Changes in inflammatory biomarkers are related to the antidepressant effects of Ayahuasca
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2022;10(13):8 J Psychopharmacol. 2020 23-Feb;():. 10.1177/0269881120936486What this means for my practice?
This study found that patients treated with ayahuasca showed a significant correlation between CRP reductions and improvements in depressive symptoms compared to placebo. These findings support the use of ayahuasca as an alternative treatment with anti-inflammatory effects and reinforce the utility of biomarkers in depression. Study limitations include a small sample size and single blood sample. Future studies that include a larger population of depressive patients, perform multiple blood measurements, and investigate multiple sessions of ayahuasca use are needed.
Study Summary
Seventy-three healthy participants (control group; n=45) and treatment-resistant depression patients (patient group; n=28) were randomized to receive a single oral liquid dose of 1mL/kg of ayahuasca or placebo in this randomized, double-blinded, placebo-controlled trial investigating the effects of ayahuasca on blood inflammatory biomarkers, as well as the correlation of these biomarkers with depressive symptoms. The primary outcome of interest was depression severity as measured by the Montgomery-Åsberg Depression Rating Scale (MADRS). Other outcome measures include the quantification of plasma C-reactive protein (CRP) and serum interleukin 6 (IL-6), cortisol, brain-derived neurotrophic factor (BDNF), glutamic oxalacetic transaminase (GOT), and glutamic pyruvic transaminase (GPT) inflammatory biomarker levels which were quantified from blood samples. At baseline, patients showed higher CRP levels than healthy controls and a significant negative correlation was found between these elevated levels of CRP and serum cortisol. At 2 days post-treatment, patients treated with ayahuasca showed a significant reduction of CRP levels, which was also found to be significantly correlated with lower depressive symptoms. No other significant results were found for other biomarkers.
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