Thank you, bloodshed344. I'm glad that there are others who feel this way as well. The MDx family and related chemicals (such as 5- and 6-APB) would be examples of psychedelics that bind weakly to 5-HT2A compared to 5-HT2B, and I discussed why I think they're great examples already. Looking at the anecdotal evidence, they do seem to provide a much higher level of delirium compared to "classical" 5-HT2A effects like sensory distortions and ego loss compared to other psychedelics. By IA are you referring to the imidazoline receptor subtype? If so I'm not really sure about that one, but I would like to learn more.
I have more ideas that I've been working on about all this but I'm still trying to pull them together right now, so I may be posting them later tonight. We'll see how it turns out!
I love this thread, first off... It has a lot of material compiled that I've discussed with two of my best friends (you know who you both are in this thread ), and as you both know, I am extremely interested in the topic but don't have any more sources to add. I do, however, offer you my subjective experiences... As I love to share those anyway!
So I'll start by stating that I've never used any deliriants in the past.. My first time will be next month (again, thank you for willing to be my guide- you know who you are )
So one thing that particularly caught my attention that you mentioned, wandering girl, is the fact that your friends used to see who would experience delirium with MDMA and/or MDA. This reminds me of some experiences I've had with MDMA where I kept trying to hold conversations (as I love to talk and connect with others on MDMA), but I couldn't seem to finish a sentence without forgetting what I was speaking of and where I was, to the point where I might start off a sentence response like, "Yeah... I know what you mean..." But then I would trail off... "About the boats and lakes over there.. We should swim over to that island.." XD this is a real example of something I said exactly word for word pretty much, and it's because I kept forgetting where I was and switching over to thinking I was still staying in a cabin in Tennessee that I had visited a couple months earlier with my family. These doses of MDMA weren't huge, either (probably were close to 200mg-- then again, I weigh less than 100lbs and am quite sensitive and usually 120mg is the highest I feel I need to go on MDMA). I've also noticed other people, especially when relaxed or sleepy on MDMA, starting sentences and trailing off in ways that make absolutely no sense given the shared situation... Because they finish the sentence with their own "dream thoughts".
This phenomenon is something that seems like it would be normal on MDMA + ketamine (a combination I happen to really enjoy), but I've seen it happen from MDMA by itself a handful of times too! Makes a lot of sense given the ideas and studies discussed here about the 5ht2b receptor, delirium-like effects due to serotonin, etc....
Forgive me if this is off topic here, not trying to cause a huge branch-off or anything... But, though not a psychedelic drug, did any of you ever happen to theorize about why the sleeping medication Ambien tends to cause such deliriant-like effects in some people? I have tried searching online, but haven't even found much good or detailed info on the mechanisms of how it works. To be honest, Ambien was the first (unintentional) trip I ever had! I was pretty taken aback at what happened, for I was expecting *nothing* like it, and at the age of 16, had never even tried weed before the first time I got this effect with the Ambien that my mom gave me (hehe). The delirium I experienced on it was always on par with the kind I might get from a high fever... (Things like having conversations with objects that had developed personalities and intentions, pondering what the past lives might be of a certain corner of the room I was in, etc...) What a strange drug Ambien is... Again, ignore this portion of my post if it's too off-topic. Just wanted to share, if nothing else.
I love this thread, first off... It has a lot of material compiled that I've discussed with two of my best friends (you know who you both are in this thread ), and as you both know, I am extremely interested in the topic but don't have any more sources to add. I do, however, offer you my subjective experiences... As I love to share those anyway!
So I'll start by stating that I've never used any deliriants in the past.. My first time will be next month (again, thank you for willing to be my guide- you know who you are )
So one thing that particularly caught my attention that you mentioned, wandering girl, is the fact that your friends used to see who would experience delirium with MDMA and/or MDA. This reminds me of some experiences I've had with MDMA where I kept trying to hold conversations (as I love to talk and connect with others on MDMA), but I couldn't seem to finish a sentence without forgetting what I was speaking of and where I was, to the point where I might start off a sentence response like, "Yeah... I know what you mean..." But then I would trail off... "About the boats and lakes over there.. We should swim over to that island.." XD this is a real example of something I said exactly word for word pretty much, and it's because I kept forgetting where I was and switching over to thinking I was still staying in a cabin in Tennessee that I had visited a couple months earlier with my family. These doses of MDMA weren't huge, either (probably were close to 200mg-- then again, I weigh less than 100lbs and am quite sensitive and usually 120mg is the highest I feel I need to go on MDMA). I've also noticed other people, especially when relaxed or sleepy on MDMA, starting sentences and trailing off in ways that make absolutely no sense given the shared situation... Because they finish the sentence with their own "dream thoughts".
This phenomenon is something that seems like it would be normal on MDMA + ketamine (a combination I happen to really enjoy), but I've seen it happen from MDMA by itself a handful of times too! Makes a lot of sense given the ideas and studies discussed here about the 5ht2b receptor, delirium-like effects due to serotonin, etc....
That is a very helpful anecdote, thanks so much for the contribution! ^_^ And it's pretty hilarious too. XD But the thing about you suddenly thinking you were in Tennessee especially is a wonderful example of what I'm trying to get at.... That's exactly the kind of thing that can happen commonly when you slip into delirium on anticholinergics, and it's exactly what happened to me and my friends on our MDMA experiences too. It's really one of the first things that made me start to think about how incredibly similar they can be. I'm jealous that you were able to get them from MDMA alone too! Haha. I've only known one other person who was as sensitive to MDMA as that, and actually I would say more so.... He said whenever he would take a normal dose he could close his eyes and be flying through outer space. O.O But he also reports full-bodied entity contact hallucinations just from smoking too much weed.... I don't know if that's a blessing or a curse. >.>
Forgive me if this is off topic here, not trying to cause a huge branch-off or anything... But, though not a psychedelic drug, did any of you ever happen to theorize about why the sleeping medication Ambien tends to cause such deliriant-like effects in some people? I have tried searching online, but haven't even found much good or detailed info on the mechanisms of how it works. To be honest, Ambien was the first (unintentional) trip I ever had! I was pretty taken aback at what happened, for I was expecting *nothing* like it, and at the age of 16, had never even tried weed before the first time I got this effect with the Ambien that my mom gave me (hehe). The delirium I experienced on it was always on par with the kind I might get from a high fever... (Things like having conversations with objects that had developed personalities and intentions, pondering what the past lives might be of a certain corner of the room I was in, etc...) What a strange drug Ambien is... Again, ignore this portion of my post if it's too off-topic. Just wanted to share, if nothing else.
I'm afraid I can't help you too much here, but it has always been a subject of much interest to me. From all accounts I've heard (and the one time I used zolpidem myself, though not at a high enough dose for very much hallucination) it does seem delirious in a way similar to alprazolam or alcohol but with a little more psychedelia involved, though I wouldn't quite say it was exactly like a deliriant. All the reports I've ever read put it more on the level of an upper psychosis but with a downer mindset and some visuals thrown in, but I would like to experiment more with it to be sure.... I think the place to start would be asking how does muscimol cause hallucinations? Do you have any experience with amanitas?
Alright, I've been thinking a lot about the ways in which serotonin syndrome and anticholinergic hallucinations could be linked. Let me know what you guys think about this.
If 5-HT2B is releasing serotonin in the brain then obviously plenty of serotonin receptors are being stimulated as a result of it, and part of what I was saying before was that since 5-HT2B seems to be protective against serotonin syndrome and its effect could possibly even be localized (just based on some other tidbits I've found), it might be able to achieve serotonergic effects stronger than what would normally be physically safe from a widespread serotonin releasing agent, similarly to how direct agonists like psychedelics work but without the psychedelia on its own. With that in mind I've been trying to think of what other serotonin receptors might do at levels of activity above where we normally see them... and that led me to 5-HT3.
Widespread activation of 5-HT3 by agonists causes nausea and anxiety. If 5-HT3 plays an important role in the effects of psychedelics then it sure would be nice to find some way to activate it while still getting around that... like by activating 5-HT2B, which should logically lead to 5-HT3 activation in areas where it releases serotonin while still causing anxiolysis as one of its own widespread activation effects instead. As far as I can tell there is frustratingly little research on the activation of 5-HT3 by psychedelics, but at least a couple of different sources I've read claimed that psilocin and LSD do not activate it. It's possible that some phenethylamines might I suppose since they do cause nausea, but that could also result from binding to dopamine receptors. I think the only thing I could really point out here and feel would really be significant is bufotenin, which is known to cause significant nausea, and is also said to have very powerful hallucinations, and I've ever heard people describe a "phase" of it where they would slip into a dream-like state with realistic out-of-body experiences... sounding very similar to deliriants.
So why am I talking about 5-HT3? Well, chew on these:
This article reviews current knowledge on the interaction between 5-hydroxytryptamine (5-HT), acting at 5-HT3 receptors in the CNS, and cerebral dopamine systems. Since 1987, a growing body of behavioural, neurochemical and electrophysiological evidence from animal studies has demonstrated a clear role for 5-HT3 receptors in the modulation of activity of mesolimbic and mesocortical dopamine neurones. This evidence has led to the suggestion that 5-HT3 receptor antagonists have potential as novel antipsychotic agents and may also find use in the treatment of psychoactive substance abuse. Data emerging from clinical studies generally support this hypothesis and suggest that 5-HT3 antagonists may prove to be among the first agents available to treat schizophrenia which are not dopamine D2 antagonists and hence lack their side-effect problems.
Psychosis, linked to chronic levodopa and other antiparkinsonian drug treatments, is a common and incapacitating complication of advanced Parkinson's disease (PD). The psychosis may be due, in part, to overstimulation of central serotonergic (5-HT) receptors. We treated 16 PD patients who had psychosis of 6 to 60 months' duration with the 5-HT3 receptor antagonist ondansetron (12 to 24 mg daily) in an open-label, short-term (4 to 8 weeks) trial. There was marked to moderate improvement (p < 0.01) in measures of visual hallucinations, paranoid delusions, confusion, and the associated global functional impairment in all but one of the patients, and there was moderate improvement in the Brief Psychiatric Rating Scale and the Nurse's Observation Scale for Inpatient Evaluation; the Mini-Mental State Examination scores remained unaltered. Ondansetron did not cause any worsening in basic PD symptoms or levodopa efficacy and was well tolerated with no major side effects. Our study suggests that pharmacologic blockade of central 5-HT receptors may become a strategy to attenuate PD psychosis without inducing motor deterioration or suppression of antiparkinsonian action of levodopa, and it lends support to the hypothesis that serotonergic mechanisms are pathogenetically important in the emergence of psychosis in PD.
There's just a couple of things for you to think about which led me down this path. But there's more to it than that.... We already know that 5-HT2B is involved or at least required for the release of serotonin in the nucleus accumbens, in the striatum, as part of the effects of MDMA. So what exactly is going on with 5-HT3 in the striatum? How about this:
Nicotinic acetylcholine receptors and 5-HT(3) serotonin receptors are present on presynaptic nerve terminals in the striatum, where they have been shown to be involved in the regulation of dopamine release. Here, we explored the possibility that both receptor systems function on the same individual nerve terminals in the striatum, as assessed by confocal imaging of synaptosomes. On performing sequential stimulation, nicotine (500 nM) induced changes in [Ca(2+)](i) in most of the synaptosomes ( approximately 80% ) that had previously responded to stimulation with the 5-HT(3) receptor agonist m-chlorophenylbiguanide (mCPBG; 100 nM), whereas mCPBG induced [Ca(2+)](i) responses in approximately half of the synaptosomes that showed responses on nicotinic stimulation. The 5-HT(3) receptor-specific antagonist tropisetron blocked only the mCPBG-induced responses, but not the nicotinic responses on the same synaptosomes. Immunocytochemical staining revealed extensive co-localization of the 5-HT(3) receptor with the alpha4 nicotinic receptor subunit on the same synaptosomes, but not with the alpha3 and/or alpha5 subunits. Immunoprecipitation studies indicate that the 5-HT(3) receptor and the alpha4 nicotinic receptor subunit do not interact on the nerve terminals. The presence of nicotinic and 5-HT(3) receptors on the same presynaptic striatal nerve terminal indicates a convergence of cholinergic and serotonergic systems in the striatum.
