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On the transmethylation hypothesis: stress, N,N-dimethyltryptamine, and positive symptoms of psychosis.

Dionysios Grammenos, Steven A. Barker

Journal of Neural Transmission June 2015 DOI: 10.1007/s00702-014-1329-5 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Theoretical or philosophical paper Peer reviewed
Topics 5-MeO-DMT DMT
Key points Argues that endogenous DMT may act as a biological mediator between stress and positive symptoms of psychosis, citing rodent evidence that stress raises DMT levels, associations between elevated DMT and positive psychotic features in patients, and predominantly positive symptoms in healthy people given exogenous DMT.

Abstract

Past research suggests a relationship between stress and positive symptoms of psychosis. However, the biological substrate of this relationship remains unknown. According to the transmethylation hypothesis, schizophrenia could result from a biochemical disruption in the stress mechanism. This biochemical disruption would lead to the production of a substance that would account for the symptoms of psychosis. Moreover, some studies have tested endogenous N,N-dimethyltryptamine (DMT) in the context of the transmethylation hypothesis. Stress has been found to elevate DMT levels in rodents. Also, elevated DMT levels have been associated with positive features of psychosis in psychiatric patients. Additionally, healthy participants treated with exogenous DMT experience predominantly positive symptoms of psychosis. The present paper examines endogenous DMT as a possible biological mediator of the relationship between stress and positive symptoms of psychosis.

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