Abstract
Intimate partner violence (IPV) poses a significant medical concern, predominantly affecting females. IPV-related brain injuries (IPV-BI), such as mild traumatic brain injury (mTBI) and non-fatal strangulation (NFS), sustained during physical attacks are common and often repetitive. Chronic neurobehavioral sequalae from IPV-BI are associated with neuroinflammation and impaired neuroplasticity, and effective treatment options are scarce, particularly in the context of IPV. However, psilocybin, a 5-HT2A receptor agonist with therapeutic potential in psychiatric disorders that share overlapping pathophysiology as BI, is a promising candidate. This study evaluated psilocybin’s effects on behavior, cognition, and neurobiology in a novel rat model of recurrent IPV-BI. Female rats underwent daily mTBI (lateral impact) followed by NFS (90 s) for five days, followed by 16 weeks of recovery. Rats then received a single intraperitoneal injection of psilocybin (1 mg/kg) or saline, with behavioral testing 24 h later. To investigate whether psilocybin’s effects were 5-HT2A receptor dependent, additional rats received pre-treatment with selective 5-HT2A receptor antagonist M100907 (1.5 mg/kg) one hour before psilocybin administration. Psilocybin recovered mTBI+NFS-induced abnormalities in the elevated plus-maze, increased sucrose preference when administered without M100907, and improved reversal learning in the water maze and spatial memory in the Y-maze. In the dorsal hippocampus, mTBI+NFS rats treated with saline, but not those treated with psilocybin, exhibited an increased number of microglial cells in the molecular layer and fewer reelin-positive cells in the subgranular zone. These findings suggest psilocybin’s antidepressant, pro-cognitive, anti-inflammatory, and neuroplasticity-enhancing effects hold promise for improving chronic IPV-BI outcomes and highlight the critical role of 5-HT2A receptors in mediating psilocybin’s therapeutic benefits.
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References
Esopenko C, Meyer J, Wilde EA, Marshall AD, Tate DF, Lin AP, et al. A global collaboration to study intimate partner violence-related head trauma: The ENIGMA consortium IPV working group. Brain Imaging Behav. 2021;15:475–503.
WHO. Violence against women. https://www.who.int/news-room/fact-sheets/detail/violence-against-women. Accessed 28 May 2022.
Cotter A Intimate partner violence in Canada, 2018: An overview. 2021. https://www150.statcan.gc.ca/n1/pub/85-002-x/2021001/article/00003-eng.htm. Accessed 7 January 2022.
Karr JE, Leong SE, Ingram EO, Logan TK. Repetitive head injury and cognitive, physical, and emotional symptoms in women survivors of intimate partner violence. J Neurotrauma. 2024;41:486.
Liu LY, Bush WS, Koyutürk M, Karakurt G. Interplay between traumatic brain injury and intimate partner violence: data driven analysis utilizing electronic health records. BMC Womens Health. 2020;20:1–16.
Zieman G, Bridwell A, Cárdenas JF. Traumatic brain injury in domestic violence victims: a retrospective study at the barrow neurological institute. J Neurotrauma. 2017;34:876–80.
Faugno D, Waszak D, Strack GB, Brooks MA, Gwinn CG. Strangulation forensic examination: best practice for health care providers. Adv Emerg Nurs J. 2013;35:314–27.
De Boos J. Review article: non-fatal strangulation: hidden injuries, hidden risks. Emerg Med Australas. 2019;31:302–8.
Oechmichen M, Meissner C. Cerebral hypoxia and ischemia: the forensic point of view: a review. J Forensic Sci. 2006;51:880–7.
Campbell JC, Anderson JC, McFadgion A, Gill J, Zink E, Patch M, et al. The effects of intimate partner violence and probable traumatic brain injury on central nervous system symptoms. J Womens Health (Larchmt). 2018;27:761–7.
Rivara F, Adhia A, Lyons V, Massey A, Mills B, Morgan E, et al. The effects of violence on health. Health Aff (Millwood). 2019;38:1622–9.