As that last sentence states, this implies activity shared by both cholinergic and serotonergic activation, specifically about regulation of dopamine, which is implicated in psychosis including in relation to 5-HT3. Nicotinic acetylcholine receptor activity causing hallucinations is not news either; pure nicotine overdoses have been documented with it a la Arnold Schwarzenegger and his nicotine gum. Varenicline, a smoking cessation aid which is an agonist at both alpha4beta2 nicotinic and 5-HT3 receptors, has also been known to cause hallucinations. It's notable that high acetylcholine and dopamine activity in brain areas such as this are also associated with dreaming, and cholinergic drugs are known to enhance dream vividness. Nicotine patches are said to make dreams extremely clear and involving all five senses, and acetylcholinesterase inhibitors such as galantamine are often used by lucid dreaming communities. Intriguingly, there's also a chemical called scopoletin, already mentioned in this thread actually, that is found in several plants currently known to drastically enhance the hallucinations caused by anticholinergics, and it's becoming an increasingly common practice in some entheogenic communities to combine them. However, scopoletin is also an acetylcholinesterase inhibitor like galantamine. So how could this possibly make sense, you ask?
Like I said, I've been trying to think of a way to bring together the hallucinations of serotonin syndrome and anticholinergics.... What if blocking muscarinic receptors is more like a decoy than anything? We call them "anticholinergics"... but how do you explain the fact that scopolamine itself increases acetylcholine concentrations in the nucleus accumbens? Oh yes.
The in vivo microdialysis technique was used to measure extracellular concentrations of acetylcholine (ACh) in the neostriatum (NS) and nucleus accumbens (NAc) of freely moving rats after intraperitoneal administration of the muscarinic receptor antagonist scopolamine (0.5 mg/kg) or vehicle. Simultaneously, behavior was monitored. The administration of scopolamine induced an increase in extracellular ACh levels in the NS, which reached a maximum of about 185% within one hour after injection and returned to baseline values about three hours after injection. In the NAc, an increase of similar time-course was observed; however, this increase reached a maximum of 250%, which was significantly higher than the one observed in NS. These changes in ACh levels were accompanied by enhanced locomotion, rearing and grooming; however, the behavioral changes were of shorter time-course than those of extracellular ACh. The injection of vehicle did not affect ACh levels in NS, but induced a significant increase ( 60% ) in the NAc. The levels of behavioral activity after vehicle injection did not differ from pre-injection levels. These results suggest, that the cholinergic systems in the NAc and NS are differently affected by peripheral administration of both scopolamine and vehicle. The differential effects of scopolamine in NS and NAc could reflect pharmacodynamic differences between these two striatal brain areas, perhaps due to a higher density of cholinergic interneurons or muscarinic autoreceptors in the NAc in comparison to the NS. However, the increase of extracellular ACh observed after vehicle injection suggests that factors such as aversive stimulation through the injection procedure can increase ACh release in the NAc and that such a mechanism can interact within the action of scopolamine. Thus, the stronger action of scopolamine on extracellular ACh in the NAc might be an additive effect of the drug with that of the injection procedure.
It's known that anticholinersterase inhibitors are useful in combating anticholinergic overdose, but what if they're only taken in small enough amounts that they don't overpower the antimuscarinic effects but do increase the lifespan of acetylcholine released by them? Could that not account for the increase in effects of tropanes noted by the addition of scopoletin-containing plants? And if that was the case, could this convergence of alpha4 nicotinic subunits and 5-HT3 receptors not account for at least some of the psychotic/deliriant effects that serotonin syndrome, anticholinergics, and possibly direct 5-HT3 or 5-HT2B agonists share?
Astounding. I cannot wait till my mind has returned to a place where I can contribute to material like this. /me looks up to great scientists and neurophilosophers and can't wait to be a peer with you good folks again.
Could brain temperature be involved? Large increases in serotonin levels turn up the central thermostat, while anticholinergics block peripheral temperature control by inhibiting sweating, which could also increase brain temperature. Since delirium is also involved in high fever, could there be a connection? Do anticholinergics and serotonin releasers still cause hallucinations when the subject is rigorously cooled?
Astounding. I cannot wait till my mind has returned to a place where I can contribute to material like this. /me looks up to great scientists and neurophilosophers and can't wait to be a peer with you good folks again.
Could brain temperature be involved? Large increases in serotonin levels turn up the central thermostat, while anticholinergics block peripheral temperature control by inhibiting sweating, which could also increase brain temperature. Since delirium is also involved in high fever, could there be a connection? Do anticholinergics and serotonin releasers still cause hallucinations when the subject is rigorously cooled?
I get where you're coming from, and I'm sure such things could contribute to the hallucinations, but I don't think it's really enough to explain it. I say this even just because I've hallucinated my head off from deliriants and serotonin releasers and definitely never come close to being as heated up as I have been from fevers; it's pretty noticeable and you feel pretty crappy when your temperature is that high. In addition to that, I've had high fevers and never once hallucinated from them. I just have a hard time believing that someone on datura would suddenly sober up if you helped cool them off.
The first thing that comes to mind is this case report: Diphenhydramine overdose mimicking serotonin syndrome. Diphenhydramine is both an anticholinergic deliriant and a SSRI, so it doesn't get much better than this for this kind of example. This girl took 1800 mg, far above the required amount for complete delirium, and was hallucinating heavily while showing symptoms both of anticholinergic overdose and serotonin syndrome. Her temperature at the time however was 37.9°C, or around 100.22°F. There's no way that that's enough to cause the level of hallucination she was surely submerged in, and I think the fact that she could even take that much and still just be at that level implies that she would not need to be overheating to hallucinate. They claim that her temperature went up more after they measured it, but she was already completely gone by then, and it went back down by the end of the first day. She didn't sober up until the third day.
We also just know so much about how these drugs work in the brain, there's plenty to suggest that their effects are more neurochemical in nature than simply related to temperature. An extremely extensive amount of research has been done on scopolamine in particular.
6-APB is a triple monoamine reuptake inhibitor with Ki values of 117, 150 and 2698 for NET, DAT and SERT respectively as well as being a potent agonist for the 5-HT2B receptor (Ki 3.7nM).
That affinity is nothing to sneeze at! 6-APB may be the most potent and selective 5-ht2b agonist known. However, it doesn't seem to produce much in the way of delirium. I'd nonetheless be very careful with respect to regular use of this compound, considering the known long-term side effects of 5-ht2b receptor activation. I wouldn't use it any more often than typical MDMA rules (twice a month/15 times a year).
Also perhaps 5-ht2b is more responsible for the primary effects of 6-APB than we thought, considering that its affinity for SERT is basically irrelevant at normal dosages: the primary thing separating 6-APB from Ritalin is 5-ht2b!
Wandering Girl pointed me to this thread and asked me to contribute as an experienced user of NBOMes. I don't know how well this fits in with her theory, but I will say that NBOMes (especially 25I) are easily the most visual of the dozens of psychs I've tried, and this seems to be a common opinion among other users.
One experience I had in particular was a little over a year ago on a relatively high dose of 25I (1.2mg buccal). I had my eyes closed and started to see flashes of various bits of faces, eyes and mouths mostly, but instead of the more cartoony flat-looking visuals that I was used to seeing on other substances, I was astonished to be viewing highly detailed 3D flash snapshots with vivid colors and lighting. I could even see the glisten of tears on the eyeballs and saliva on the teeth in the mouths. The visuals converged into a series of shifting and completely realistic still images of a gorgeous young woman (resembling Megan Fox, only way hotter because she wasn't trying so hard to be agressively sexy :D) wearing a gray tank top and blue cutoff shorts and green flip-flops, standing outside in the warm summer sun on a grassy lawn looking back at me impishly. The images weren't completely stable and kept rhythmically shifting in zoom and perspective about once a second, but at the same time they were highly synesthetic and combined multiple sensory modalities in a unified whole. I could practically feel the softness of the woman's skin and the warmth of the sun on her body, as well as very definite qualities of temperature, time of day, the smell of the atmosphere, and location of the environment all present with the image. I was amazed at how completely realistic it looked and felt (except for at the edges of the visual where it was shifting), and yet I was completely aware the whole time that it was all a mental fabrication and I was really stuck inside my bedroom with pouring rain outside. The expression on her face changed from impish curiosity, to lust, then to annoyance when I didn't really respond to her advances (I was still too surprised to really react), then to anger and even fury. Her eyeballs bulged out and she bared her teeth, and then the sense of place and time went away and the scene flattened and transformed into a grotesque monster with dozens of eyeballs all piled up in a pyramid staring at me. Somehow I managed to not freak out, and I beheld it all from within a state of serene acceptance. The visuals decohered back into innumerable flashing disembodied eyeballs and gnashing teeth, and I simply smiled and even said "smile!" out loud to get them to smile too. Gradually their expressions changed from fear and anger to amazement, and some of them seemed to be laughing. I tried to recall the summer day woman in my imagination, but it didn't have any effect on the visuals. Eventually I opened my eyes and saw the same faces popping out of the walls everywhere.
Ever since that one trip, it seems like something got rewired in my brain and the face-recognition part of my mind is on a hair-trigger and I can see faces in all kinds of visuals nowadays (which can be a little creepy, and has definitely contributed to my slowing down my usage of psychs over the past year). I pretty much always get glistening 3D eyeballs looking back at me on a good dose of any NBOMe, and I'll even get glimpses of them on what were once relatively mild substances like 4-HO-MET or 2C-C. The only exception is allylescaline, which still gives me cartoony Picasso-esque faces like it always has (and like mescaline gave me the two times I tried it); somehow its style of visuals haven't been affected. I've also noticed that the CEV faces I see nowadays are a lot more emotionally expressive, almost to the point of being caricatures, and they seem to smoothly progress through various distinct emotional states as I watch them. When this happens I often wonder if I'm consciously witnessing the spreading activation of neural networks in my brain progressing through their phase spaces of emotional representations, triggering downstream areas in the visual cortex to create the visuals I'm seeing.
Edited to add: I think it'd be interesting to look at melatonin too, I take it for insomnia and in high enough doses it makes my dreaming a lot more vivid than usual. A few times I've woken up in the middle of the night while on melatonin to see complex kaleidoscopic patterns (such as arrays of multicolored diamonds, or five-pointed stars), which makes me think it's something similar going on to what WG was talking about in the first post about how deliriants at low doses have low-level visuals which combine to form panoramic scenes at higher doses.
I'm happy that you think so. :D I look forward to any future contributions you may have!
I get where you're coming from, and I'm sure such things could contribute to the hallucinations, but I don't think it's really enough to explain it. I say this even just because I've hallucinated my head off from deliriants and serotonin releasers and definitely never come close to being as heated up as I have been from fevers; it's pretty noticeable and you feel pretty crappy when your temperature is that high. In addition to that, I've had high fevers and never once hallucinated from them. I just have a hard time believing that someone on datura would suddenly sober up if you helped cool them off.
