PMID- 14985928 OWN - NLM STAT- MEDLINE DCOM- 20041122 LR - 20181113 IS - 0033-3158 (Print) IS - 0033-3158 (Linking) VI - 173 IP - 3-4 DP - 2004 May TI - Acute methylenedioxymethamphetamine administration: effects on local cerebral blood flow and glucose utilisation in the Dark Agouti rat. PG - 287-95 AB - RATIONALE: Clinical reports indicate that acute exposure to 3,4-methylenedioxymethamphetamine (MDMA; "Ecstasy") may induce pathological cerebrovascular responses in human users of the drug, however, the mechanism by which MDMA might effect these pathological changes is not clear. OBJECTIVES: To examine the effects of acute MDMA administration on the relationship between local cerebral blood flow (LCBF) and local cerebral glucose utilisation (LCMRglu); to determine the effect, if any, acute exposure to MDMA has on the cerebral circulation, independently of alterations in cerebral metabolic demand. METHODS: Dark Agouti rats were injected with 15 mg.kg(-1) i.p. MDMA or saline equivalent. LCBF and LCMRglu were measured in 50 brain areas using the fully quantitative [14C]iodoantipyrine and [14C]2-deoxyglucose autoradiographic techniques, respectively. RESULTS: MDMA produced significant increases in LCMRglu in 23 brain areas, most markedly in the motor system (globus pallidus; +82%; medial striatum; +71%). In contrast, significant decreases in LCBF were observed in 28 brain areas, most markedly in primary sensory nuclei (superior colliculus; -32%) and limbic areas (anterior thalamus; -34%). Global analysis revealed a close correlation (r=0.87) between LCMRglu and LCBF with a ratio of 1.53 in controls. Despite the divergence of LCMRglu (increases) and LCBF (decreases) in MDMA-treated groups, there was a similar close correlation (r=0.84), but the ratio was decreased to 1.22. CONCLUSIONS: This study provides clear evidence that acute exposure to MDMA results in cerebrovascular dysfunction. The uncoupling of LCBF from underlying metabolic demand, possibly due to the vasoconstrictor action of 5-HT, could provide the basis for oligaemia-induced pathological changes in the brain. FAU - Quate, Linda AU - Quate L AD - School of Health Sciences, Queen Margaret University College, Edinburgh, EH12 8TS, UK. FAU - McBean, Douglas E AU - McBean DE FAU - Ritchie, Isobel M AU - Ritchie IM FAU - Olverman, Henry J AU - Olverman HJ FAU - Kelly, Paul A T AU - Kelly PA LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20040220 PL - Germany TA - Psychopharmacology (Berl) JT - Psychopharmacology JID - 7608025 RN - IY9XDZ35W2 (Glucose) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - Animals MH - Brain/blood supply/*drug effects/metabolism MH - Cerebrovascular Circulation/*drug effects MH - Glucose/*metabolism MH - Male MH - N-Methyl-3,4-methylenedioxyamphetamine/*pharmacology MH - Rats EDAT- 2004/02/27 05:00 MHDA- 2004/12/16 09:00 CRDT- 2004/02/27 05:00 PHST- 2003/10/01 00:00 [received] PHST- 2003/12/17 00:00 [accepted] PHST- 2004/02/27 05:00 [pubmed] PHST- 2004/12/16 09:00 [medline] PHST- 2004/02/27 05:00 [entrez] AID - 10.1007/s00213-004-1784-z [doi] PST - ppublish SO - Psychopharmacology (Berl). 2004 May;173(3-4):287-95. doi: 10.1007/s00213-004-1784-z. Epub 2004 Feb 20.