Mehr JB, Bennett ER, Price JL, de Souza NL, Buckman JF, Wilde EA, et al. Intimate partner violence, substance use, and health comorbidities among women: a narrative review. Front Psychol. 2022;13:1028375.
Sun M, Symons GF, Spitz G, O’Brien WT, Baker TL, Fan J, et al. Pathophysiology, blood biomarkers, and functional deficits after intimate partner violence-related brain injury: Insights from emergency department patients and a new rat model. Brain Behav Immun. 2025;123:383–96.
Valera EM, Berenbaum H. Brain injury in battered women. J Consult Clin Psychol. 2003;71:797–804.
Jain D, Esopenko C, Dorman K, Gurrapu S, Marshall AD. Experience of intimate partner violence-related head trauma and its association with posttraumatic stress disorder and depression symptoms among community dwelling women and men. J Interpers Violence. 2024;40:5170--98.
Tiemensma M, Byard RW, Vink R, Affleck AJ, Blumbergs P, Buckland ME. Chronic traumatic encephalopathy (CTE) in the context of longstanding intimate partner violence. Acta Neuropathol. 2024;148:1.
Despotovski V, Vivekanandarajah A, Waters KA, Machaalani R. Early postnatal exposure to intermittent hypercapnic hypoxia (IHH), but not nicotine, decreases reelin in the young piglet hippocampus. Neurotox Res. 2022;40:1859.
Brandon A, Cui X, Luan W, Ali AA, Pertile RAN, Alexander SA, et al. Prenatal hypoxia alters the early ontogeny of dopamine neurons. Transl Psychiatry. 2022;12:1–9.
Dal Pozzo V, Crowell B, Briski N, Crockett DP, D’arcangelo G. Reduced Reelin Expression in the Hippocampus after Traumatic Brain Injury. Biomolecules. 2020;10:1–14.
Fatemi SH. Reelin, a marker of stress resilience in depression and psychosis. Neuropsychopharmacology. 2011;36:2371–2.
Folsom TD, Fatemi SH. The involvement of Reelin in neurodevelopmental disorders. Neuropharmacology. 2013;68:122–35.
Brymer KJ, Johnston J, Botterill JJ, Romay-Tallon R, Mitchell MA, Allen J, et al. Fast-acting antidepressant-like effects of Reelin evaluated in the repeated-corticosterone chronic stress paradigm. Neuropsychopharmacology. 2020;45:1707–16.
Allen J, Romay-Tallon R, Mitchell MA, Brymer KJ, Johnston J, Sánchez-Lafuente CL, et al. Reelin has antidepressant-like effects after repeated or singular peripheral injections. Neuropharmacology. 2022;211:109043.
Rogers JT, Rusiana I, Trotter J, Zhao L, Donaldson E, Pak DTS, et al. Reelin supplementation enhances cognitive ability, synaptic plasticity, and dendritic spine density. Learn Mem. 2011;18:558.
Hethorn WR, Ciarlone SL, Filonova I, Rogers JT, Aguirre D, Ramirez RA, et al. Reelin supplementation recovers synaptic plasticity and cognitive deficits in a mouse model for Angelman syndrome. Eur J Neurosci. 2015;41:1372–80.
Pujadas L, Gruart A, Bosch C, Delgado L, Teixeira CM, Rossi D, et al. Reelin regulates postnatal neurogenesis and enhances spine hypertrophy and long-term potentiation. J Neurosci. 2010;30:4636–49.
Kim JW, Herz J, Kavalali ET, Monteggia LM. A key requirement for synaptic Reelin signaling in ketamine-mediated behavioral and synaptic action. Proc Natl Acad Sci USA. 2021;118:e2103079118.
Sun M, Allen J, Baker TL, Spitz G, Xavier S, Lee N, et al. The chronic aftermath of recurrent intimate partner violence-related brain injuries: insights from rat models of traumatic brain injury and non-fatal strangulation. Exp Neurol. 2025;392:115368.
