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Zheng S, Ma R, Yang Y, Li G. Psilocybin for the treatment of Alzheimer's disease. Front Neurosci 2024; 18:1420601. [PMID: 39050672 PMCID: PMC11266071 DOI: 10.3389/fnins.2024.1420601] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2024] [Accepted: 06/21/2024] [Indexed: 07/27/2024] Open
Abstract
Alzheimer's disease (AD) stands as a formidable neurodegenerative ailment and a prominent contributor to dementia. The scarcity of available therapies for AD accentuates the exigency for innovative treatment modalities. Psilocybin, a psychoactive alkaloid intrinsic to hallucinogenic mushrooms, has garnered attention within the neuropsychiatric realm due to its established safety and efficacy in treating depression. Nonetheless, its potential as a therapeutic avenue for AD remains largely uncharted. This comprehensive review endeavors to encapsulate the pharmacological effects of psilocybin while elucidating the existing evidence concerning its potential mechanisms contributing to a positive impact on AD. Specifically, the active metabolite of psilocybin, psilocin, elicits its effects through the modulation of the 5-hydroxytryptamine 2A receptor (5-HT2A receptor). This modulation causes heightened neural plasticity, diminished inflammation, and improvements in cognitive functions such as creativity, cognitive flexibility, and emotional facial recognition. Noteworthy is psilocybin's promising role in mitigating anxiety and depression symptoms in AD patients. Acknowledging the attendant adverse reactions, we proffer strategies aimed at tempering or mitigating its hallucinogenic effects. Moreover, we broach the ethical and legal dimensions inherent in psilocybin's exploration for AD treatment. By traversing these avenues, We propose therapeutic potential of psilocybin in the nuanced management of Alzheimer's disease.
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Affiliation(s)
- Siyi Zheng
- Department of Neurology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Rong Ma
- Department of Pharmacology, School of Basic Medicine, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Yang Yang
- Department of General Medicine, Binzhou Medical University Hospital, Binzhou, China
| | - Gang Li
- Department of Neurology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
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Duffau H. Case report: when art is faced with brain surgery: acute change in creative style in a painter after glioma resection. Front Oncol 2024; 14:1394609. [PMID: 38606096 PMCID: PMC11007166 DOI: 10.3389/fonc.2024.1394609] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2024] [Accepted: 03/18/2024] [Indexed: 04/13/2024] Open
Abstract
Background Strong interactions between art and health are well-known. While advances in brain surgery resulted in an improved preservation of sensorimotor, visuospatial, language and cognitive functions, creative abilities received less attention. However, creativity may represent a critical issue to resume an optimal quality of life, especially in artists. Here, a unique case of sudden change in creative style in a painter who underwent glioma resection is described. This prompts to explore further creative thinking and its clinical implications in routine practice. Methods A 36-year-old right-handed woman experienced inaugural seizures, allowing the discovery of a right frontal lesion. The patient was a professional painter and did not complain about any decline in her creativity. The preoperative neurological examination was normal. Results Surgery was achieved with a maximal tumor resection through a frontal lobectomy. A WHO grade II oligodendroglioma was diagnosed. A regular surveillance was performed without adjuvant oncological treatment. The patient did not exhibit postoperative functional deterioration and she returned to normal activities including painting during 15 years. Remarkably, even though her creative activity was judged by the patient herself to be rich and satisfying, her style drastically changed from surrealism and mysticism to cubism whereas she was not able to explain why. Conclusion This is the first report of acute modification of the painting style following frontal lobectomy for a low-grade glioma, supporting that brain resective surgery may impact creativity. While neglected for many decades, this complex human ability should be evaluated more regularly in neurosurgical practice, particularly in artists.
