Interactions between classic psychedelics and serotonergic antidepressants: Effects on the acute psychedelic subjective experience, well-being and depressive symptoms from a prospective survey study

BACKGROUND

There is growing evidence for the therapeutic effects of psychedelics. However, it is still uncertain how these drugs interact with serotonergic antidepressants (serotonin reuptake inhibitors (SRIs)).

OBJECTIVE

This study explores the interaction between psychedelics and SRIs in terms of therapeutic effects. The objective is to compare acute psychedelic effects and subsequent changes in well-being and depressive symptoms among 'SRI -' individuals (not on psychiatric medication) and 'SRI +' individuals (undergoing SRI treatment).

METHODS

Using prospective survey data, the study employs multivariate analysis of covariance (MANCOVA) and linear mixed effect models to analyse subjective differences and changes in well-being and depressive symptoms pre- and post-psychedelic experiences.

RESULTS

Results indicate that 'SRI -' participants experience significantly more intense subjective effects compared to 'SRI +' participants (F = 3.200, p = 0.016) in MANCOVA analysis. Further analysis reveals 'SRI -' individuals report stronger mystical (18.2% higher, p = 0.048), challenging (50.9% higher, p = 0.001) and emotional breakthrough experiences (31.9% higher, p = 0.02) than 'SRI +' individuals. No differences are observed in drug-induced visual effects (p = 0.19). Both groups exhibited similar improvements in well-being and depressive symptoms after the psychedelic experience.

CONCLUSION

Individuals presumed to be on serotonergic antidepressants during psychedelic use display reduced subjective effects but similar antidepressant effects compared to those not undergoing SRI treatment. Further controlled research is needed to comprehend the interplay between serotonergic antidepressants and psychedelics, illuminating potential therapeutic benefits and limitations in clinical contexts.

Predictors and Risk Factors of Treatment-Resistant Depression: A Systematic Review

Objective: To systematically review the literature to identify and categorize the predictors and risk factors for treatment-resistant depression (TRD).

Data Sources: Online databases (PubMed, MEDLINE, Embase, and APA PsycNet) and relevant conference sources were searched from inception up to January 24, 2022. The following keywords were used: treatment-resistant depression, depressive disorder, predictors, risk, and biomarkers.

Study Selection: All studies that included a definition of TRD were included. A total of 1,686 abstracts were screened, and 57 studies were included in the final data synthesis.

Data Extraction: Data were extracted using a data extraction form developed for this study.

Results: The most frequently reported mental predictors/risk factors were greater symptom severity (9 studies), suicidality (8 studies), and recurrent depression (6 studies). Cardiovascular disease (4 studies), pain (3 studies), and thyroid dysfunction (3 studies) were the most common physical predictors/risk factors, while younger age (7 studies) and female gender (6 studies) were the most common demographic predictors/risk factors. Higher levels of neuroticism appeared twice in the literature. Several articles reported on genetic, biological, and imaging variables, but results were too heterogenous to identify common predictors/risk factors.

Conclusions: TRD is a complex disorder with many contributing factors that need to be identified and addressed earlier in the disease course to prevent its development or facilitate better treatment outcomes. Future work should focus on replicating the key predictors/risk factors identified in this review.

Psilocybin therapy for treatment resistant depression: prediction of clinical outcome by natural language processing

RATIONALE

Therapeutic administration of psychedelics has shown significant potential in historical accounts and recent clinical trials in the treatment of depression and other mood disorders. A recent randomized double-blind phase-IIb study demonstrated the safety and efficacy of COMP360, COMPASS Pathways' proprietary synthetic formulation of psilocybin, in participants with treatment-resistant depression.

OBJECTIVE

While the phase-IIb results are promising, the treatment works for a portion of the population and early prediction of outcome is a key objective as it would allow early identification of those likely to require alternative treatment.

