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A spatiotemporal gating hypothesis for psilocybin plasticity: reconciling the 5-HT₂A-TrkB mechanistic paradox.

Gang Pei

Cell Discov May 29, 2026 DOI: 10.1038/s41421-026-00906-4 (opens in new tab) via PubMed Central

Summary

AI-generated from the abstract

The authors propose a spatiotemporal gating hypothesis to resolve a paradox in how psilocybin produces lasting neural plasticity. Psilocybin activates 5-HT₂A receptors, but the plasticity it induces requires TrkB signaling, even though psilocybin does not directly bind TrkB. The hypothesis suggests that 5-HT₂A activation creates a specific pattern of neural activity—a spatiotemporal gate—that indirectly engages TrkB signaling, reconciling the two mechanisms. This framework aims to explain how a brief psychedelic experience can lead to sustained changes in brain structure and function.

Study at a glance

Characteristics Theoretical or philosophical paper Peer reviewed
Key finding Proposes that psilocybin's paradoxical activation of both 5-HT₂A and TrkB receptors is reconciled by a spatiotemporal gating mechanism that coordinates their signaling to produce neuroplasticity.

Abstract

A spatiotemporal gating hypothesis for psilocybin plasticity: reconciling the 5-HT₂A-TrkB mechanistic paradox.

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