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Affiliation(s)
- Hugues Duffau
- Department of Neurosurgery, Gui de Chauliac Hospital, Montpellier University Medical Center, Montpellier, France
- Team “Plasticity of Central Nervous System, Stem Cells and Low-grade gliomas,” INSERM U1191, Institute of Functional Genomics, Montpellier, France
- University of Montpellier, Montpellier, France
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Pelowski M, Spee BTM, Arato J, Dörflinger F, Ishizu T, Richard A. Measures, constructs, and constructing measurement: Reply to comments on "Can we really 'read' art to see the changing brain?". Phys Life Rev 2024; 48:22-30. [PMID: 38070420 DOI: 10.1016/j.plrev.2023.11.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2023] [Accepted: 11/21/2023] [Indexed: 03/05/2024]
Affiliation(s)
- Matthew Pelowski
- Faculty of Psychology, Department of Cognition, Emotion, and Methods in Psychology, University of Vienna, Wächtergasse 1, 1010, Vienna, Austria; Vienna Cognitive Sciences Hub, University of Vienna, Kolingasse 14-16, 1090, Vienna, Austria.
| | - Blanca T M Spee
- Faculty of Psychology, Department of Cognition, Emotion, and Methods in Psychology, University of Vienna, Wächtergasse 1, 1010, Vienna, Austria; Vienna Cognitive Sciences Hub, University of Vienna, Kolingasse 14-16, 1090, Vienna, Austria; Radboud University Medical Centre, Donders Institute for Brain, Cognition and Behaviour, Department of Neurology, Centre of Expertise for Parkinson & Movement Disorders, Nijmegen, Netherlands
| | - Jozsef Arato
- Vienna Cognitive Sciences Hub, University of Vienna, Kolingasse 14-16, 1090, Vienna, Austria
| | - Felix Dörflinger
- Faculty of Psychology, Department of Cognition, Emotion, and Methods in Psychology, University of Vienna, Wächtergasse 1, 1010, Vienna, Austria
| | - Tomohiro Ishizu
- Faculty of Letters, Department of Psychology, Kansai University, 3-3-35 Yamatecho, Suita, Osaka, 564-8680, Japan
| | - Alby Richard
- Faculty of Medicine, Department of Neurosciences, University of Montreal, C.13.7241, 1000 Saint Denis Montréal, QC, H2 × 0C1, Canada
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Gros P, Spee BTM, Bloem BR, Kalia LV. If Art Were a Drug: Implications for Parkinson's Disease. JOURNAL OF PARKINSON'S DISEASE 2024; 14:S159-S172. [PMID: 38788090 PMCID: PMC11380257 DOI: 10.3233/jpd-240031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2024]
Abstract
Parkinson's disease (PD) is a chronic and complex neurodegenerative disorder. Conventional pharmacological or surgical therapies alone are often insufficient at adequately alleviating disability. Moreover, there is an increasing shift toward person-centered care, emphasizing the concept of "living well". In this context, arts-based interventions offer great promise, functioning as platforms for creative expression that could provide novel mechanisms to promote quality of life. Here we present a qualitative review of arts-based interventions for PD, including music, dance, drama, visual arts, and creative writing. For each, we discuss their applications to PD, proposed mechanisms, evidence from prior studies, and upcoming research. We also provide examples of community-based projects. Studies to date have had relatively small sample sizes, but their findings suggest that arts-based interventions have the potential to reduce motor and non-motor symptoms. They may also empower people with PD and thereby address issues of self-esteem, foster personal problem-solving, and augment holistic well-being. However, there is a paucity of research determining optimal dosage and symptom-specific benefits of these therapies. If art were a drug, we would have to perform appropriately powered studies to provide these data before incorporating it into routine patient care. We therefore call for further research with properly designed studies to offer more rigorous and evidence-based support for what we intuitively think is a highly promising approach to support individuals living with PD. Given the possible positive impact on people's lives, arts-based approaches merit further development and, if proven to be effective, systematic inclusion within integrated management plans.
