5-MeO-DMT

The serotonin hallucinogen 5-MeO-DMT alters cortico-thalamic activity in freely moving mice: Regionally-selective involvement of 5-HT1A and 5-HT2A receptors

This rodent study (2017) suggests that the hallucinatory effects of 5-MeO-DMT may be due to simultaneous alteration of prefrontal and visual brain activities. The authors point to 5-HT1A receptor antagonists as a potential treatment for visual hallucinations.

Authors

  • Artigas, F.
  • Celada, P.
  • Llado-Pelfort, L.

Published

Neuropharmacology
individual Study

Abstract

5-MeO-DMT is a natural hallucinogen acting as serotonin 5-HT1A/5-HT2A receptor agonist. Its ability to evoke hallucinations could be used to study the neurobiology of psychotic symptoms and to identify new treatment targets. Moreover, recent studies revealed the therapeutic potential of serotonin hallucinogens in treating mood and anxiety disorders. Our previous results in anesthetized animals show that 5-MeO-DMT alters cortical activity via 5-HT1A and 5-HT2A receptors.Here, we examined 5-MeO-DMT effects on oscillatory activity in prefrontal (PFC) and visual (V1) cortices, and in mediodorsal thalamus (MD) of freely-moving wild-type (WT) and 5-HT2A-R knockout (KO2A) mice. We performed local field potential multi-recordings evaluating the power at different frequency bands and coherence between areas. We also examined the prevention of 5-MeO-DMT effects by the 5-HT1A-R antagonist WAY-100635.5-MeO-DMT affected oscillatory activity more in cortical than in thalamic areas. More marked effects were observed in delta power in V1 of KO2A mice. 5-MeO-DMT increased beta band coherence between all examined areas. In KO2A mice, WAY100635 prevented most of 5-MeO-DMT effects on oscillatory activity.The present results indicate that hallucinatory activity of 5-MeO-DMT is likely mediated by simultaneous alteration of prefrontal and visual activities. The prevention of these effects by WAY-100635 in KO2A mice supports the potential usefulness of 5-HT1A receptor antagonists to treat visual hallucinations. 5-MeO-DMT effects on PFC theta activity and cortico-thalamic coherence may be related to its antidepressant activity.

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Research Summary of 'The serotonin hallucinogen 5-MeO-DMT alters cortico-thalamic activity in freely moving mice: Regionally-selective involvement of 5-HT1A and 5-HT2A receptors'

Introduction

Riga and colleagues situate their study within growing interest in the neurobiology of serotonergic hallucinogens, both as tools to model psychotic symptoms and as potential therapeutics for mood and anxiety disorders. They note that indoleamine hallucinogens such as 5-MeO-DMT bind with high affinity to several serotonin receptors, notably 5-HT1A and 5-HT2A receptors, and that previous preclinical work has linked the psychotomimetic effects of these drugs to cortical 5-HT2A receptor activation. At the same time, oscillatory activity across cortico-thalamic networks is central to sensory processing and cognition, and is modulated by serotonin; alterations in these rhythms have been reported in psychiatric disorders and after psychotomimetic drug administration. Prior recordings in anaesthetised animals showed that 5-MeO-DMT reduces low-frequency cortical oscillations and alters pyramidal neuron discharge, with indications that 5-HT1A receptors contribute to these effects. The present study set out to characterise how 5-MeO-DMT affects local field potential oscillations and interregional coherence in medial prefrontal cortex (mPFC), primary visual cortex (V1) and mediodorsal thalamus (MD) of freely moving mice. The investigators specifically probed the relative involvement of 5-HT1A and 5-HT2A receptors by comparing wild-type (WT) and 5-HT2A receptor knockout (KO2A) mice and by using the 5-HT1A antagonist WAY-100635. The stated aims were to advance understanding of the neural basis of hallucinations and to identify potential targets for treatment, and to expand knowledge about serotonergic hallucinogen actions in brain regions relevant to mood disorders.

Methods

Adult male C57BL/6 mice were used: homozygous 5-HT2A receptor knockouts (KO2A) and WT littermates, aged 9–16 weeks. Animals were maintained on a 12 h light/dark cycle with food and water ad libitum and experimental procedures complied with European regulations. Group sizes and experimental allocations are reported in the extracted text for key comparisons. Pharmacological treatments were given subcutaneously in a fixed volume (10 ml/kg). The principal test compound was 5-MeO-DMT at 5 mg/kg (expressed as free base). The study also used the selective 5-HT1A receptor antagonist WAY-100635, but the extracted text does not clearly report the antagonist dose used. On recording days mice received two injections 30 min apart according to a within-subjects scheme: saline + saline (SAL + SAL) or saline + 5-MeO-DMT (SAL + 5-MeO-DMT); KO2A animals additionally received WAY-100635 in experiments testing prevention of 5-MeO-DMT effects. Each mouse was treated randomly once with each pharmacological treatment and experiments included a wash-out period of at least one week between sessions. Electrophysiology was performed in freely moving mice. A total of 24 animals (14 WT, 10 KO2A) were implanted with electrodes under isoflurane anaesthesia. Stereotaxic placements targeted mPFC (AP +2.2, L −0.3, DV −2.0 mm), V1 (AP −3.6, L −2.5, DV −0.5 mm) and, in a subset (9 WT and 9 KO2A), the mediodorsal thalamus (MD; AP −1.2, L −0.4, DV −3 mm). Signals were acquired at 3.2 kHz, bandpass filtered between 0.1 and 100 Hz, then downsampled tenfold for analysis. Recordings took place in a 40 × 40 cm open field; mice were habituated for 4–5 days before recordings and data were collected for 30 min after each injection. Histological verification of electrode sites was performed post-mortem. Data analysis used wavelet-based power and coherence measures in MATLAB. Frequency bands were defined in the extracted text as delta (0.2–4 Hz), theta (4–10 Hz), beta (10–30 Hz) and gamma (30–80 Hz). Signals were averaged in 5-min epochs; injection periods (the first 5 min after each injection) were excluded. Treatment effects were quantified as areas under the curve (AUCs) over 5–30 min post-injection and expressed as normalised percent changes for comparisons. Statistical tests included paired and independent Student’s t-tests and two- or three-way ANOVAs (factors such as genotype, area and band or treatment and time), followed by Duncan post-hoc tests; significance was set at the 95% confidence level (two-tailed).