The first thing that comes to mind is this case report: Diphenhydramine overdose mimicking serotonin syndrome. Diphenhydramine is both an anticholinergic deliriant and a SSRI, so it doesn't get much better than this for this kind of example. This girl took 1800 mg, far above the required amount for complete delirium, and was hallucinating heavily while showing symptoms both of anticholinergic overdose and serotonin syndrome. Her temperature at the time however was 37.9°C, or around 100.22°F. There's no way that that's enough to cause the level of hallucination she was surely submerged in, and I think the fact that she could even take that much and still just be at that level implies that she would not need to be overheating to hallucinate. They claim that her temperature went up more after they measured it, but she was already completely gone by then, and it went back down by the end of the first day. She didn't sober up until the third day.
We also just know so much about how these drugs work in the brain, there's plenty to suggest that their effects are more neurochemical in nature than simply related to temperature. An extremely extensive amount of research has been done on scopolamine in particular.
Fair enough, I already thought there would be more to it, but it can be quite easy to forget about certain simple principles that might fit the data as well (Occam's razor and such).
One that especially stands out to me though is MMDA. Reports of this drug are pretty hard to come by, but the most significant one to me is the one here by morninggloryseed. MMDA is said to be a fairly specific serotonin releasing agent, and given its similarity to MDMA I don't think it's absurd to suggest that 5-HT2B plays a role, as well as a 5-HT2A agonist, and it's said to create incredibly realistic visuals with closed eyes. In morninggloryseed's reports, many of the effects he details as part of the experience are extremely similar to those caused by anticholinergic deliriants such as what I mentioned above, and I've even gotten something similar to what he describes about seeing the vivid internet browser with clear but meaningless text on it on diphenhydramine before. I think this is a particularly important example to follow, however you don't have to use something so rare to see this either... many, many people report delirious hallucinations from MDA such as seeing objects or people on the dance floors of clubs that aren't actually there. The more you read about these experiences, I think the harder it gets to differentiate them from many that are reported from anticholinergic deliriants.
This is quite a series of jumps-to-conclusions. MMDA CEVs are prominent, but if it exhibited deliriant activity one would have expected to see more mention of this in the literature! MMDA is one of the oldest of the amphetamine psychedelics; it was introduced by Shulgin in 1964 as a "new psychotomimetic". It was subsequently found to be useful in therapy as it lacked the stimulant properties of its cousin MDA -- MDMA, 2C-X et al were not known at this time. As such, there is an extensive report on the use of MMDA in psychotherapy dating from 1973:
This is probably a better source than morninggloryseed's trip report, no offense to him, but he's only one person, and the first-person is the worst-person with regard to understanding the effects of something.
"Visual phenomena with open eyes, such as enhancement of color or distortion of facial expressions or objects, were observed with MMDA in only three instances, in all three cases at the large dosages. Phenomena such as imagery filling the visual world, illusions or hallucinations frequently reported with LSD5 were not observed here."
"True depersonalization was not observed at all."
A lack of OEVs is a pretty strong case against deliriant activity; after all, the anticholinergics are most famous for these. In general, the report paints a picture of a mild-mannered psychedelic-entactogen with some therapeutic potential, certainly not a deliriant by any measure. The problematic aspect of MMDA seems to be some anxiogenic effect, which could also influence a user to misreport an experience as more realistic and/or intimidating than it really was.
Of course, there is also no reason to believe MMDA has much affinity for 5-ht2b, especially if mescaline lacks this affinity. MMDA after all has oxygens in the same place as mescaline. So I don't think MMDA, which has no published binding profile, is terrifically relevant to the question.
Here's what I'm really trying to get at though.... Those MDMA analogues are strong 5-HT2B agonists but presumably not incredibly potent 5-HT2A agonists, as psychedelic effects are not the main part of what they're used for. So what about 5-HT2B activation by something that is used primarily for its psychedelic properties? Well, that leads me here.... Let's consider the four best known psychedelics: LSD, mescaline, psilocin, and DMT. The former two are known for being more stimulating in a dopaminergic way and causing trips that, while they can be very powerful and hallucinogenic, tend to take place more "in reality", even if reality seems pretty difficult to comprehend at the time. The latter two are known for much more easily causing those breakthrough experiences filled with entities that transport you to a completely different realm. LSD has been shown to bind to 5-HT2B only at very high doses, above what would be considered in the normal range of use. As far as I'm aware, mescaline has never been shown to have any significant affinity for 5-HT2B. At least one study I found, on the other hand, has shown psilocin to bind quite strongly to 5-HT2B, maybe even much more so than to 5-HT2A. DMT has been known to bind to 5-HT2B for some time, relatively unselectively in comparison to most other serotonin receptors it binds to. This is quite significant to me, because psilocin has also, in my experience, been the one to cause much more brain fog (not necessarily meant in a bad way), memory disruption, and general dissociation of mind from behaviors than DMT at least at normal doses, which would be supported well by my theory of 5-HT2B delirium if it works as part of a ratio to 5-HT2A effects. The reason all of this is so important though is because those "breakthrough" experiences to me completely resemble the effect of deliriants where abstract hallucinations steadily increasing in realism reach a point of panoramic effect where they overtake your consciousness and bring you to a totally other place. The significant difference here would be that on a deliriant you see things that are, relatively speaking, much more normal, but on a psychedelic the hallucinations would mix with the already very powerful hallucinogenic effects of 5-HT2A activation to create the bizarre dream worlds that users of tryptamines are familiar with.
TMA has relatively low affinity for 5-ht2b, which suggests a similar story for mescaline. Story checks out. In fact, most of these amphetamines have pretty low 5-ht2b affinity!
But can we really call the differences between psilocin and LSD "delirium"? Certainly, psilocin seems to be more entheogenic, DMT much more so. But compare with the NBOMe drugs 25C-NBOMe and 25I-NBOMe:
These have significant 5-ht2b affinity, approaching their 5-ht2a affinity. But the trips take place "in reality", and are decidedly less immersive than LSD. I did find 25C to be sort of empathy/socially-promoting, and so I agree that 5-ht2b probably contributes to entactogenic properties and may have some psychedelic potential. Add 6-APB to the mix: it may show that 5-ht2b alone is enough for visual effects and psychedelic, even entactogenic activity. But the effects of 6-APB are considered to be mildly psychedelic, easily controllable, and even pro-social.
Delirium? I'm not convinced. Psilocin adds 5-ht1a to 5-ht2a and 5-ht2b, and indeed I've heard many suggestions that this receptor is responsible for some important entheogenic effects; 5-ht1a agonists alone are serenic (anti aggressive), and of course learning not to be aggressive can be an important point of emotional growth for people who take these drugs. But I digress.
Once enough receptors have been tickled, we do see a lot more "immersive" experiences -- but LSD does this, hitting 5-ht1a/2a/2c/5a/6 with very high potency and 5-ht1b/1d/2b/D2/D3 with somewhat less. I'd suggest that with psilocin and DMT the powerful nature of the experience is brought on simply by the many effects of these unselective ligands.
Many tryptamines, synthetics included, are described as having an empathogenic effect, and it wouldn't surprise me if 5-HT2B activation was the culprit to that too.
Nope! See the link above [1]: DOx have a 5-ht2b/5-ht2a ratio similar to that of LSD, and their action at 5-ht2b probably isn't clinically relevant at ordinary doses.
Are those psychedelics not all known for being able to cause particularly powerful hallucinations
NBOMes are often considered mild at "ordinary" doses: 200-500 µg for 25C, 300-700 µg for 25B, 500-1000 µg for 25I. Their reputation as very powerful drugs comes from a disappointing tendency of users to take the drugs far above recommended doses (I've heard reports of 4000 µg 25I, which is a terrible idea) due to their easy availability and the difficulty of working with small amounts of the compound.
Then why did I find so many? If you have time to type 4000 words, you have time to run searches in Google Scholar, SciFinder, Wikipedia, Erowid and other wonderful sources of information. Understanding how you know things is a primary goal of science: science is the knowledge-justification par excellence, and keeping track of why you believe the things you do is one of the best ways to keep yourself honest.
With that said: one published binding profile usually isn't enough to get a good idea of how a compound works. In order to state any of this with any confidence I'd want to see replication of all the numbers. Unfortunately, since the government (may they rot in hell) really hates it when people do honest research on these compounds, such replication is not likely forthcoming.
EDIT: Let's go back to the beginning:
Then there's MDMA. It seems like one in at least every few drug users with much experience is aware of the fact that MDMA can cause a fairly powerful delirium upon either redosing or adding something such as cannabis or ketamine into the mix, particularly on the tail end of the experience.
I'd figure this is substantially dopamine mediated, cf stimulant psychosis, schizophrenia, etc. D2-mediated hallucinations are generally indistinguishable from reality. Obviously ketamine produces powerful hallucinations in combination with MDMA, as it does with anything. Similar effects (in fact stronger ones) are had combining psychedelics with cocaine, which has no 5-htR affinity:
That affinity is nothing to sneeze at! 6-APB may be the most potent and selective 5-ht2b agonist known. However, it doesn't seem to produce much in the way of delirium. I'd nonetheless be very careful with respect to regular use of this compound, considering the known long-term side effects of 5-ht2b receptor activation. I wouldn't use it any more often than typical MDMA rules (twice a month/15 times a year).
Also perhaps 5-ht2b is more responsible for the primary effects of 6-APB than we thought, considering that its affinity for SERT is basically irrelevant at normal dosages: the primary thing separating 6-APB from Ritalin is 5-ht2b!
Well, just as a disclaimer I've never tried 6-APB personally... but I would tend to disagree. Everything I've ever read would suggest that full visual doses of 6-APB can be extremely powerful. And if you're talking about less than full visual doses then it doesn't matter anyway because my theory only relates to how 5-HT2B effects 5-HT2A. Something to consider in relation to compounds like MDMA and MDA is that a lower affinity for monoamine transporters would mean less things like dopamine release for the same level of roll (if 5-HT2B is truly responsible for the core of its effects) and more serotonin selectivity, which could lead to 6-APB's hallucinations being less "overt". However, the main marker I use for delirium in this case is the realism of closed-eye visuals or very high doses, and since the latter doesn't really apply here by relation to what would be considered a high dose on something like a tryptamine (unless someone wants to take that heroic of a dose of 6-APB to try it, be my guest... but seriously don't) it's the former that will be really telling. It's the same scenario with 2C-B-Fly and the "lower" doses of tryptamines.
On that note, this is what I always think of from an Erowid report on 200 mg of 6-APB: My Favorite Drug of All Time.
I was rolling ridiculously hard. The closed eye visuals were better than anything I've ever seen. Better than high-doses of shrooms, even better than DMT.
...
You can roll way harder than you could ever roll on MDMA, get better visuals than any other drug....
That sounds about right to me. Of course, I would want to try it for myself before making any final decisions. Have you used fully visual doses of 6-APB before?
Wandering Girl pointed me to this thread and asked me to contribute as an experienced user of NBOMes. I don't know how well this fits in with her theory, but I will say that NBOMes (especially 25I) are easily the most visual of the dozens of psychs I've tried, and this seems to be a common opinion among other users.
Thanks so much for stopping by! ^_^ My ideas about this are constantly growing and changing and now I'm trying to incorporate every serotonin receptor I can into it, so all anecdotes with newer psychedelics (particularly those such as this where we have binding data) are appreciated!