Goodwin GM, Aaronson ST, Alvarez O, Atli M, Bennett JC, Croal M, et al. Single-dose psilocybin for a treatment-resistant episode of major depression: Impact on patient-reported depression severity, anxiety, function, and quality of life. J Affect Disord. 2023;327:120–7.
Davis AK, Barrett FS, May DG, Cosimano MP, Sepeda ND, Johnson MW, et al. Effects of psilocybin-assisted therapy on major depressive disorder: a randomized clinical trial. JAMA Psychiatry. 2021;78:481–9.
Carhart-Harris R, Giribaldi B, Watts R, Baker-Jones M, Murphy-Beiner A, Murphy R, et al. Trial of psilocybin versus escitalopram for depression. N Engl J Med. 2021;384:1402–11.
Grob CS, Danforth AL, Chopra GS, Hagerty M, McKay CR, Halberstad AL, et al. Pilot study of psilocybin treatment for anxiety in patients with advanced-stage cancer. Arch Gen Psychiatry. 2011;68:71–8.
Carhart-Harris RL, Bolstridge M, Day CMJ, Rucker J, Watts R, Erritzoe DE, et al. Psilocybin with psychological support for treatment-resistant depression: six-month follow-up. Psychopharmacology (Berl). 2018;235:399–408.
Raison CL, Sanacora G, Woolley J, Heinzerling K, Dunlop BW, Brown RT, et al. Single-dose psilocybin treatment for major depressive disorder: a randomized clinical trial. JAMA. 2023;330:843–53.
Agin-Liebes GI, Malone T, Yalch MM, Mennenga SE, Ponté KL, Guss J, et al. Long-term follow-up of psilocybin-assisted psychotherapy for psychiatric and existential distress in patients with life-threatening cancer. J Psychopharmacol. 2020;34:155–66.
Griffiths RR, Johnson MW, Carducci MA, Umbricht A, Richards WA, Richards BD, et al. Psilocybin produces substantial and sustained decreases in depression and anxiety in patients with life-threatening cancer: A randomized double-blind trial. J Psychopharmacol. 2016;30:1181–97.
Ross S, Bossis A, Guss J, Agin-Liebes G, Malone T, Cohen B, et al. Rapid and sustained symptom reduction following psilocybin treatment for anxiety and depression in patients with life-threatening cancer: A randomized controlled trial. J Psychopharmacol. 2016;30:1165–80.
Bogenschutz MP, Ross S, Bhatt S, Baron T, Forcehimes AA, Laska E, et al. Percentage of heavy drinking days following psilocybin-assisted psychotherapy vs placebo in the treatment of adult patients with alcohol use disorder: a randomized clinical trial. JAMA Psychiatry. 2022. https://doi.org/10.1001/JAMAPSYCHIATRY.2022.2096.
Johnson MW. Classic psychedelics in addiction treatment: the case for psilocybin in tobacco smoking cessation. Curr Top Behav Neurosci. 2022;56:213–27.
Moreno FA, Wiegand CB, Taitano EK, Delgado PL. Safety, tolerability, and efficacy of psilocybin in 9 patients with obsessive-compulsive disorder. J Clin Psychiatry. 2006;67:1735–40.
Kelmendi B, Kichuk SA, DePalmer G, Maloney G, Ching THW, Belser A, et al. Single-dose psilocybin for treatment-resistant obsessive-compulsive disorder: a case report. Heliyon. 2022;8:e12135.
Ross S, Agin-Liebes G, Lo S, Zeifman RJ, Ghazal L, Benville J, et al. Acute and sustained reductions in loss of meaning and suicidal ideation following psilocybin-assisted psychotherapy for psychiatric and existential distress in life-threatening cancer. ACS Pharmacol Transl Sci. 2021;4:553–62.
Benville J, Agin-Liebes G, Roberts DE, Lo S, Ghazal L, Franco-Corso SJ, et al. Effects of psilocybin on suicidal ideation in patients with life-threatening cancer. Biol Psychiatry. 2021;89:S235–6.
