PMID- 17047928 OWN - NLM STAT- MEDLINE DCOM- 20070302 LR - 20181113 IS - 0033-3158 (Print) IS - 0033-3158 (Linking) VI - 189 IP - 4 DP - 2007 Jan TI - Binge ethanol administration enhances the MDMA-induced long-term 5-HT neurotoxicity in rat brain. PG - 459-70 AB - RATIONALE: Ecstasy abuse commonly occurs in hot, overcrowded environments in combination with alcohol. Around 90% of ecstasy users take ethanol; over 70% of these users also often drink alcohol at hazardous levels. OBJECTIVES: We wished to examine whether binge ethanol administration enhanced the long-lasting 5-HT neurotoxicity induced by 3,4-methylenedioxymethamphetamine (MDMA) in rats maintained at high ambient temperature and the role of acetaldehyde. MATERIALS AND METHODS: Rats were treated with a 4-day ethanol regimen leading to plasma ethanol levels of around 450 mg/dl. On day 5, rats were placed at 30 degrees C and administered MDMA (5 mg/kg). Rectal temperature and hydroxyl radical formation were measured immediately before and up to 6 h after MDMA. 5-HT concentration and 5-HT transporter density were determined 7 days later. A group of rats received cyanamide (50 mg/kg) on days 1 and 3 of the 4-day-ethanol inhalation. RESULTS: In ethanol treated rats, MDMA produced a hyperthermic response similar to that observed in controls but enhanced the loss of 5-HT concentration and 5-HT transporter density in the hippocampus. Cyanamide elevated the plasma acetaldehyde concentration fivefold to sevenfold, reduced the MDMA-induced hyperthermia and increased the neuronal damage with neurotoxicity also appearing in the cortex. MDMA increased hydroxyl radical production in the hippocampus, the effect being more marked in rats pre-exposed to ethanol. CONCLUSIONS: Binge ethanol administration enhances the MDMA-induced long-term 5-HT neurotoxicity by a mechanism not related to changes in acute hyperthermia but probably involving hydroxyl radical formation. The magnitude of this effect is more pronounced after increasing plasma acetaldehyde levels by aldehyde dehydrogenase inhibition. FAU - Izco, Maria AU - Izco M AD - Departamento de Farmacologia, Facultad de Medicina, Universidad Complutense, Madrid, 28040, Spain. FAU - Orio, Laura AU - Orio L FAU - O'Shea, Esther AU - O'Shea E FAU - Colado, M Isabel AU - Colado MI LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20061018 PL - Germany TA - Psychopharmacology (Berl) JT - Psychopharmacology JID - 7608025 RN - 0 (Central Nervous System Depressants) RN - 0 (Enzyme Inhibitors) RN - 0 (Serotonin Agents) RN - 0 (Serotonin Plasma Membrane Transport Proteins) RN - 333DO1RDJY (Serotonin) RN - 3352-57-6 (Hydroxyl Radical) RN - 3K9958V90M (Ethanol) RN - 420-04-2 (Cyanamide) RN - EC 1.2.1.3 (Aldehyde Dehydrogenase) RN - GO1N1ZPR3B (Acetaldehyde) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM CIN - Psychopharmacology (Berl). 2007 Mar;190(4):581-2. PMID: 17235607 CIN - Psychopharmacology (Berl). 2007 Apr;191(2):387-8. PMID: 17265072 MH - Acetaldehyde/metabolism MH - Alcoholic Intoxication/complications MH - Aldehyde Dehydrogenase/antagonists & inhibitors MH - Animals MH - Body Temperature/drug effects MH - Brain/*drug effects/metabolism MH - Central Nervous System Depressants/administration & dosage/*adverse effects/blood/metabolism MH - Cyanamide/pharmacology MH - Drug Interactions MH - Enzyme Inhibitors/pharmacology MH - Ethanol/administration & dosage/*adverse effects/blood/metabolism MH - Fever/chemically induced/metabolism MH - *Hot Temperature MH - Hydroxyl Radical/metabolism MH - Inhalation Exposure MH - Male MH - N-Methyl-3,4-methylenedioxyamphetamine/*toxicity MH - Neurotoxicity Syndromes/complications/*metabolism/physiopathology MH - Rats MH - Serotonin/*metabolism MH - Serotonin Agents/*toxicity MH - Serotonin Plasma Membrane Transport Proteins/metabolism MH - Serotonin Syndrome/metabolism MH - Time Factors EDAT- 2006/10/19 09:00 MHDA- 2007/03/03 09:00 CRDT- 2006/10/19 09:00 PHST- 2006/06/16 00:00 [received] PHST- 2006/09/26 00:00 [accepted] PHST- 2006/10/19 09:00 [pubmed] PHST- 2007/03/03 09:00 [medline] PHST- 2006/10/19 09:00 [entrez] AID - 10.1007/s00213-006-0602-1 [doi] PST - ppublish SO - Psychopharmacology (Berl). 2007 Jan;189(4):459-70. doi: 10.1007/s00213-006-0602-1. Epub 2006 Oct 18.