Effects of serotonergic psychedelics on synaptogenesis and immediate early genes expression - comparison with ketamine, fluoxetine and lithium

J Psychopharmacol. 2025 Sep;39(9):1023-1030. doi: 10.1177/02698811251338232. Epub 2025 May 28.

Abstract

Background: Recent evidence suggests that psychedelics can induce rapid and long-lasting antidepressant effects. The generally acknowledged explanation for these traits is the phenomenon of neuroplasticity, although the exact underlying molecular mechanisms remain unclear.

Aims: This study investigates the effects of psilocin, lysergic acid diethylamide (LSD) and N,N-dimethyltryptamine (DMT) on synaptogenesis and immediate early genes (IEGs) expression in direct comparison with ketamine, fluoxetine and lithium after acute (1 h) and/or prolonged (24 h) treatment in vitro.

Methods: Rat primary cortical cultures were treated with 10 µM psilocin, 1 µM LSD, 90 µM DMT, 1 µM ketamine, 10 µM fluoxetine and 5 mM lithium. Analysis of synaptic puncta was performed; puncta of presynaptic marker synapsin I/II, postsynaptic density protein 95 (PSD-95) and their co-localization (established synapse) were assessed 24 h after drug treatment. Next, expressions of IEGs encoding activity-regulated cytoskeleton-associated protein (Arc), early growth response 1 (Egr1), and neuronal PAS (Per-Arnt-Sim) domain protein 4 (Npas4) were analysed 1 and 24 h after drug treatments.

Results: Psilocin increased synaptic puncta count and induced Arc expression. The effect to promote synaptogenesis was comparable to ketamine and lithium; ketamine additionally increased PSD-95 puncta count. LSD and DMT did not induce any significant effects. Interestingly, fluoxetine had no effect on synaptic puncta count, but upregulated Egr1 and Npas4.

Conclusions: Psilocin demonstrated synaptogenic effects comparable to those of ketamine and lithium, and acutely upregulated IEG Arc expression, adding another piece of evidence to its profile as a promising therapeutic agent.

Keywords: DMT; LSD; Neuroplasticity; ketamine; psilocin.

Publication types

  • Comparative Study

MeSH terms

  • Animals
  • Basic Helix-Loop-Helix Proteins
  • Cerebral Cortex
  • Cytoskeletal Proteins
  • Early Growth Response Protein 1
  • Female
  • Fluoxetine / pharmacology
  • Gene Expression Regulation
  • Genes, Immediate-Early*
  • Hallucinogens* / pharmacology
  • Ketamine / pharmacology
  • Lithium / pharmacology
  • Lysergic Acid Diethylamide / pharmacology
  • N,N-Dimethyltryptamine / pharmacology
  • Nerve Tissue Proteins
  • Neuronal Plasticity* / drug effects
  • Organ Culture Techniques
  • Psilocybin / analogs & derivatives
  • Psilocybin / pharmacology
  • Rats
  • Rats, Wistar

Substances

  • Hallucinogens
  • Ketamine
  • Fluoxetine
  • Lithium
  • Lysergic Acid Diethylamide
  • N,N-Dimethyltryptamine
  • Psilocybin
  • Cytoskeletal Proteins
  • Nerve Tissue Proteins
  • Early Growth Response Protein 1
  • Basic Helix-Loop-Helix Proteins
  • psilocin
  • activity regulated cytoskeletal-associated protein
  • Egr1 protein, rat
  • Npas4 protein, rat