METHODS

Transcripts were made from audio recordings of the psychological support session between participant and therapist 1 day post COMP360 administration. A zero-shot machine learning classifier based on the BART large language model was used to compute two-dimensional sentiment (valence and arousal) for the participant and therapist from the transcript. These scores, combined with the Emotional Breakthrough Index (EBI) and treatment arm were used to predict treatment outcome as measured by MADRS scores. (Code and data are available at https://github.com/compasspathways/Sentiment2D .) RESULTS: Two multinomial logistic regression models were fit to predict responder status at week 3 and through week 12. Cross-validation of these models resulted in 85% and 88% accuracy and AUC values of 88% and 85%.

CONCLUSIONS

A machine learning algorithm using NLP and EBI accurately predicts long-term patient response, allowing rapid prognostication of personalized response to psilocybin treatment and insight into therapeutic model optimization. Further research is required to understand if language data from earlier stages in the therapeutic process hold similar predictive power.

Erythromycin Scavenging from Aqueous Solutions by Zeolitic Materials Derived from Fly Ash

Erythromycin (EA) is an antibiotic whose concentration in water and wastewater has been reported to be above the standard levels. Since the methods used so far to remove EA from aquatic environments have not been effective, the development of effective methods for EA removal is necessary. In the present study, fly ash (FA)-based zeolite materials, which have not been investigated as EA sorbents before, were used. The possibilities of managing waste FA and using its transformation products for EA sorption were presented. The efficiency of EA removal from experimental solutions and real wastewater was evaluated. In addition, the sorbents' mineral composition, chemical composition, and physicochemical properties and the effects of adsorbent mass, contact time, initial EA concentration, and pH on EA removal were analyzed. The EA was removed within the first 2 min of the reaction with an efficiency of 99% from experimental solutions and 94% from real wastewater. The maximum adsorption capacities were 314.7 mg g^-1 for the fly ash-based synthetic zeolite (NaP1_FA) and 363.0 mg g^-1 for the carbon-zeolite composite (NaP1_C). A fivefold regeneration of the NaP1_FA and NaP1_C showed no significant loss of adsorption efficiency. These findings indicate that zeolitic materials effectively remove EA and can be further investigated for removing other pharmaceuticals from water and wastewater.

Removal of Zinc from Concentrated Galvanic Wastewater by Sodium Trithiocarbonate: Process Optimization and Toxicity Assessment

In the present research, the removal of zinc from concentrated galvanic wastewater (pH 3.1, conductivity 20.31 mS/cm, salinity, 10.16 g/L, Chemical Oxygen Demand (COD) 2900 mg O₂/L, Total Organic Carbon (TOC) 985 mg/L, zinc (Zn) 1534 mg/L and ethylenediaminetetraacetic acid (EDTA) 70 mg/L) by combination of lime (Ca(OH)₂) and sodium trithiocarbonate (Na₂CS₃) as precipitation agents is studied. Central Composite Design (CCD) and response surface methodology (RSM) were applied for modelling and optimizing the designed wastewater treatment process. Analysis of Variance (ANOVA) and the experimental verification of the model confirmed the consistency of the experimental and estimated data calculated from the model (R² = 0.9173, R²_adj. = 0.8622). The use of Ca(OH)₂ and Na₂CS₃ in the optimal condition calculated from the model (pH = 10.75 ± 0.10, V Na₂CS₃ dose 0.043 mL/L and time = 5 min) resulted in a decrease in the concentration of Zn in treated wastewater by 99.99%. Other physicochemical parameters of wastewater also improved. Simultaneously, the application of Ca(OH)₂ and Na₂CS₃ reduced the inhibition of activated sludge dehydrogenase from total inhibition (for raw wastewater) to -70% (for treated wastewater). Under the same conditions the phytotoxicity tests revealed that the seed germination index for the raw and treated wastewater increased from 10% to 50% and from 90% to 100% for white mustard (Sinapis alba) and garden cress (Lepidium sativum L.), respectively. The parameters of root and shoot growth showed a statistically significant improvement. Treated wastewater (1:10) showed a stimulating effect (shoot growth) compared to the control sample (GI = -116.7 and -57.9 for S. alba and L. sativum L., respectively). Thus, the use of Na₂CS₃ is a viable option for the treatment of concentrated galvanic wastewater containing zinc.

