Cell Reports (Mar 2023)

A non-hallucinogenic LSD analog with therapeutic potential for mood disorders

  • Vern Lewis,
  • Emma M. Bonniwell,
  • Janelle K. Lanham,
  • Abdi Ghaffari,
  • Hooshmand Sheshbaradaran,
  • Andrew B. Cao,
  • Maggie M. Calkins,
  • Mario Alberto Bautista-Carro,
  • Emily Arsenault,
  • Andre Telfer,
  • Fatimeh-Frouh Taghavi-Abkuh,
  • Nicholas J. Malcolm,
  • Fatema El Sayegh,
  • Alfonso Abizaid,
  • Yasmin Schmid,
  • Kathleen Morton,
  • Adam L. Halberstadt,
  • Argel Aguilar-Valles,
  • John D. McCorvy

Journal volume & issue
Vol. 42, no. 3
p. 112203

Abstract

Read online

Summary: Hallucinations limit widespread therapeutic use of psychedelics as rapidly acting antidepressants. Here we profiled the non-hallucinogenic lysergic acid diethylamide (LSD) analog 2-bromo-LSD (2-Br-LSD) at more than 33 aminergic G protein-coupled receptors (GPCRs). 2-Br-LSD shows partial agonism at several aminergic GPCRs, including 5-HT2A, and does not induce the head-twitch response (HTR) in mice, supporting its classification as a non-hallucinogenic 5-HT2A partial agonist. Unlike LSD, 2-Br-LSD lacks 5-HT2B agonism, an effect linked to cardiac valvulopathy. Additionally, 2-Br-LSD produces weak 5-HT2A β-arrestin recruitment and internalization in vitro and does not induce tolerance in vivo after repeated administration. 2-Br-LSD induces dendritogenesis and spinogenesis in cultured rat cortical neurons and increases active coping behavior in mice, an effect blocked by the 5-HT2A-selective antagonist volinanserin (M100907). 2-Br-LSD also reverses the behavioral effects of chronic stress. Overall, 2-Br-LSD has an improved pharmacological profile compared with LSD and may have profound therapeutic value for mood disorders and other indications.

Keywords