Varker T, Watson L, Gibson K, Forbes D, O’Donnell ML. Efficacy of psychoactive drugs for the treatment of posttraumatic stress disorder: a systematic review of MDMA, ketamine, LSD and psilocybin. J Psychoactive Drugs. 2021;53:85–95.
Johnston JN, Kadriu B, Allen J, Gilbert JR, Henter ID, Zarate CA. Ketamine and serotonergic psychedelics: An update on the mechanisms and biosignatures underlying rapid-acting antidepressant treatment. Neuropharmacology. 2023;226:109422.
Hesselgrave N, Troppoli TA, Wulff AB, Cole AB, Thompson SM. Harnessing psilocybin: Antidepressant-like behavioral and synaptic actions of psilocybin are independent of 5-HT2R activation in mice. Proc Natl Acad Sci USA. 2021;118:e2022489118.
Flanagan TW, Nichols CD. Psychedelics as anti-inflammatory agents. Int Rev Psychiatry. 2018;30:363–75. https://doi.org/10.1080/0954026120181481827.
Mason NL, Szabo A, Kuypers KPC, Mallaroni PA, de la Torre Fornell R, Reckweg JT, et al. Psilocybin induces acute and persisting alterations in immune status in healthy volunteers: An experimental, placebo-controlled study. Brain Behav Immun. 2023;114:299–310.
Nkadimeng SM, Nabatanzi A, Steinmann CML, Eloff JN. Phytochemical, Cytotoxicity, Antioxidant and Anti-Inflammatory Effects of Psilocybe Natalensis Magic Mushroom. Plants (Basel). 2020;9:1–13.
Nkadimeng SM, Steinmann CML, Eloff JN. Anti-inflammatory effects of four psilocybin-containing magic mushroom water extracts in vitro on 15-Lipoxygenase activity and on lipopolysaccharide-induced Cyclooxygenase-2 and inflammatory cytokines in human U937 macrophage cells. J Inflamm Res. 2021;14:3729–38.
Zanikov T, Gerasymchuk M, Ghasemi Gojani E, Robinson GI, Asghari S, Groves A, et al. The effect of combined treatment of psilocybin and eugenol on lipopolysaccharide-induced brain inflammation in mice. Molecules. 2023;28:2624.
de Deus JL, Maia JM, Soriano RN, Amorim MR, Branco LGS. Psychedelics in neuroinflammation: Mechanisms and therapeutic potential. Prog Neuropsychopharmacol Biol Psychiatry. 2025;137:111278.
Wiens KR, Brooks NAH, Riar I, Greuel BK, Lindhout IA, Klegeris A. Psilocin, the psychoactive metabolite of psilocybin, modulates select neuroimmune functions of microglial cells in a 5-HT2 receptor-dependent manner. Molecules. 2024;29:5084.
Yu SJ, Wu KJ, Wang YS, Bae E, Chianelli F, Bambakidis N, et al. Neuroprotective effects of psilocybin in a rat model of stroke. BMC Neurosci. 2024;25:1–13.
Ly C, Greb AC, Cameron LP, Wong JM, Barragan EV, Wilson PC, et al. Psychedelics promote structural and functional neural plasticity. Cell Rep. 2018;23:3170.
Desouza LA, Benekareddy M, Fanibunda SE, Mohammad F, Janakiraman B, Ghai U, et al. The hallucinogenic Serotonin2A receptor agonist, 2,5-Dimethoxy-4-Iodoamphetamine, promotes cAMP response element binding protein-dependent gene expression of specific plasticity-associated genes in the rodent neocortex. Front Mol Neurosci. 2021;14:790213.
Vargas MV, Dunlap LE, Dong C, Carter SJ, Tombari RJ, Jami SA, et al. Psychedelics promote neuroplasticity through the activation of intracellular 5-HT2A receptors. Science. 2023;379:700–6.
Shao LX, Liao C, Gregg I, Davoudian PA, Savalia NK, Delagarza K, et al. Psilocybin induces rapid and persistent growth of dendritic spines in frontal cortex in vivo. Neuron. 2021;109:2535–44.e4.
