2020
DOI: 10.1101/2020.05.01.072314
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Serotonergic psychedelic drugs LSD and psilocybin reduce the hierarchical differentiation of unimodal and transmodal cortex

Abstract: LSD is a potent serotonergic psychedelic compound. Findings indicate that psychotherapeutic applications of LSD and related psychedelic compounds have value in the treatment of mental health disorders. Deepening our understanding of LSD brain action may shed light on the mechanisms underlying the effectiveness of psychedelic therapy. A recent model hypothesized reduced whole-brain hierarchical organization as a key mechanism underlying the psychedelic state, but this has yet to be directly tested. Here, we app… Show more

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Cited by 31 publications
(46 citation statements)
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“…Our analysis of transition probabilities supported this hypothesis (Figure 4a, i, diagonal). The increased persistence of states (SOM-) dominated by somatomotor/salience (bottom-up) activity and correspondingly, the decreased persistence of states (FPN+) dominated by frontoparietal (top-down) activity seen under LSD fits with a flattening of the functional hierarchy proposed by REBUS 2,37 .…”
Section: Lsd Modulates Brain Dynamics By Increasing Occupancy In Bottom-up Somatomotor-dominated Brain-statesmentioning
confidence: 60%
“…Our analysis of transition probabilities supported this hypothesis (Figure 4a, i, diagonal). The increased persistence of states (SOM-) dominated by somatomotor/salience (bottom-up) activity and correspondingly, the decreased persistence of states (FPN+) dominated by frontoparietal (top-down) activity seen under LSD fits with a flattening of the functional hierarchy proposed by REBUS 2,37 .…”
Section: Lsd Modulates Brain Dynamics By Increasing Occupancy In Bottom-up Somatomotor-dominated Brain-statesmentioning
confidence: 60%
“…Furthermore autism also has been found to relate to differences in this multimodal network hierarchy 82 . The relationship between hierarchical organization in the brain and criticality (including critical slowing) was the focus of a recent major review on the acute and potential therapeutic action of psychedelics 32 – and flattened functional hierarchy in the brain has recently been observed in formal ‘gradient-based’ analyses applied to the present dataset 83 .…”
Section: Discussionmentioning
confidence: 94%
“…in the so-called ‘REBUS’ model). This model, which is receiving growing empirical support ( Alamia et al, 2020 ; Girn et al, 2020 ), argues that the de-weighting (decreased ‘precision’) of internal predictive models (‘prior probability distributions’) under psychedelics opens a window for their subsequent revision ( Carhart-Harris and Friston, 2019 ). Consistently, it can be hypothesized here that in individuals undergoing intense PiMSs, the brain inhabits a mode of functioning that is conducive to the modulation or recalibration of internal predictive models, including how they are weighted.…”
Section: The Adaptive Function Of Pivotal Mental Statesmentioning
confidence: 99%