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5-HT modulation of dopamine release in basal ganglia in psilocybin-induced psychosis in man--a PET study with [11C]raclopride.

Franz X. Vollenweider, P Vontobel, Daniel Hell, K L Leenders

Neuropsychopharmacology May 1999 DOI: 10.1016/s0893-133x(98)00108-0 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational cohort Peer reviewed
Sample size 7
Population Healthy volunteers
Intervention Psilocybin
Dose 0.25 mg/kg p.o.
Measures [11C]raclopride binding potential
Topics Psilocybin Serotonin
Key findings Psilocybin significantly decreased [11C]raclopride binding potential bilaterally in the caudate nucleus (19%) and putamen (20%), consistent with increased endogenous dopamine. Changes in ventral striatal binding potential correlated with depersonalization and euphoria.

Abstract

The modulating effects of serotonin on dopamine neurotransmission are not well understood, particularly in acute psychotic states. Positron emission tomography was used to examine the effect of psilocybin on the in vivo binding of [11C]raclopride to D2-dopamine receptors in the striatum in healthy volunteers after placebo and a psychotomimetic dose of psilocybin (n = 7). Psilocybin is a potent indoleamine hallucinogen and a mixed 5-HT2A and 5-HT1A receptor agonist. Psilocybin administration (0.25 mg/kg p.o.) produced changes in mood, disturbances in thinking, illusions, elementary and complex visual hallucinations and impaired ego-functioning. Psilocybin significantly decreased [11C]raclopride receptor binding potential (BP) bilaterally in the caudate nucleus (19%) and putamen (20%) consistent with an increase in endogenous dopamine. Changes in [11C]raclopride BP in the ventral striatum correlated with depersonalization associated with euphoria. Together with previous reports of 5-HT receptor involvement in striatal dopamine release, it is concluded that stimulation of both 5-HT2A and 5-HT1A receptors may be important for the modulation of striatal dopamine release in acute psychoses. The present results indirectly support the hypothesis of a serotonin-dopamine dysbalance in schizophrenia and suggest that psilocybin is a valuable tool in the analysis of serotonin-dopamine interactions in acute psychotic states.

Comparable studies

Other observational and cohort studies on serotonin, most cited first.

Study Year Design Participants
Psychedelic effects of psilocybin correlate with serotonin 2A receptor occupancy and plasma psilocin levels Healthy volunteers 2019 Observational cohort n = 8
Memory impairment in abstinent MDMA ("Ecstasy") users Abstinent MDMA users 1998 Observational cohort
Dynamic coupling of whole-brain neuronal and neurotransmitter systems Healthy humans 2020 Observational study
The Serotonin System and Spiritual Experiences Normal male subjects, ages 20-45 years 2003 Observational cohort n = 15
Whole-Brain Multimodal Neuroimaging Model Using Serotonin Receptor Maps Explains Non-linear Functional Effects of LSD. Healthy human participants 2018 Observational study with computational modeling

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