Haag HL, Jones D, Joseph T, Colantonio A Battered and brain injured: traumatic brain injury among women survivors of intimate partner violence-a scoping review. Trauma Violence Abuse. 2019;23:1270–87.
Stubbs A, Szoeke C. The effect of intimate partner violence on the physical health and health-related behaviors of women: a systematic review of the literature. Trauma Violence Abuse. 2022;23:1157–72.
Allen J, Dames SS, Foldi CJ, Shultz SR. Psychedelics for acquired brain injury: a review of molecular mechanisms and therapeutic potential. Mol Psychiatry. 2023;2024:1–15.
Adhikari SP, Maldonado-Rodriguez N, Smiley SC, Lewis CD, Horst MD, Jeffrey Lai CW, et al. Characterizing possible acute brain injury in women experiencing intimate partner violence: a retrospective chart review. Violence Against Women. 2023;30:2511.
Sun M, Brady RD, Casillas-Espinosa PM, Wright DK, Semple BD, Kim HA, et al. Aged rats have an altered immune response and worse outcomes after traumatic brain injury. Brain Behav Immun. 2019;80:536–50.
Pham L, Shultz SR, Kim HA, Brady RD, Wortman RC, Genders SG, et al. Mild closed-head injury in conscious rats causes transient neurobehavioral and glial disturbances: a novel experimental model of concussion. J Neurotrauma. 2019;36:2260–71.
Hibicke M, Landry AN, Kramer HM, Talman ZK, Nichols CD Psychedelics. but not ketamine, produce persistent antidepressant-like effects in a rodent experimental system for the study of depression. ACS Appl Mater Interfaces. 2020. https://doi.org/10.1021/ACSCHEMNEURO.9B00493/SUPPL_FILE/CN9B00493_LIVESLIDES.MP4.
Singh S, Botvinnik A, Shahar O, Wolf G, Yakobi C, Saban M, et al. Effect of psilocybin on marble burying in ICR mice: role of 5-HT1A receptors and implications for the treatment of obsessive-compulsive disorder. Transl Psychiatry. 2023;13:164.
Shahar O, Botvinnik A, Esh-Zuntz N, Brownstien M, Wolf R, Lotan A et al. Role of 5-HT2A, 5-HT2C, 5-HT1Aand TAAR1 Receptors in the Head Twitch Response Induced by 5-Hydroxytryptophan and Psilocybin: Translational Implications. Int J Mol Sci. 2022;23:14148.
Lerer E, Botvinnik A, Shahar O, Grad M, Blakolmer K, Shomron N, et al. Effects of psilocybin, psychedelic mushroom extract and 5-hydroxytryptophan on brain immediate early gene expression: Interaction with serotonergic receptor modulators. Front Pharmacol. 2024;15:1391412.
Rahbarnia A, Li Z, Fletcher PJ. Effects of psilocybin, the 5-HT2A receptor agonist TCB-2, and the 5-HT2A receptor antagonist M100907 on visual attention in male mice in the continuous performance test. Psychopharmacology (Berl). 2023;1:1–13.
Winter JC, Rice KC, Amorosi DJ, Rabin RA. Psilocybin-induced stimulus control in the rat. Pharmacol Biochem Behav. 2007;87:472–80.
Halberstadt AL, Geyer MA. Characterization of the head-twitch response induced by hallucinogens in mice: detection of the behavior based on the dynamics of head movement. Psychopharmacology (Berl). 2013;227:727–39.
Wright DK, Brady RD, Kamnaksh A, Trezise J, Sun M, McDonald SJ, et al. Repeated mild traumatic brain injuries induce persistent changes in plasma protein and magnetic resonance imaging biomarkers in the rat. Sci Rep. 2019;9:14626.
Sun M, Baker TL, Wilson CT, Brady RD, Mychasiuk R, Yamakawa GR, et al. Treatment with vascular endothelial growth factor-A worsens cognitive recovery in a rat model of mild traumatic brain injury. Front Mol Neurosci. 2022;15:937350.