One experience I had in particular was a little over a year ago on a relatively high dose of 25I (1.2mg buccal). I had my eyes closed and started to see flashes of various bits of faces, eyes and mouths mostly, but instead of the more cartoony flat-looking visuals that I was used to seeing on other substances, I was astonished to be viewing highly detailed 3D flash snapshots with vivid colors and lighting. I could even see the glisten of tears on the eyeballs and saliva on the teeth in the mouths. The visuals converged into a series of shifting and completely realistic still images of a gorgeous young woman (resembling Megan Fox, only way hotter because she wasn't trying so hard to be agressively sexy :D) wearing a gray tank top and blue cutoff shorts and green flip-flops, standing outside in the warm summer sun on a grassy lawn looking back at me impishly. The images weren't completely stable and kept rhythmically shifting in zoom and perspective about once a second, but at the same time they were highly synesthetic and combined multiple sensory modalities in a unified whole. I could practically feel the softness of the woman's skin and the warmth of the sun on her body, as well as very definite qualities of temperature, time of day, the smell of the atmosphere, and location of the environment all present with the image. I was amazed at how completely realistic it looked and felt (except for at the edges of the visual where it was shifting), and yet I was completely aware the whole time that it was all a mental fabrication and I was really stuck inside my bedroom with pouring rain outside. The expression on her face changed from impish curiosity, to lust, then to annoyance when I didn't really respond to her advances (I was still too surprised to really react), then to anger and even fury. Her eyeballs bulged out and she bared her teeth, and then the sense of place and time went away and the scene flattened and transformed into a grotesque monster with dozens of eyeballs all piled up in a pyramid staring at me. Somehow I managed to not freak out, and I beheld it all from within a state of serene acceptance. The visuals decohered back into innumerable flashing disembodied eyeballs and gnashing teeth, and I simply smiled and even said "smile!" out loud to get them to smile too. Gradually their expressions changed from fear and anger to amazement, and some of them seemed to be laughing. I tried to recall the summer day woman in my imagination, but it didn't have any effect on the visuals. Eventually I opened my eyes and saw the same faces popping out of the walls everywhere.
I don't think I've ever read a trip report that made me want to try a drug as much as that does. That sounds really incredible! And so does she. >w< I'm super jealous!! You weren't kidding when you said you have strong experiences from 25I-NBOMe. I'm actually thinking about some other receptors in relation to this particular drug now, but I'll mention that in a bit.... But I would recommend checking out what I have to say about 5-HT5A! It's kind of an obscure one, but I think there's definitely something interesting here....
Ever since that one trip, it seems like something got rewired in my brain and the face-recognition part of my mind is on a hair-trigger and I can see faces in all kinds of visuals nowadays (which can be a little creepy, and has definitely contributed to my slowing down my usage of psychs over the past year). I pretty much always get glistening 3D eyeballs looking back at me on a good dose of any NBOMe, and I'll even get glimpses of them on what were once relatively mild substances like 4-HO-MET or 2C-C. The only exception is allylescaline, which still gives me cartoony Picasso-esque faces like it always has (and like mescaline gave me the two times I tried it); somehow its style of visuals haven't been affected. I've also noticed that the CEV faces I see nowadays are a lot more emotionally expressive, almost to the point of being caricatures, and they seem to smoothly progress through various distinct emotional states as I watch them. When this happens I often wonder if I'm consciously witnessing the spreading activation of neural networks in my brain progressing through their phase spaces of emotional representations, triggering downstream areas in the visual cortex to create the visuals I'm seeing.
This actually happens to me after nearly every psychedelic experience I have. Remember how I was talking about how often I see entities in my visuals? Yeah, it started like that.... They started out cartoony and faint, then got to like cave and temple drawing kind of things, then progressed to seeming like they were computer generated or in virtual reality, and then finally after the highest dose of DMT I took they started looking extremely detailed all the time. Even once after that on one hit of LSD when it still wasn't super vivid or superimposed on reality or anything, a female I saw as part of my patterns was still fully rendered within that structure. I love it, it's one of my favorite parts about tripping.
Fair enough, I already thought there would be more to it, but it can be quite easy to forget about certain simple principles that might fit the data as well (Occam's razor and such).
I get it, and I appreciate the contribution. I do think though that Occam's razor is relevant but somewhat limited when it comes to theorizing about the brain, especially in relation to the effects of psychedelics. Even the theory with the least amount of assumptions will still have a pretty large amount of them, since there's still so much we don't understand about the brain and all we're doing here is hypothesizing. We would need some pretty extensive and specific research studies to get any of this down for sure.
This is quite a series of jumps-to-conclusions. MMDA CEVs are prominent, but if it exhibited deliriant activity one would have expected to see more mention of this in the literature! MMDA is one of the oldest of the amphetamine psychedelics; it was introduced by Shulgin in 1964 as a "new psychotomimetic". It was subsequently found to be useful in therapy as it lacked the stimulant properties of its cousin MDA -- MDMA, 2C-X et al were not known at this time. As such, there is an extensive report on the use of MMDA in psychotherapy dating from 1973:
This is probably a better source than morninggloryseed's trip report, no offense to him, but he's only one person, and the first-person is the worst-person with regard to understanding the effects of something.
"Visual phenomena with open eyes, such as enhancement of color or distortion of facial expressions or objects, were observed with MMDA in only three instances, in all three cases at the large dosages. Phenomena such as imagery filling the visual world, illusions or hallucinations frequently reported with LSD5 were not observed here."
"True depersonalization was not observed at all."
A lack of OEVs is a pretty strong case against deliriant activity; after all, the anticholinergics are most famous for these. In general, the report paints a picture of a mild-mannered psychedelic-entactogen with some therapeutic potential, certainly not a deliriant by any measure. The problematic aspect of MMDA seems to be some anxiogenic effect, which could also influence a user to misreport an experience as more realistic and/or intimidating than it really was.
Of course, there is also no reason to believe MMDA has much affinity for 5-ht2b, especially if mescaline lacks this affinity. MMDA after all has oxygens in the same place as mescaline. So I don't think MMDA, which has no published binding profile, is terrifically relevant to the question.
I'm going to have to look into that because I really do find MMDA regardless of any of this!
As I said in my response above, I don't believe that OEVs are completely necessary for what I'm saying, especially not with drugs you can only dose so high on. I also feel like you're confusing what I'm saying a bit.... I never claimed that they were actually anticholinergic, but just that the way their hallucinations form can be similar. There's no reason they would have to share every aspect of deliriants just because they had some hallucinogenic qualities in common. As I stated before, I only called it delirium because of the similarities.
There has also been a lot of challenging mescaline's lack of 5-HT2B activity in this thread already. The Psychedelics and the Human Receptorome study that keeps being pushed on me suggests that mescaline and the amphetamines do have significant affinity for 5-HT2B. And I do feel that it's relevant, because it still works through empathogenic means.... No one is trying to say anything for sure here, I'm just trying to draw connections.
Closest thing I can find to mescaline-binding-5-ht2b is this:
TMA has relatively low affinity for 5-ht2b, which suggests a similar story for mescaline. Story checks out. In fact, most of these amphetamines have pretty low 5-ht2b affinity!
But can we really call the differences between psilocin and LSD "delirium"? Certainly, psilocin seems to be more entheogenic, DMT much more so. But compare with the NBOMe drugs 25C-NBOMe and 25I-NBOMe:
These have significant 5-ht2b affinity, approaching their 5-ht2a affinity. But the trips take place "in reality", and are decidedly less immersive than LSD. I did find 25C to be sort of empathy/socially-promoting, and so I agree that 5-ht2b probably contributes to entactogenic properties and may have some psychedelic potential. Add 6-APB to the mix: it may show that 5-ht2b alone is enough for visual effects and psychedelic, even entactogenic activity. But the effects of 6-APB are considered to be mildly psychedelic, easily controllable, and even pro-social.
Delirium? I'm not convinced. Psilocin adds 5-ht1a to 5-ht2a and 5-ht2b, and indeed I've heard many suggestions that this receptor is responsible for some important entheogenic effects; 5-ht1a agonists alone are serenic (anti aggressive), and of course learning not to be aggressive can be an important point of emotional growth for people who take these drugs. But I digress.
Once enough receptors have been tickled, we do see a lot more "immersive" experiences -- but LSD does this, hitting 5-ht1a/2a/2c/5a/6 with very high potency and 5-ht1b/1d/2b/D2/D3 with somewhat less. I'd suggest that with psilocin and DMT the powerful nature of the experience is brought on simply by the many effects of these unselective ligands.
I'm going to be discussing more of this later on, I was hoping to finish it before more responses such as yours but it's been taking longer than expected. I don't know how much of the thread you've read but I've moved on to considering the other serotonin receptors more heavily too, not just 5-HT2B.
The study bugs me too... this is why I was opposed to the PLOS ONE study but people keep saying it's right. Data doesn't match up from one source to the next. How is one supposed to know what's right? I have to say though that with further research into this stuff and just going by the body highs of the drugs alone, that study does seem believable....
Again, if you are basing this off of mildly psychedelic doses of 6-APB then you aren't considering what I said correctly. I never claimed that 5-HT2B could cause delirium, only that it could make 5-HT2A hallucinations more delirious than normal. It would still require full 5-HT2A activity to take effect.
NBOMes are often considered mild at "ordinary" doses: 200-500 µg for 25C, 300-700 µg for 25B, 500-1000 µg for 25I. Their reputation as very powerful drugs comes from a disappointing tendency of users to take the drugs far above recommended doses (I've heard reports of 4000 µg 25I, which is a terrible idea) due to their easy availability and the difficulty of working with small amounts of the compound.
What exactly is the level of activity you're considering "mild" then? Does that include the visuals?
Then why did I find so many? If you have time to type 4000 words, you have time to run searches in Google Scholar, SciFinder, Wikipedia, Erowid and other wonderful sources of information. Understanding how you know things is a primary goal of science: science is the knowledge-justification par excellence, and keeping track of why you believe the things you do is one of the best ways to keep yourself honest.
With that said: one published binding profile usually isn't enough to get a good idea of how a compound works. In order to state any of this with any confidence I'd want to see replication of all the numbers. Unfortunately, since the government (may they rot in hell) really hates it when people do honest research on these compounds, such replication is not likely forthcoming.
You misunderstood me. I didn't mean there weren't sources to back it up, I meant that I hadn't linked to any in my post. I read studies and archive the links like it's nobody's business.
So I'm starting to get really into researching all of these different serotonin receptors and the relationships between them... it's really crazy stuff! There's so much to learn that it's hard to know where to start, but for the sake of furthering the ideas of the this thread I've been trying to stick to their effects in relation to the nucleus accumbens, or if that information isn't available, at least as they relate to schizophrenia. There are surely multiple mechanisms of action going on with some of these that could alter hallucinations, but I'm trying to stick to the delirium/well-structured hallucination theme here.
Before I get started, 5-HT2B and 5-HT3 still won't be discussed here... I've pretty much already covered what I can. I'd like to preface this with this thought: 5-HT3 interests me so much mostly because of its colocalization with nicotinic acetylcholine receptors. It's important to remember that two dopamine releases in the same part of the brain are not necessarily equal; if they come from different sources then they can have different effects. The connection of 5-HT3 with nicotinic receptors intrigues me so much because of my theory about how it ties into the downstream effects of scopolamine, specifically relating to the similarities between serotonin syndrome and anticholinergics. However, it's possible that many other dopamine releases are also playing a role and/or modulating these effects, and that's why I've taken the time to look up all of this as well.
So, let's get on with it!
