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DMT and harmine responses in monocyte-derived microglia- like cells from patients with treatment-resistant depression

Francisco Cid Coelho Pinto, Fátima Cássia Evangelista Oliveira, Hilda Tahim Souza, José Brito Vieira Neto, Isabelle de Fátima Vieira Camelo Maia, Sérgio André Souza Júnior, Fábio Oliveira Silva Ribeiro, Alyne Rodrigues Araujo Nobre, Claudio Costa Dos Santos, Islay Lima Magalhães, Caio Andrade Oliveira, Deysi Viviana Tenazoa Wong, Claudia Do Ó Pessoa, David Freitas Lucena, Maria Francilene Souza Silva, Danielle S. Macêdo

preprint DOI: 10.21203/rs.3.rs-11516239/v1 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Exploratory in vitro laboratory study
Sample size 11
Population Monocyte-derived microglia-like cells (iMGs) from four healthy controls and seven patients with treatment-resistant depression
Interventions DMT Harmine
Dose DMT 90 µg/mL; harmine 35 µM
Duration LPS 24 h; DMT or harmine 3 h
Measures IL10, IL6, CD86, CD200, high-content imaging
Topics Depression DMT
Key points DMT increased IL10 expression in TRD-derived iMGs relative to LPS alone (mean difference 0.4088; 95% CI 0.1546–0.6629), while neither DMT nor harmine significantly reduced LPS-induced IL6 after adjustment. CD86 and CD200 positivity showed no significant condition effects, and process number showed an overall condition effect without significant drug-versus-LPS contrasts after correction. The authors propose IL10 transcription as a candidate response measure for replication, cautioning that small samples and other limitations preclude inference about disease specificity or clinical efficacy.

Abstract

Abstract Purpose To examine cytokine, surface-marker, and morphological responses to N, N-dimethyltryptamine (DMT) and harmine in lipopolysaccharide (LPS)-challenged monocyte-derived microglia-like cells (iMGs) from patients with treatment-resistant depression (TRD).

Methods: This exploratory study used assay-specific subsets of a cohort of four healthy controls and seven patients with TRD. The principal pharmacological assays used TRD-derived iMGs. Parallel cultures were compared under control conditions, LPS alone (100 ng/mL, 24 h), or LPS followed by DMT (90 µg/mL) or harmine (35 µM) for 3 h. Cytokine transcripts and surface-marker positivity were evaluated in four donors, and high-content imaging in three.

Results: DMT increased IL10 expression relative to LPS alone (mean difference, 0.4088; 95% confidence interval, 0.1546–0.6629; Tukey-adjusted p = 0.0134). LPS increased IL6 relative to control (adjusted p = 0.0305), whereas neither compound significantly reduced IL6 after adjustment. CD86 and CD200 positivity showed no significant condition effects. Process number showed an overall condition effect (exact Friedman p = 0.017), without significant drug-versus-LPS contrasts after Holm correction.

Conclusion: IL10 transcription is a candidate response measure for replication. Small donor samples, the absence of matched healthy-control pharmacological assays, and concentration-selection limitations prevent inference about disease specificity, generalized anti-inflammatory activity, or clinical efficacy.

Comparable studies

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