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      Psychedelics reopen the social reward learning critical period

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          Abstract

          Psychedelics are a broad class of drugs defined by their ability to induce an altered state of consciousness 1, 2 . These drugs have been used for millennia in both spiritual and medicinal contexts, and a number of recent clinical successes have spurred a renewed interest in developing psychedelic therapies 39 . Nevertheless, a unifying mechanism that can account for these shared phenomenological and therapeutic properties remains unknown. Here we demonstrate in mice that the ability to reopen the social reward learning critical period is a shared property across psychedelic drugs. Notably, the time course of critical period reopening is proportional to the duration of acute subjective effects reported in humans. Furthermore, the ability to reinstate social reward learning in adulthood is paralleled by metaplastic restoration of oxytocin-mediated long-term depression in the nucleus accumbens. Finally, identification of differentially expressed genes in the ‘open state’ versus the ‘closed state’ provides evidence that reorganization of the extracellular matrix is a common downstream mechanism underlying psychedelic drug-mediated critical period reopening. Together these results have important implications for the implementation of psychedelics in clinical practice, as well as the design of novel compounds for the treatment of neuropsychiatric disease.

          Abstract

          Behavioural electrophysiological and transcriptomic studies in mice show that psychedelic drugs reopen the social reward learning critical period and suggest that this involves reorganization of the extracellular matrix.

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          Most cited references71

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          GENCODE reference annotation for the human and mouse genomes

          Abstract The accurate identification and description of the genes in the human and mouse genomes is a fundamental requirement for high quality analysis of data informing both genome biology and clinical genomics. Over the last 15 years, the GENCODE consortium has been producing reference quality gene annotations to provide this foundational resource. The GENCODE consortium includes both experimental and computational biology groups who work together to improve and extend the GENCODE gene annotation. Specifically, we generate primary data, create bioinformatics tools and provide analysis to support the work of expert manual gene annotators and automated gene annotation pipelines. In addition, manual and computational annotation workflows use any and all publicly available data and analysis, along with the research literature to identify and characterise gene loci to the highest standard. GENCODE gene annotations are accessible via the Ensembl and UCSC Genome Browsers, the Ensembl FTP site, Ensembl Biomart, Ensembl Perl and REST APIs as well as https://www.gencodegenes.org.
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            NMDA Receptor Blockade at Rest Triggers Rapid Behavioural Antidepressant Responses

            Clinical studies consistently demonstrate that a single sub-psychomimetic dose of ketamine, an ionotropic glutamatergic n-methyl-d-aspartate receptor (NMDAR) antagonist, produces fast-acting antidepressant responses in patients suffering from major depressive disorder (MDD), although the underlying mechanism is unclear 1-3 . Depressed patients report alleviation of MDD symptoms within two hours of a single low-dose intravenous infusion of ketamine with effects lasting up to two weeks 1-3 , unlike traditional antidepressants (i.e. serotonin reuptake inhibitors), which take weeks to reach efficacy. This delay is a major drawback to current MDD therapies, leaving a need for faster acting antidepressants particularly for suicide-risk patients 3 . Ketamine's ability to produce rapidly acting, long-lasting antidepressant responses in depressed patients provides a unique opportunity to investigate underlying cellular mechanisms. We show that ketamine and other NMDAR antagonists produce fast-acting behavioural antidepressant-like effects in mouse models that depend on rapid synthesis of brain-derived neurotrophic factor (BDNF). We find that ketamine-mediated NMDAR blockade at rest deactivates eukaryotic elongation factor 2 (eEF2) kinase (also called CaMKIII) resulting in reduced eEF2 phosphorylation and desuppression of BDNF translation. Furthermore, we find inhibitors of eEF2 kinase induce fast-acting behavioural antidepressant-like effects. Our findings suggest that protein synthesis regulation by spontaneous neurotransmission may serve as a viable therapeutic target for fast-acting antidepressant development.
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              Psilocybin produces substantial and sustained decreases in depression and anxiety in patients with life-threatening cancer: A randomized double-blind trial

