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Localization of serotonin 5‐HT2 receptors in living human brain by positron emission tomography using N1‐([11C]‐methyl)‐2‐BR‐LSD

Dean F. Wong, John R. Lever, Paul R. Hartig, Robert F. Dannals, Victor L. Villemagne, Beth J. Hoffman, Alan A. Wilson, Hayden T. Ravert, Jonathan M. Links, Ursula Scheffel, Henry N. Wagner

Synapse 1987 DOI: 10.1002/syn.890010502 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Clinical trial Peer reviewed
Sample size 7
Population Normal human volunteers
Topics Serotonin LSD
Keywords Ketanserin Radioligand 5-HT Receptor Putamen Human brain Temporal cortex Binding potential Endocrinology
Citations 93
Key findings [11C]-MBL selectively labels serotonin 5-HT2 receptors in human brain, with highest binding in cortical regions and lower ratios in older volunteers.

Abstract

Abstract N1‐([ 11 C]‐Methyl)‐2‐Br‐LSD ([ 11 C]‐MBL) has been developed as a positron emission tomography (PET) imaging agent for serotonin 5‐HT 2 receptors. In vitro receptor binding assays with nonradioactive MBL show high‐affinity binding to serotonin 5‐HT 2 receptors (K i = 0.5 nM), a secondary interaction of 8‐fold lower affinity with dopamine D 2 receptors, and low‐affinity interactions with α 1 ‐adrenergic as well as serotonin 5‐HT 1 receptors. Intravenous injection of [ 11 C]‐MBL in a baboon led to selective labeling of cortical regions that was markedly blocked by prior administration of ketanserin, a selective 5‐HT 2 receptor antagonist. Clinical trials with [ 11 C]‐MBL have been conducted in seven normal human volunteers, and the regional distribution of radioactivity in the brain was distinctly serotonergic. Labeling was highest in frontal, temporal, and parietal cortex with lower levels observed in caudate and putamen. The tracer rapidly washed from the cerebellum and the low levels of activity in this brain region were used to define nonspecific binding. The maximum specificity was reached between 30 and 60 minutes postinjection when frontal cortex to cerebellum ratios ranged from 1.7 for a 52‐year‐old male to 2.7 for a 30‐year‐old male. In agreement with previous studies, a trend towards lower ratios (lower serotonin 5‐HT 2 receptor levels) was observed in older volunteers. These studies indicate that [ 11 C]‐MBL is a selective radioligand that can be used to monitor serotonin 5‐HT 2 receptor densities in vivo in most regions of the human brain.

Comparable studies

Other non-randomized and open-label trials on LSD, most cited first.

Study Year Design Participants
The paradoxical psychological effects of lysergic acid diethylamide (LSD) Healthy volunteers 2016 Within-subjects controlled trial n = 20
Study of Lysergic Acid Diethylamide as an Analgesic Agent Hospital patients 1964 Clinical trial n = 50
Psychedelic Therapy Utilizing LSD in the Treatment of the Alcoholic Patient: A Preliminary Report Alcoholic patients 1967 Pilot study n = 69
LSD-induced hallucinogen persisting perception disorder treatment with clonidine: an open pilot study Patients with LSD-induced hallucinogen persisting perception disorder (HPPD) 2000 Open-label pilot study n = 8
DOET(2,5-Dimethoxy-4-Ethylamphetamine), a New Psychotropic Drug Normal male subjects 1971 Controlled trial

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