Determination and Removal of Selected Pharmaceuticals and Total Organic Carbon from Surface Water by Aluminum Chlorohydrate Coagulant

In the present research, the removal of Total Organic Carbon (TOC) and erythromycin (ERY), fluoxetine (FLX), amoxicillin (AMO), colistin (COL), ethynylestradiol (EE), and diclofenac (DIC) from surface water by coagulation is studied. The concentration of selected pharmaceuticals in 24 surface water samples originating from some rivers located in Lesser Poland Voivodeship and Silesia Voivodeship, Poland, was determined. The removal of TOC and pharmaceuticals was carried out using the application of Design of Experiments (DOE), Response Surface Methodology (RSM), and by addition of aluminum chlorohydrate (ACH) as a coagulant. The study found that the concentration ranges of ERY, FLX, AMO, COL, EE, and DIC in analyzed water samples were 7.58−412.32, 1.21−72.52, 1.22−68.55, 1.28−32.01, 5.36−45.56, 2.20−182.22 ng/L, respectively. In some cases, concentrations lower than 1 ng/L were determined. In optimal conditions of coagulation process of spiked surface water (pH = 6.5 ± 0.1, ACH dose = 0.35 mL/L, Time = 30 min; R2 = 0.8799, R2adj = 0.7998), the concentration of TOC, ERY, FLX, AMO, COL, EE, and DIC was decreased by 88.7, 36.4, 24.7, 29.0, 25.5, 35.4, 30.4%, respectively. Simultaneously, turbidity, color, Total Suspended Solids (TSS), Chemical Oxygen Demand (COD), Total Nitrogen (Total N), and Ammonium-Nitrogen (N-NH4) were decreased by 96.2%, >98.0%, 97.8%, 70.0%, 88.7%, 37.5%, respectively. These findings suggest that ACH may be an optional reagent to remove studied pharmaceuticals from contaminated water.

Psychedelic experience dose-dependently modulated by cannabis: results of a prospective online survey

RATIONALE

Classic psychedelics are currently being studied as novel treatments for a range of psychiatric disorders. However, research on how psychedelics interact with other psychoactive substances remains scarce.

OBJECTIVES

The current study aimed to explore the subjective effects of psychedelics when used alongside cannabis.

METHODS

Participants (n = 321) completed a set of online surveys at 2 time points: 7 days before, and 1 day after a planned experience with a serotonergic psychedelic. The collected data included demographics, environmental factors (so-called setting) and five validated questionnaires: Mystical Experience Questionnaire (MEQ), visual subscales of Altered States of Consciousness Questionnaire (ASC-Vis), Challenging Experience Questionnaire (CEQ), Ego Dissolution Inventory (EDI) and Emotional Breakthrough Inventory (EBI). Participants were grouped according to whether they had reported using no cannabis (n = 195) or low (n = 53), medium (n = 45) or high (n = 28) dose, directly concomitant with the psychedelic. Multivariate analysis of covariance (MANCOVA) and contrasts was used to analyse differences in subjective effects between groups while controlling for potential confounding contextual 'setting' variables.

RESULTS

The simultaneous use of cannabis together with classic serotonergic psychedelics was associated with more intense psychedelic experience across a range of measures: a linear relationship was found between dose and MEQ, ASC-Vis and EDI scores, while a quadratic relationship was found for CEQ scores. No relationship was found between the dose of cannabis and the EBI.

CONCLUSIONS

Results imply a possible interaction between the cannabis and psychedelic on acute subjective experiences; however, design limitations hamper our ability to draw firm inferences on directions of causality and the clinical implications of any such interactions.

A Review on the Application of Zeolites and Mesoporous Silica Materials in the Removal of Non-Steroidal Anti-Inflammatory Drugs and Antibiotics from Water

Zeolites and mesoporous silica materials are effective adsorbents that can be useful for the removal of various pharmaceuticals including non-steroidal anti-inflammatory drugs and antibiotics from low-quality water. This paper summarizes the properties and basic characteristics of zeolites and mesoporous silica materials and reviews the recent studies on the efficacy of the adsorption of selected non-steroidal medicinal products and antibiotics by these adsorbents to assess the potential opportunities and challenges of using them in water treatment. It was found that the adsorption capacity of sorbents with high silica content is related to their surface hydrophobicity (hydrophilicity) and structural features, such as micropore volume and pore size, as well as the properties of the studied medicinal products. This review can be of help to scientists to develop an effective strategy for reducing the amount of these two groups of pharmaceuticals in wastewater.

