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Tim Ferriss · 2023-04-19 · 2h 01m

Rethinking Psychedelics, Octopuses on MDMA, and The Master Key of Metaplasticity | Dr. Gül Dölen

Neuroscientist Gul Dolen explains how psychedelics may be a master key that reopens the brain's critical periods for healing.

Rethinking Psychedelics, Octopuses on MDMA, and The Master Key of Metaplasticity | Dr. Gül Dölen
The guest

Dr. Gul Dolen — Associate professor of neuroscience at Johns Hopkins University School of Medicine and a pioneer in psychedelics research; her lab discovered that psychedelics reopen a critical period for social reward learning.

The gist

Tim Ferriss interviews Dr. Gul Dolen about her discovery that psychedelics including MDMA, LSD, psilocybin, ketamine, and ibogaine all reopen the brain's critical periods, time-limited windows when the brain learns most readily from its environment. She argues these drugs are not 'psychoplastogens' causing addictive hyperplasticity but instead restore metaplasticity, the ability to induce learning, by triggering a cellular 'reset' that degrades the extracellular matrix holding synapses in place. This framework dramatically expands the therapeutic scope of psychedelics to conditions like autism, stroke, and allergies, provided each is paired with the correct context. Dolen also recounts her curiosity-driven octopus MDMA experiment, the funding struggles that nearly ended her career, and why context and ritual matter as much as the molecule.

Big reveals

  • Dolen's lab found MDMA reopens the social critical period by restoring oxytocin metaplasticity in the nucleus accumbens, but control experiments revealed all psychedelics (LSD, ibogaine, ketamine, psilocybin) reopen it, making the pro-social MDMA story a red herring.
  • RNA sequencing showed psychedelics, but not cocaine, up- and down-regulate molecules overlapping with those implicated in closing vision, touch, and motor critical periods, suggesting one shared master-key mechanism.
  • The lab's working model: psychedelics sit in their receptor too long, signaling excitotoxicity and a 'hit the reset button' response that degrades the extracellular matrix and reintegrates sensitive 'baby' receptors, with the final common pathway being the extracellular matrix, not the receptor itself.
  • Dolen distinguishes metaplasticity from the hyperplasticity caused by drugs of abuse (heroin, nicotine, cocaine, amphetamine), arguing 'psychoplastogen' terminology is inaccurate and should be abandoned.
  • Dosing finding: increasing dose does not lengthen the critical-period window; instead the duration of acute subjective effects predicts how long the window stays open (ketamine under a week, ibogaine up to four weeks in mice).
  • Critical-period framework predicts psychedelics must be matched to the right context per disease: psychotherapy for PTSD/addiction/depression, motor play and VR for stroke, and exposure to the allergen for allergies.
  • Dolen argues psychedelics should be reframed as more like surgery, a one-time intervention that cures, rather than as next-generation antidepressants or SSRIs taken for life.

Things worth remembering

  • The concept of critical periods originated in 1935 with ethologist Konrad Lorenz studying imprinting in snow geese, which attach to their mother only within 48 hours of hatching.
  • Autism's heritability score was about 0.96 when narrowly defined 20 years ago (vs ~0.5 for depression/anxiety), but dropped as the DSM definition expanded to a spectrum.
  • Roughly 1,000 genes are now implicated in autism, and the FMR1 (Fragile X) gene acts as a node regulating about 25 percent of all other autism genes.
  • LSD locks into the serotonin 2A receptor when a 'lid' closes over it, extending its off-rate to about four and a half hours, explaining why its effects last so long.
  • Allergy is more prevalent in countries with parasite-free food and water; Dolen hypothesizes the 'jobless' anti-parasite immune system gets misassigned by the brain to attack things like dog proteins.
  • Octopuses are largely asocial and will kill each other in a tank, yet the larger Pacific striped octopus, the only known social species, shows theory-of-mind-like behavior in hunting, not social, contexts.
  • After a stroke there is a critical window (best within six weeks to two months, closed by three months) where physical therapy maximally restores motor function via adjacent brain regions becoming flexible.
  • Roughly 400,000 people per year in the US suffer debilitating lasting impairments from stroke; Dolen collaborates with Steven Zeiler and John Krakauer at Hopkins on a psychedelic stroke trial.
  • Dolen applied to the NIH 17 times before landing her first NIH grant, and now writes deliberately conservative grants on 'boring' experiments she has already completed.
  • Children learning to walk cover the equivalent of seven football fields per hour through non-goal-directed play; Dolen says the only adults she's seen move like that are on MDMA.

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