Results

Saline injections produced modest changes in spectral power that the authors subtracted from drug effects. In WT mice saline produced a small but significant decrease in gamma power in all examined areas and slight increases in delta, theta and beta powers in V1 and MD; effects ranged approximately between 93 ± 1% and 115 ± 4% of pre-saline values. Saline did not affect interregional coherence in WT mice. KO2A mice showed similar small saline-induced changes in power (93 ± 3% to 121 ± 4%) and minor increases in some coherences (approximately 101.8 ± 0.4% to 105.0 ± 1.2%). In WT mice, administration of 5-MeO-DMT (SAL + 5-MeO-DMT) increased theta and gamma power in mPFC and increased delta power in V1; in MD there was a marginal decrease in beta power. Inter-regional coherence changes in WT animals included increased mPFC–V1 coherence in the beta band, increased mPFC–MD coherence in theta and beta bands, and increased V1–MD coherence in the beta band. Sample sizes reported for power/coherence analyses were typically n = 10 WT and n = 9 KO2A for mPFC/V1, while MD recordings had smaller WT samples (n = 5) and KO2A n = 9. KO2A mice showed larger and more widespread spectral changes after 5-MeO-DMT. In mPFC, 5-MeO-DMT increased the power of all examined bands (delta, theta, beta, gamma). In V1, the drug increased delta, theta and beta power, with the most pronounced effect being an elevation of V1 delta power to 258 ± 44% of pre-drug values. In MD, a significant increase in delta power was observed, while higher-frequency MD power was largely unaffected. Coherence increases in KO2A mice were extensive: mPFC–V1 coherence rose in delta, theta and beta bands; mPFC–MD coherence increased in delta, theta and beta bands (with a notable beta band increase to 122 ± 2% of pre-drug values); and V1–MD coherence increased marginally in delta and significantly in beta. A three-way ANOVA (genotype × area × band) highlighted significant interactions: the most affected areas were mPFC and V1, with a genotype-dependent elevation of V1 delta power in KO2A mice compared with WT. Post-hoc comparisons confirmed differences between genotypes in V1 and identified the V1 delta increase in KO2A as distinct from effects in other areas and bands. Regarding coherences, mPFC–MD was the most affected pair and showed the strongest beta-band increase in KO2A mice. WAY-100635 alone (first administration comparison) increased beta power in the MD of KO2A mice but did not alter coherence measures in any genotype. Critically, pretreatment of KO2A mice with WAY-100635 prevented essentially all 5-MeO-DMT-induced increases in band power across areas and abolished 5-MeO-DMT effects on interregional coherence, with the exception of delta V1–MD coherence which was not fully prevented. Statistical details for prevention analyses were reported in supplementary tables referenced in the extracted text.

Discussion

The authors interpret their findings as supporting a role for simultaneous disruption of V1 activity and cortico-thalamic (mPFC–MD) circuits in 5-MeO-DMT’s hallucinatory effects. They emphasise that 5-MeO-DMT produced larger oscillatory changes in cortical areas than in the MD thalamus and that effects were generally more pronounced in KO2A mice, implicating 5-HT1A receptor activation as a principal mediator of the observed electrophysiological changes. Riga and colleagues suggest that, because 5-HT2A receptors are absent in KO2A mice, the larger effects seen in that genotype indicate that concurrent 5-HT2A activation in WT animals may attenuate or counterbalance 5-HT1A-mediated actions; this is consistent with opposite actions of the two receptors on pyramidal cell function and with prior data showing differential receptor contributions. The discussion highlights region- and band-specific patterns: increases in mPFC theta and gamma power and enhanced mPFC–MD coherence could relate to antidepressant-like mechanisms previously linked to increased frontal theta and enhanced cortico-thalamic connectivity. In contrast, the strong increase in V1 delta power in KO2A mice is linked to visual cortical hyperactivity and to mechanisms underlying visual hallucinations; the authors note parallels with human EEG/fMRI findings following psychedelics. They also consider the divergent effects of 5-MeO-DMT in awake versus anaesthetised preparations, proposing that differences in cortical excitation–inhibition balance and in whether 5-HT1A receptors act preferentially on GABAergic interneurons or pyramidal cells may account for opposite delta-band directions under different states. The role of coherence is discussed as an index of inter-area synchrony; 5-MeO-DMT increased beta-band coherence broadly, with the strongest changes in mPFC–MD, which the authors link to dense reciprocal connectivity. Prevention of most effects by WAY-100635 in KO2A mice is taken as further evidence for 5-HT1A receptor involvement, although one coherence (V1–MD delta) was less sensitive to antagonist pretreatment. Finally, the authors acknowledge the main limitation: the difficulty of extrapolating rodent electrophysiological findings directly to human brain function. They nevertheless note similarities between the present mouse results and reported human effects of 5-MeO-DMT and related serotonergic agents, and suggest that 5-HT1A antagonists might merit exploration for treating visual hallucinations and that some electrophysiological outcomes could relate to antidepressant properties.

