pisa, ItalyPsychedelics, historically celebrated for their cultural and spiritual significance, have emerged as potential breakthrough therapeutic agents due to their profound effects on consciousness, emotional processing, mood, and neural plasticity. This review explores the mechanisms underlying psychedelics’ effects, focusing on their ability to modulate brain connectivity and neural circuit activity, including the default mode network (DMN), cortico-striatal thalamo-cortical (CSTC) loops, and the relaxed beliefs under psychedelics (REBUS) model. Advanced neuroimaging techniques reveal psychedelics’ capacity to enhance functional connectivity between sensory cerebral areas while reducing the connections between associative brain areas, decreasing the rigidity and rendering the brain more plastic and susceptible to external changings, offering insights into their therapeutic outcome. The most relevant clinical trials of 3,4-methylenedioxymethamphetamine (MDMA), psilocybin, and lysergic acid diethylamide (LSD) demonstrate significant efficacy in treating treatment-resistant psychiatric conditions such as post-traumatic stress disorder (PTSD), depression, and anxiety, with favorable safety profiles. Despite these advancements, critical gaps remain in linking psychedelics’ molecular actions to their clinical efficacy. This review highlights the need for further research to integrate mechanistic insights and optimize psychedelics as tools for both therapy and understanding human cognition.https://www.mdpi.com/1424-8247/18/1/130psychedelicsDMNCSTCREBUSpsilocybinMDMA
spellingShingle Alice Melani
Marco Bonaso
Letizia Biso
Benedetta Zucchini
Ciro Conversano
Marco Scarselli
Uncovering Psychedelics: From Neural Circuits to Therapeutic Applications
Pharmaceuticals
psychedelics
DMN
CSTC
REBUS
psilocybin
MDMA
title Uncovering Psychedelics: From Neural Circuits to Therapeutic Applications
title_full Uncovering Psychedelics: From Neural Circuits to Therapeutic Applications
title_fullStr Uncovering Psychedelics: From Neural Circuits to Therapeutic Applications
title_full_unstemmed Uncovering Psychedelics: From Neural Circuits to Therapeutic Applications
title_short Uncovering Psychedelics: From Neural Circuits to Therapeutic Applications
title_sort uncovering psychedelics from neural circuits to therapeutic applications
topic psychedelics
DMN
CSTC
REBUS
psilocybin
MDMA
url https://www.mdpi.com/1424-8247/18/1/130
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AT benedettazucchini uncoveringpsychedelicsfromneuralcircuitstotherapeuticapplications
AT ciroconversano uncoveringpsychedelicsfromneuralcircuitstotherapeuticapplications
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