Relationship between depression and masticatory muscles function in a group of adolescents

OBJECTIVE

The aim of the study is to determine association between depressive symptoms and the electrical activity of muscles in maximum voluntary clench in a group of young adults.

METHODS

A total of 186 volunteers (Females = 98, Males = 88), with a mean age of 19 years, were recruited to the study. All participants took a questionnaire survey stating the level of depression (Beck's scale), clinical examination, and instrumental diagnostics (EMG).

RESULTS

Symptoms of mild or medium depression were found in 35 of the subjects (18.82%). Average electric potentials of the masticatory muscles in maximal voluntary clench were significantly higher among the subjects with depression symptoms in comparison with subjects without those symptoms (85.96 ± 10.25 vs 78.97 ± 15.32, p < . 0.05).

DISCUSSION

An increase in the electrical potentials of masseter muscles in maximal voluntary clench was found in the group with depression symptoms. The study should be continued to confirm this finding.

The influence of occlusal morphology on occlusion time

OBJECTIVES

The aim of the study was to assess how the morphology of the occlusal surfaces of premolars and molars influenced the occlusion time in a mixed gender group of young adults with full natural dentition.

METHODS

Fifty healthy volunteers with Angle's Class I occlusion were included in the study. After clinical examination, the alginate impressions of both arches were taken, and plaster casts were prepared. To assess the morphology of lateral teeth, the digital models were measured. Occlusal analysis was performed with the T-Scan^® III to assess occlusion time.

RESULTS

A direct correlation was found between the cusp distance for the first upper premolar and occlusion time (r = -0.29, p<0.05) and the distance between distal buccal and distal lingual cusps of the first lower premolar and occlusion time (r = 0.33, p<0.05). The parameters that had their impact on occlusion time were the opening angle of lingual cusps for the lower molars and the furrow angle of aperture between cusps for first upper premolar.

DISCUSSION

Occlusal surface morphologies of premolars may have direct impact on occlusion time. However, anterior guidance parameters and morphologies of molars could also influence the time teeth are in contact coming to maximal intercuspation.

Assessment of masticatory muscle activity and occlusion time in patients with advanced tooth wear

OBJECTIVE

Tooth wear is a basic physiological adjustment mechanism in the masticatory system. Unfortunately, it is not clear what the relationship is between the activity of the masticatory muscles and the tooth hard tissue loss (mainly enamel) in patients with advanced tooth wear. The aims of this study were (1) to compare the occlusion times and (2) to compare the EMG activity in maximal voluntary clench of the masseter and anterior temporalis muscles of patients with advanced tooth wear to the same activity of healthy volunteers.

DESIGN

50 (16F, 34M) patients and 30 (12F, 18M) age matched controls were clinically examined to assess the degree of wear (TWI). Each subject underwent electromyographic analysis (bilateral anterior temporalis, superficial masseter, anterior digastric and sternocleidomastoid muscles) and digital occlusal analysis.

RESULTS

Mean values of the electrical potentials of the mandible elevating muscles during clench were higher in the study group compared to the controls. A negative correlation was found between the temporalis and masseter muscle activities during clench and the mean value of TWI (r=-0.383, p=0.009; r=-0.447, p=0.002). Occlusion time was longer in the study group compared to controls (p<0.05).

CONCLUSIONS

Mandibular adductors demonstrated lower muscular activities during clenching in the tooth wear patients; however, the cause of this finding is not certain. Prolongation of occlusion time may exacerbate occlusal surfaces wear or excessive wear may prolong occlusion time.

