PMID- 12191827 OWN - NLM STAT- MEDLINE DCOM- 20021119 LR - 20190826 IS - 0166-4328 (Print) IS - 0166-4328 (Linking) VI - 134 IP - 1-2 DP - 2002 Aug 21 TI - Effects of (+/-) 3,4-methylene-dioxymethamphetamine (ecstasy) on dopamine system function in humans. PG - 403-10 AB - Twelve (+/-) 3,4-methylenedioxymethamphetamine (MDMA) users, who did not show other drug dependencies or prolonged alcohol abuse (group A), and 12 control subjects (group B) were included in the study. Prolactin (PRL) and growth hormone (GH) responses to the dopaminergic agonist bromocriptine (BROM) and psychometric measures were evaluated 3 weeks after MDMA discontinuation. PRL decreased both in A and B subjects after BROM suppression, without any significant difference between the two groups. PRL responses to BROM in MDMA users were in the normal range. In contrast, GH responses to BROM stimulation were found significantly reduced in ecstasy users, in comparison with control subjects (P < 0.001; F = 6.26). MDMA users showed higher scores on the Novelty Seeking (NS) scale at the Three dimensional Personality Questionnaire (TPQ), on direct aggressiveness subscale at Buss Durkee Hostility Inventory (BDHI), on subscale D (depression) at Minnesota Multiphasic Personality Inventory (MMPI 2) and on Hamilton Depression Rating Scale (HDRS) than control subjects. PRL areas under the curves (AUCs) showed a significant inverse correlation with NS scores both in A and B subjects. GH AUCs directly correlated with NS scores in healthy subjects, but not in MDMA users. No other psychometric measure correlated with hormonal responses. GH AUCs were inversely correlated with the measures of MDMA exposure (r = -0.48; P < 0.01). Lower GH response to BROM in A subjects (MDMA users) could reflect reduced D2 receptor sensitivity in the hypothalamus, possibly due to increased intrasynaptic dopamine concentration. Although the hypothesis of dopaminergic changes associated with a premorbid condition cannot be completely excluded, the inverse correlation between DA receptors sensitivity and the extent of ecstasy exposure may suggest a direct pharmacological action of MDMA on brain dopamine function in humans. CI - Copyright 2002 Elsevier Science B.V. FAU - Gerra, Gilberto AU - Gerra G AD - Centro Studi Farmacotossicodipendenze, SerT, AUSL di Parma, Via Spalato 2, 43100 Parma, Italy. behpharm@tin.it FAU - Zaimovic, Amir AU - Zaimovic A FAU - Moi, Gabriele AU - Moi G FAU - Giusti, Francesca AU - Giusti F FAU - Gardini, Simona AU - Gardini S FAU - Delsignore, Roberto AU - Delsignore R FAU - Laviola, Gianni AU - Laviola G FAU - Macchia, Teodora AU - Macchia T FAU - Brambilla, Francesca AU - Brambilla F LA - eng PT - Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Netherlands TA - Behav Brain Res JT - Behavioural brain research JID - 8004872 RN - 0 (Dopamine Agonists) RN - 0 (Dopamine D2 Receptor Antagonists) RN - 0 (Hallucinogens) RN - 0 (Receptors, Dopamine D2) RN - 12629-01-5 (Human Growth Hormone) RN - 3A64E3G5ZO (Bromocriptine) RN - 9002-62-4 (Prolactin) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) RN - VTD58H1Z2X (Dopamine) SB - IM MH - Adolescent MH - Adult MH - Aggression/drug effects MH - Bromocriptine/pharmacology MH - Depressive Disorder/chemically induced/psychology MH - Dopamine/*physiology MH - Dopamine Agonists/pharmacology MH - Dopamine D2 Receptor Antagonists MH - Hallucinogens/*pharmacology MH - Human Growth Hormone/blood MH - Humans MH - Male MH - N-Methyl-3,4-methylenedioxyamphetamine/*pharmacology MH - Personality/drug effects MH - Personality Tests MH - Prolactin/blood MH - Receptors, Dopamine D2/agonists/*drug effects MH - Substance-Related Disorders/*psychology MH - Temperament/drug effects EDAT- 2002/08/23 10:00 MHDA- 2002/11/26 04:00 CRDT- 2002/08/23 10:00 PHST- 2002/08/23 10:00 [pubmed] PHST- 2002/11/26 04:00 [medline] PHST- 2002/08/23 10:00 [entrez] AID - S0166432802000529 [pii] AID - 10.1016/s0166-4328(02)00052-9 [doi] PST - ppublish SO - Behav Brain Res. 2002 Aug 21;134(1-2):403-10. doi: 10.1016/s0166-4328(02)00052-9.