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Affiliation(s)
- Priti Gros
- Edmond J. Safra Program in Parkinson Disease and Morton and Gloria Shulman Movement Disorders Clinic, Toronto Western Hospital, University Health Network, Toronto, ON, Canada
| | - Blanca T M Spee
- Department of Neurology, Donders Institute for Brain, Cognition and Behavior, Center of Expertise for Parkinson & Movement Disorders, Radboud University Medical Center, Nijmegen, The Netherlands
- Vienna Cognitive Science Hub, University of Vienna, Vienna, Austria
| | - Bastiaan R Bloem
- Department of Neurology, Donders Institute for Brain, Cognition and Behavior, Center of Expertise for Parkinson & Movement Disorders, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Lorraine V Kalia
- Edmond J. Safra Program in Parkinson Disease and Morton and Gloria Shulman Movement Disorders Clinic, Toronto Western Hospital, University Health Network, Toronto, ON, Canada
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Leder H, Crone JS. Changes in style as a diagnostic medical tool or a way to study creativity in art?: Comment on "Can we really 'read' art to see the changing brain? A review and empirical assessment of clinical case reports and published artworks for systematic evidence of quality and style changes linked to damage or neurodegenerative disease" by Pelowski et al. (2022). Phys Life Rev 2023; 46:52-55. [PMID: 37245452 DOI: 10.1016/j.plrev.2023.04.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2023] [Accepted: 04/20/2023] [Indexed: 05/30/2023]
Affiliation(s)
- Helmut Leder
- Faculty of Psychology, University of Vienna, Liebiggasse 5, 1010 Vienna, Austria; Cognitive Sciences Research Hub, University of Vienna, Kolingasse 3, 1010 Vienna, Austria.
| | - Julia S Crone
- Cognitive Sciences Research Hub, University of Vienna, Kolingasse 3, 1010 Vienna, Austria
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Kathofer M, Leder H, Crone JS. Bridging neurodegenerative diseases and artistic expressivity: The significance of testable models and causal inference: Comment on "Can we really 'read' art to see the changing brain? A review and empirical assessment of clinical case reports and published artworks for systematic evidence of quality and style changes linked to damage or neurodegenerative disease" by Pelowski et al. (2022). Phys Life Rev 2023; 45:66-70. [PMID: 37167925 DOI: 10.1016/j.plrev.2023.04.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2023] [Accepted: 04/25/2023] [Indexed: 05/13/2023]
Affiliation(s)
| | - Helmut Leder
- Vienna Cognitive Science Hub, University of Vienna, Austria; Faculty of Psychology, University of Vienna, Austria
| | - Julia Sophia Crone
- Vienna Cognitive Science Hub, University of Vienna, Austria; University of California Los Angeles, Department of Psychology, USA
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Koksma J, Stap TB. The hare and the honey: Health care as transformative learning: Comment on "Can we really 'read' art to see the changing brain?" by Pelowski et al. Phys Life Rev 2023; 45:3-5. [PMID: 36907009 DOI: 10.1016/j.plrev.2023.02.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Accepted: 02/27/2023] [Indexed: 03/08/2023]
Affiliation(s)
- Jur Koksma
- Radboudumc Health Academy, Radboud University Medical Center, Nijmegen, the Netherlands.
| | - Thieme B Stap
- Radboudumc Health Academy, Radboud University Medical Center, Nijmegen, the Netherlands
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Slaby RJ, Cappa S, Cattaneo Z. Prognostic potential of reading art in brain damage and the possible contribution of non-invasive brain stimulation: Comment on "Can we really 'read' art to see the changing brain? A review and empirical assessment of clinical case reports and published artworks for systematic evidence of quality and style changes linked to damage or neurodegenerative disease" by Matthew Pelowski, Blanca T.M. Spee, et al. Phys Life Rev 2023; 45:25-28. [PMID: 36931122 DOI: 10.1016/j.plrev.2023.02.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2023] [Accepted: 02/27/2023] [Indexed: 03/07/2023]
Affiliation(s)
- Ryan Joseph Slaby
- Department of Psychology, University of Milano-Bicocca, Milan, Italy
| | - Stefano Cappa
- University Institute for Advanced Studies (IUSS), Pavia, Italy; IRCCS Mondino Foundation, Pavia, Italy
| | - Zaira Cattaneo
- IRCCS Mondino Foundation, Pavia, Italy; Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy.