Shultz SR, McDonald SJ, Corrigan F, Semple BD, Salberg S, Zamani A, et al. Clinical relevance of behavior testing in animal models of traumatic brain injury. J Neurotrauma. 2020;37:2381–400.
Commons KG, Cholanians AB, Babb JA, Ehlinger DG. The rodent forced swim test measures stress-coping strategy, not depression-like behavior. ACS Chem Neurosci. 2017;8:955–60.
Johnston JN, Allen J, Shkolnikov I, Sanchez-Lafuente CL, Reive BS, Scheil K, et al. Reelin rescues behavioral, electrophysiological, and molecular metrics of a chronic stress phenotype in a similar manner to ketamine. ENeuro. 2023:ENEURO.0106-23.2023.
Mckee AC, Daneshvar DH. The neuropathology of traumatic brain injury. Handb Clin Neurol. 2015;127:45.
Jorge RE, Acion L, Starkstein SE, Magnotta V. Hippocampal volume and mood disorders after traumatic brain injury. Biol Psychiatry. 2007;62:332–8.
Lebedeva KA, Allen J, Kulhawy EY, Caruncho HJ, Kalynchuk LE. Cyclical administration of corticosterone results in aggravation of depression-like behaviors and accompanying downregulations in reelin in an animal model of chronic stress relevant to human recurrent depression. Physiol Behav. 2020;224:113070.
Schroeder A, Van den Buuse M, Hill RA. Reelin Haploinsufficiency and late-adolescent corticosterone treatment induce long-lasting and female-specific molecular changes in the dorsal hippocampus. Brain Sci. 2018;8:118.
Hibicke M, Kramer HM, Nichols CD. A single administration of psilocybin persistently rescues cognitive deficits caused by adolescent chronic restraint stress without long-term changes in synaptic protein gene expression in a rat experimental system with translational relevance to depression. Psychedelic Med (New Rochelle). 2023;1:54–67.
De Felice E, Gonçalves de Andrade E, Golia MT, González Ibáñez F, Khakpour M, Di Castro MA, et al. Microglial diversity along the hippocampal longitudinal axis impacts synaptic plasticity in adult male mice under homeostatic conditions. J Neuroinflammation. 2022;19:292.
Vonder Haar C, Martens KM, Riparip LK, Rosi S, Wellington CL, Winstanley CA. Frontal traumatic brain injury increases impulsive decision making in rats: a potential role for the inflammatory cytokine Interleukin-12. J Neurotrauma. 2017;34:2790.
Bondi H, Bortolotto V, Canonico PL, Grilli M. Complex and regional-specific changes in the morphological complexity of GFAP+ astrocytes in middle-aged mice. Neurobiol Aging. 2021;100:59–71.
Huckleberry KA, Shue F, Copeland T, Chitwood RA, Yin W, Drew MR. Dorsal and ventral hippocampal adult-born neurons contribute to context fear memory. Neuropsychopharmacology. 2018;43:2487.
Kocka A, Gagnon J. Definition of impulsivity and related terms following traumatic brain injury: a review of the different concepts and measures used to assess impulsivity, disinhibition and other related concepts. Behav Sci. 2014;4:352.
Scheffer M, Monteiro JK, de Almeida RMM. Frontal stroke: problem solving, decision making, impulsiveness, and depressive symptoms in men and women. Psychol Neurosci. 2011;4:267–78.
Higgins GA, Carroll NK, Brown M, MacMillan C, Silenieks LB, Thevarkunnel S, et al. Low doses of psilocybin and ketamine enhance motivation and attention in poor performing rats: evidence for an antidepressant property. Front Pharmacol. 2021;12:640241.
Cameron LP, Patel SD, Vargas MV, Barragan EV, Saeger HN, Warren HT, et al. 5-HT2ARs mediate therapeutic behavioral effects of psychedelic tryptamines. ACS Chem Neurosci. 2023;14:351.
Rambousek L, Palenicek T, Vales K, Stuchlik A. The effect of psilocin on memory acquisition, retrieval, and consolidation in the rat. Front Behav Neurosci. 2014;8:180.
