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Peer-reviewed article

Psychedelic 5-HT<sub>2A</sub> receptor agonism alters neurovascular coupling and differentially affects neuronal and hemodynamic measures of brain function.

Padawer-Curry JA, Krentzman OJiD, Kuo CC, Wang XiD, Bice ARiD, Nicol GEiD, Snyder AZiD, Siegel JSiD, McCall JGiD, Bauer AQiD

Nature neuroscienceOct 13, 2025United States16 citationsDOI: 10.1038/s41593-025-02069-z

Abstract

Human neuroimaging studies report that psychedelics induce serotonin-2A receptor-dependent changes in functional brain reorganization, presumably reflecting neuromodulation. However, these studies often overlook the potent vasoactive effects of serotonin. Here we identified psilocybin-induced alterations in hemodynamic response functions during human functional magnetic resonance imaging, suggesting potential disruptions in neurovascular coupling. We then used wide-field optical imaging in awake Thy1-jRGECO1a mice to determine whether psychedelic-induced changes in hemodynamics arise from neuronal, vascular or neurovascular effects. Exposure to the psychedelic 2,5-dimethoxy-4-iodoamphetamine (DOI) differentially altered coupling between cortical excitatory neuronal versus hemodynamic activity, both during whisker stimulation and in the resting state. Furthermore, DOI resulted in discordant changes between neuronal-based versus hemodynamic-based assessments of functional connectivity. A selective serotonin-2A receptor antagonist (MDL100907) reversed many of the effects of DOI. Our results demonstrate a dissociation between DOI-induced neuronal and hemodynamic signals, indicating a need to consider neurovascular effects of psychedelics when interpreting blood-based measures of brain function.

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Psilocybin

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