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Differential contributions of serotonergic and dopaminergic functional connectivity to the phenomenology of LSD

Timothy Lawn, Ottavia Dipasquale, Alexandros Vamvakas, Ioannis Tsougos, Mitul A. Mehta, Matthew A. Howard

Psychopharmacology March 24, 2022 DOI: 10.1007/s00213-022-06117-5 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Secondary analysis of experimental data Peer reviewed
Sample size 15
Population Healthy adults
Intervention LSD
Topics Serotonin LSD Philosophy of mind
Keywords Dopaminergic 5-HT Receptor Agonist
Citations 48
Key findings LSD produces dissociable changes in functional connectivity enriched for serotonergic and dopaminergic receptors, with serotonin receptors linked to perceptual effects and dopamine receptors linked to cognition and selfhood.

Abstract

Abstract Rationale LSD is the prototypical psychedelic. Despite a clear central role of the 5HT 2a receptor in its mechanism of action, the contributions of additional receptors for which it shows affinity and agonist activity remain unclear.

Objectives: We employed receptor-enriched analysis of functional connectivity by targets (REACT) to explore differences in functional connectivity (FC) associated with the distributions of the primary targets of LSD—the 5HT 1a , 5HT 1b , 5HT 2a , D1 and D2 receptors.

Methods: We performed secondary analyses of an openly available dataset ( N = 15) to estimate the LSD-induced alterations in receptor-enriched FC maps associated with these systems. Principal component analysis (PCA) was employed as a dimension reduction strategy for subjective experiences associated with LSD captured by the Altered States of Consciousness (ASC) questionnaire. Correlations between these principal components as well as VAS ratings of subjective effects with receptor-enriched FC were explored.

Results: Compared to placebo, LSD produced differences in FC when the analysis was enriched with each of the primary serotonergic and dopaminergic receptors. Altered receptor-enriched FC showed relationships with the subjective effects of LSD on conscious experience, with serotonergic and dopaminergic systems being predominantly associated with perceptual effects and perceived selfhood as well as cognition respectively. These relationships were dissociable, with different receptors showing the same relationships within, but not between, the serotonergic and dopaminergic systems.

Conclusions: These exploratory findings provide new insights into the pharmacology of LSD and highlight the need for additional investigation of non-5HT 2a -mediated mechanisms.

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