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Psilocybin Prevents Chemotherapy Nerve Damage in Mice

Researchers report that two pre-chemotherapy doses preserved mitochondrial trafficking through 5‑HT2A receptors, and the result has prompted a planned Phase II trial.

Overview

  • The study was published in Science on Thursday, Sept. 3, 2026, after researchers at UT MD Anderson repeatedly observed the effect across multiple mouse models and chemotherapy drugs.
  • Two doses of psilocybin given before chemotherapy completely prevented chemotherapy-induced peripheral neuropathy, a condition that causes lasting pain, numbness and sensitivity in hands and feet.
  • Lab work showed the drug acts on serotonin 5‑HT2A receptors in sensory neurons to preserve mitochondrial trafficking, keeping energy at nerve endings and preventing axon degeneration.
  • A non‑hallucinogenic 5‑HT2A agonist produced similar protection in animals and psilocybin did not reduce chemotherapy’s tumor-shrinking activity in the models tested.
  • MD Anderson is launching a mid-stage clinical trial (NeuroGuard, NCT07227909) to test safety and effectiveness in people, and investigators warn that the current evidence is preclinical so patients should not self-medicate with psychedelics.