Conclusion

Riga and colleagues conclude that 5-MeO-DMT simultaneously alters population activity in PFC–MD circuits and in primary visual cortex, changes that they link to the visual hallucinations and introspective states induced by the drug. The largest power effect was observed in V1 delta band, whereas the most affected synchrony was between mPFC and MD. The more pronounced effects in 5-HT2A knockout mice and their prevention by the 5-HT1A antagonist WAY-100635 support a preferential action of 5-MeO-DMT on 5-HT1A receptors. The authors suggest that 5-HT1A antagonists could have potential utility for treating visual and perhaps other forms of hallucinations, and they propose that increases in PFC theta power and mPFC–MD coherence may relate to putative antidepressant actions of the drug. Overall, the study is presented as contributing to understanding mechanisms of psychedelic agents and the brain circuits they affect.

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INTRODUCTION

5-Methoxy-N,N-dimethyltryptamine (5-MeO-DMT) is a natural serotonergic hallucinogen found in a variety of plant mixtures (e.g., Virola snuffs) and in the Sonoran desert toad venom, Bufo alvarius, used in ritual ceremonies and for healing and recreational purposes. The serotonergic hallucinogens evoke changes in perception, thought, mood and cognition. Some of these agents were marketed in the past as a therapeutic aid in psychoanalysis and, more recently, several studies support their use in the treatment of psychiatric disorders, mostly mood and anxiety disorders. In this context, there is an increasing interest to understand the neurobiological changes and mechanisms that occur during the psychedelic experience. Moreover, psychedelic agents are used to model certain aspects of psychosis in experimental research, helping also to identify brain circuits altered in psychiatric disorders. Structurally, the serotonergic hallucinogens are divided in two main classes: a) indoleamines such as lysergic acid diethylamide (LSD), psilocin, psilocybin, N,N-dimethyltryptamine (DMT) and 5-MeO-DMT which bind with high affinity to several 5-HT receptors (5-HT-R), namely 5-HT 1A -R, 5-HT 2A -R and 5-HT 2C -Rand, b) phenylalkylamines such as mescaline and 2,5-dimethoxy-4-iodoamphetamine (DOI) which are highly selective for 5-HT 2A -R and 5-HT 2C -R. Preclinical and clinical evidence support that the psychotomimetic action of these hallucinogens is, at least, partially mediated by their agonistic actions at cortical 5-HT 2A -R. 5-HT 1A -R and 5-HT 2A -Rs are involved in the behavioral and electrophysiological effects of hallucinogenic drugs and in the regulation of sensorimotor gating. Previous studies showed that 5-MeO-DMT and other serotonergic hallucinogens inhibited rat dorsal raphe cell firingand reduced 5-HT turnoverand release. However, these presynaptic changes are not thought to be relevant for its hallucinatory activity, which mainly depends on the activation of 5-HT 1A -R and 5-HT 2A -R in forebrain. Brain electrical activity displays simultaneous rhythms of different frequency whose coalescence and synchronization is mainly dependent on the interplay of the cortico-thalamic systems. Specifically, cortical oscillations have a key role in brain function due to their involvement in input selection, synaptic plasticity, memory consolidation and overall information processing. Alterations in oscillatory activity have been associated with psychiatric disorders such as schizophreniaand depressionand have been found in healthy volunteers after the consumption of psychotomimetic agents (Acosta-Urquidi, 2015;. Moreover, alterations in cortical oscillatory activity have been reported in neurodevelopmental and pharmacological models of schizophrenia. Additionally, antidepressant treatments modulate cortical oscillatory activity. Given the role of 5-HT in modulating oscillatory activity at several frequency bands, changes on 5-HT concentration after 5-MeO-DMT, together with its action on 5-HT 1A -R and 5-HT 2A -R are expected to affect the synchronization of neuronal networks. Hence, we previously reported that 5-MeO-DMT altered the frequency (51% excited, 35% inhibited) and pattern of discharge of layer V pyramidal neurons in the medial prefrontal cortex (mPFC) and reduced the power (energy) of low frequency oscillations in anesthetized rats. Additionally, 5-MeO-DMT reduced the power of low frequency oscillations in mPFC and primary sensory cortices (S1, Au1 and V1) of wild-type (WT), and einterestinglyin mPFC and V1 of 5-HT 2A -R knockout (KO2A) mice, thus pointing to the involvement of 5-HT 1A -R in 5-MeO-DMT effects. This view is also supported by behavioral studies in mice lacking 5-HT 1A -R and in rats treated with the 5-HT 1A -R antagonist. Recently, clinical studies reported the efficacy of psilocybin for treatment-resistant depression, an effect perhaps related to activity changes of thalamic and PFC areas, as reported in fMRI studiesand to the modulation in the oscillatory activity observed on EEG. Similar actions have been reported after ketamine administration, a non-competitive NMDA-R antagonist with proven efficacy in treatment-resistant depression. At the preclinical level, previous studies in anesthetized rodents showed that psychotropic agents with different mechanism of action, such as the non-competitive NMDA receptor antagonist phencyclidine (PCP), the preferential 5-HT 2A -R agonist DOIand the non-selective 5-HT 1A/2A -R agonist 5-MeO-DMTmarkedly altered the activity of prefrontal cortex (PFC), disrupting pyramidal neuron discharge and reducing low frequency cortical oscillations. Classical and atypical antipsychotic drugs reversed these alterations. In the present study, we investigated the actions of 5-MeO-DMT on corticothalamic oscillatory activity in freely moving mice. We also examined the potential involvement of 5-HT 1A -R using genetic (5-HT 2A -R knockout eKO2A-mice) and pharmacological manipulations. The main objectives of the study were to gain further insight into the neurobiological basis of hallucinations and to identify new targets for its treatment. Additionally, given the potential use of serotonergic hallucinogens to treat mood and anxiety disorders, we aimed to increase the knowledge of the actions of 5-MeO-DMT in key brain areas related to these psychiatric disorders.

