When all else fails, some patients trying to overcome alcoholism, severe depression or anxiety, and even cluster headaches, turn to psychedelic drugs. Clinical research has shown the use of psychedelics to treat these conditions can produce dramatically positive results.
As with any therapy, psychedelic treatment does not always work.
After decades of taboo surrounding psychedelic drugs, there has been renewed interest and research in using such compounds to treat neuropsychiatric disorders because the drugs stimulate serotonin receptors in the brain. These receptors bind serotonin and other similar amine-containing molecules, helping regulate people’s mood and emotions, as well as their appetite.
UNC School of Medicine researchers led by Dr. Bryan Roth, the Michael Hooker Distinguished Professor of pharmacology, reported that one reason for treatment disparity could be common genetic variations in one serotonin receptor.
Roth and colleagues wanted to explore how variations in one serotonin receptor — the 5-hydroxytryptamine receptor known as 5-HT2A — changes the activity of four psychedelic therapies. They found that genetic variations, known as single nucleotide polymorphisms (SNPs) can affect the function and structure of the 5-HT2A receptor.
“Based on our study, we expect that patients with different genetic variations will react differently to psychedelic-assisted treatments,” said Roth, who leads the NIH Psychotropic Drug Screening Program. “We think physicians should consider the genetics of a patient’s serotonin receptors to identify which psychedelic compound is likely to be the most effective treatment in future clinical trials.”
For example, the SNP Ala230Th had decreased response to one of the four therapies (psilocin the active metabolite of psilocybin) while the Ala447Val mutation showed reduced effects to two out of four treatments.
“This is another piece of the puzzle we must know when deciding to prescribe any therapeutic with such dramatic effect aside from the therapeutic effect,” Roth said. “Further research will help us continue to find the best ways to help individual patients.”
Read the complete Carolina Story
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In adult human brains, the hippocampus generates new neurons (adult-born neurons, or ABNs) throughout life, helping us maintain memories and regulate emotions. Scientists call this process “adult hippocampus neurogenesis.” In people with Alzheimer’s disease, this process is impaired, leading to reduced production of ABNs with poorer qualities.
Given that Alzheimer’s patients often develop both cognitive symptoms (such as memory loss) and non-cognitive symptoms (such as anxiety and depression) for which new neuron generation plays a critical role, one way to help Alzheimer’s patients achieve symptom relief could be to restore this function.
Published in the journal Cell Stem Cell, research from UNC School of Medicine scientists demonstrated that stimulating a brain region called the supramammillary nucleus effectively enhanced adult-born neurons in the otherwise impaired Alzheimer’s brains of mice.
After patterned stimulation of the supramammillary nucleus, Alzheimer’s brains developed more ABNs with improved qualities. Importantly, activation of these ABNs restored both cognitive and affective deficits in the mouse models.
“Ultimately, the hope is to develop first-in-class, highly targeted therapies to treat AD and related dementia,” said senior author Juan Song, PhD, associate professor of pharmacology and Jeffrey Houpt Distinguished Investigator at the UNC School of Medicine.
Read more about the discovery and its implications…"
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Patricia Rosenmeyer was named the Seymour and Carol Levin Distinguished Term Professor in Jewish Studies and director of the Carolina Center for Jewish Studies in fall 2022. Although her Ph.D. from Princeton University is in comparative literature, her new position is helping her explore a deeper understanding of Jewish history, culture and thought.
The Carolina Center for Jewish Studies celebrates its 20th anniversary in 2023. Rosenmeyer was quick to credit her predecessors, the late Jonathan M. Hess and Ruth von Bernuth, for creating such a solid foundation.
Recent events at the center have included topics as wide-ranging as Yiddish culture in Ukraine, Southern Jews and the Lost Cause, and Jewish perceptions of justice during and after the Holocaust. The center has hosted more than 200 events since its founding in 2003.
Rosenmeyer is particularly grateful for the fellowships and research grants for students that have been made possible through private support, including gifts made during the Campaign for Carolina.
Rosenmeyer’s professorship was established in 2010 by Seymour Levin ’48 and Carol Levin, providing her with support for directing the center.
“We really are keen on supporting the next generation of scholars, and they don’t have to be academic scholars,” said Rosenmeyer. “They can find a career that they love, and it doesn’t have to be teaching at the university level. But we want to give them the foundation and experience in Jewish studies that they can combine with whatever other interests they have.”
Read more about Rosenmeyer’s research…"
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Rebecca Fry’s lab is one of the first to study the effects of prenatal exposure to toxic metals as it relates to the epigenome — she has shown how behaviors and the environment can cause changes that affect the way genes function.
“This method highlights a way that we can understand how chemicals can have very long lasting and even transgenerational impacts,” said Fry, the Carol Remmer Angle Distinguished Professor in Children’s Environmental Health at the UNC Gillings School of Global Public Health. In other words, environmental hazards can change a gene activity and those changes can be passed to future generations.
Thankfully, Fry’s lab is focused on solutions. “One of the things I love about working at Gillings is having opportunities to translate our work to something meaningful to communities and populations,” Fry said. “And we do that from many different angles.”
One of Fry’s first environmental health studies was on the effects of arsenic exposure during pregnancy and how that influenced the health of the child. While that study was focused on arsenic exposure in Thailand, Fry learned quickly after coming to Chapel Hill that she wouldn’t have to go outside the state’s borders to continue her research on arsenic poisoning. She launched the Institute for Environmental Health Solutions and is using funds from the Angle Professorship and the UNC Superfund Research Program, which she directs, to work with North Carolina communities that have contaminated drinking water and provide them with cost-effective filters.
Building on that research and more than 20 years of data, she collaborated with colleagues across campus and the North Carolina Department of Health and Human Services to launch NC ENVIROSCAN. The user-friendly, web-based tool integrates the state’s data on chemical exposures, social factors and various health outcomes to identify areas of environmental injustice, where chemical exposure is high and where communities likely don’t have the money they need to have their water tested or have filters in their homes for protection. Community members, policymakers, clinicians, government agencies — everyone has access to this tool at enviroscan.org.
Fry is also piloting a project with clinicians in maternal fetal medicine at UNC Hospitals, where more than 3,000 women give birth each year. The research team collects information on whether those women are on public or private drinking water at their homes. They then collect samples and test the patients’ drinking water. “If a subject’s test shows toxic metal levels to be high, we provide filters at no cost,” Fry said, noting that she would like to see these tests and services become standard practice for pregnant patients.
And somehow, on top of all of the above and more, Fry finds time to mentor the next generation of environmental health scientists. With funds from the Angle Professorship, she launched a summer program to increase undergraduate student awareness of environmental health careers, with a focus on historically underrepresented populations in STEM.
“Undergraduate students are paired with graduate student researchers, and they just begin to learn the language of science and are exposed to tools, techniques and data sets,” Fry said. “It’s exciting to see everything they can do in a few months, in one summer program. My goal for them is they’ll learn about environmental health science sooner than I did — because I love it so much.”"
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