Psychedelics for alzheimer's disease-related dementia: Unveiling therapeutic possibilities and pathways.

Prabhu Chandra Mishra, Abdulmajeed G Almutary, Mosleh Mohammad Abomughaid, Abhishek Kumar Singh, Saurabh Gupta, Danish Iqbal, Shampa Ghosh, Rakesh Bhaskar, Jitendra Kumar Sinha, Sung Soo Han, Niraj Kumar Jha, Saurabh Kumar Jha, Anchal Trisal, Krishna Kumar Singh, Madhumita Mahapatra, Ali M Abomughayedh

Journal: Ageing research reviews 2024;96():102211

PMID: 38307424

Abstract

Psychedelics have traditionally been used for spiritual and recreational purposes, but recent developments in psychotherapy have highlighted their potential as therapeutic agents. These compounds, which act as potent 5-hydroxytryptamine (5HT) agonists, have been recognized for their ability to enhance neural plasticity through the activation of the serotoninergic and glutamatergic systems. However, the implications of these findings for the treatment of neurodegenerative disorders, particularly dementia, have not been fully explored. In recent years, studies have revealed the modulatory and beneficial effects of psychedelics in the context of dementia, specifically Alzheimer's disease (AD)-related dementia, which lacks a definitive cure. Psychedelics such as N,N-dimethyltryptamine (DMT), lysergic acid diethylamide (LSD), and Psilocybin have shown potential in mitigating the effects of this debilitating disease. These compounds not only target neurotransmitter imbalances but also act at the molecular level to modulate signalling pathways in AD, including the brain-derived neurotrophic factor signalling pathway and the subsequent activation of mammalian target of rapamycin and other autophagy regulators. Therefore, the controlled and dose-dependent administration of psychedelics represents a novel therapeutic intervention worth exploring and considering for the development of drugs for the treatment of AD-related dementia. In this article, we critically examined the literature that sheds light on the therapeutic possibilities and pathways of psychedelics for AD-related dementia. While this emerging field of research holds great promise, further studies are necessary to elucidate the long-term safety, efficacy, and optimal treatment protocols. Ultimately, the integration of psychedelics into the current treatment paradigm may provide a transformative approach for addressing the unmet needs of individuals living with AD-related dementia and their caregivers.

Copyright © 2024 Elsevier B.V. All rights reserved.

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