ANIMALS

We used 9-16 week-old male homozygous 5-HT 2A -R knockout mice (referred as KO2A) and wild-type mice (WT) of the same genetic background (C57/BL6). Generation of KO2A strain has been reported elsewhere. From these initial sources, mice were transferred to the animal facility of the University of Barcelona School of Medicine, where stable colonies were grown. Animals were kept in a controlled environment (12 h lightedark cycle and 22 ± 2 C room temperature) with food and water provided ad libitum. KO2A mice do not show adaptive changes of 5-HT 1A -R and 5-HT 2A -R, relevant for the action of serotonergic hallucinogens. Animal care followed the European Union regulations (directive 2010/63 of 22/09/2010) and was approved by the Institutional Animal Care and Use Committee.

DRUGS AND TREATMENTS

5-Methoxy-N,N-dimethyltryptamine (5-MeO-DMT) and WAY-100635 maleate (WAY) were from Sigma/RBI (Natick, MA). All drugs were dissolved in saline (vehicle) and injected subcutaneously (s.c.) in the same volume (10 ml/kg). The doses used are expressed as free bases and were chosen according to the literatureor from pilot experiments. On the recording day, WT and KO2A mice were treated, with a time interval between injections of 30 min, with: 1) saline þ saline (10 ml/kg each injection) (SAL þ SAL) (n ¼ 13 and 7 for WT and KO2A mice, respectively); 2) saline þ 5-MeO-DMT (5 mg/kg) (SAL þ 5-MeO-DMT) (n ¼ 10 and 9 for WT and KO2A mice, respectively). In order to study the potential prevention of 5-MeO-DMT-induced effects on cortico-thalamic activity, KO2A mice were also administrated with: 3) WAY-100635 (5-HT 1A -R antagonist) Each mouse was treated randomly once with each pharmacological treatment as shown in Supplementary Fig..

ELECTROPHYSIOLOGY: LOCAL FIELD POTENTIAL (LFP) RECORDINGS IN FREELY-MOVING MICE

A total of 24 mice (14 WT and 10 KO2A) were implanted with Plastics One electrodes (Virgina, USA) under isoflurane anesthesia (induction: 2.5%; maintenance: 1.5%). Animals were pretreated (30 min before anesthesia inhalation) with an analgesic (Buprenorfine: 0.05 mg/kg s.c.). Stereotaxic coordinates were taken from bregma and brain surface (mm) according to the mouse brain atlas: medial prefrontal cortex (mPFC) AP þ 2.2, L-0.3, DV-2.0; primary visual cortex (V1) AP-3.6, L-2.5, DV-0.5. Some mice (9 WT and 9 KO2A) were also implanted in mediodorsal nucleus of the thalamus (MD) AP-1.2, L-0.4, DV-3. A ground screw and three stabilizer screws were also implanted. The implant was fixed with dental cement. Buprenorfine (0.05 mg/kg s.c.) and a prophylactic antibiotic (Enrofloxacina 7.5 mg/kg s.c.) were given during 2e3 consecutive days after surgery. Local field potential (LFP) recordings were performed in a 40 Â 40 cm open field using a digital Lynx system and Cheetah software (Neuralynx, Montana, USA). The signal was obtained at 3.2 kHz sampling rate and filtered between 0.1 and 100 Hz. All recordings were posteriorly downsampled 10 times before analysis. Recordings were made once a week starting one week after surgery. All mice were habituated to the experimental setting for 4e5 days before recordings. On the recording day, first and second drugs (or vehicle) were injected 30 min apart, and recordings were performed for 30 min after each injection. The time to assess 5-MeO-DMT effect was chosen according to pharmacokinetic and behavioral studies. There was a wash-out period of at least one week after each experiment (Supplementary Figs.. At the end of recordings, mice were euthanatized by an anesthetic overdose. Histological localization of electrodes was performed by passage of current (intensity: 0.15 mA; duration: 10 s). Brain sections were stained according to standard procedures, to verify recordings sites (Supplementary Fig.).

DATA AND STATISTICAL ANALYSIS

Data were imported to MATLAB environment (MathWorks, MA, USA) for off-line power and coherence wavelet analysis, using builtin and self-developed routines. The frequency bands analyzed were delta (0.2e4 Hz), theta (4e10 Hz), beta (10e30 Hz) and gamma (30e80 Hz). Data were averaged in 5-min periods. Injection periods (5 min after 1st and 2nd drug administrations) were excluded from analysis. Data were expressed as areas under curve (AUCs) of every treatment period (5e30 min post-1st and 2nd drug administration). Comparisons were made by determining the two AUCs for each mouse. In order to compare pharmacological treatments, normalized AUCs (POWER values (%) and COHERENCE values (%)) were used. In basal value and antagonist (WAY-100635) comparisons, we used AUCs of raw data. Data are shown as mean ± SEM. Statistical analysis was performed using Student's t-tests (for dependent or independent samples) or three-or two-way ANOVAs (genotype, area and band or treatment and time as factors) followed by post-hoc analysis using Duncan's test, as appropriate. Statistical significance was set at the 95% confidence level (two tailed).

