Anxiety DisordersSchizophreniaMDMADMTMescaline

Endogenous psychoactive tryptamines reconsidered: an anxiolytic role for dimethyltryptamine

This early review (2005) suggests that the effects of exogenous DMT may be due at least in part to activity at the trace amine receptor.

Authors

  • Jacob, M. S.
  • Presti, D. E.

Published

Medical Hypotheses
meta Study

Abstract

The presence of the potent hallucinogenic psychoactive chemical N,N-dimethyltryptamine (DMT) in the human body has puzzled scientists for decades. Endogenous DMT was investigated in the 1960s and 1970s and it was proposed that DMT was involved in psychosis and schizophrenia. This hypothesis developed from comparisons of the blood and urine of schizophrenic and control subjects. However, much of this research proved inconclusive and conventional thinking has since held that trace levels of DMT, and other endogenous psychoactive tryptamines, are insignificant metabolic byproducts. The recent discovery of a G-protein-coupled, human trace amine receptor has triggered a reappraisal of the role of compounds present in limited concentrations in biological systems. Interestingly enough, DMT and other psychoactive tryptamine hallucinogens elicit a robust response at the trace amine receptor. While it is currently accepted that serotonin 5-HT2A receptors play a pivotal role in the activity of hallucinogenic/psychedelic compounds, we propose that the effects induced by exogenous DMT administration, especially at low doses, are due in part to activity at the trace amine receptor. Furthermore, we suggest that endogenous DMT interacts with the TA receptor to produce a calm and relaxed mental state, which may suppress, rather than promote, symptoms of psychosis. This hypothesis may help explain the inconsistency in the early analysis of endogenous DMT in humans. Finally, we propose that amphetamine action at the TA receptor may contribute to the calming effects of amphetamine and related drugs, especially at low doses.

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Research Summary of 'Endogenous psychoactive tryptamines reconsidered: an anxiolytic role for dimethyltryptamine'

Introduction

DMT (N,N-dimethyltryptamine) has been known chemically since 1931 and was later identified as an active ingredient in traditional Amazonian preparations such as cohoba, yopo and ayahuasca. Early reports from the 1960s and 1970s also detected DMT and related N-methylated tryptamines in human blood and urine, prompting hypotheses that endogenous DMT might contribute to psychosis and schizophrenia. Subsequent empirical work produced inconsistent results and conventional wisdom came to regard trace levels of DMT as biologically insignificant. More recently, the discovery of mammalian trace amine (TA) receptors and evidence that hallucinogenic tryptamines activate these receptors has prompted a reappraisal of the possible physiological roles of endogenous DMT. Jacob and colleagues set out to re-evaluate the biochemical and pharmacological evidence concerning endogenous DMT, with particular focus on biosynthetic enzymes (AADC and INMT), receptor targets (trace amine receptors versus serotonin receptors), and human experimental findings at low, non-hallucinogenic doses. They propose a novel hypothesis: that endogenous DMT, acting at TA receptors, may produce a calm, anxiolytic effect and therefore could suppress rather than exacerbate psychotic symptoms. The paper presents a narrative synthesis of biochemical, genetic, pharmacological and clinical observations to support this reinterpretation and to identify areas needing further empirical work.

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Study Details

  • Study Type
    meta
  • Journal
  • Compounds
  • Topics
  • APA Citation

    Jacob, M. S., & Presti, D. E. (2005). Endogenous psychoactive tryptamines reconsidered: an anxiolytic role for dimethyltryptamine. Medical Hypotheses, 64(5), 930-937. https://doi.org/10.1016/j.mehy.2004.11.005

References (2)

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