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The 5-HT2A/1A Agonist Psilocybin Disrupts Modal Object Completion Associated with Visual Hallucinations

Michael Kometer, B. Rael Cahn, David Andel, Olivia Carter, Franz X. Vollenweider

Biological Psychiatry December 4, 2010 DOI: 10.1016/j.biopsych.2010.10.002 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Placebo-controlled crossover trial Peer reviewed
Sample size 17
Population Normal volunteers
Intervention Psilocybin
Dose 125 and 250 μg/kg
Topics Psilocybin Serotonin
Keywords Visual hallucination Agonist Hallucinogen Object grammar Cognitive psychology Audiology Artificial intelligence Receptor
Citations 101
Key findings Psilocybin dose-dependently decreased the N170 component and slightly enhanced the P1 component, with the N170 reduction correlating with visual hallucination intensity.

Abstract

BackgroundRecent findings suggest that the serotonergic system and particularly the 5-HT2A/1A receptors are implicated in visual processing and possibly the pathophysiology of visual disturbances including hallucinations in schizophrenia and Parkinson's disease.MethodsTo investigate the role of 5-HT2A/1A receptors in visual processing the effect of the hallucinogenic 5-HT2A/1A agonist psilocybin (125 and 250 μg/kg vs. placebo) on the spatiotemporal dynamics of modal object completion was assessed in normal volunteers (n = 17) using visual evoked potential recordings in conjunction with topographic-mapping and source analysis. These effects were then considered in relation to the subjective intensity of psilocybin-induced visual hallucinations quantified by psychometric measurement.ResultsPsilocybin dose-dependently decreased the N170 and, in contrast, slightly enhanced the P1 component selectively over occipital electrode sites. The decrease of the N170 was most apparent during the processing of incomplete object figures. Moreover, during the time period of the N170, the overall reduction of the activation in the right extrastriate and posterior parietal areas correlated positively with the intensity of visual hallucinations.ConclusionsThese results suggest a central role of the 5-HT2A/1A-receptors in the modulation of visual processing. Specifically, a reduced N170 component was identified as potentially reflecting a key process of 5-HT2A/1A receptor-mediated visual hallucinations and aberrant modal object completion potential.

Comparable studies

Other randomized controlled trials on serotonin, most cited first.

Study Year Design Participants
Acute psychological and physiological effects of psilocybin in healthy humans: a double-blind, placebo-controlled dose?effect study Healthy human subjects 2004 Randomized controlled trial n = 8
Dose-Response Study of N,N-Dimethyltryptamine in Humans Experienced hallucinogen users 1994 Double-blind, saline placebo-controlled, randomized study n = 12
Acute Effects of Lysergic Acid Diethylamide in Healthy Subjects Healthy subjects (8 women, 8 men) 2014 Double-blind, randomized, placebo-controlled, crossover study n = 16
Changes in global and thalamic brain connectivity in LSD-induced altered states of consciousness are attributable to the 5-HT2A receptor Healthy human participants 2018 Double-blind, randomized, counterbalanced, cross-over study n = 24
Activation of Serotonin 2A Receptors Underlies the Psilocybin-Induced Effects on Oscillations, N170 Visual-Evoked Potentials, and Visual Hallucinations Healthy human subjects 2013 Randomized controlled trial

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