EFFECT OF SALINE ON OSCILLATORY ACTIVITY IN CORTICO-THALAMIC NETWORKS IN WT MICE

Before assessing 5-MeO-DMT effect on power spectra and coherences, we evaluated the effect of a saline injection on these variables in order to subtract them from the effect of 5-MeO-DMT, thus avoiding the contribution of mouse manipulation, injection and environmental adaptation. To this end, we compared post-with pre-saline administration values for each animal. WT mice showed a small, yet significant, decrease in gamma power in the 30-min period post-saline injection in all examined areas. Moreover, they showed a slight increase in delta, theta and beta powers in V1 and MD in the same period. Effects were small, ranging between 93 ± 1 and 115 ± 4% of pre-saline administration values (Supplementary Table). On the other hand, saline injection did not affect coherences between all examined areas in WT mice (Supplementary Table).

EFFECT OF 5-MEO-DMT ON OSCILLATORY ACTIVITY IN CORTICO-THALAMIC NETWORKS IN WT MICE

In WT mice, 5-MeO-DMT increased theta and gamma bands in mPFC and delta power in V1. Moreover, in MD, 5-MeO-DMT decreased marginally beta power. 5-MeO-DMT effect was more marked in cortical than in thalamic areas. All values and statistical significances are shown in Table. Fig.shows the time course of the effects of SAL þ SAL and SAL þ 5-MeO-DMT for all analyzed bands and areas. On the other hand, in WT mice, 5-MeO-DMT increased mPFC-V1 coherence in the beta band and mPFC-MD coherence in theta and beta bands. Finally, 5-MeO-DMT increased V1-MD coherence in the beta band (Table). Fig.shows the time course of the effect of SAL þ SAL and SAL þ 5-MeO-DMT for all analyzed coherences.

OSCILLATORY ACTIVITY IN CORTICO-THALAMIC NETWORKS: COMPARISON BETWEEN WT AND KO2A MICE

Given the high affinity for 5eHT 1A -R showed by 5-MeO-DMT, we decided to study the involvement of this receptor using genetic (KO2A mice) and 5eHT 1A -R pharmacological manipulations to better understand the mechanism of action of 5-MeO-DMT. Comparisons of basal power spectra between genotypes are shown in Table. Delta band power did not differ between genotypes in mPFC and V1. Likewise, there were no differences between genotypes in theta, beta and gamma powers in mPFC whereas significant differences were found in theta, beta and gamma bands in V1. Similarly to mPFC, there were no differences between genotypes in the power of all analyzed bands in MD. On the other hand, the mPFC-V1 coherence differed between genotypes in delta band but not in other bands. In other analyzed coherences (mPFC-MD and V1-MD), no significant differences were found for all examined bands.

EFFECT OF SALINE ON OSCILLATORY ACTIVITY IN CORTICO-THALAMIC NETWORKS IN KO2A MICE

As observed in WT mice, KO2A mice showed a small decrease in gamma power in the 30-min period post-saline injection in all examined areas and a slight increase in delta, theta and beta powers in V1 and MD in the same period. Effects were small, ranging between 93 ± 3 and 121 ± 4% of pre-saline administration values (Supplementary Table). Regarding interregional coherence of oscillations, only KO2A mice showed a slight increase in mPFC-MD coherence in theta and in mPFC-V1 and V1-MD coherences in beta. Effects were small ranging between 101.8 ± 0.4 and 105.0 ± 1.2% of pre-saline administration values (Supplementary Table).

EFFECT OF 5-MEO-DMT ON OSCILLATORY ACTIVITY IN CORTICO-THALAMIC NETWORKS IN KO2A MICE

In mPFC, 5-MeO-DMT increased the power of all examined bands in KO2A mice. Moreover, in V1, 5-MeO-DMT increased delta, theta and beta bands. Finally, 5-MeO-DMT increased delta power in MD. 5-MeO-DMT effect was more marked in cortical than in thalamic areas. All values and statistical significances are shown in Table. Fig.shows the time course of the effects of SAL þ SAL and SAL þ 5-MeO-DMT for all analyzed bands and areas. On the other hand, 5-MeO-DMT increased the mPFC-V1 coherence in delta, theta and beta bands of KO2A mice. 5-MeO-DMT increased mPFC-MD coherence in delta, theta and beta bands of KO2A mice. Finally, 5-MeO-DMT increased V1-MD coherence in delta (marginally) and beta bands of KO2A mice. All data and statistical significances are shown in Table. Fig.shows the time course of the effect of SAL þ SAL and SAL þ 5-MeO-DMT for all analyzed inter-regional coherences. TableEffect of 5-MeO-DMT administration on medial prefrontal cortex (mPFC), primary visual cortex (V1) and mediodorsal thalamus (MD) power spectra (A) and coherences between each area (B) in wild type (WT) and 5-HT 2A -R know-out (KO2A) mice. Data are represented as Mean ± SEM of % of change of areas under curves 5-MeO-DMT versus 30 min pre-drug administration values (POWER and COHERENCE values (%)). Saline effect was subtracted from the effect of 5-MeO-DMT. Note that 5-MeO-DMT effects on power spectra are more marked in cortical areas than MD thalamus nucleus. On the other hand, 5-MeO-DMT affects all coherences in delta only in KO2A while in theta only mPFC-V1 (in KO2A) and mPFC-MD (in WT and KO2A) coherences are altered. Curiously, all analyzed coherences in beta are disrupted by 5-MeO-DMT regardless of genotype. Statistical analysis: Student's t tests for dependent samples; Statistical significance: *p < 0.05, **p < 0.01, ***p < 0.001 versus 30 min pre-drug administration values; a p ¼ 0.052, b p ¼ 0.059 (marginally significant); A) n ¼ 10 and 9 for mPFC/V1 in WT and KO2A mice, respectively; n ¼ 5 and 9 for MD in WT and KO2A mice, respectively; B) n ¼ 10 and 9 for mPFC-V1 coherence in WT and KO2A mice, respectively; n ¼ 5 and 9 for mPFC-MD/V1-MD coherences in WT and KO2A, respectively..