5-HT1A
To be honest, I'm having some trouble finding information about what exactly 5-HT1A does to dopamine in the nucleus accumbens.... It doesn't make it any easier than the research drugs previously though to be selective 5-HT1A agonists were found to have dopamine agonist properties instead, and I've found reports claiming that they could go either way with this. There is an angle that I feel is worth considering, though. We've been talking a lot about serotonin release in the nucleus accumbens here. In relation to individual serotonin receptor activation, aside from how I've already talked about 5-HT3 due to most psychedelics' apparent lack of affinity there, I think it's best if we don't dig too deeply into this serotonin release for now. It's only going to make things much more complicated if we try to compare it to what all of these direct agonists do as well. But what we do already know from that study from before is that serotonin positively influences dopamine and negatively influences acetylcholine here. This is very useful to us, as the entire point of this is to try to determine how much these psychedelics influence dopamine concentrations due to receptor activity ratios, so what it basically comes down to is that this has already been solved for us with serotonin, at least enough for now.... So for the sake of the discussion here, I feel that we can use a psychedelic's overall effects on serotonin release in the nucleus accumbens as just another measure of potential dopaminergic activity similarly to how we are considering direct effects through various receptors. Make enough sense?
So what it comes down to is this.... 5-HT1A receptors act as negative autoreceptors in the raphe nucleus, the major source of serotonin projections in the brain. This means that they inhibit the release of serotonin. This is important because of how we've been talking about 5-HT2B receptors positively influencing serotonin release. With this in mind, a psychedelic which has a high ratio of 5-HT1A to 5-HT2B activity should keep much lower serotonin concentrations levels than one which has a high ratio of 5-HT2B to 5-HT1A. This doesn't mean that it's completely insignificant in those cases, though; for example, if that downstream 5-HT3 activation does influence 5-HT2A hallucinations then even a 1A:2B ratio which keeps serotonin levels at relatively the same place as sobriety will have more of that influence than one which makes them lower than normal. I think this is important to remember when it comes to what we've been talking about so far.
Psychedelics with moderate or considerable affinity for 5-HT1A over 5-HT2A include DPT, LSD, 5-MeO-MiPT, psilocin, 5-MeO-DiPT, DOET, 5-MeO-DMT, mescaline, and MDA. This receptor is often thought to contribute to feelings of love and peace in low doses and ego death in high doses. I can't say how that effects the nucleus accumbens, but it seems like a strong enough argument given the drugs that activate it most strongly. I'll stop that here for now, though.
5-HT1B
This is a receptor that has really caught my attention. Check these out:
Microinjection of a serotonergic 5-HT1B agonist (S-CM-GTNH2, 3 microg/l) into the dorsal subiculum (DS) induced long-lasting increases in dopamine ( DA; +58% ), dihydroxyphenylacetic acid ( DOPAC; +15% ) and homovanillic acid ( HVA; +31% ), without changing extracellular levels of the serotonin metabolite 5-hydroxyindoleacetic acid (5-HIAA), measured by microdialysis in freely moving rats in the shell area of the nucleus accumbens (n. acc). Perfusion of a glutamate-N-methyl-D-aspartate (NMDA) receptor antagonist (MK 801, dizocilpine, 10 microM) through the dialysis probe in the n. acc induced similar long-lasting increases in DA and DOPAC, whereas the glutamate-quisqualate/kainate receptor antagonist (CNQX, 50 microM) had no effect. In the presence of dizocilpine in the n. acc, microinjection of S-CM-GTNH2 into the DS could still increase DOPAC and HVA, but DA levels were not further changed, whereas in the presence of CNQX, microinjection of S-CM-GTNH2 into the DS still increased not only DOPAC and HVA, but also DA levels in a way similar to that in the absence of glutamate antagonist. Therefore, activation of 5-HT1B receptors located in the DS increases the release of DA in the n. acc, presumably via the glutamatergic projection to this structure and acting through NMDA receptors in it. This implies either the suppression of a tonic indirect inhibitory influence and/or stimulation of a phasic excitatory effect of glutamate. Disruption of latent inhibition (LI) has been suggested as a model for a cognitive deficit in schizophrenia (hyperattention to irrelevant stimuli) and is usually associated with an increase in DA release in the n. acc. However, s.c. injection of RU 24 969 (0.5 mg/kg), a mixed 5-HT1A-5-HT1B agonist, which was previously shown to increase DA release in the n. acc, left LI unchanged. Moreover, bilateral microinjections of S-CM-GTNH2 into the rat DS tended to potentiate LI, in spite of the increase in DA in n. acc demonstrated here. It is concluded that not all increases in DA release in the n. acc are functionally equivalent. Sensitization of receptors or impulse-dependent increase in DA release might be necessary to disrupt LI. The possible role of altered serotonergic transmission, through h5-HT1B receptors (human homologue of the rat 5-HT1B receptors) located in the DS, in acute schizophrenia needs to be further investigated.
Changes in extracellular levels of dopamine (DA), DA metabolites DOPAC and HVA, and the serotonin metabolite 5-HIAA, were measured by microdialysis in the rat nucleus accumbens (n. acc) after treatments with serotonin (5-HT)1A (8-OH-DPAT) or 5-HT1B (RU 24969 and S-CM-GTNH2) receptor agonists. Subcutaneous injections of RU 24969 (0.02-2 mg/kg) dose-dependently decreased 5-HIAA levels ( 0 to -38% ), and also induced long-lasting increases in DA levels ( 0 to +37% ) and DOPAC (+11% at the dose 0.5 mg/kg) in the shell of the n. acc, whereas 8-OH-DPAT (0.25 and 0.5 mg/kg) reduced 5-HIAA levels ( -25% ) and very slightly increased DOPAC at the lower dose ( +4% ), but had no effect on DA levels. Three weeks after interruption of the subicular efferent projections, the increase in DA levels previously observed after systemic injections of RU 24969 was abolished. Microinjections of RU 24969 (10 micrograms/microliter) or S-CM-GTNH2 (3 micrograms/microliter) into the ventral subicular area reproduced the effects of systemic injections of RU 24969 cn DA levels and increased DOPAC (+13%; +19%, respectively) and HVA levels ( +23%; +24% ), with no significant change in 5-HIAA. It is concluded that: (1) serotonin interacts with the mesolimbic dopaminergic system through 5-HT1B, but not 5-HT1A, receptors: and (2) serotonin interaction with the mesolimbic dopaminergic system involves postjunctional 5-HT1B heteroreceptors located in the ventral subicular area, which modulate the activity of glutamatergic hippocampo-accumbens pathways and only secondarily alter DA levels in the n. acc. The possible relevance of these results for schizophrenia is discussed.
So in case that got past you, let me highlight it: activating 5-HT1B increases dopamine in the nucleus accumbens for a long period of time. I would LOVE to read these full articles because this doesn't say exactly how long, but it certainly makes me wonder considering that they listed the time that it had returned to normal for sure as three weeks.... I'm thinking about just buying them so I can check it out. And according to the first study, this effect occurs as a function of the hippocampus through glutamate receptors, and it can be reproduced by NMDA antagonists. I have to wonder... is this why psychedelics, empathogens, dissociatives, and cannabinoids (when used sparingly) can have long-lasting afterglows that make the world seem new and brighter? That would make perfect sense, wouldn't it?
I also have to wonder if this mechanism is part of how dissociatives cause their hallucinations/psychosis, because if so one could presume that 5-HT1B activation might cause similar effects as well.... Psychedelics that seem to bind to 5-HT1B more strongly than or relatively equally to 5-HT2A are DPT, LSD, 2C-E, 2C-B, 5-MeO-MiPT, psilocin, and 5-MeO-DMT. A good batch of powerful psychedelics there, except for maybe the 2C-B which people generally don't take in huge doses anyway.... Food for thought?
5-HT1D
I honestly couldn't find much about 5-HT1D in relation to this subject.... That doesn't mean I'm not interested in it, but I won't go into it much for now. Has anyone heard anything about 5-HT1D in relation to the nucleus accumbens of schizophrenia?
5-HT1E
This one seems even harder to find than 5-HT1D, but that might be because of the lack of selective ligands.... As with 1D, a lot of psychedelics seem to bind to it. Anyone have any ideas?
5-HT2A
Ah, 5-HT2A.... I could go on and on about this one, but I'll try to keep it simple for now. (I'm honestly kind of rushed to finish this post at the moment, I've been working on it for a while and I have a lot of things to do today.)
I've always heard that 5-HT2A and 5-HT2C counterbalance each others' dopamine release, with the former facilitating it and the latter inhibiting it. I'm trying to find evidence for this directly in the nucleus accumbens right now, but like I said I'm a bit rushed.... I know that 5-HT2C lowers dopamine there though, and I think this is worth considering:
Serotonin (5-HT) is thought to play an important role in the regulation of behavioral inhibition. Studies manipulating 5-HT function in the rodent brain indicate that 5-HT receptors regulate distinct forms of impulsive behavior, including impulsive responding in the 5-choice serial reaction time task (5CSRTT). The present study investigates the loci of effects mediated by 5-HT2A and 5-HT2C receptors in attention and inhibitory response control using microinfusions targeted at the nucleus accumbens (NAc), prelimbic cortex (PL) and infralimbic cortex (IL). Rats were implanted with bilateral guide cannulas and received infusions of the selective 5-HT2A receptor antagonist M100907 (0.1 and 0.3 μg) or selective 5-HT2C receptor antagonist SB242084 (0.1 and 0.5 μg) immediately prior to testing. The results show that intra-NAc infusions of M100907 significantly decrease impulsive responding on the 5CSRTT and at the highest dose increased omissions as well. By contrast, infusions of SB242084 into the NAc selectively and dose-dependently increased impulsivity. Neither M100907 nor SB242084 significantly altered impulsive responding following either intra-PL or intra-IL administration. However, SB242084 significantly decreased omissions following intra-PL administration (0.5 μg only). These data reveal opposing effects on impulsivity following 5-HT2A and 5-HT2C blockade in the NAc. Our results suggest that the NAc, but not the PL or IL, is implicated in the mediation of the effects of M100907 and SB242084 on inhibitory response control during baseline 5CSRTT performance.
So it seems that they do oppose each other in at least some way there....
One thing I just want to say about this is how I think it would relate directly to what I'm trying to say here. 5-HT2A causes multiple types of hallucinogenic effects on its own, but if nucleus accumbens dopamine release is one specific aspect of that then it would make sense that other serotonin receptors that increase dopamine release would specifically enhance that one aspect of those hallucinations, right? That's a big part of what I'm trying to get at here, it would shift the balance of 5-HT2A effects toward the fully-structured hallucinations.