Determination of hexabromocyclododecane by flowing atmospheric pressure afterglow mass spectrometry

The first application of a flowing atmospheric-pressure afterglow ion source for mass spectrometry (FAPA-MS) for the chemical characterization and determination of hexabromocyclododecane (HBCD) is presented. The samples of technical HBCD and expanded polystyrene foam (EPS) containing HBCD as a flame retardant were prepared by dissolving the appropriate solids in dichloromethane. The ionization of HBCD was achieved with a prototype FAPA source. The ions were detected in the negative-ion mode. The ions corresponding to a deprotonated HBCD species (m/z 640.7) as well as chlorine (m/z 676.8), nitrite (m/z 687.8) and nitric (m/z 703.8) adducts were observed in the spectra. The observed isotope pattern is characteristic for a compound containing six bromine atoms. This technique is an effective approach to detect HBCD, which is efficiently ionized in a liquid phase, resulting in high detection efficiency and sensitivity.

Enamel mineral content in patients with severe tooth wear

PURPOSE

The amounts of calcium (Ca), magnesium (Mg), zinc (Zn), and copper (Cu) in enamel may be crucial for maintaining its integrity and to attenuate potential environmental effects on teeth. The aim of this study was to examine whether the mineral composition of enamel could influence tooth wear.

MATERIALS AND METHODS

A total of 50 patients with severe tooth wear were compared with 20 healthy volunteers. Tooth wear was assessed using clinical examination according to the protocol of Smith and Knight. Subsequently, the maxillary central incisors of each subject were subjected to acid biopsies to assess the mineral composition in the enamel. Atomic absorption spectroscopy with an air/acetylene flame was used to analyze for Ca, Zn, and Mg. Graphite furnace atomic absorption spectroscopy was used to analyze for Cu.

RESULTS

The concentrations of Ca and Mg in tooth enamel were comparable in the study and control groups. Zn enamel content was higher in patients with tooth wear, and Cu enamel content was lower in these patients compared with the control group.

CONCLUSION

The differing Zn and Cu contents in tooth enamel might offer a reason for excessive tooth wear in these patients. However, the results require further, more detailed study.

Morphological and Functional Parameters in Patients with Tooth Wear before and after Treatment

Advanced tooth wear often results in lost vertical dimension and impacts facial aesthetics. Complex restorative treatment can replace the lost tooth structure and improve functional occlusal and facial skeleton parameters.

PURPOSE

The aim of the study is to assess changes in the morphological and functional occlusal parameters of the facial skeleton after prosthetic rehabilitation that increased lost occlusal vertical dimension.

MATERIAL AND METHODOLOGY

50 patients with advanced tooth wear were clinically examined, to assess the degree of wear. Each subject underwent cephalometric analysis, digital occlusal analysis, and electromyographic analysis, of the anterior temporalis, superficial masetter, anterior digastric, and the sternocleidomastoid muscles. Prosthodontic treatment was performed to restore the occlusal vertical dimension of each subject's occlusion, which was followed by repeating the pretreatment analyses. Pre and post treatment parameters were statistically compared.

RESULTS

Pre-treatment cephalometric analysis showed that lost vertical dimension reduced anterior facial height and resulted in small angular skeletal parameters. Post treatment anterior facial height increased from the increased occlusal vertical dimension. The mean value of functional electrical activity during clenching post treatment, increased compared to pretreatment.

CONCLUSION

Increasing the vertical dimension of occlusion improved facial aesthetics by positively affecting facial skeletal angles. The restored occlusal surface morphology changed the pre treatment flat broad occlusal contacts into more point contacts. The increased vertical dimension of occlusion after treatment also increased muscle activity levels over the pretreatment levels after three months period of adaptation.

Subcortical band heterotopia in rare affected males can be caused by missense mutations in DCX (XLIS) or LIS1