TABLE 2

Characteristics of medial prefrontal cortex (mPFC), primary visual cortex (V1) and mediodorsal thalamus (MD) power spectra (A) and coherences between each area (B) in wild type (WT) and 5-HT 2A -R know-out (KO2A) mice: comparison between genotypes. Data are represented as Mean ± SEM of power (mV 2 ) (A) or coherences (0e1) (B) of areas under curves corresponding to a 25-min period after s.c. saline administration. Each mouse was used once in statistical analysis (first free-drug recording). Note that significant differences among genotypes are found only in V1 (theta, beta and gamma) for power spectra and in mPFC-V1 coherence in delta band.

EFFECT OF 5-MEO-DMT ON OSCILLATORY ACTIVITY IN CORTICO-THALAMIC NETWORKS: COMPARISON BETWEEN GENOTYPES, AREAS AND BAND FREQUENCIES

We carried out a further statistical analysis using three-way ANOVAs for power and coherence data in order to assess the effect of genotype, area and band, as well as their interactions. In terms of power, the most affected areas by 5-MeO-DMT were mPFC and V1. The more marked effect was an elevation of delta power in V1 of KO2A mice (258 ± 44% of pre-drug administration values) suggesting a relevant action of 5-MeO-DMT on 5-HT 1A -R in V1 delta band (Table). Three-way ANOVA is shown in Supplementary Table. Post-hoc analysis revealed significant differences between 5-MeO-DMT effects in WT and KO2A mice in V1, between 5-MeO-DMT effect on delta oscillation in KO2A in V1 and other areas and between 5-MeO-DMT effects in V1 delta in KO2A compared to other bands in this area (Table). 5-MeO-DMT markedly affected the coherences between mPFC and MD. The more marked effect was observed in the beta band of KO2A mice (122 ± 2% of pre-drug administration values), indicating that 5-MeO-DMT increased mPFC-MD coherence via activation of 5-HT 1A -R. Three-way ANOVA values are shown in Supplementary Table. Significant post-hoc differences between 5-MeO-DMT effects in mPFC-MD and mPFC-V1/V1-MD coherences at different bands were found (Table).

EFFECTS OF WAY-100635 ON OSCILLATORY ACTIVITY IN CORTICOTHALAMIC NETWORKS IN KO2A MICE

Additionally in order to study the potential involvement of 5-HT 1A -R in 5-MeO-DMT effects, we examined the actions of the 5-HT 1A -R antagonist WAY-100635 (WAY) alone. To this end, we compared the effect of WAY with saline administration. For each animal, only values corresponding to the first saline and antagonist administrations (Supplementary Fig.) were used for the comparison. WAY increased beta power in the MD of KO2A mice but it did not alter coherence in any band and genotype examined (Supplementary Table). 3.8. Prevention by WAY-100635 of 5-MeO-DMT effect on oscillatory activity in cortico-thalamic networks in KO2A mice 5-MeO-DMT induced differential effects on oscillatory activity in WT and KO2A mice. Here, we decided to confirm the dependence on 5-HT 1A -R of 5-MeO-DMT effects found in KO2A mice. To this aim, we pretreated KO2A mice with WAY-100635 in order to prevent 5-MeO-DMT effects. We focused only in the prevention of the significant effects of 5-MeO-DMT on oscillatory activity shown in Figs.and. In KO2A, WAY-100635 prevented all effects on the different band power induced by 5-MeO-DMT, regardless of the area or band examined (Fig.). Similarly to the effects on power, pretreatment with WAY-100635 avoided 5-MeO-DMT effects in all interegion coherences examined, except in delta V1-MD coherence (Fig.). Statistical analysis is shown in Supplementary Table.

