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Published on: February 7, 2018
Mechanisms of MDMA (ecstasy)-induced oxidative stress, mitochondrial dysfunction, and organ damage
Byoung-Joon Song1, Kwan-Hoon Moon, Vijay V Upreti
1Laboratory of Membrane Biochemistry and Biophysics, National Institute on Alcohol Abuse and Alcoholism, 9000 Rockville Pike, Bethesda, MD 20892, USA. bj.song@nih.gov
Abstract:
Despite numerous reports about the acute and sub-chronic toxicities caused by MDMA (3,4-methylenedioxymethamphetamine, ecstasy), the underlying mechanism of organ damage is poorly understood. The aim of this review is to present an update of the mechanistic studies on MDMA-mediated organ damage partly caused by increased oxidative/nitrosative stress. Because of the extensive reviews on MDMA-mediated oxidative stress and tissue damage, we specifically focus on the mechanisms and consequences of oxidative-modifications of mitochondrial proteins, leading to mitochondrial dysfunction. We briefly describe a method to systematically identify oxidatively-modified mitochondrial proteins in control and MDMA-exposed rats by using biotin-N-maleimide (biotin-NM) as a sensitive probe for oxidized proteins. We also describe various applications and advantages of this Cys-targeted proteomics method and alternative approaches to overcome potential limitations of this method in studying oxidized proteins from MDMA-exposed tissues. Finally we discuss the mechanism of synergistic drug-interaction between MDMA and other abused substances including alcohol (ethanol) as well as application of this redox-based proteomics method in translational studies for developing effective preventive and therapeutic agents against MDMA-induced organ damage.
Insights
This review explores how 3,4-methylenedioxymethamphetamine (MDMA) causes organ damage through mitochondrial protein oxidation and dysfunction. It highlights a proteomics method for identifying these changes and discusses drug interactions.
Area of Science:
- Toxicology
- Biochemistry
- Proteomics
Background:
- 3,4-methylenedioxymethamphetamine (MDMA, ecstasy) toxicity is widely reported, yet mechanisms of organ damage remain unclear.
- Existing research extensively covers MDMA-induced oxidative stress and tissue damage.
- This review focuses on oxidative modifications of mitochondrial proteins and subsequent dysfunction.
Purpose of the Study:
- To update mechanistic studies on MDMA-mediated organ damage, emphasizing oxidative stress.
- To investigate the role of oxidized mitochondrial proteins in MDMA-induced organ damage.
- To discuss synergistic drug interactions and the application of redox-based proteomics in developing countermeasures.
Main Methods:
- A Cys-targeted proteomics method using biotin-N-maleimide (biotin-NM) to identify oxidatively modified mitochondrial proteins.
- Systematic identification of oxidized mitochondrial proteins in control versus MDMA-exposed rat models.
- Discussion of alternative proteomic approaches to address potential limitations.
Main Results:
- MDMA exposure leads to oxidative modifications of mitochondrial proteins, causing mitochondrial dysfunction.
- The described proteomics method effectively identifies these critical protein alterations.
- Synergistic interactions between MDMA and other substances like alcohol exacerbate damage.
Conclusions:
- Oxidative modification of mitochondrial proteins is a key mechanism in MDMA-induced organ damage.
- Redox-based proteomics offers a valuable tool for studying MDMA toxicity and developing therapeutic strategies.
- Understanding drug interactions is crucial for preventing and treating MDMA-related harm.
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