Subcortical band heterotopia (SBH) are bilateral and symmetric ribbons of gray matter found in the central white matter between the cortex and the ventricular surface, which comprises the less severe end of the lissencephaly (agyria-pachygyria-band) spectrum of malformations. Mutations in DCX (also known as XLIS ) have previously been described in females with SBH. We have now identified mutations in either the DCX or LIS1 gene in three of 11 boys studied, demonstrating for the first time that mutations of either DCX or LIS1 can cause SBH or mixed pachygyria-SBH (PCH-SBH) in males. All three changes detected are missense mutations, predicted to be of germline origin. They include a missense mutation in exon 4 of DCX in a boy with PCH-SBH (R78H), a different missense mutation in exon 4 of DCX in a boy with mild SBH and in his mildly affected mother (R89G) and a missense mutation in exon 6 of LIS1 in a boy with SBH (S169P). The missense mutations probably account for the less severe brain malformations, although other patients with missense mutations in the same exons have had diffuse lissencephaly. Therefore, it appears likely that the effect of the specific amino acid change on the protein determines the severity of the phenotype, with some mutations enabling residual protein function and allowing normal migration in a larger proportion of neurons. However, we expect that somatic mosaic mutations of both LIS1 and DCX will also prove to be an important mechanism in causing SBH in males.

Purification and characterization of an acidic beta-1,3-glucanase from cucumber and its relationship to systemic disease resistance induced by Colletotrichum lagenarium and tobacco necrosis virus

An acidic beta-1,3-glucanase was detected in cucumber leaves inoculated with either Colletotrichum lagenarium or tobacco necrosis virus (TNV) as well as in the leaves above those inoculated with the pathogens. The enzyme is extracellular and migrates in native polyacrylamide gel electrophoresis (PAGE) together with a Class III chitinase, a bifunctional chitinase/lysozyme. The beta-1,3-glucanase was separated by ultra-narrow pH range IEF-PAGE or by SDS_PAGE and was purified to apparent homogeneity. Only one isoform of the enzyme was detected. Its apparent molecular mass in 38 kDa as estimated by SDS-PAGE, its isoelectric point is 3.6 and the specific activity is approximately 26 micromol glucose equivalents liberated from laminarin min(-1)mg(-1) protein. Partial amino acid (five peptide fragments with a total of 65 amino acids) sequencing of the beta-1,3-glucanase revealed similarities of 49% to 72% to sequences of published beta-1,3-glucanases from tobacco, tomato, soybean, barley, and rice plants. A time course study indicated that the increase of the beta-1,3-glucanase activity was associated with induced resistance against C. lagenarium. The implications of these results to coordinate defense responses in plant-microbe interactions are discussed.

Biochemical changes in cell walls and cellular responses of tobacco leaves related to systemic resistance to blue mold (Peronospora tabacina) induced by tobacco mosaic virus

Inoculation of lower leaves of tobacco cultivar Ky 14, which carries the N gene for resistance to tobacco mosaic virus, with tobacco mosaic virus induced systemic resistance to Peronospora tabacina and a systemic accumulation of cell wall hydroxyproline. Hydroxyproline increased significantly 12 days after induction with tobacco mosaic virus, and more so after challenge with P. tabacina. During this period, hydroxyproline levels in the control plants remained unchanged. Four salt-soluble cell wall proteins were systemically induced. These proteins were not β-1,3-glucanases, chitinases, or hydroxyproline-rich glycoproteins. Light microscopy showed that blue mold development in the induced plants was severely restricted 2 days after challenge; some fungal hyphae were disorganized near the center of infection sites, and adjacent host cells were plasmolyzed and a few collapsed 3 days after challenge. All infection sites in the induced plants were associated with necrotic cells 5–6 days after challenge. Electron microscopy revealed that damage to fungal hyphae, plasmolysis and shrinking of infected cells, and more electron-opaque host cell walls and wall appositions were characteristics of induced resistance. Key words: induced systemic resistance, Nicotiana tabacum, blue mold (Peronospora tabacina).

Control of Terpenoid Metabolism in the Potato Phytophthora infestans Interaction

Inoculation of tubers with fungi non-pathogenic to potato suppresses glycoalkaloid accumulation and elicits accumulation of norsequi and sesquiterpenoids. Inoculation with compatible races of the pathogen Phytophthora infestans suppresses accumulation of terpenoids. Suppressors and elicitors of terpenoid accumulation were isolated from P. infestans . Specificity in the P. infestans - potato interaction appears controlled by suppressors (17-23 glucose units linked β1 → 3. β1 → 6). Ethylene, temperature and aging also markedly influence terpeuoid accumulation.