DISCUSSION

The present results indicate that the hallucinatory effect of 5-MeO-DMT may be associated with a simultaneous alteration of the oscillatory activity in primary visual cortex (V1) and in cortico-. thalamic (mPFC-MD) circuits. Interestingly, the effects of 5-MeO-DMT on the different intraregional power bands and interregional band coherences examined were more marked in KO2A mice, indicating that 5-HT 1A -R activation plays a relevant role in the psychotropic action of 5-MeO-DMT. The greater effect size on oscillatory activity in KO2A mice suggests that the simultaneous activation of 5-HT 2A -R (absent in KO2A mice) attenuates 5-HT 1A -Rmediated effects, an effect possibly related to the high cellular coexpression on both receptors in PFC and their opposite role on pyramidal cell function(see below for extended discussion). The involvement of 5-HT 1A -R in the effect of 5-MeO-DMT adds to previous observations in visual cortex of anesthetized miceand suggests, if translated to humans, the therapeutic potential of 5-HT 1A -R antagonists in the treatment of visual and perhaps other forms of hallucinations, which lack appropriate therapy. Moreover, 5-MeO-DMT-induced changes on oscillatory activity and synchronization in PFC and thalamus, two keys areas implicated in major depression. Serotonergic hallucinogens alter cortical oscillatory activity, affecting frequency bands in a differential manner (Acosta-Urquidi, 2015;. 5-MeO-DMT markedly increased theta and gamma bands in mPFC, as also observed in the frontal area of individuals inhaling 5-MeO-DMT (Acosta-Urquidi, 2015). Interestingly, 5-MeO-DMT increased the power of some bands (mPFC-delta; mPFC-beta, V1-theta or V1beta) in KO2A but not in WT mice. These results suggest that 5-MeO-DMT has opposite effects when acting on 5-HT 1A -R (increase, as observed in KO2A mice) or 5-HT 2A -R (decrease). Hence, the effect on WT mice reflects the balance between these opposite actions. Accordingly, 5-HT 1A -R agonists increase, and the preferential 5-HT 2A -R agonists DMT and psilocybin decrease delta power. In anesthetized KO2A mice, 5-MeO-DMT decreases delta power in mPFC, an effect dependent on 5-HT 1A -R activation. In awake KO2A mice, 5-MeO-DMT increased delta power, an effect also dependent on 5-HT 1A -R activation, as observed by its prevention by WAY-100635. The opposite effect of 5-MeO-DMT on delta band power in anesthetized vs awake KO2A mice may be due to a different cortical excitation/inhibition balance. As 5-HT 1A -R is expressed in GABAergic and pyramidal neurons, our observations in KO2A mice may reflect a preferential action of 5-MeO-DMT on 5-HT 1A -R in GABAergic interneurons (anesthetized) or in pyramidal neurons (awake). In support of this view, low doses of the 5-HT 1A -R agonist 8-OH-DPAT decreased delta power (Llad o-Pelfort et al., unpublished results) and increased pyramidal neuron discharge in anesthetized rats, through a preferential action on 5-HT 1A -R located on fast-spiking GABAergic interneurons (Llado-Pelfort et al., 2012). Additionally, WAY-100635. had no effect on delta activity in awake mice (Supplementary Table) whereas it increased delta activity in anesthetized mice. Patients with schizophrenia show alterations in cortical gamma oscillations when performing cognitive tasks (reductions), or during resting state (increases)when compared with control subjects. Likewise, cortical gamma power increases in healthy individuals taking 5-MeO-DMT (Acosta-Urquidi, 2015). In agreement with these observations, here we found an increase in mPFC-gamma band power after 5-MeO-DMT. On the contrary, the 5-HT 2A/2C -R agonist DOI decreases gamma power in freely-moving rats. The different effect evoked by these two serotonergic hallucinogens (DOI and 5-MeO-DMT) may be due to the preferential action of 5-MeO-DMT on 5-HT 1A -R, given the similar effect of this drug on mPFCgamma band in WT and KO2A mice. Interestingly, WAY-100635 prevented 5-MeO-DMT effect on mPFC-gamma band, supporting the involvement of 5-HT 1A -R in this effect (whereas that of DOI depends on 5-HT 2A -R). Consistently, the preferential 5-HT 1A -R agonist 5-MeO-DMT increases (Acosta-Urquidi, 2015) whereas the preferential 5-HT 2A -R agonist psilocybin decreasesgamma power in humans.

