Psychedelics promote neuroplasticity through the activation of intracellular 5-HT2A receptors

Science. 2023 Feb 17;379(6633):700-706. doi: 10.1126/science.adf0435. Epub 2023 Feb 16.

Abstract

Decreased dendritic spine density in the cortex is a hallmark of several neuropsychiatric diseases, and the ability to promote cortical neuron growth has been hypothesized to underlie the rapid and sustained therapeutic effects of psychedelics. Activation of 5-hydroxytryptamine (serotonin) 2A receptors (5-HT2ARs) is essential for psychedelic-induced cortical plasticity, but it is currently unclear why some 5-HT2AR agonists promote neuroplasticity, whereas others do not. We used molecular and genetic tools to demonstrate that intracellular 5-HT2ARs mediate the plasticity-promoting properties of psychedelics; these results explain why serotonin does not engage similar plasticity mechanisms. This work emphasizes the role of location bias in 5-HT2AR signaling, identifies intracellular 5-HT2ARs as a therapeutic target, and raises the intriguing possibility that serotonin might not be the endogenous ligand for intracellular 5-HT2ARs in the cortex.

MeSH terms

  • Animals
  • Antidepressive Agents* / pharmacology
  • Cerebral Cortex* / drug effects
  • Cerebral Cortex* / physiology
  • Hallucinogens* / pharmacology
  • Mice
  • Mice, Knockout
  • Neuronal Plasticity* / drug effects
  • Receptor, Serotonin, 5-HT2A* / genetics
  • Receptor, Serotonin, 5-HT2A* / metabolism
  • Serotonin / pharmacology
  • Serotonin 5-HT2 Receptor Agonists* / pharmacology
  • Signal Transduction

Substances

  • Hallucinogens
  • Serotonin
  • Serotonin 5-HT2 Receptor Agonists
  • Receptor, Serotonin, 5-HT2A
  • Antidepressive Agents