PMID- 17203011 OWN - NLM STAT- MEDLINE DCOM- 20070926 LR - 20150311 IS - 0893-133X (Print) IS - 0893-133X (Linking) VI - 32 IP - 8 DP - 2007 Aug TI - The effect of catecholamine depletion by alpha-methyl-para-tyrosine on measures of cognitive performance and sleep in abstinent MDMA users. PG - 1695-706 AB - (+/-) 3, 4-Methylenedioxymethamphetamine (MDMA) is a popular recreational drug of abuse and a brain serotonin (5-HT) neurotoxin in animals. Growing evidence suggests that humans who use MDMA recreationally can also develop 5-HT neurotoxic injury, although functional consequences have been difficult to identify. Twenty-five abstinent MDMA users and 23 non-MDMA using controls were studied to determine whether pharmacologic depletion of brain catecholamines by alpha-methyl-para-tyrosine (AMPT) would differentially effect MDMA users on measures of cognition and sleep, two processes dually modulated by brain serotonergic and catecholaminergic neurons. During a 5-day in-patient study, all subjects underwent formal neuropsychiatric testing, repeated computerized cognitive testing, and all-night sleep studies. At baseline, MDMA users had performance deficits on tasks of verbal and visuospatial working memory and displayed increased behavioral impulsivity on several computerized tasks, reflecting a tendency to perform quickly at the expense of accuracy. Baseline sleep architecture was also altered in abstinent MDMA users compared to controls. AMPT produced differential effects in MDMA users compared to controls on several cognitive and sleep measures. Differences in cognitive performance, impulsivity, and sleep were significantly correlated with MDMA use. These data extend findings from earlier studies demonstrating cognitive deficits, behavioral impulsivity, and sleep alterations in abstinent MDMA users, and suggest that lasting effects of MDMA lead to alterations in the ability to modulate behaviors reciprocally influenced by 5-HT and catecholamines. More research is needed to determine potential relationships between sleep abnormalities, cognitive deficits and impulsive behavior in abstinent MDMA users. FAU - McCann, Una D AU - McCann UD AD - Department of Psychiatry and Behavioral Sciences, The Johns Hopkins School of Medicine, Baltimore, MD 21224, USA. umccann@jhmi.edu FAU - Peterson, Stephen C AU - Peterson SC FAU - Ricaurte, George A AU - Ricaurte GA LA - eng GR - DA01796401/DA/NIDA NIH HHS/United States GR - DA05938/DA/NIDA NIH HHS/United States GR - DA16563/DA/NIDA NIH HHS/United States GR - M01RR002719/RR/NCRR NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20070103 PL - England TA - Neuropsychopharmacology JT - Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology JID - 8904907 RN - 0 (Enzyme Inhibitors) RN - 0 (Hallucinogens) RN - 658-48-0 (alpha-Methyltyrosine) RN - 9002-62-4 (Prolactin) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - Adult MH - Analysis of Variance MH - Cognition/*drug effects MH - Computer-Assisted Instruction MH - Electroencephalography MH - Enzyme Inhibitors/*administration & dosage MH - Female MH - Hallucinogens/*adverse effects MH - Humans MH - Male MH - N-Methyl-3,4-methylenedioxyamphetamine/*adverse effects MH - Neuropsychological Tests/statistics & numerical data MH - Prolactin/metabolism MH - Radioimmunoassay MH - Reaction Time/drug effects MH - Sleep/*drug effects MH - Substance Withdrawal Syndrome/physiopathology/psychology MH - alpha-Methyltyrosine/*administration & dosage EDAT- 2007/01/05 09:00 MHDA- 2007/09/27 09:00 CRDT- 2007/01/05 09:00 PHST- 2007/01/05 09:00 [pubmed] PHST- 2007/09/27 09:00 [medline] PHST- 2007/01/05 09:00 [entrez] AID - 1301302 [pii] AID - 10.1038/sj.npp.1301302 [doi] PST - ppublish SO - Neuropsychopharmacology. 2007 Aug;32(8):1695-706. doi: 10.1038/sj.npp.1301302. Epub 2007 Jan 3.