5-HT2C
Like I said before, this is a receptor that's known for supposedly reducing dopamine levels. Here's a study on its constitutive activity that claims that it does so in the nucleus accumbens:
Numerous research has pointed out that serotonin2c (5-HT2C) receptor, a subtype of 5-HT receptors belonging to the G-protein-coupled receptor superfamily, modulates the activity of mesencephalic dopamine (DA) neurons, the dysfunction of which is involved in devastating diseases such as schizophrenia, Parkinson's disease, and drug addiction. In the present study, using in vivo intracerebral microdialysis and Chinese hamster ovary (CHO) cells expressing 5-HT2C receptors to identify appropriate 5-HT2C receptor ligands, we sought to determine whether the property of 5-HT2C receptors to spontaneously activate intracellular signaling pathways in vitro (constitutive activity) participates in the tonic inhibitory control that they exert on DA release in the rat striatum and nucleus accumbens in vivo. In CHO cells, the purported antagonist 5-methyl-1-(3-pyridylcarbamoyl)-1,2,3,5-tetrahydropyrrolo[2,3-f] indole hydrochloride (SB 206553), but not 6-chloro-5-methyl-1-[6-(2-methylpiridin-3-yloxy)pyridin-3-yl carbamoyl] indoline (SB 242084), decreased basal inositol phosphate accumulation, thus behaving as a 5-HT2C inverse agonist. Its effect was prevented by SB 242084. In vivo, SB 206553 (1–10 mg/kg) elicited a dose-dependent and clear-cut increase in accumbal and striatal DA release compared with SB 242084 (1–10 mg/kg), and the 5-HT2C agonist S-2-(6-chloro-5-fluoroindol-1-yl)-1-methylethylamine hydrochloride (Ro-60-0175) (0.3–3 mg/kg) inhibited DA release. Pretreatment by SB 242084 reversed the change in DA release elicited by Ro-60-0175 and SB 206553. Furthermore, SB 206553-stimulated DA release was insensitive to reduction of 5-HT neuronal function induced by the 5-HT1A agonist (±)-8-hydroxy-2-dipropylaminotetralin or intra-raphe injections of 5,7-dihydroxytryptamine neurotoxin. The obtained results provide the first in vivo evidence that constitutive activity of the 5-HT2C receptor tonically inhibits mesencephalic DA neurons and underscore the need for a better understanding of the pathophysiological role of constitutive receptor activity.
Here's one on the selectivity of effect in how it reduces dopamine as well, though I wish they could have used a selective agonist. Still, it's interesting:
During recent years, much attention has been devoted at investigating the modulatory role of central 5-HT(2C) receptors on dopamine (DA) neuron activity, and it has been proposed that these receptors modulate selectively DA exocytosis associated with increased firing of DA neurons. In the present study, using in vivo microdialysis in the nucleus accumbens (NAc) and the striatum of halothane-anesthetized rats, we addressed this hypothesis by assessing the ability of 5-HT(2C) agents to modulate the increase in DA outflow induced by haloperidol and cocaine, of which the effects on DA outflow are associated or not with an increase in DA neuron firing, respectively. The intraperitoneal administration of cocaine (10-30 mg/kg) induced a dose-dependent increase in DA extracellular levels in the NAc and the striatum. The effect of 15 mg/kg cocaine was potentiated by the mixed 5-HT(2C/2B) antagonist SB 206553 (5 mg/kg i.p.) and the selective 5-HT(2C) antagonist SB 242084 (1 mg/kg i.p.) in both brain regions. The mixed 5-HT(2C/2B) agonist, Ro 60-0175 (1 mg/kg i.p.), failed to affect cocaine-induced DA outflow, but reduced significantly the increase in DA outflow induced by the subcutaneous administration of 0.1 mg/kg haloperidol. The obtained results provide evidence that 5-HT(2C) receptors exert similar effects in both the NAc and the striatum, and they modulate DA exocytosis also when its increase occurs independently from an increase in DA neuron impulse activity. Furthermore, they show that 5-HT(2C) agonists, at variance with 5-HT(2C) antagonists, exert a preferential control on the impulse-stimulated release of DA.
Dopamine release in the nucleus accumbens mediates motivation and reward, making it a likely candidate to be involved in anhedonia, one of the major symptoms of depression. In the current study, alterations in basal extracellular dopamine levels and 5HT2C receptor-mediated inhibition of accumbal dopamine release in Flinders Sensitive Line (FSL) rats, an animal model of depression, were investigated. We found that FSL rats have decreased extracellular dopamine levels in the nucleus accumbens and an increased inhibitory-like effect of 5HT2C receptors on accumbal dopamine release. However, neither basal 5HT levels nor the accumbal 5HT response to the local 5HT2C receptor antagonist (RS 102221) differed between Sprague-Dawley and FSL rats. Seven-day treatment with the nefazodone (a serotonin/noradrenaline reuptake inhibitor and 5HT2C antagonist) as well as 7-day and 14-day treatments with a tricyclic antidepressant desipramine increased extracellular dopamine levels in the nucleus accumbens of FSL rats. However, only 14-day treatment with desipramine or 7-day treatment with nefazodone, but not 7-day treatment with desipramine, decreased 5HT2C receptor-mediated inhibition of accumbal dopamine release. Based on a possible correlation between the onset of 5HT2C receptor-mediated inhibition and the behavioral effects of desipramine and nefazodone treatment that was described in our previous studies, we suggest that 5HT2C receptor activation may be important for the onset of the behavioral effects of antidepressant treatment.
So, I'm starting to wonder if there's really any reason at all to activate this receptor.... If it lowers dopamine then it's kind of hurting our cause, right?
Anyone some psychedelics that bind to it more significantly than to 5-HT2A are DMT, DPT, DOI, psilocin, and 5-MeO-DMT. Interestingly, LSD, phenethylamines, amphetamines, and some research chemical 5-MeO-tryptamines seem to bind to 5-HT2A and 5-HT2C either relatively equally or to the former more than the latter. I've heard the idea proposed before that stronger 5-HT2C activation than 5-HT2A leads to a more potent inhibition of proper movement, aka becoming physically overwhelmed and unable to move properly on psychedelics.... That doesn't seem too far out from believable based on that binding data, I'd say. I wonder if that same dopamine release could also be somewhat related to some of the more stimulant psychosis-y effects of high doses of some phenethylamine psychedelics?
5-HT4
This one seems to be ignored a lot in binding studies like 5-HT3.... Does anyone know why?
This doesn't specifically relate to the nucleus accumbens, but it is in the striatum. Keep in mind that it may not be in the same area though - they found 5-HT2 and 5-HT3 receptors to not be important for dopamine release in the tested area, at least in this experiment. Still, it's interesting to look into... I'm going to keep looking for more defining studies though. Anyway, here it is:
The present study, using the in vivo intracerebral microdialysis method, investigated the role of different serotonin receptor subtypes in the control of dopamine (DA) release exerted by serotonin (5-HT) in the striatum of halothane-anesthetized rats. Striatal dialysate DA content was reduced following the blockade of voltage-dependent Na+ channels by tetrodotoxin or by the removal of Ca2+ from the perfusion medium, and increased following depolarization with K+ ions. These findings demonstrate that under our experimental conditions, DA content reflects the neuronal origin of the neurotransmitter release. Drugs were locally applied by means of the microdialysis probe. One, 2.5 and 5 μM 5-HT significantly enhanced DA release in a concentration-dependent manner up to 157, 253 and 446% of basal values respectively. The effect induced by 1 μM 5-HT was not blocked by 10 μM (−)pindolol, a 5-HT1 receptor antagonist, 1 μM ketanserin or 10 μM cinanserin, both 5-HT2A antagonists. One or 10 μM ondansetron (GR 38032F), a selective 5-HT3 antagonist, were also ineffective. In contrast, 10 or 100 μM DAU 6285, a View the MathML source antagonist, significantly reduced the effect of 5-HT on DA release ( −20% and −60% respectively). Moreover, 100 μM BIMU 8, a selective 5-HT4 agonist, enhanced DA release ( + 85% ) and this effect was reduced by 100 μM DAU 6285 ( −40% ).These results demonstrate that in vivo 5-HT exerts a facilitatory influence on Striatal DA release and that the 5-HT4, but not the 5-HT1, 5-HT2 or 5-HT3, receptor subtype is implicated, at least partially, in this effect.
This is another one of those ones that's hard to find much information on.... I've seen studies trying to link it to schizophrenia, but the results always seem varied. Here are a couple of studies on that, though:
BACKGROUND: Pharmacological and neurodevelopmental data support the idea that the gene, which codes for the 5-HT(5A) receptor is an important candidate gene for schizophrenia susceptibility. However, previous genetic studies focusing on this gene yielded conflicting results, potentially because of: (i) stratification biases of case-control association studies, (ii) genetic and phenotypic heterogeneity of schizophrenia, and (iii) variability in the loci analyzed (the 5-HT(5A) gene having many polymorphic sites).
METHODS: A transmission disequilibrium test was used in the present study aimed at investigating two polymorphisms in exon 1 of the 5-HT(5A) gene, the A12T silent substitution and the C43T transversion leading to a 15Pro --> Ser substitution, in 103 patients with DSM-IV diagnosis of schizophrenia, and their 206 parents.
RESULTS: We found an excess of transmission of the 12T allele from the parents to their affected children (P = 0.02), with evidence for linkage disequilibrium between the 12T-43C haplotype and schizophrenia (P = 0.002). Furthermore, patients with the 12T allele had a significantly later age at onset (P = 0.003), and the Q-TDT approach confirmed that this allele was transmitted with an older age at onset (P = 0.01).
CONCLUSIONS: These data provided convergent evidence for a significant role of the 5-HT(5A) gene in schizophrenia and more specifically in patients with later age at onset.
Several different lines of evidence suggest that genes involved in serotonergic neurotransmission are factors in the pathogenesis of schizophrenia. For example, 5-HT5A knockout mice revealed decreased locomotor response to lysergic diethylamide (LSD), which produces a psychotic-like state in healthy people. Recently, we reported a naturally occurring conservative Pro15Ser substitution in the 5-HT5A receptor. Here, we evaluate whether this substitution is associated with schizophrenia in a sample including 249 unrelated Japanese schizophrenia patients and 253 unrelated controls. Patients and controls were genotyped for the Pro15Ser polymorphism by a PCR-RFLP assay. Ser15 allele frequencies were 0.07 in patients with schizophrenia and 0.02 in controls (chi2 = 17.42, df =1, P < 0.0001). thus, we detected a highly significant association of pro15ser to schizophrenia in a large population of japanese schizophrenia patients and controls. since case-control studies have an inherent potential for false-positive results due to population stratification, this finding is preliminary pending further studies, including studies using the transmission/disequilibrium test to eliminate stratification bias or control loci to assess ethnic matching of cases and controls.
This is all interesting stuff, but what really stands out to me is the mention of a loss of some motor activity from LSD in 5-HT5A knockout mice.... Even if that doesn't necessarily signal some kind of psychosis, it does imply that something is going on there. The neurochemical bases of motor activity and psychosis are often not far removed from each other, though that doesn't necessarily prove anything of course....
Speaking of not necessarily proving anything, one of the real reasons I've always been interested in this receptor is the fact that some people report mild psychedelic effects from large doses of valerian root, and valerenic acid, one of its main constituents, is a partial agonist at 5-HT5A. Does anyone know if it acts anywhere else as well? The only times I've heard of this being done at doses above what were just enough for some mild open-eye distortions came with some very interesting descriptions: one was from a friend who said that they had some "DMT-like" closed-eye visuals, though I never got any more information than that, and the other was from an online report where the tripper reported seeing vivid and realistic scenes behind closed eyes, though without too much color in them. That last one really interests me.... Psychedelics that apparently bind strongly or at least equally compared to 5-HT2A include DMT, LSD, psilocin, 5-MeO-DMT, and interestingly, 25I-NBOMe, but not 25B or 25C. Given the visionary power of those first four compounds (especially the 5-MeO-DMT, despite very few "regular" psychedelic hallucinations by comparison), I can't help but wonder.... Some of the ways that zn13bt describes his vivid closed-eye imagery on 25I-NBOMe even remind me of that valerian root report. I don't know, but I'm certainly going to be reading more NBOMe reports now to compare things!
