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Published on: March 9, 2018
MDMA-induced neurotoxicity: long-term effects on 5-HT biosynthesis and the influence of ambient temperature
Esther O'Shea1, Laura Orio, Isabel Escobedo
1Departamento de Farmacologia, Facultad de Medicina, Universidad Complutense, Madrid 28040, Spain.
Abstract:
1. 3,4-Methylenedioxymethamphetamine (MDMA or 'ecstasy') decreases the 5-HT concentration, [3H]-paroxetine binding and tryptophan hydroxylase activity in rat forebrain, which has been interpreted as indicating 5-HT neurodegeneration. This has been questioned, particularly the 5-HT loss, as MDMA can also inhibit tryptophan hydroxylase. We have now evaluated the validity of these parameters as a reflection of neurotoxicity. 2. Male DA rats were administered MDMA (12.5 mg kg(-1), i.p.) and killed up to 32 weeks later. 5-HT content and [3H]-paroxetine binding were measured in the cortex, hippocampus and striatum. Parallel groups of treated animals were administered NSD-1015 for determination of in vivo tryptophan hydroxylase activity and 5-HT turnover rate constant. 3. Tissue 5-HT content and [3H]-paroxetine binding were reduced in the cortex (26-53%) and hippocampus (25-74%) at all time points (1, 2, 4, 8 and 32 weeks). Hydroxylase activity was similarly reduced up to 8 weeks, but had recovered at 32 weeks. The striatal 5-HT concentration and [3H]-paroxetine binding recovered by week 4 and hydroxylase activity after week 1. In all regions, the reduction in 5-HT concentration did not result in an altered 5-HT synthesis rate constant. 4. Administering MDMA to animals when housed at 4 degrees C prevented the reduction in [3H]-paroxetine binding and hydroxylase activity observed in rats housed at 22 degrees C, but not the reduction in 5-HT concentration. 5. These data indicate that MDMA produces long-term damage to serotoninergic neurones, but this does not produce a compensatory increase in 5-HT synthesis in remaining terminals. It also highlights the fact that measurement of tissue 5-HT concentration may overestimate neurotoxic damage.
Insights
3,4-Methylenedioxymethamphetamine (MDMA) causes long-term damage to serotonin neurons in rats. However, measuring serotonin levels alone may overestimate neurotoxicity, as MDMA also inhibits serotonin synthesis.
Area of Science:
- Neuroscience
- Pharmacology
- Toxicology
Background:
- 3,4-Methylenedioxymethamphetamine (MDMA) is known to affect serotonin (5-HT) levels.
- Previous studies suggested MDMA causes 5-HT neurotoxicity, but this was debated due to MDMA's effect on tryptophan hydroxylase (TPH).
- This study aimed to validate parameters used to assess MDMA neurotoxicity.
Purpose of the Study:
- To evaluate the validity of 5-HT concentration, [3H]-paroxetine binding, and TPH activity as indicators of MDMA neurotoxicity.
- To investigate the long-term effects of MDMA on serotoninergic neurons in rats.
Main Methods:
- Male DA rats were administered MDMA (12.5 mg/kg) and observed for up to 32 weeks.
- Measurements included 5-HT content, [3H]-paroxetine binding, in vivo TPH activity, and 5-HT turnover rate.
- Experiments involved different housing temperatures (4°C vs. 22°C) to assess environmental influences.
Main Results:
- MDMA induced long-term reductions in 5-HT content and [3H]-paroxetine binding in the cortex and hippocampus.
- TPH activity was reduced up to 8 weeks but recovered by 32 weeks; striatal markers recovered earlier.
- Reduced 5-HT concentration did not correlate with an altered 5-HT synthesis rate, and cold housing affected binding and TPH activity but not 5-HT concentration.
Conclusions:
- MDMA causes persistent damage to serotoninergic neurons, but this damage does not lead to increased 5-HT synthesis in remaining terminals.
- Tissue 5-HT concentration measurements may overestimate MDMA-induced neurotoxicity.
- Environmental factors like temperature can influence the observed neurotoxic effects of MDMA.
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