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2017 ; 20
(9
): 698-711
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Assessing the Psychedelic "After-Glow" in Ayahuasca Users: Post-Acute
Neurometabolic and Functional Connectivity Changes Are Associated with Enhanced
Mindfulness Capacities
#MMPMID28525587
Sampedro F
; de la Fuente Revenga M
; Valle M
; Roberto N
; Domínguez-Clavé E
; Elices M
; Luna LE
; Crippa JAS
; Hallak JEC
; de Araujo DB
; Friedlander P
; Barker SA
; Álvarez E
; Soler J
; Pascual JC
; Feilding A
; Riba J
Int J Neuropsychopharmacol
2017[Sep]; 20
(9
): 698-711
PMID28525587
show ga
BACKGROUND: Ayahuasca is a plant tea containing the psychedelic 5-HT2A agonist
N,N-dimethyltryptamine and harmala monoamine-oxidase inhibitors. Acute
administration leads to neurophysiological modifications in brain regions of the
default mode network, purportedly through a glutamatergic mechanism.
Post-acutely, ayahuasca potentiates mindfulness capacities in volunteers and
induces rapid and sustained antidepressant effects in treatment-resistant
patients. However, the mechanisms underlying these fast and maintained effects
are poorly understood. Here, we investigated in an open-label uncontrolled study
in 16 healthy volunteers ayahuasca-induced post-acute neurometabolic and
connectivity modifications and their association with mindfulness measures.
METHODS: Using 1H-magnetic resonance spectroscopy and functional connectivity, we
compared baseline and post-acute neurometabolites and seed-to-voxel connectivity
in the posterior and anterior cingulate cortex after a single ayahuasca dose.
RESULTS: Magnetic resonance spectroscopy showed post-acute reductions in
glutamate+glutamine, creatine, and N-acetylaspartate+N-acetylaspartylglutamate in
the posterior cingulate cortex. Connectivity was increased between the posterior
cingulate cortex and the anterior cingulate cortex, and between the anterior
cingulate cortex and limbic structures in the right medial temporal lobe.
Glutamate+glutamine reductions correlated with increases in the "nonjudging"
subscale of the Five Facets Mindfulness Questionnaire. Increased anterior
cingulate cortex-medial temporal lobe connectivity correlated with increased
scores on the self-compassion questionnaire. Post-acute neural changes predicted
sustained elevations in nonjudging 2 months later. CONCLUSIONS: These results
support the involvement of glutamate neurotransmission in the effects of
psychedelics in humans. They further suggest that neurometabolic changes in the
posterior cingulate cortex, a key region within the default mode network, and
increased connectivity between the anterior cingulate cortex and medial temporal
lobe structures involved in emotion and memory potentially underlie the
post-acute psychological effects of ayahuasca.