fMRI brain imaging illuminates magic mushrooms' psychedelic effects

January 23, 2012, Imperial College London

Brain scans of people under the influence of the psilocybin, the active ingredient in magic mushrooms, have given scientists the most detailed picture to date of how psychedelic drugs work. The findings of two studies being published in scientific journals this week identify areas of the brain where activity is suppressed by psilocybin and suggest that it helps people to experience memories more vividly.

In the first study, published today in (PNAS), 30 healthy volunteers had psilocybin infused into their blood while inside (MRI) scanners, which measure changes in brain activity. The scans showed that activity decreased in "hub" regions of the brain – areas that are especially well-connected with other areas.

The second study, due to be published online by the British Journal of Psychiatry on Thursday, found that psilocybin enhanced volunteers' recollections of personal memories, which the researchers suggest could make it useful as an adjunct to psychotherapy.

Professor David Nutt, from the Department of Medicine at Imperial College London, the senior author of both studies, said: "Psychedelics are thought of as 'mind-expanding' drugs so it has commonly been assumed that they work by increasing brain activity, but surprisingly, we found that psilocybin actually caused activity to decrease in areas that have the densest connections with other areas. These hubs constrain our experience of the world and keep it orderly. We now know that deactivating these regions leads to a state in which the world is experienced as strange."

The intensity of the effects reported by the participants, including visions of geometric patterns, unusual bodily sensations and altered sense of space and time, correlated with a decrease in oxygenation and in certain parts of the brain.

The function of these areas, the medial prefrontal cortex (mPFC) and the posterior cingulate cortex (PCC), is the subject of debate among neuroscientists, but the PCC is proposed to have a role in consciousness and self-identity. The mPFC is known to be hyperactive in depression, so psilocybin's action on this area could be responsible for some antidepressant effects that have been reported. Similarly, psilocybin reduced blood flow in the hypothalamus, where blood flow is increased during cluster headaches, perhaps explaining why some sufferers have said symptoms improved under psilocybin.

In the British Journal of Psychiatry study 10 volunteers viewed written cues that prompted them to think about memories associated with strong positive emotions while inside the brain scanner. The participants rated their recollections as being more vivid after taking psilocybin compared with a placebo, and with psilocybin there was increased activity in areas of the brain that process vision and other sensory information.

Participants were also asked to rate changes in their emotional wellbeing two weeks after taking the psilocybin and placebo. Their ratings of vividness under the drug showed a significant positive correlation with their wellbeing two weeks afterwards. In a previous study of 12 people in 2011, researchers found that people with anxiety who were given a single psilocybin treatment had decreased depression scores six months later.

Dr Robin Carhart-Harris, from the Department of Medicine at Imperial College London, the first author of both papers, said: "Psilocybin was used extensively in psychotherapy in the 1950s, but the biological rationale for its use has not been properly investigated until now. Our findings support the idea that psilocybin facilitates access to personal memories and emotions.

"Previous studies have suggested that psilocybin can improve people's sense of emotional wellbeing and even reduce depression in people with anxiety. This is consistent with our finding that psilocybin decreases mPFC activity, as many effective depression treatments do. The effects need to be investigated further, and ours was only a small study, but we are interested in exploring psilocybin's potential as a therapeutic tool."

The researchers acknowledged that because the participants in this study had volunteered after having previous experience of psychedelics, they may have held prior assumptions about the drugs which could have contributed to the positive memory rating and the reports of improved wellbeing in the follow-up.

Functional MRI measures indirectly by mapping blood flow or the oxygen levels in the blood. When an area becomes more active, it uses more glucose, but generates energy in rapid chemical reactions that do not use oxygen. Consequently, blood flow increases but oxygen consumption does not, resulting in a higher concentration of oxygen in blood in the local veins.

In the PNAS study, the volunteers were split into two groups, each studied using a different type of fMRI: 15 were scanned using arterial spin labelling (ASL) perfusion fMRI, which measures blood flow, and 15 using blood-oxygen level-dependent (BOLD) fMRI. The two modalities produced similar results, strongly suggesting that the observed effects were genuine.

Explore further: Single dose of hallucinogen may create lasting personality change

More information: R Carhart-Harris et al. 'Neural correlates of the psychedelic state as determined by fMRI studies with psilocybin.' Proceedings of the National Academy of Sciences, published online 23 January 2012.

R Carhart-Harris et al. 'Implications for psychedelic-assisted psychotherapy: a functional magnetic resonance imaging study.' British Journal of Psychiatry, published online 26 January 2012.

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Telekinetic
2.3 / 5 (3) Jan 23, 2012
I can't think of any worse circumstances for a "bad trip" than being confined inside the horrible cacophony of buzzing, clicks and whirs of an MRI machine. No thanks.
Neophile
not rated yet Jan 23, 2012
@Telekinetic - meh can't be any more cacophonous than Burning Man.
Argiod
4 / 5 (4) Jan 24, 2012
I think if they did the same experiments with any natural psychoactive product the results would be equivalent. They are all based upon the Indole ring. Indolence means 'freedom from pain'; and, indeed, when Hoffman was developing LSD, it was as a migraine treatment.
It is time we re-evaluated our stand on the use of psychedelics, at least in a clinical setting under the guidance of a qualified therapist. The ancients knew of the proper use of these natural substances... it is time we learned from the so-called 'primitive' cultures around the world, before they are all wiped out by our encroachment.
ekim
5 / 5 (3) Jan 24, 2012
Sadly the therapeutic effects are too effective. Why would a pharmaceutical company sell a product which effective cures depression and anxiety for months at a time with one dose. It is far more profitable to sell "cures" in daily doses.
rubberman
1 / 5 (1) Jan 24, 2012
Tele, Ari and Ekim... I totally agree! Sorry Neo, I have to revisit the meaning of Cacophonous....
tjcoop3
1 / 5 (1) Jan 24, 2012
It is sad that the British are willing to check the efficacy of natural substances such as psilocybin and cannabis while in the US the Justice Dept. pretty much keeps a clamp on any experimentation. Political correctness in the US is far more important than helping the sick and infirm.
Arseholes!

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