Long-term use of psychedelic drugs is associated with differences in brain structure and personality in humans


Por: Bouso J.C., Palhano-Fontes F., Rodríguez-Fornells A., Ribeiro S., Sanches R., Crippa J.A.S., Hallak J.E.C., de Araujo D.B., Riba J.

Publicada: 1 ene 2015
Resumen:
Psychedelic agents have a long history of use by humans for their capacity to induce profound modifications in perception, emotion and cognitive processes. Despite increasing knowledge of the neural mechanisms involved in the acute effects of these drugs, the impact of sustained psychedelic use on the human brain remains largely unknown. Molecular pharmacology studies have shown that psychedelic 5-hydroxytryptamine (5HT)2A agonists stimulate neurotrophic and transcription factors associated with synaptic plasticity. These data suggest that psychedelics could potentially induce structural changes in brain tissue. Here we looked for differences in cortical thickness (CT) in regular users of psychedelics. We obtained magnetic resonance imaging (MRI) images of the brains of 22 regular users of ayahuasca (a preparation whose active principle is the psychedelic 5HT2A agonist N,N-dimethyltryptamine (DMT)) and 22 controls matched for age, sex, years of education, verbal IQ and fluid IQ. Ayahuasca users showed significant CT differences in midline structures of the brain, with thinning in the posterior cingulate cortex (PCC), a key node of the default mode network. CT values in the PCC were inversely correlated with the intensity and duration of prior use of ayahuasca and with scores on self-transcendence, a personality trait measuring religiousness, transpersonal feelings and spirituality. Although direct causation cannot be established, these data suggest that regular use of psychedelic drugs could potentially lead to structural changes in brain areas supporting attentional processes, self-referential thought, and internal mentation. These changes could underlie the previously reported personality changes in long-term users and highlight the involvement of the PCC in the effects of psychedelics. © 2015 Elsevier B.V. and ECNP.

Filiaciones:
Bouso J.C.:
 Human Neuropsychopharmacology Group, Sant Pau Institute of Biomedical Research (IIB-Sant Pau), C/Sant Antoni María Claret, 167, Barcelona, 08025, Spain

 International Center for Ethnobotanical Education, Research and Service, Barcelona, Spain

Palhano-Fontes F.:
 Brain Institute/Hospital Universitario Onofre Lopes, Federal University of Rio Grande do Norte, Natal, Brazil

Rodríguez-Fornells A.:
 Cognition and Brain Plasticity Group, IDIBELL (Bellvitge Biomedical Research Institute), L'Hospitalet de Llobregat, Barcelona, 08097, Spain

 Department of Basic Psychology, University of Barcelona, Barcelona, 08035, Spain

 Catalan Institution for Research and Advanced Studies, ICREA, Barcelona, Spain

Ribeiro S.:
 Brain Institute/Hospital Universitario Onofre Lopes, Federal University of Rio Grande do Norte, Natal, Brazil

Sanches R.:
 Neuroscience and Behaviour Department, Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil

Crippa J.A.S.:
 Neuroscience and Behaviour Department, Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil

Hallak J.E.C.:
 Neuroscience and Behaviour Department, Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil

de Araujo D.B.:
 Brain Institute/Hospital Universitario Onofre Lopes, Federal University of Rio Grande do Norte, Natal, Brazil

Riba J.:
 Human Neuropsychopharmacology Group, Sant Pau Institute of Biomedical Research (IIB-Sant Pau), C/Sant Antoni María Claret, 167, Barcelona, 08025, Spain

 Centre d'Investigació de Medicaments, Servei de Farmacologia Clínica, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain

 Departament de Farmacologia i Terapèutica, Universitat Autònoma de Barcelona, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Barcelona, Spain
ISSN: 0924977X
Editorial
ELSEVIER, RADARWEG 29, 1043 NX AMSTERDAM, NETHERLANDS, Países Bajos
Tipo de documento: Article
Volumen: 25 Número: 4
Páginas: 483-492
WOS Id: 000354144100005
ID de PubMed: 25637267
imagen All Open Access; Green

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