CSF galanin and noradrenaline downregulation by psilocybin therapy in major depressive disorder.

Publication date: Jul 07, 2026

Psilocybin is a rapid-acting antidepressant, but its mechanism of action in major depressive disorder remains unclear. In this secondary analysis of randomized, placebo-controlled trial with multimodal CSF and blood biomarker measurements, psilocybin selectively reduced CSF galanin and noradrenaline, implicating that normalization of these co-transmitters is a key pharmacodynamic signature.

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Concepts Keywords
Antidepressant Acting
Neuropsychopharmacology Action
Pharmacodynamic Antidepressant
Psilocybin Csf
Rapid Depressive
Disorder
Downregulation
Galanin
Major
Mechanism
Noradrenaline
Psilocybin
Rapid
Remains
Therapy

Semantics

Type Source Name
drug DRUGBANK Norepinephrine
drug DRUGBANK Psilocybine
disease MESH major depressive disorder
drug DRUGBANK Nandrolone phenpropionate
disease MESH David
disease MESH treatment resistant depression
drug DRUGBANK Sulpiride
disease MESH included
pathway REACTOME Metabolism
drug DRUGBANK Citalopram
drug DRUGBANK Niacin
drug DRUGBANK Water
drug DRUGBANK Coenzyme M
disease MESH SOST
drug DRUGBANK Epinephrine
drug DRUGBANK Serotonin
pathway REACTOME Methylation
disease MESH anxiety
disease MESH mental disorders
drug DRUGBANK Escitalopram
disease MESH inflammation
pathway REACTOME Reproduction

Original Article

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