TABLE 3

Effect of 5-MeO-DMT on power spectra (A) and coherences (B) for the two genotypes in the areas and band frequencies analyzed. All mice are pretreated with s.c. saline. The effect of vehicle was subtracted from the effect of 5-MeO-DMT. Note that i) maximal effect of 5-MeO-DMT on power spectra was produced is in V1 delta band of KO2A mice, and ii) maximal effect on coherence was on mPFC-MD coherence. Statistical analysis: Three-way ANOVA (genotype, area or coherence and band as factors) (See Supplementary Table). Statistical significance: * p < 0.05 versus a different area at the same band in the same genotype; # p < 0.05 versus WT in the same area at the same band; a p < 0.05 versus a different band in the same area and genotype; a p ¼ 0.055 versus MD theta in WT mice; b p ¼ 0.058 versus MD theta in KO2A mice; c p ¼ 0.060 versus MD gamma in WT mice; d p ¼ 0.054 versus MD delta in KO2A mice; e p ¼ 0.059 versus mPFC-V1 delta in WT mice. Power spectra (A): n ¼ 10 and 9 for mPFC/V1 in WT and KO2A mice, respectively; n ¼ 5 and 9 for MD in WT and KO2A mice, respectively. Coherences (B): n ¼ 10 and 9 for mPFC-V1 in WT and KO2A mice, respectively; n ¼ 5 and 9 for mPFC-MD/V1-MD in WT and KO2A mice, respectively. Focusing on the activity of the Visual Cortex, visual hallucinations are associated with increases of basal activity in the visual cortexand aberrant activity within visual thalamo-cortical networks. Here we report that 5-MeO-DMT altered oscillatory activity on V1. Interestingly, individuals taking Ayahuasca (an Amazonian beverage containing dimethyltryptamines) show an altered oscillatory activity in the occipital cortex (visual cortex in humans) in parallel with alterations in visual perception. Also, in humans, 5-MeO-DMTinduced hallucinations have been related to increases on parietal cortex gamma band. 5-HT 2A -R and 5-HT 1A -R are expressed in the visual cortex. 5-HT acting on these receptors may modulate the excitatory/inhibitory balance, as observed in mPFC. Specifically, 5-HT 2A -R mediated distinct, and layer dependent, modulation of layer III and VI inputs to layer V pyramidal neurons, according with the specific expression of these receptors on pyramidal neurons and interneurons. Moreover, 5-HT 2A -R plays a fundamental role in the pathogenesis of visual hallucinationsand altered expression has been reported in patients with visual hallucinations and untreated schizophrenic subjects. KO2A mice showed an altered V1 baseline oscillatory activity in theta, beta and gamma bands power. Additionally, KO2A mice showed a decrease in theta coherence between mPFC and V1. These alterations may be related to the role of 5-HT 2A -R on visual processing. 5-MeO-DMT alters low band oscillatory activity of visual and prefrontal cortices more markedly in KO2A than in WT mice, suggesting a preferential action on 5-HT 1A -R and/or opposite effects of 5-MeO-DMT acting on 5-HT 2A -R (decrease power) and 5-HT 1A -R (increase power). Consistent with this last hypothesis, and as occurs in mPFC, we found a more marked increase in V1-delta band in KO2A mice. Interestingly, DMT decreases delta and theta bands over the temporo-parieto occipital junction, supporting its preferential action on 5-HT 2A -R. Serotonin hallucinogens decrease alpha oscillations and increase cerebral blood flow (CBF) on visual areas. In humans, alpha (8e13 Hz) rhythm dominates EEG in sensory brain areas during relaxed wakefulness and is strongly influenced by thalamic activity. In rats, the equivalent predominant band oscillates approximately at 5e12 Hz. Despite we have not specifically analyzed the alpha band, our analyses in V1 found no significant change on theta (4e10 Hz) or beta (10e30 Hz) bands in WT whereas power of both bands increased in KO2A mice after 5-MeO-DMT, suggesting again that 5-MeO-DMT induces opposite effects on these bands acting on 5-HT 2A -R (decrease power) or 5-HT 1A -R (increase power). Moreover, all alterations were prevented by WAY-100635, supporting the involvement of 5-HT 1A -R. The effects of 5-MeO-DMT were more marked in V1 and mPFC than in MD thalamus, consistent with the high density of 5-HT 1A -R and 5-HT 2A -R in these cortical areas and their absence in thalamic nuclei. Hence, the increase in delta band power induced by 5-MeO-DMT in MD cannot be explained by a local effect and suggests the involvement of delta rhythms in organizing thalamo-cortical activity, in agreement with the dense reciprocal connectivity between PFC and MD. This view is also supported by the increased coherence between mPFC and MD after 5-MeO-DMT administration. However, given the absence of a direct connectivity between V1 and MD, the increased V1-MD coherence may be explained by the direct reciprocal V1-PFC and MD-PFC connectivity. Not surprisingly, 5-MeO-DMT did not alter the power of higher frequency bands in MD, which are more dependent on local cellular and synaptic activity than delta oscillations. The role of serotonergic neurotransmission on the synchrony between brain areas is poorly known. Coherence gives information about inter-area synchronization, measuring interactions between two neuronal populations and is considered a very sensitive measure of high cognitive processes. 5-MeO-DMT increased coherence in beta band between all areas examined. Similarly, in humans, 5-MeO-DMT intake increases perception and coherence between cortical areas (Acosta-Urquidi, 2015). As discussed above, coherence between mPFC and MD thalamus was the most affected coherence, probably due to the dense and reciprocal cortico-thalamic connectivity between these two areas. The changes in coherence evoked by 5-MeO-DMT in WT and KO2A mice indicate that 5-HT 1A -R and 5-HT 2A -R are involved in inter-area synchrony. Interestingly, pretreatment with WAY100635 avoided all 5-MeO-DMT effects on power spectra and coherences except in delta V1-MD coherence, supporting that 5-HT 1A -R plays a relevant role in regulating the synchrony between the 3 areas examined. Non-competitive NMDA-R antagonist such as ketamineand serotonergic hallucinogens such as psilocybinshow clinical efficacy in depressed patients resistant to other forms of treatment. Likewise, several studies have reported antidepressant efficacy of Ayahuasca, containing dimethyltryptamines in varying proportions. Psychedelics such as Ayahuasca decrease the activity of several areas of the default mode network (DMN), a set of brain regions that are active during awake resting stateand change the coupling of brain oscillations, reducing the influence of frontal to posterior areas. Antidepressant treatmentand meditationincrease frontal theta activity. In this regard, the increase in PFC theta activity evoked by 5-MeO-DMT may be related to a potential antidepressant activity. Also, optogenetic theta rhythm stimulation of the antero-cingulate cortex reduced anxiety-related behavior in mice. Finally, 5-MeO-DMT increased PFC-MD coherence. Interestingly, depressive patients show a decrease in the connectivity between the thalamus and the antero-cingulate cortexwhereas antidepressant treatment and LSD increase cortico-thalamic connectivity. Likewise, a recent study reported on the antidepressant-like effects of deleting GluN2B subunits in MD-PFC synapses. The main limitation of this study, as in most rodent studies, is the difficulty to extrapolate the present findings to human brain. Despite this, it is interesting to note that 5-MeO-DMT affects oscillatory activity in human volunteers in a manner similar to that seen here in mouse brain, possibly reflecting the similar role of 5-HT 1A -R and 5-HT-2A -R in the control of cortical oscillatory activity.

CONCLUSIONS

The present results indicate that 5-MeO-DMT simultaneously alters population activity in PFC-MD circuits and in V1 (primary visual cortex), effects likely related to the visual hallucinations and introspection induced by this agent. In terms of power, the greater effect size was found in V1 (delta band) whereas the most affected synchrony was that between mPFC and MD. The more marked effects in KO2A mice, as well as their prevention by WAY-100635 support a preferential action of 5-MeO-DMT on 5-HT 1A receptors. This suggests the potential usefulness of 5-HT 1A antagonists to treat visual, and perhaps, other forms of hallucinations. Finally, the increase in PFC-theta band power and mPFC-MD coherence may be related to its potential antidepressant action. Overall, the present study contributes to the elucidation of the mechanism of action of psychedelic agents and the brain circuits involved.

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