Before a new active substance can be investigated in systematic clinical trials with human subjects, extensive data on its effects and side effects must be determined in pharmacological tests on animals. These experiments must assay the assimilation and elimination of the particular substance in organisms, and above all its tolerance and relative toxicity. Only the most important reports on animal experiments with LSD, and those intelligible to the layperson, will be reviewed here. It would greatly exceed the scope of this book if I attempted to mention all the results of several hundred pharmacological investigations, which have been conducted all over the world in connection with the fundamental work on LSD in the Sandoz laboratories.
Animal experiments reveal little about the mental alterations caused by LSD because psychic effects are scarcely determinable in lower animals, and even in the more highly developed, they can be established only to a limited extent. LSD produces its effects above all in the sphere of the higher and highest psychic and intellectual functions. It is therefore understandable that speciflc reactions to LSD can be expected only in higher animals. Subtle psychic changes cannot be established in animals because, even if they should be occurring, the animal could not give them expression. Thus, only relatively heavy psychic disturbances, expressing themselves in the altered behavior of research animals, become discernible. Quantities that are substantially higher than the effective dose of LSD in human beings are therefore necessary, even in higher animals like cats, dogs, and apes.
While the mouse under LSD shows only motor disturbances and alterations in licking behavior, in the cat we see, besides vegetative symptoms like bristling of the hair (piloerection) and salivation, indications that point to the existence of hallucinations. The animals stare anxiously in the air, and instead of attacking the mouse, the cat leaves it alone or will even stand in fear before the mouse. One could also conclude that the behavior of dogs that are under the influence of LSD involves hallucinations. A caged community of chimpanzees reacts very sensitively if a member of the tribe has received LSD. Even though no changes appear in this single animal, the whole cage gets in an uproar because the LSD chimpanzee no longer observes the laws of its finely coordinated hierarchic tribal order.
Of the remaining animal species on which LSD was tested, only aquarium fish and spiders need be mentioned here. In the fish, unusual swimming postures were observed, and in the spiders, alterations in web building were apparently produced by kSD. At very low optimum doses the webs were even better proportioned and more exactly built than normally: however, with higher doses, the webs were badly and rudimentarily made.
The minute doses that cause death in animal experiments may give the
impression that LSD is a very toxic substance. However, if one compares the
lethal dose in animals with the effective dose in human beings, which is
0.0003-0.001 mg/kg (0.0003 to 0.001 thousandths of a gram per kilogram of body
weight), this shows an extraordinarily low toxicity for LSD. Only a 300- to
600-fold overdose of LSD, compared to the lethal dose in rabbits, or fully a
50,000- to 100,000fold overdose, in comparison to the toxicity in the mouse,
would have fatal results in human beings. These comparisons of relative
toxicity are, to be sure, only understandable as estimates of orders of
magnitude, for the determination of the therapeutic index (that is, the ratio
between the effective and the lethal dose) is only meaningful within a given
species. Such a procedure is not possible in this case because the lethal doge
of LSD for humans is not known. To my knowledge, there have not as yet
occurred any casualties that are a direct consequence of LSD poisoning.
Numerous episodes of fatal consequences attributed to LSD ingestion have
indeed been recorded, but these were accidents, even suicides, that may be
attributed to the mentally disoriented condition of LSD intoxication. The
danger of LSD lies not in its toxicity, but rather in the unpredictability of
its psychic effects.
Some years ago reports appeared in the scientific literature and also in the
lay press, alleging that damage to chromosomes or the genetic material had
been caused by LSD. These effects, however, have been observed in only a few
individual cases. Subsequent comprehensive investigations of a large,
statistically significant number of cases, however, showed that there was no
connection between chromosome anomalies and LSD medication. The same applies
to reports about fetal deformities that had allegedly been produced by LSD. In
animal experiments, it is indeed possible to induce fetal deformities through
extremely high doses of LSD, which lie well above the doses used in human
beings. But under these conditions, even harmless substances produce such
damage. Examination of reported individual cases of human fetal deformities
reveals, again, no connection between LSD use and such injury. If there had
been any such connection, it would long since have attracted attention, for
several million people by now have taken LSD.
