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Acute effects of LSD on amygdala activity during processing of fearful stimuli in healthy subjects

Felix Mueller, Claudia Lenz, Patrick C. Dolder, Samuel Harder, Yasmin Schmid, Undine E. Lang, Matthias E. Liechti, Stefan Borgwardt

Translational Psychiatry April 4, 2017 DOI: 10.1038/tp.2017.54 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Randomized controlled trial Double-blind Peer reviewed
Sample size 20
Population Healthy subjects
Intervention Lysergic acid diethylamide (LSD)
Dose 100 μg
Topics LSD
Keywords Amygdala Hallucinogen Placebo Audiology Prefrontal cortex
Citations 124
Registration NCT02308969
Key findings LSD reduced reactivity of the left amygdala and right medial prefrontal cortex during fearful face processing, with a negative correlation between amygdala response and subjective drug effects.

Abstract

Abstract Lysergic acid diethylamide (LSD) induces profound changes in various mental domains, including perception, self-awareness and emotions. We used functional magnetic resonance imaging (fMRI) to investigate the acute effects of LSD on the neural substrate of emotional processing in humans. Using a double-blind, randomised, cross-over study design, placebo or 100 μg LSD were orally administered to 20 healthy subjects before the fMRI scan, taking into account the subjective and pharmacological peak effects of LSD. The plasma levels of LSD were determined immediately before and after the scan. The study (including the a priori -defined study end point) was registered at ClinicalTrials.gov before study start (NCT02308969). The administration of LSD reduced reactivity of the left amygdala and the right medial prefrontal cortex relative to placebo during the presentation of fearful faces ( P <0.05, family-wise error). Notably, there was a significant negative correlation between LSD-induced amygdala response to fearful stimuli and the LSD-induced subjective drug effects ( P <0.05). These data suggest that acute administration of LSD modulates the engagement of brain regions that mediate emotional processing.

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