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Hayn-Leichsenring GU. Art as a window to altered perception? - A possible understanding of neurodegenerative diseases through the philosophy of Konrad Fiedler: Comment on "Can we really 'read' art to see the changing brain? A review and empirical assessment of clinical case reports and published artworks for systematic evidence of quality and style changes linked to damage or neurodegenerative disease" by Matthew Pelowski et al. Phys Life Rev 2023; 44:160-162. [PMID: 36701911 DOI: 10.1016/j.plrev.2023.01.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2022] [Accepted: 01/05/2023] [Indexed: 01/12/2023]
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Myszkowski N. Can we "read" art…at all? A psychometric perspective on the possibility of measuring artwork attributes: Comment on "Can we really 'read' art to see the changing brain? A review and empirical assessment of clinical case reports and published artworks for systematic evidence of quality and style changes linked to damage or neurodegenerative disease" by Pelowski et al. (2022). Phys Life Rev 2023; 44:48-50. [PMID: 36493628 DOI: 10.1016/j.plrev.2022.11.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2022] [Accepted: 11/29/2022] [Indexed: 12/12/2022]
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No sound evidence supports the notion that we can "read" art: Comment on "Can we really 'read' art to see the changing brain? A review and empirical assessment of clinical case reports and published artworks for systematic evidence of quality and style changes linked to damage or neurodegenerative disease" by Pelowski et al. (2022). Phys Life Rev 2023; 44:110-112. [PMID: 36610203 DOI: 10.1016/j.plrev.2022.12.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2022] [Accepted: 12/20/2022] [Indexed: 12/29/2022]
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Bloem BR, Volpe D. What art can tell us about the human brain, in health and disease. Phys Life Rev 2023; 45:52-55. [PMID: 37004337 DOI: 10.1016/j.plrev.2023.03.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Accepted: 03/22/2023] [Indexed: 03/29/2023]
Affiliation(s)
- Bastiaan R Bloem
- Radboud University Nijmegen Medical Center, Donders Institute for Brain, Cognition and Behavior, Department of Neurology, the Netherlands.
| | - Daniele Volpe
- Department of Neurorehabilitation, Fresco Parkinson Center - Casa di Cura Villa Margherita - S. Stefano Riabilitazione, via Costacolonna n 1 Arcugnano, Vicenza, Italy
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From brain images to drawings - New insights informing the creativity-psychopathology debate: Commentary on "Can we really 'read' art to see the changing brain? A review and empirical assessment of clinical case reports and published artworks for systematic evidence of quality and style changes linked to damage or neurodegenerative disease" by Pelowski et al. Phys Life Rev 2023; 44:179-183. [PMID: 36773388 DOI: 10.1016/j.plrev.2023.01.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Accepted: 01/28/2023] [Indexed: 02/05/2023]
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Goldstein's 'catastrophic reactions' reinterpreted as neuroaesthetic 'signatures': Comment on "Can we really 'read' art to see the changing brain? A review and empirical assessment of clinical case reports and published artworks for systematic evidence of quality and style changes linked to damage or neurodegenerative disease" by Matthew Pelowski et al. Phys Life Rev 2023; 44:91-93. [PMID: 36563478 DOI: 10.1016/j.plrev.2022.12.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2022] [Accepted: 12/12/2022] [Indexed: 12/23/2022]
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Treven M. Are neurodegenerative disorders causing characteristic changes in visual artwork?: Commentary on "Can we really 'read' art to see the changing brain?" by M. Pelowski, B.T.M. Spee, J. Arato, F. Dörflinger, T. Ishizu, A. Richard. Phys Life Rev 2023; 44:102-104. [PMID: 36586307 DOI: 10.1016/j.plrev.2022.12.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2022] [Accepted: 12/20/2022] [Indexed: 12/29/2022]
Affiliation(s)
- Marco Treven
- Department of Neurology, Medical University of Vienna, Vienna, Austria; Medical Neuroscience Cluster, Medical University of Vienna, Vienna, Austria; Konrad Lorenz Institute for Evolution and Cognition Research, Klosterneuburg, Austria.
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Bogousslavsky J. Creativity, art and brain: Comment on "Can we really 'read' art to see the changing brain? A review and empirical assessment of clinical case reports and published artworks for systematic evidence of quality and style changes linked to damage or neurodegenerative disease" by Matthew Pelowski et al. Phys Life Rev 2023; 44:116-118. [PMID: 36634557 DOI: 10.1016/j.plrev.2022.12.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2022] [Accepted: 12/20/2022] [Indexed: 01/05/2023]
Affiliation(s)
- Julien Bogousslavsky
- Neurocenter, Swiss Medical Network, Clinique Valmont, 1823 Glion/Montreux, Switzerland.
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