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September 17, 2026Translational PsychiatryOpen Access

5-HT2A receptor and psychedelics: a trip through the mechanisms of action and therapeutic potential in mental disorders

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Authors

MAMuhammad AsimJSJulia A. Galiza SoaresJTJason Tucciarone

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Overview

Review uncovers how psychedelic activation of serotonin 5-HT2A receptors drives neuroplasticity in mental disorders, highlighting therapeutic potential for neuropsychiatric conditions.

Key Points

  • Synthesize current evidence on the neuroanatomy, signaling cascades, and therapeutic potential of serotonin 5-HT2A receptors targeted by psychedelic compounds.
  • Narrative synthesis of preclinical and clinical studies evaluating 5-HT2A receptor neuroanatomical distribution and downstream signaling pathways.
  • Review of mechanistic models linking receptor agonism to circuit-level neurotransmission modulation and neuroplasticity in psychiatric illness.
  • Psychedelics act as agonists at the 5-HT2A receptor, driving circuit-specific modulation of neurotransmission and enhancing structural and functional neuroplasticity.
  • Activation of 5-HT2A receptor pathways induces robust alterations in mood, cognition, and perception, presenting a viable target for psychiatric disorders.
  • Delineating the precise neural circuits that translate 5-HT2A receptor stimulation into discrete behavioral outcomes remains an unresolved challenge.

Cite This Study

Asim et al. (2026) studied this question.

synapsesocial.com/papers/6aabb6635f706d05830e4c32https://doi.org/10.1038/s41398-026-04455-y
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Biased Signaling in Psychedelic Action.2025
  2. 2Narrating the psychoneuroimmunomodulatory properties of serotonin 5-HT<sub>2A</sub> receptor psychedelics from a transdiagnostic perspective2025
  3. 3α2-Adrenergic receptor modulates 5-HT2A-mediated behavioral effects of MDMA and psilocybin in mice2026
  4. 4A reciprocal interplay between 5-HT2A and mGlu5 receptors underlies neuroplasticity2025
  5. 5A dual-receptor model of serotonergic psychedelics2024 · 3 citations