Exploring a Druggable Hydrophobic Tunnel in the 5-HT2A Receptor with Potent Phenethylamines

Paper. Simon IA, Pottie E, Jensen MK et al.. Journal of Medicinal Chemistry, 8 Oct 2026.

Weekly Science Digest, 23 Oct 2026 to 29 Oct 2026, finding 3: Separating the antidepressant effect from the trip

Repeated low-dose LSD sustained antidepressant-like effects in mice without psychedelic-like behaviour.

Structure-guided 5-HT2A agonists biased toward β-arrestin drove the long-lasting effect, and LSD's slow receptor dissociation let repeated low doses accumulate occupancy while avoiding the Gq calcium peak. No psychedelic-associated behavioural disruption appeared in mice or cynomolgus macaques. A separate medicinal chemistry paper mapped a druggable hydrophobic tunnel beside the 5-HT2A orthosteric site using synthesised phenethylamines.

How much weight it carries: Mouse and macaque behaviour plus receptor pharmacology; behavioural proxies for hallucinogenesis do not establish what humans would experience. (Mice, Animals, Preclinical, Mechanism, Drug design)

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