5-HT6
I honestly don't know too much about 5-HT6, but I was able to find something interesting on it. Check this out:
The putative 5-HT6 receptor agonist ST1936 has been shown to increase extracellular dopamine (DA) in the n.accumbens (NAc) shell and in the medial prefrontal cortex (PFCX). These observations suggest that 5-HT6 receptors modulate DA transmission in mesolimbic and mesocortical terminal DA areas. To investigate the behavioral counterpart of this interaction we studied in rats 1) the ability of ST1936 to maintain i.v. self-administration in fixed ratio (FR) and progressive ratio (PR) schedules of reinforcement; 2) the effect of 5-HT6 receptor blockade on cocaine stimulated overflow of DA in dialysates from the PFCX and from the NAc shell and on cocaine i.v. self-administration. ST1936 was i.v. self-administered at unitary doses of 0.5-1 mg/kg on an FR1 and PR schedule of reinforcement, with breaking point of about 4. Pretreatment with the 5-HT6 antagonist SB271046 reduced by about 80% responding for ST1936. SB271046 also reduced cocaine-induced increase of dialysate DA in the NAc shell but not in the PFCX and impaired i.v. cocaine self-administration. These observations indicate that ST1936 behaves as a weak reinforcer and suggest that 5-HT6 receptors play a role in cocaine reinforcement via their facilitatory interaction with DA projections to the NAc shell. This novel 5-HT/DA interaction might provide the basis for a new pharmacotherapeutic strategy of cocaine addiction.
This is a pretty new study, and a very interesting one I think. I'm certainly going to be looking more into 5-HT6... it could lead down an interesting path!
Psychedelics with significant 5-HT6 affinity over 5-HT2A seem to include DMT, LSD, 5-MeO-MiPT, psilocin, and 5-MeO-DMT. Not a bad list if I do say so myself!
5-HT7
I had trouble linking this one to the nucleus accumbens as well, but since I posted some 5-HT5A information I'll cover this too. There are a couple links between 5-HT7 and schizophrenia and using 5-HT7 antagonists as antipsychotics, though it related to the hippocampus. Here they are:
Several lines of evidence suggest that abnormalities in the serotonin system may be related to the pathophysiology of schizophrenia. The 5-HT7 receptor is considered to be a possible schizophrenia-susceptibility factor, based on findings from binding, animal, postmortem, and genomewide linkage studies. In this study, we conducted linkage disequilibrium (LD) mapping of the human 5-HT7 receptor gene (HTR7) and selected four 'haplotype-tagging (ht) SNPs'. Using these four htSNPs, we then conducted an LD case-control association analysis in 383 Japanese schizophrenia patients and 351 controls. Two htSNPs (SNP2 and SNP5) and haplotypes were found to be associated with schizophrenia. A promoter SNP (SNP2) was further assessed in a dual-luciferase reporter assay, but it was not found to have any functional relevance. Although we failed to find an actual susceptibility variant that could modify the function of HTR7, our results support the supposition that HTR7 is a susceptibility gene for schizophrenia in this ethnic group.
The serotonin 5-HT(7) receptor has been linked to various psychiatric disorders, including schizophrenia, anxiety and depression, and is antagonized by antipsychotics such as risperidone, clozapine and lurasidone. In this study, we examined whether inhibiting the 5-HT(7) receptor could reverse behavioral abnormalities in mice lacking pituitary adenylate cyclase-activating polypeptide (PACAP), an experimental mouse model for psychiatric disorders such as schizophrenia. The selective 5-HT(7) antagonist SB-269970 effectively suppressed abnormal jumping behavior in PACAP-deficient mice. SB-269970 tended to alleviate the higher immobility in the forced swim test in PACAP-deficient mice, although SB-269970 reduced the immobility also in wild-type mice. In addition, we found that mutant mice had impaired performance in the Y-maze test, which was reversed by SB-269970. In the mutant mouse brain, 5-HT(7) protein expression did not differ from wild-type mice. In primary embryonic hippocampal neurons, the 5-HT(7) agonist AS19 increased neurite length and number. Furthermore, SB-269970 significantly inhibited the increase in neurite extension mediated by the 5-HT(1A/7) agonist 8-OH-DPAT. These results indicate that 5-HT(7) receptor blockade ameliorates psychomotor and cognitive deficits in PACAP-deficient mice, providing additional evidence that the 5-HT(7) receptor is a rational target for the treatment of psychiatric disorders.
I'd be very interested in learning more about this too, if anyone would know where to look....
Psychedelics with significant 5-HT7 activity appear to include DMT, DPT, LSD, 5-MeO-MiPT, psilocin, 5-MeO-DiPT, and 5-MeO-DMT. Again, an interesting batch.
So that's all I have to say for now.... I have a headache from staring at the computer so much and have other stuff to go do now. @_@ I might say more much later tonight, but that's it for now! Does anyone have anything to add? If you know good places to research serotonin receptors or even if you just have any theories about these in relation to some psychedelics I'd love to hear it!
"Psychedelics and the human receptorome" is generally considered to be discredited; you're right to ignore it. I would trust rather the data published in peer-reviewed journals; when citing from PLoS One it is important to consider the reputation of the authors, since here it will be your only clue to reliability. Another simple test is the degree of excitement versus the degree of exciting: if that PLoS One paper had really mapped out the binding profiles of all of these drugs, you'd expect they could publish it somewhere better than PLoS One!
However, the main marker I use for delirium in this case is the realism of closed-eye visuals or very high doses
I guess the real problem is this just plain isn't delirium. If you phrase the question as "do 5-ht2b agonists produce more realistic CEVs", then maybe the discussion goes a little easier. But anticholinergics are known for open-eye visuals! I.e. not like that's an effect: that's the reason they're called deliriants!
Wandering Girl said:
On that note, this is what I always think of from an Erowid report on 200 mg of 6-APB: My Favorite Drug of All Time.
Me and my completely fucked up friend went into 5th hour just hoping for some worksheet assignment that we could just bullshit. No such luck. We had a journal entry that was due that day, I couldn’t see to save my life, and writing was almost as bad, considering I couldn’t see the pencil that was 6 inches in front of me. The words on the paper she gave us were growing rainbows out of them, I saw people sitting in seats that weren’t there, people were turning into sculptures and rocks, and desks were turning into trash cans and bananas...It was bad.
Delirium isn't realistic visuals. Delirium means that your mind-set has been so fucked you can no longer tell visual from vision. In fact, delirious hallucinations might not be realistic at all: it's not whether it's realistic, it's whether you think it's real. Case in point:
Anyways, I started back, and the first thing I noticed was a wasp flying around in my car. It bothered me a bit, and I pulled over, only to find that when I stopped it was gone. I began to start understanding how bad an idea it was to drive in this state.
Now, are 5-ht2b agonists more likely to produce realistic CEVs? I dunno. I suspect -- by analogy to similar compounds -- MMDA-1 (aka MMDA) has no clinically relevant 5-ht2b affinity, ditto 2C-T-2, and these are both infamous for their CEVs. In particular, MMDA-1 is a close structural analogue of TMA-1, which has low 5-ht2b affinity, and 2C-T-2 derives from a class with categorically low affinity for the same -- none of the DOx analogs in Nichols' study had 5-ht2b affinity close to their 5-ht2a affinity.
Are 5-ht2b agonists entactogenic? I think there's a case to be made here. 6-APB is a good example. Are they entheogens? DMT is a good argument, but it touches everything.
I never claimed that they were actually anticholinergic, but just that the way their hallucinations form can be similar.
Due to its location in the temporal lobe, and binding to this receptor by DiPT and 2-methylated tryptamines, it has been suggested that this receptor may be responsible for auditory hallucinations.
Maybe hypnagogia would be a better term for the kinds of panoramic visuals that Wandering Girl is interested in, rather than delirium (which implies that they're being mistaken for reality). I don't think I've ever had an episode of outright delirium on any psychedelic, but I have had brief moments of hypnagogic dreaming, like the 25I experience I described before.
Are there any strong 5-HT2B agonists that DON'T cause 5-HT release? If every 5-HT2B agonist in existence is also a 5-HT releaser it would be hard to argue that 5-HT2B agonism isn't sufficient.
Well - psilocin? Psilocin has an affinity of 4.6 nM (vs 3H-LSD, human cloned receptor). Which puts it a couple of orders of magnitude above MDMA, at 700 nM on the same assay.
Given that the APBs have high 2B affinity as well, yet their dosages are of the same magnitude as MDMA, there's clearly something else going on. I would assume it might have something to do with MDMA having more effects at VMAT than APB (or indeed, psilocin)?
@Wandering girl - there's just waaay too much information in your posts to try and respond to anything but a small part of it. While I'm completely in agreement that multiple receptor effects modify the psychedelic experience, and I'm sure contribute to the differential effects of different substances - trying to pin down the causal relations, without a heavily funded research base to test some hypotheses, isn't going to get us very far...
I think in general, there are quite a few places where you're skating over logical jumps from one thing to another, and attempting to do line-by-line responses is not practical (or conducive to useful debate). There's one rather large hole in all of this - efficacy. You make a few brief comments about the lack of efficacy of 2C-xs, which I certainly don't think the literature supports, and more general comments about how like serotonin psychedelics are. It's becoming clear that functional selectivity / agonist trafficking is going to emerge as another layer of modulatory complexity. So assumptions that just because a drug has high binding affinity, therefore it activates that receptor are false and overly simplistic. Especially looking at the less-researched serotonin receptors in your last post - without any functional assays, how do we know what effects psychedelics are having?
Structural features for functional selectivity at serotonin receptors.
Drugs active at G protein-coupled receptors (GPCRs) can differentially modulate either canonical or noncanonical signaling pathways via a phenomenon known as functional selectivity or biased signaling. We report biochemical studies showing that the hallucinogen lysergic acid diethylamide, its precursor ergotamine (ERG), and related ergolines display strong functional selectivity for β-arrestin signaling at the 5-HT2B 5-hydroxytryptamine (5-HT) receptor, whereas they are relatively unbiased at the 5-HT1B receptor. To investigate the structural basis for biased signaling, we determined the crystal structure of the human 5-HT2B receptor bound to ERG and compared it with the 5-HT1B/ERG structure. Given the relatively poor understanding of GPCR structure and function to date, insight into different GPCR signaling pathways is important to better understand both adverse and favorable therapeutic activities.
Oh, and of course don't forget that we are only just starting to look at how different drugs produce whole brain, systems level changes. Mapping the relationship of receptor profile binding & efficacy to changes in brain activations and functional connectivity is an enormous undertaking :D
Neural correlates of the psychedelic state as determined by fMRI studies with psilocybin
Psychedelic drugs have a long history of use in healing ceremonies, but despite renewed interest in their therapeutic potential, we continue to know very little about how they work in the brain. Here we used psilocybin, a classic psychedelic found in magic mushrooms, and a task-free functional MRI (fMRI) protocol designed to capture the transition from normal waking consciousness to the psychedelic state. Arterial spin labeling perfusion and blood-oxygen level-dependent (BOLD) fMRI were used to map cerebral blood flow and changes in venous oxygenation before and after intravenous infusions of placebo and psilocybin. Fifteen healthy volunteers were scanned with arterial spin labeling and a separate 15 with BOLD. As predicted, profound changes in consciousness were observed after psilocybin, but surprisingly, only decreases in cerebral blood flow and BOLD signal were seen, and these were maximal in hub regions, such as the thalamus and anterior and posterior cingulate cortex (ACC and PCC). Decreased activity in the ACC/medial prefrontal cortex (mPFC) was a consistent finding and the magnitude of this decrease predicted the intensity of the subjective effects. Based on these results, a seed-based pharmaco-physiological interaction/functional connectivity analysis was performed using a medial prefrontal seed. Psilocybin caused a significant decrease in the positive coupling between the mPFC and PCC. These results strongly imply that the subjective effects of psychedelic drugs are caused by decreased activity and connectivity in the brain's key connector hubs, enabling a state of unconstrained cognition.