Ghaffarzadegan R, Karimi M, Hedayatjoo B, Behnoud H, Jasemi E, Mohammadi M, et al. The effect of psilocybe cubensis on spatial memory and BDNF expression in male rats exposed to chronic unpredictable mild stress. J Psychoactive Drugs. 2024. https://doi.org/10.1080/02791072.2024.2428241.
Zhao X, Du Y, Yao Y, Dai W, Yin Y, Wang G, et al. Psilocybin promotes neuroplasticity and induces rapid and sustained antidepressant-like effects in mice. J Psychopharmacol. 2024;38:489–499. https://doi.org/10.1177/02698811241249436.
Moliner R, Girych M, Brunello CA, Kovaleva V, Biojone C, Enkavi G, et al. Psychedelics promote plasticity by directly binding to BDNF receptor TrkB. Nat Neurosci. 2023;26:1032–41.
Ly C, Greb AC, Vargas MV, Duim WC, Grodzki ACG, Lein PJ, et al. Transient stimulation with psychoplastogens is sufficient to initiate neuronal growth. ACS Pharmacol Transl Sci. 2021;4:452–60.
Bosch C, Masachs N, Exposito-Alonso D, Martínez A, Teixeira CM, Fernaud I, et al. Reelin regulates the maturation of dendritic spines, synaptogenesis and glial ensheathment of newborn granule cells. Cereb Cortex. 2016;26:4282.
Rogers JT, Zhao L, Trotter JH, Rusiana I, Peters MM, Li Q, et al. Reelin supplementation recovers sensorimotor gating, synaptic plasticity and associative learning deficits in the heterozygous reeler mouse. J Psychopharmacol. 2013;27:386–95.
Varela MJ, Lage S, Caruncho HJ, Cadavid MI, Loza MI, Brea J. Reelin influences the expression and function of dopamine D2 and serotonin 5-HT2A receptors: a comparative study. Neuroscience. 2015;290:165–74.
Glebov K, Löchner M, Jabs R, Lau T, Merkel O, Schloss P, et al. Serotonin stimulates secretion of exosomes from microglia cells. Glia. 2015;63:626–34.
Wasser CR, Werthmann GC, Hall EM, Kuhbandner K, Wong CH, Durakoglugil MS, et al. Regulation of the hippocampal translatome by Apoer2-ICD release. Mol Neurodegener. 2023;18:1–24.
Dlugosz P, Nimpf J. The reelin receptors Apolipoprotein E receptor 2 (ApoER2) and VLDL receptor. Int J Mol Sci. 2018;19:3090.
Loane DJ, Kumar A. Microglia in the TBI brain: the good, the bad, and the dysregulated. Exp Neurol. 2016;275:316.
Shao F, Wang X, Wu H, Wu Q, Zhang J. Microglia and neuroinflammation: crucial pathological mechanisms in traumatic brain injury-induced neurodegeneration. Front Aging Neurosci. 2022;14:825086.
Mira RG, Lira M, Cerpa W. Traumatic brain injury: mechanisms of glial response. Front Physiol. 2021;12:740939.
Johnson VE, Stewart JE, Begbie FD, Trojanowski JQ, Smith DH, Stewart W. Inflammation and white matter degeneration persist for years after a single traumatic brain injury. Brain. 2013;136:28–42.
Witcher KG, Bray CE, Chunchai T, Zhao F, O’Neil SM, Gordillo AJ, et al. Traumatic brain injury causes chronic cortical inflammation and neuronal dysfunction mediated by microglia. J Neurosci. 2021;41:1597–616.
De Felice M, Germelli L, Piccarducci R, Da Pozzo E, Giacomelli C, Baccaglini-Frank A, et al. Intermittent hypoxia treatments cause cellular priming in human microglia. J Cell Mol Med. 2023;27:819.
Ha JS, Choi HR, Kim IS, Kim EA, Cho SW, Yang SJ. Hypoxia-Induced S100A8 expression activates microglial inflammation and promotes neuronal apoptosis. Int J Mol Sci. 2021;22:1205.
