Evidence map›Paper›PMID 42794483›Full record

SynthesisInternational journal of molecular sciences2026

Multilevel Mechanisms and Clinical Efficacy of Psilocybin in Depression Treatment: A Systematic Review.

Xizhen Zhang, Xiaowen Zhang, Haiyu Zhang, Sheng Wei

Abstract readSystematic ReviewReview
In one paragraph

Synthesis in International journal of molecular sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Xizhen ZhangInstitute for Chinese Medicine and Brain Science, Shandong University of Traditional Chinese Medicine, Ji'nan 250014, China.ORCID 0009-0009-3815-4172
Xiaowen ZhangSchool of Health, Shandong University of Traditional Chinese Medicine, Ji'nan 250014, China.
Haiyu ZhangSchool of Health, Shandong University of Traditional Chinese Medicine, Ji'nan 250014, China.
Sheng WeiInstitute for Chinese Medicine and Brain Science, Shandong University of Traditional Chinese Medicine, Ji'nan 250014, China.

Funding

National Natural Science Foundation of China 82274383
6 · The paper itself

Abstract

Depression, characterized by persistent low mood and anhedonia, represents a prevalent affective disorder imposing substantial medical and economic burdens. Current first-line antidepressants are limited by delayed onset and treatment resistance. Psilocybin (PSI) has re-emerged as a promising therapeutic agent with rapid, sustained antidepressant effects. This systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines and prospectively registered with International Prospective Register of Systematic Reviews (PROSPERO) (CRD420261425626). Comprehensive searches of PubMed, Web of Science, and ScienceDirect identified studies published between January 2021 and March 2026 that examined the antidepressant mechanisms and clinical efficacy of PSI. Of 949 records screened, 46 original studies were included. We synthesized evidence across the molecular, cellular, neural circuit, and clinical dimensions. Our findings suggest that psilocin, the active metabolite, may exert antidepressant effects through multilevel mechanisms, including 5-hydroxytryptamine receptor 2A (5-HT

Indexed as

Antidepressive AgentsDepressionPsilocybinAnimalsBrain-Derived Neurotrophic FactorHumansNeurogenesisReceptor, Serotonin, 5-HT2AReceptor, trkBSignal TransductionTreatment OutcomeAntidepressive AgentsBrain-Derived Neurotrophic FactorPsilocybinReceptor, Serotonin, 5-HT2AReceptor, trkBdepressionescitaloprampsilocinpsilocybinpsychedelicsserotonin

Identifiers

PMID42794483
PMCPMC13607456

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.