*NB, however - the recepterome thread http://www.bluelight.ru/vb/threads/487865-Psychedelics-and-the-Human-Receptorome/page2 - contains some discussion about Roth's apparent distrust of the Ray results, yet they are reported in the database as "PDSP certified data". Or at least they mostly are. I have noticed a few discrepancies here and there between the values in Rays paper and PDSP data. Why this is the case is mysterious to me.
You can't discount the 5-HT release caused by that class of compounds though, it's hard to deny that factor in their subjective effects.
Which I guess brings us back to the question of whether 5-HT2B agonism is sufficient to cause 5-HT release. We know it's necessary for 5-HT release because if you block 5-HT2B you block 5-HT release as well.
Are there any strong 5-HT2B agonists that DON'T cause 5-HT release? If every 5-HT2B agonist in existence is also a 5-HT releaser it would be hard to argue that 5-HT2B agonism isn't sufficient.
*5-ht-reuptake Ki ~2600 nM, probably not too relevant at normal doses.
The funny thing is that 6-APB has now been suggested as a research ligand for the receptor, because even the medical community was having trouble finding a selective compound. Who says the RC scene is bad for science?
*5-ht-reuptake Ki ~2600 nM, probably not too relevant at normal doses.
The funny thing is that 6-APB has now been suggested as a research ligand for the receptor, because even the medical community was having trouble finding a selective compound. Who says the RC scene is bad for science?
"Psychedelics and the human receptorome" is generally considered to be discredited; you're right to ignore it. I would trust rather the data published in peer-reviewed journals; when citing from PLoS One it is important to consider the reputation of the authors, since here it will be your only clue to reliability. Another simple test is the degree of excitement versus the degree of exciting: if that PLoS One paper had really mapped out the binding profiles of all of these drugs, you'd expect they could publish it somewhere better than PLoS One!
Alright, that's what I thought.... Guess I'll be switching back to my old ideas about the binding data then.
I guess the real problem is this just plain isn't delirium. If you phrase the question as "do 5-ht2b agonists produce more realistic CEVs", then maybe the discussion goes a little easier. But anticholinergics are known for open-eye visuals! I.e. not like that's an effect: that's the reason they're called deliriants!
Have you done deliriants before? I have, several times. In full delirium doses they are known for open-eye hallucinations. In lower doses they actually can create some pretty significant CEV, generally extremely realistic stuff. They also have more "regular" OEVs comparable to psychedelics like patterns and distortions in those low doses.
That doesn't sound like delirium at all. This is delirium:
Delirium isn't realistic visuals. Delirium means that your mind-set has been so fucked you can no longer tell visual from vision. In fact, delirious hallucinations might not be realistic at all: it's not whether it's realistic, it's whether you think it's real.
Alright, let me rephrase myself because we're not talking about the same thing here. zn13bt puts it well. The only reason I said delirium is because I was referring to the hallucinations caused by deliriants. But I specifically mean the hallucinations, not necessarily the inability to differentiate between them (though I know that that can happen on psychedelics too). This is another reason why I think that the whole 5-HT3/nicotinic receptor connection is interesting. By comparing these hallucinations to those generated in dreams I clearly can't be claiming that you must be delirious to experience them, or lucid dreaming wouldn't be possible. The thing I was thinking about by mentioning that scopolamine increases acetylcholine release in the nucleus accumbens was that it could be something along the lines of nicotinic activation causes hallucinations but muscarinic inactivation causes disturbances in consciousness leading to delirium. In that way, if just for example the 5-HT3 thing had some backing, it would make perfect sense that a serotonergic could cause the same types of well-structured hallucinations without necessarily leading to the delirious mindset.
Now, are 5-ht2b agonists more likely to produce realistic CEVs? I dunno. I suspect -- by analogy to similar compounds -- MMDA-1 (aka MMDA) has no clinically relevant 5-ht2b affinity, ditto 2C-T-2, and these are both infamous for their CEVs. In particular, MMDA-1 is a close structural analogue of TMA-1, which has low 5-ht2b affinity, and 2C-T-2 derives from a class with categorically low affinity for the same -- none of the DOx analogs in Nichols' study had 5-ht2b affinity close to their 5-ht2a affinity.
Are 5-ht2b agonists entactogenic? I think there's a case to be made here. 6-APB is a good example. Are they entheogens? DMT is a good argument, but it touches everything.
I don't think that logic really holds up.... There's hardly much of a difference in the change between MMDA and TMA-1 and the change between MMDA and MDA. And TMA-1 lacks a methylenedioxy ring and so it's not crazy to think that it could have low 5-HT2B affinity like you say that the DOx compounds, which also lack that, have. On the other hand, every tested drug that I know that has it, or some modification of it a la 5/6-APB, does have 5-HT2B affinity, and MMDA has it. I think it would be pretty unfair to jump to the conclusion that MMDA lacks that affinity.
I would also have to argue the same for 2C-T-2. As far as I can see, Nichols' study didn't test for Aleph-2, and even aside from that, the change from phenethylamine to amphetamine can make for some pretty big pharmacological changes in many substances. I would have to counter-suggest that 2C-T-2 is more likely to have a similar binding affinities to other 2C-x chemicals than the DOx family, and the binding data for 2C-I listed in the picture alongside NBOMes in the thread that you started lists non-selective binding for all 5-HT2 receptors, including 5-HT2B. Again, I don't think it's quite as simple as you say.
My point was just because I'm saying they're similar in some ways doesn't mean they have to have every single thing in common, like how I talked about the muscarinic/nicotinic ratio with scopolamine.
Due to its location in the temporal lobe, and binding to this receptor by DiPT and 2-methylated tryptamines, it has been suggested that this receptor may be responsible for auditory hallucinations.
Maybe hypnagogia would be a better term for the kinds of panoramic visuals that Wandering Girl is interested in, rather than delirium (which implies that they're being mistaken for reality). I don't think I've ever had an episode of outright delirium on any psychedelic, but I have had brief moments of hypnagogic dreaming, like the 25I experience I described before.
This is seriously not loading for me in any manageable manner. Is anyone else having this problem?
@Wandering girl - there's just waaay too much information in your posts to try and respond to anything but a small part of it. While I'm completely in agreement that multiple receptor effects modify the psychedelic experience, and I'm sure contribute to the differential effects of different substances - trying to pin down the causal relations, without a heavily funded research base to test some hypotheses, isn't going to get us very far...
Without a doubt. Again, this is why I just felt like starting a discussion to get ideas flowing. I just like thinking about this stuff in my spare time, it's not like I'm really intending to prove anything.
I think in general, there are quite a few places where you're skating over logical jumps from one thing to another, and attempting to do line-by-line responses is not practical (or conducive to useful debate). There's one rather large hole in all of this - efficacy. You make a few brief comments about the lack of efficacy of 2C-xs, which I certainly don't think the literature supports, and more general comments about how like serotonin psychedelics are. It's becoming clear that functional selectivity / agonist trafficking is going to emerge as another layer of modulatory complexity. So assumptions that just because a drug has high binding affinity, therefore it activates that receptor are false and overly simplistic. Especially looking at the less-researched serotonin receptors in your last post - without any functional assays, how do we know what effects psychedelics are having?
I've never had any problems with line-by-line responses.... What's wrong with it?
I'm aware that it just gets more and more complex like that - and that's a very interesting study on LSD by the way! - but that's always how the brain is. I don't think it's wrong to work with things on a larger scale and then move downward from there when you have some ideas floating around. I've also generally tried to avoid claiming that anything that binds to a specific receptor activates, I've just been trying to point out that they do bind to it. Mostly, anyway. Again, it's about getting ideas flowing.... I made this thread with a totally casual mood, I just like thinking about this stuff.
You make a few brief comments about the lack of efficacy of 2C-xs, which I certainly don't think the literature supports, ....
Comparison of the agonist potencies and efficacies of PIA/PEA pairs said:
At the 5-HT2A receptor, the efficacies of all the PIAs were significantly greater than those of their corresponding PEAs; in contrast, the efficacies were not significantly different at the 5-HT2C receptor, with the exception of the DOI/2C-I pair. Each PEA was much less efficacious at the 5-HT2A than at the 5-HT2C receptor. However, the PIAs did not show very marked differences in efficacy between both receptor subtypes. Only DOI and DOM were almost full agonists at the 5-HT2C subtype, while their efficacies at the 5-HT2A receptor relative to 5-HT were about 50%, like DOB and 2,5-DMA (but not the less efficacious DON). The EC50 values and the relative Imax for all these compounds are summarized in Table 3. In contrast to the practically full agonism of DOI at the 5-HT2C receptor, 2C-I was a partial agonist at both subtypes, showing a significantly lower efficacy at the 5-HT2A receptor (Table 3 and Figure 4). Representative tracings showing the partial agonism of DOI at the 5-HT2A receptor and full agonism at the 5-HT2C receptor are shown in Figure 4A,C.
Oh, and of course don't forget that we are only just starting to look at how different drugs produce whole brain, systems level changes. Mapping the relationship of receptor profile binding & efficacy to changes in brain activations and functional connectivity is an enormous undertaking :D
Yes, I am very interested in seeing more studies like this!
*NB, however - the recepterome thread http://www.bluelight.ru/vb/threads/487865-Psychedelics-and-the-Human-Receptorome/page2 - contains some discussion about Roth's apparent distrust of the Ray results, yet they are reported in the database as "PDSP certified data". Or at least they mostly are. I have noticed a few discrepancies here and there between the values in Rays paper and PDSP data. Why this is the case is mysterious to me.
Personally I think it's important to note the methodology of the assay in question. So this paper, Acuna-Castillo (2002) uses cloned rat receptors expressed in Xenopus oocytes, and measures efficacy by single cell current. On the other hand, the same group produced another paper more recently - Moya (2007) - that used human cloned cells and measured AA and IP accumulation in their functional assays, and have quite different numbers. The Nichol's group's results are also quite different - Parrish's dissertation thesis quotes IAs around 30-40% for the 2Cxs (human receptors, IP accumulation) and EC50s around 10-20nM.
Moya et al (2007) "Functional Selectivity of Hallucinogenic Phenethylamine and Phenylisopropylamine Derivatives at Human 5-Hydroxytryptamine (5-HT)2A and 5-HT2C Receptors" http://www.ncbi.nlm.nih.gov/pubmed/17337633
Well, I've never personally had any problem with them and I've gotten into discussions much longer than this one... but for what it's worth, I'm going to stop doing those long posts for now anyway. After the last few ones I had migraines just from staring at the screen for so long. @_@
Personally I think it's important to note the methodology of the assay in question. So this paper, Acuna-Castillo (2002) uses cloned rat receptors expressed in Xenopus oocytes, and measures efficacy by single cell current. On the other hand, the same group produced another paper more recently - Moya (2007) - that used human cloned cells and measured AA and IP accumulation in their functional assays, and have quite different numbers. The Nichol's group's results are also quite different - Parrish's dissertation thesis quotes IAs around 30-40% for the 2Cxs (human receptors, IP accumulation) and EC50s around 10-20nM.
Moya et al (2007) "Functional Selectivity of Hallucinogenic Phenethylamine and Phenylisopropylamine Derivatives at Human 5-Hydroxytryptamine (5-HT)2A and 5-HT2C Receptors" http://www.ncbi.nlm.nih.gov/pubmed/17337633
That's interesting that they followed it up with more, but... correct me if I'm wrong, but aren't head shakes correlated to 5-HT2A hallucinogenic activity? That 2007 study still lists the phenethylamines as only weak head shake inducers. Does the full paper have tables of values? I only have access to the abstract.