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MDMA modulates 5-HT1-mediated contractile response of the human internal thoracic artery in vitro
Diogo A Fonseca1, Cristina Teixeira2, Félix Carvalho3
1Laboratory of Pharmacology and Pharmaceutical Care, Faculty of Pharmacy, University of Coimbra, Pólo das Ciências da Saúde, Azinhaga de Santa Comba, 3000-548 Coimbra, Portugal; Coimbra Institute for Clinical and Biomedical Research (iCBR), Faculty of Medicine, University of Coimbra, Pólo das Ciências da Saúde, Azinhaga de Santa Comba, 3000-548 Coimbra, Portugal; CNC.iCBR, University of Coimbra, Pólo das Ciências da Saúde, Azinhaga de Santa Comba, 3000-548 Coimbra, Portugal.
Abstract:
3,4-Methylenedioxymethamphetamine (MDMA or "ecstasy") is a popular recreational drug of abuse. In addition to its characteristic psychotropic effects, important cardiovascular effects have been described such as increased blood pressure and heart rate. MDMA was previously shown to behave as a partial agonist on 5-hydroxytryptamine (5-HT) receptors in the human internal thoracic artery in vitro, involving the 5-HT2A subtype. Here, we studied the interaction of MDMA (400, 800 and 1600 μM) with the following 5-HT receptor agonists: 5-carboxamidotryptamine (5-CT, full agonist for the 5-HT1, 5-HT2, 5-HT5, 5-HT6 and 5-HT7 receptors) and sumatriptan (selective 5-HT1B/1D receptors agonist). The results showed the ability of MDMA to influence the concentration-dependent response of 5-CT (97.3% of maximal reduction for 1600 μM of MDMA) and sumatriptan (72.43% of maximal reduction for 1600 μM of MDMA). The lower concentration of MDMA (400 μM) produced a significant potentiation of the response to sumatriptan thus suggesting an interaction of MDMA with the activation of 5-HT receptors, namely of the 5-HT1 subtype, in the peripheral vasculature. Together our results further support the importance of the affinity of MDMA to 5-HT receptors in the vascular effects of this drug.
Insights
3,4-Methylenedioxymethamphetamine (MDMA) affects blood pressure and heart rate by interacting with serotonin (5-HT) receptors. This study shows MDMA influences 5-HT receptor agonists, impacting vascular responses.
Area of Science:
- Pharmacology
- Cardiovascular Science
- Neuroscience
Background:
- 3,4-Methylenedioxymethamphetamine (MDMA) is a recreational drug known for psychotropic and cardiovascular effects.
- MDMA acts as a partial agonist on 5-hydroxytryptamine (5-HT) receptors, specifically 5-HT2A, in human internal thoracic artery.
- Understanding MDMA's interaction with various 5-HT receptor subtypes is crucial for explaining its vascular effects.
Purpose of the Study:
- To investigate the interaction of MDMA with 5-HT receptor agonists.
- To determine how MDMA influences the activity of 5-carboxamidotryptamine (5-CT) and sumatriptan at 5-HT receptors.
- To elucidate the role of 5-HT receptor affinity in MDMA-induced vascular effects.
Main Methods:
- In vitro study using human internal thoracic artery.
- Testing MDMA at concentrations of 400, 800, and 1600 μM.
- Assessing the effects of MDMA on concentration-dependent responses to 5-CT and sumatriptan.
Main Results:
- MDMA significantly reduced the concentration-dependent response of 5-CT (up to 97.3%) and sumatriptan (up to 72.43%) at 1600 μM.
- A lower concentration of MDMA (400 μM) potentiated the response to sumatriptan.
- These findings suggest MDMA interacts with 5-HT receptor activation, particularly the 5-HT1 subtype, in peripheral vasculature.
Conclusions:
- MDMA's affinity for 5-HT receptors plays a significant role in its vascular effects.
- The study supports the hypothesis that MDMA's interaction with 5-HT1 receptors contributes to its cardiovascular impact.
- Further research into MDMA-5-HT receptor interactions is warranted to understand its full physiological consequences.
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