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Published on: September 8, 2021
Cortical thinning in amphetamine-type stimulant users
P Koester1, M Tittgemeyer, D Wagner
1Department of Psychiatry and Psychotherapy, University Hospital of Cologne, Kerpener Str. 62, 50937 Cologne, Germany.
Recreational ecstasy and amphetamine use is linked to reduced cortical grey matter thickness, particularly in frontal brain regions. This neurotoxicity may contribute to cognitive decline in polydrug users.
Area of Science:
- Neuroscience
- Neuroimaging
- Addiction Research
Background:
- Recreational use of amphetamine-type stimulants (ATS), including ecstasy, is suspected to cause neurotoxicity.
- Cognitive deterioration in polydrug users may correlate with specific patterns of neuronal damage.
- Voxel-based morphometry and cortical thickness analysis are advanced neuroimaging techniques for studying neurological consequences.
Purpose of the Study:
- To investigate the impact of ATS consumption on brain structure.
- To compare cortical and subcortical integrity across different levels of ATS exposure.
- To evaluate potential neurotoxic effects of recreational ATS use.
Main Methods:
- Comparison of cortical thickness, grey matter volume, and subcortical structure shape.
- Utilized voxel-based morphometry and cortical thickness analyses.
- Studied three groups: experienced ATS users, low-exposure users, and drug-naïve controls.
Main Results:
- Experienced ATS users showed significant cortical thinning in medio-frontal regions compared to controls.
- Reductions in cortical volume were observed in frontal, occipital, and parietal regions for both user groups.
- No significant shape differences were found in the hippocampi.
Conclusions:
- Massive recreational ATS polydrug use is associated with cortical grey matter thinning.
- Frontal lobe neuronal damage aligns with addiction models and observed cognitive deficits.
- The precise neurotoxic mechanisms of ATS polydrug use require further investigation.
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