The concentration of LSD in the various organs attains maximum values 10 to 15
minutes after injection, then falls off again swiftly. The small intestine, in
which the concentration attains the maximum within two hours, constitutes an
exception. The elimination of LSD is conducted for the most part (up to some
80 percent) through the intestine via liver and bile. Only 1 to 10 percent of
the elimination product exists as unaltered LSD; the remainder is made up of
various transformation products.
As the psychic effects of LSD persist even after it can no longer be detected
in the organism, we must assume that LSD is not active as such, but that it
rather triggers certain biochemical, neurophysiological, and psychic
mechanisms that provoke the inebriated condition and continue in the absence
of the active principle.
LSD stimulates centers of the sympathetic nervous system in the midbrain,
which leads to pupillary dilatation, increase in body temperature, and rise in
the blood-sugar level. The uterine-constricting activity of LSD has already
been mentioned.
An especially interesting pharmacological property of LSD, discovered by J. H.
Gaddum in England, is its serotonin-blocking effect. Serotonin is a
hormone-like substance, occurring naturally in various organs of warm-blooded
animals. Concentrated in the midbrain, it plays an important role in the
propagation of impulses in certain nerves and therefore in the biochemistry of
psychic functions. The disruption of natural functioning of serotonin by LSD
was for some time regarded as an explanation of its psychic effects. However,
it was soon shown that even certain derivatives of LSD (compounds in which the
chemical structure of LSD is slightly modified) that exhibit no hallucinogenic
properties, inhibit the effects of serotonin just as strongly, or yet more
strongly, than unaltered LSD. The serotonin-blocking effect of LSD thus does
not suffice to explain its hallucinogenic properties.
LSD also influences neurophysiological functions that are connected with
dopamine, which is, like serotonin, a naturally occurring hormone-like
substance. Most of the brain centers receptive to dopamine become activated by
LSD, while the others are depressed.
As yet we do not know the biochemical mechanisms through which LSD exerts its
psychic effects. Investigations of the interactions of LSD with brain factors
like serotonin and dopamine, however, are examples of how LSD can serve as a
tool in brain research, in the study of the biochemical processes that
underlie the psychic functions.
How Toxic Is LSD?
The toxicity of LSD has been determined in various animal species. A standard
for the toxicity of a substance is the LDso, or the median lethal dose, that
is, the dose with which 50 percent of the treated animals die. In general it
fluctuates broadly, according to the animal species, and so it is with LSD.
The LDso for the mouse amounts to 50-60 mgtkg i.v. (that is, 50 to 60
thousandths of a gram of LSD per kilogram of animal weight upon injection of
an LSD solution into the veins). In the rat the LDso drops to 16.5 mg/kg, and
in rabbits to 0.3 mg/kg. One elephant given 0.297 g of LSD died after a few
minutes. The weight of this animal was determined to be 5,000 kg, which
corresponds to a lethal dose of 0.06 mg/kg (0.06 thousandths of a gram per
kilogram of body weight). Because this involves only a single case, this value
cannot be generalized, but we can at least deduce from it that the largest
land animal reacts proportionally very sensitively to LSD, since the lethal
dose in elephants must be some 1,000 times lower than in the mouse. Most
animals die from a lethal dose of LSD by respiratory arrest. Pharmacological Properties of LSD
LSD is absorbed easily and completely through the gastrointestinal tract. It
is therefore unnecessary to inject LSD, except for special purposes.
Experiments on mice with radioactively labeled LSD have established that
intravenously injected LSD disappeared down to a small vestige, very rapidly
from the bloodstream and was distributed throughout the organism.
Unexpectedly, the lowest concentration is found in the brain. It is
concentrated here in certain centers of the midbrain that play a role in the
regulation of emotion. Such findings give indications as to the localization
of certain psychic functions in the brain.