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Krystal, J. H.

Publications and source records attributed to Krystal, J. H..

2 recordsLinked to original sources

Changes in global brain connectivity in LSD-induced altered states of consciousness are attributable to the 5-HT2A receptor

Lysergic acid diethylamide (LSD) is a psychedelic drug with predominantly agonist activity at various serotonin (5-HT) and dopamine receptors. Despite the therapeutic and scientific interest in LSD, the specific receptor contributions to its neurobiological effects remain largely unknown. To address this knowledge gap, we conducted a double-blind, randomized, counterbalanced, cross-over study during which 24 healthy participants received either i) placebo+placebo, ii) placebo+LSD (100 g po), or iii) ketanserin - a selective 5-HT2A receptor antagonist. Here we focus on resting-state fMRI, a measure of spontaneous neural fluctuations that can map functional brain connectivity. We collected resting-state data 75 and 300 minutes after LSD/placebo administration. We quantified resting-state functional connectivity via a fully data-driven global brain connectivity (GBC) method to comprehensively map LSD neuropharmacological effects. LSD administration caused widespread GBC alterations that followed a specific topography: LSD reduced connectivity in associative areas, but concurrently increased connectivity across sensory and somatomotor areas. The 5-HT2A receptor antagonist, ketanserin, fully blocked the subjective and neural LSD effects. We show that whole-brain data-driven spatial patterns of LSD effects matched 5-HT2A receptor cortical gene expression in humans, which along with ketanserin effects, strongly implicates the 5-HT2A receptor in LSDs neuropharmacology. Critically, the LSD-induced subjective effects were associated with somatomotor networks GBC changes. These data-driven neuropharmacological results pinpoint the critical role of 5-HT2A in LSDs mechanism, which informs its neurobiology and guides rational development of psychedelic-based therapeutics

neuroscience

Effects of altered excitation-inhibition balance on decision making in a cortical circuit model

BackgroundDisruption of the synaptic balance between excitation and inhibition (E/I balance) in cortical circuits is a leading hypothesis for pathophysiologies of neuropsychiatric disorders, such as schizophrenia. However, it is poorly understood how synaptic E/I disruptions propagate upward to induce cognitive deficits, including impaired decision making (DM).\n\nMethodsWe investigated how E/I perturbations may impair temporal integration of evidence during perceptual DM in a biophysically-based model of association cortical microcircuits. Using multiple psychophysical task paradigms, we characterized effects of NMDA receptor hypofunction at two key synaptic sites: inhibitory interneurons (elevating E/I ratio, via disinhibition), versus excitatory pyramidal neurons (lowering E/I ratio).\n\nResultsDisruption of E/I balance in either direction can similarly impair DM as assessed by psychometric performance, following inverted-U dependence. Nonetheless, these regimes make dissociable predictions for task paradigms that characterize the time course of evidence accumulation. Under elevated E/I ratio, DM is impulsive: evidence early in time is weighted much more than late evidence. In contrast, under lowered E/I ratio, DM is indecisive: evidence integration and winner-take-all competition between options are weakened. These effects are well captured by an extended drift-diffusion model with self-coupling.\n\nConclusionsOur findings characterize critical roles of cortical E/I balance in cognitive functions, the utility of timing-sensitive psychophysical paradigms, and relationships between circuit and psychological models. The model makes specific predictions for behavior and neural activity that are testable in humans or animals under causal manipulations of E/I balance and in disease states.

neuroscience