PMID- 17629409 OWN - NLM STAT- MEDLINE DCOM- 20071214 LR - 20150813 IS - 0306-4522 (Print) IS - 0306-4522 (Linking) VI - 148 IP - 1 DP - 2007 Aug 10 TI - Restoration of 3,4-methylenedioxymethamphetamine-induced 5-HT depletion by the administration of L-5-hydroxytryptophan. PG - 212-20 AB - BACKGROUND: 3,4-Methylenedioxymethamphetamine (MDMA) causes persistent decreases in brain 5-HT content and 5-HT transporter (SERT) binding, with no detectable changes in SERT protein. Such data suggest that MDMA impairs 5-HT transmission but leaves 5-HT nerve terminals intact. To further test this hypothesis, we carried out two types of experiments in rats exposed to high-dose MDMA. First, we examined the effects of MDMA on SERT binding and function using different in vitro assay conditions. Next, we treated rats with the 5-HT precursor, l-5-hydroxytryptophan (5-HTP), in an attempt to restore MDMA-induced depletions of 5-HT. METHODS: Rats received three i.p. injections of saline or MDMA (7.5 mg/kg), one injection every 2 h. Rats in one group were decapitated, and brain tissue was assayed for SERT binding and [(3)H]5-HT uptake under conditions of normal (100 or 126 mM) and low (20 mM) NaCl concentration. Rats from another group received saline or 5-hydroxytryptophan/benserazide (5-HTP-B), each drug at 50 mg/kg i.p., and were killed 2 h later. RESULTS: MDMA reduced SERT binding to 10% of control when assayed in 100 mM NaCl, but this reduction was only 55% of control in 20 mM NaCl. MDMA decreased immunoreactive 5-HT in caudate and hippocampus to about 35% of control. Administration of 5-HTP-B to MDMA-pretreated rats significantly increased the 5-HT signal toward normal levels in caudate (85% of control) and hippocampus (66% of control). CONCLUSION: 1) Following high-dose MDMA treatment sufficient to reduce SERT binding by 90%, a significant number of functionally intact 5-HT nerve terminals survive. 2) The degree of MDMA-induced decreases in SERT binding depends on the in vitro assay conditions. 3) 5-HTP-B restores brain 5-HT depleted by MDMA, suggesting that this approach might be clinically useful in abstinent MDMA users. FAU - Wang, X AU - Wang X AD - Clinical Psychopharmacology Section, Intramural Research Program, National Institute on Drug Abuse, National Institutes of Health, P.O. Box 5180, 5500 Nathan Shock Drive, Baltimore, MD 21224, USA. FAU - Baumann, M H AU - Baumann MH FAU - Dersch, C M AU - Dersch CM FAU - Rothman, R B AU - Rothman RB LA - eng GR - Intramural NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Intramural DEP - 20070712 PL - United States TA - Neuroscience JT - Neuroscience JID - 7605074 RN - 0 (Antidepressive Agents, Second-Generation) RN - 0 (Hallucinogens) RN - 0 (Serotonin Agents) RN - 0 (Serotonin Plasma Membrane Transport Proteins) RN - 333DO1RDJY (Serotonin) RN - C1LJO185Q9 (5-Hydroxytryptophan) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - 5-Hydroxytryptophan/*pharmacology MH - Animals MH - Antidepressive Agents, Second-Generation/pharmacology MH - Binding, Competitive/drug effects/physiology MH - Brain/*drug effects/metabolism MH - Brain Chemistry/*drug effects/physiology MH - Cell Survival/drug effects/physiology MH - Dose-Response Relationship, Drug MH - Drug Interactions/physiology MH - Hallucinogens/antagonists & inhibitors/toxicity MH - Male MH - N-Methyl-3,4-methylenedioxyamphetamine/*antagonists & inhibitors/toxicity MH - Nerve Degeneration/chemically induced/drug therapy/physiopathology MH - Presynaptic Terminals/drug effects/metabolism MH - Radioligand Assay MH - Rats MH - Rats, Sprague-Dawley MH - Recovery of Function/drug effects/physiology MH - Serotonin/*deficiency MH - Serotonin Agents/pharmacology/toxicity MH - Serotonin Plasma Membrane Transport Proteins/drug effects/metabolism MH - Synaptic Transmission/drug effects/physiology EDAT- 2007/07/17 09:00 MHDA- 2007/12/15 09:00 CRDT- 2007/07/17 09:00 PHST- 2007/04/02 00:00 [received] PHST- 2007/05/21 00:00 [revised] PHST- 2007/05/26 00:00 [accepted] PHST- 2007/07/17 09:00 [pubmed] PHST- 2007/12/15 09:00 [medline] PHST- 2007/07/17 09:00 [entrez] AID - S0306-4522(07)00673-2 [pii] AID - 10.1016/j.neuroscience.2007.05.024 [doi] PST - ppublish SO - Neuroscience. 2007 Aug 10;148(1):212-20. doi: 10.1016/j.neuroscience.2007.05.024. Epub 2007 Jul 12.