Halder SK, Milner R. Mild hypoxia triggers transient blood–brain barrier disruption: a fundamental protective role for microglia. Acta Neuropathol Commun. 2020;8:1–13.
Burda JE, Bernstein AM, Sofroniew MV. Astrocyte roles in traumatic brain injury. Exp Neurol. 2016;275:305.
Tomaiuolo R, Zibetti M, Di Resta C, Banfi G. Challenges of the effectiveness of traumatic brain injuries biomarkers in the sports-related context. J Clin Med. 2023;12:2563.
Amlerova Z, Chmelova M, Anderova M, Vargova L. Reactive gliosis in traumatic brain injury: a comprehensive review. Front Cell Neurosci. 2024;18:1335849.
Allen SP, Seehra RS, Heath PR, Hall BPC, Bates J, Garwood CJ, et al. Transcriptomic analysis of human astrocytes in vitro reveals hypoxia-induced mitochondrial dysfunction, modulation of metabolism, and dysregulation of the immune response. Int J Mol Sci. 2020;21:1–22.
González-Arias C, Sánchez-Ruiz A, Esparza J, Sánchez-Puelles C, Arancibia L, Ramírez-Franco J, et al. Dysfunctional serotonergic neuron-astrocyte signaling in depressive-like states. Mol Psychiatry. 2023;28:3856–73.
Fan QW, Iosbe I, Asou H, Yanagisawa K, Michikawa M. Expression and regulation of apolipoprotein E receptors in the cells of the central nervous system in culture: a review. J Am Aging Assoc. 2001;24:1–10.
Sheridan DJ, Nash KR. Acute injury patterns of intimate partner violence victims. Trauma Violence Abuse. 2007;8:281–9.
Adhikari SP, Daugherty JC, Molinares NQ, Maldonado-Rodriguez N, Wallace C, Smirl J, et al. A four-country study of strangulation-related alterations in consciousness in women who have experienced intimate partner violence: co-occurrence with traumatic brain injuries and measures of psychological distress. J Neurotrauma. 2024;41:e1668–79.
Brand J, McDonald SJ, Gawryluk JR, Christie BR, Shultz SR. Stress and traumatic brain injury: an inherent bi-directional relationship with temporal and synergistic complexities. Neurosci Biobehav Rev. 2023;151:105242.
Wunderle K, Hoeger KM, Wasserman E, Bazarian JJ. Menstrual phase as predictor of outcome after mild traumatic brain injury in women. J Head Trauma Rehabil. 2014;29:E1.
Poitras M, Morin A, Bentley GE, Plamondon H. Global cerebral ischemia in adult female rats interrupts estrous cyclicity and induces lasting changes in hypothalamic-pituitary-gonadal axis signaling peptides. Neurosci Lett. 2024;819:137578.
Liu W, Pu L, Deng B, Xu H, Wang Z, Wang T, et al. Intermittent hypobaric hypoxia causes deleterious effects on the reproductive system in female rats. Biomed Pharmacother. 2020;130:110511.
Ding M, Lu Y, Huang X, Xing C, Hou S, Wang D, et al. Acute hypoxia induced dysregulation of clock-controlled ovary functions. Front Physiol. 2022;13:1024038.
Acknowledgements
The authors thank the USONA Institute Investigational Drug Supply Program for providing the psilocybin used.
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JA, SD, PK, BRC, SM, and SS conceptualised and designed the study. JA, MS, and TB conducted the experiments and collected the data. JA, BRC, SM, and SS analysed the data. JA and SS drafted the manuscript. All authors provided feedback and approved the final manscript.
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Allen, J., Sun, M., Baker, T.L. et al. Psilocybin mitigates chronic behavioral and neurobiological alterations in a rat model of recurrent intimate partner violence-related brain injury. Mol Psychiatry 31, 1857–1870 (2026). https://doi.org/10.1038/s41380-025-03329-x
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DOI: https://doi.org/10.1038/s41380-025-03329-x


