Classical hallucinogens and neuroimaging: A systematic review of human studies
Abstract
Serotonergic hallucinogens produce alterations of perceptions, mood, and cognition, and have anxiolytic, antidepressant, and antiaddictive properties. These drugs act as agonists of frontocortical 5-HT 2A receptors, but the neural basis of their effects are not well understood. Thus, we conducted a systematic review of neuroimaging studies analyzing the effects of serotonergic hallucinogens in man. Studies published in the PubMed, Lilacs, and SciELO databases until 12 April 2016 were included using the following keywords: "ayahuasca", "DMT", "psilocybin", "LSD", "mescaline" crossed one by one with the terms "mri", "fmri", "pet", "spect", "imaging" and "neuroimaging". Of 279 studies identified, 25 were included. Acute effects included excitation of frontolateral/frontomedial cortex, medial temporal lobe, and occipital cortex, and inhibition of the default mode network. Long-term use was associated with thinning of the posterior cingulate cortex, thickening of the anterior cingulate cortex, and decreased neocortical 5-HT 2A receptor binding. Despite the high methodological heterogeneity and the small sample sizes, the results suggest that hallucinogens increase introspection and positive mood by modulating brain activity in the fronto-temporo-parieto-occipital cortex.
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The only recent review on imaging of hallucinogen actions focusses mainly on the fMRI literature.
“The only recent review on imaging of hallucinogen actions focusses mainly on the fMRI literature [8].”
From Molecular and Functional Imaging Studies of Psychedelic Drug Action in Animals and Humans. (2021) · cites this paper as [8]
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- Authors
- dos Santos, R. G., Osório, F. L., Crippa, J. A. S., & Hallak, J. E. C.
- Affiliations
- Conselho Nacional de Desenvolvimento Científico e Tecnológico (BR)
- ORCID
- Hallak, Jaime E.C.
- Venue
- Neuroscience & Biobehavioral Reviews
- Publisher
- Elsevier BV
- Published
- 2016-12
- Volume
- 71
- Pages
- 715-728
- ISSN
- 0149-7634 (ISSN-L)
- OpenAlex
- W2546678366
- Cited by
- 107
- References
- 23
- Citations by year
- 2026: 3 · 2025: 12 · 2024: 13 · 2023: 9 · 2022: 12 · 2021: 10 · 2020: 11 · 2019: 11 · 2018: 16 · 2017: 10
- FWCI
- 1.84
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neuroscience & Biobehavioral Reviews (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Fundação de Amparo à Pesquisa do Estado de São Paulo, Brazil (1502848-2)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychedelics and Drug Studies
- Life Sciences › Neuroscience › Cognitive Neuroscience › Hallucinations in medical conditions
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Keywords
- neuroimaging, brain activity, self-reflection, positive mood, receptor binding, methodological heterogeneity
- MeSH terms
- Cerebral Cortex, Hallucinogens, Humans, Male, Psilocybin, Receptor, Serotonin, 5-HT2A, Neuroimaging
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