              Cancer patients often develop chronic, clinically significant symptoms of depression and anxiety. Previous studies suggest that psilocybin may decrease depression and anxiety in cancer patients. The effects of psilocybin were studied in 51 cancer patients with life-threatening diagnoses and symptoms of depression and/or anxiety. This randomized, double-blind, cross-over trial investigated the effects of a very low (placebo-like) dose (1 or 3 mg/70 kg) vs. a high dose (22 or 30 mg/70 kg) of psilocybin administered in counterbalanced sequence with 5 weeks between sessions and a 6-month follow-up. Instructions to participants and staff minimized expectancy effects. Participants, staff, and community observers rated participant moods, attitudes, and behaviors throughout the study. High-dose psilocybin produced large decreases in clinician- and self-rated measures of depressed mood and anxiety, along with increases in quality of life, life meaning, and optimism, and decreases in death anxiety. At 6-month follow-up, these changes were sustained, with about 80% of participants continuing to show clinically significant decreases in depressed mood and anxiety. Participants attributed improvements in attitudes about life/self, mood, relationships, and spirituality to the high-dose experience, with >80% endorsing moderately or greater increased well-being/life satisfaction. Community observer ratings showed corresponding changes. Mystical-type psilocybin experience on session day mediated the effect of psilocybin dose on therapeutic outcomes. Trial Registration ClinicalTrials.gov identifier: NCT00465595
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                Author and article information

                Contributors
                gul@dolenlab.org
                Journal
                Nature
                Nature
                Nature
                Nature Publishing Group UK (London )
                0028-0836
                1476-4687
                14 June 2023
                14 June 2023
                2023
                : 618
                : 7966
                : 790-798
                Affiliations
                [1 ]GRID grid.21107.35, ISNI 0000 0001 2171 9311, The Solomon H. Snyder Department of Neuroscience, , Johns Hopkins University, School of Medicine, ; Baltimore, MD USA
                [2 ]GRID grid.21107.35, ISNI 0000 0001 2171 9311, The Brain Science Institute, , Johns Hopkins University, School of Medicine, ; Baltimore, MD USA
                [3 ]GRID grid.280502.d, ISNI 0000 0000 8741 3625, Department of Oncology, Division of Biostatistics and Bioinformatics, , Sidney Kimmel Comprehensive Cancer Center, ; Baltimore, MD USA
                [4 ]GRID grid.21107.35, ISNI 0000 0001 2171 9311, McKusick–Nathans Department of Genetic Medicine, , Johns Hopkins University, School of Medicine, ; Baltimore, MD USA
                [5 ]GRID grid.21107.35, ISNI 0000 0001 2171 9311, The Kavli Neuroscience Discovery Institute, , Johns Hopkins University, School of Medicine, ; Baltimore, MD USA
                [6 ]GRID grid.21107.35, ISNI 0000 0001 2171 9311, The Department of Neurology, , Johns Hopkins University, School of Medicine, ; Baltimore, MD USA
                [7 ]GRID grid.21107.35, ISNI 0000 0001 2171 9311, The Center for Psychedelics and Consciousness Research, , Johns Hopkins University, School of Medicine, ; Baltimore, MD USA
                [8 ]GRID grid.21107.35, ISNI 0000 0001 2171 9311, The Wendy Klag Institute for Autism and Developmental Disabilities, , Johns Hopkins University, School of Medicine, ; Baltimore, MD USA
                Author information
                http://orcid.org/0000-0002-6227-7027
                http://orcid.org/0000-0003-2875-451X
                http://orcid.org/0000-0003-1780-995X
                Article
                6204
                10.1038/s41586-023-06204-3
                10284704
                37316665
                8ed05489-e1e6-45aa-8327-ee6d2a2a34f7
                © The Author(s) 2023

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

                History
                : 31 August 2021
                : 11 May 2023
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                Custom metadata
                © Springer Nature Limited 2023

                Uncategorized
                cooperation,long-term memory,social behaviour
                Uncategorized
                cooperation, long-term memory, social behaviour

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