PMID- 18761051 OWN - NLM STAT- MEDLINE DCOM- 20090105 LR - 20161124 IS - 0300-483X (Print) IS - 0300-483X (Linking) VI - 252 IP - 1-3 DP - 2008 Oct 30 TI - Chronic exposure to ethanol exacerbates MDMA-induced hyperthermia and exposes liver to severe MDMA-induced toxicity in CD1 mice. PG - 64-71 LID - 10.1016/j.tox.2008.07.064 [doi] AB - 3,4-Methylenedioxymethamphetamine (MDMA; ecstasy) is an amphetamine derivative drug with entactogenic, empathogenic and hallucinogenic properties, commonly consumed at rave parties in a polydrug abuse pattern, especially with cannabis, tobacco and ethanol. Since both MDMA and ethanol may cause deleterious effects to the liver, the evaluation of their putative hepatotoxic interaction is of great interest, especially considering that most of the MDMA users are regular ethanol consumers. Thus, the aim of the present study was to evaluate, in vivo, the acute hepatotoxic effects of MDMA (10mg/kg i.p.) in CD-1 mice previously exposed to 12% ethanol as drinking fluid (for 8 weeks). Body temperature was continuously measured for 12h after MDMA administration and, after 24h, hepatic damage was evaluated. The administration of MDMA to non pre-treated mice resulted in sustained hyperthermia, which was significantly increased in ethanol pre-exposed mice. A correspondent higher increase of hepatic heat shock transcription factor (HSF-1) activation was also observed in the latter group. Furthermore, MDMA administration resulted in liver damage as confirmed by histological analysis, slight decrease in liver weight and increased plasma transaminases levels. These hepatotoxic effects were also exacerbated when mice were pre-treated with ethanol. The activities of some antioxidant enzymes (such as SOD, GPx and Catalase) were modified by ethanol, MDMA and their joint action. The hepatotoxicity resulting from the simultaneous exposure to MDMA and ethanol was associated with a higher activation of NF-kappaB, indicating a pro-inflammatory effect in this organ. In conclusion, the obtained results strongly suggest that the consumption of ethanol increases the hyperthermic and hepatotoxic effects associated with MDMA abuse. FAU - Pontes, Helena AU - Pontes H AD - REQUIMTE, Toxicology Department, Faculty of Pharmacy, University of Porto, Rua Anibal Cunha 164, 4099-030 Porto, Portugal. hpontes@ff.up.pt FAU - Duarte, Jose Alberto AU - Duarte JA FAU - de Pinho, Paula Guedes AU - de Pinho PG FAU - Soares, Maria Elisa AU - Soares ME FAU - Fernandes, Eduarda AU - Fernandes E FAU - Dinis-Oliveira, Ricardo Jorge AU - Dinis-Oliveira RJ FAU - Sousa, Carla AU - Sousa C FAU - Silva, Renata AU - Silva R FAU - Carmo, Helena AU - Carmo H FAU - Casal, Susana AU - Casal S FAU - Remiao, Fernando AU - Remiao F FAU - Carvalho, Felix AU - Carvalho F FAU - Bastos, Maria Lourdes AU - Bastos ML LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20080807 PL - Ireland TA - Toxicology JT - Toxicology JID - 0361055 RN - 0 (Antioxidants) RN - 0 (Central Nervous System Depressants) RN - 0 (Hallucinogens) RN - 0 (NF-kappa B) RN - 3K9958V90M (Ethanol) RN - EC 2.6.1.1 (Aspartate Aminotransferases) RN - EC 2.6.1.2 (Alanine Transaminase) RN - GAN16C9B8O (Glutathione) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - Alanine Transaminase/blood MH - Animals MH - Antioxidants/metabolism MH - Aspartate Aminotransferases/blood MH - Body Temperature/drug effects MH - Central Nervous System Depressants/*toxicity MH - Chemical and Drug Induced Liver Injury/enzymology/*pathology MH - Drug Synergism MH - Electrophoretic Mobility Shift Assay MH - Ethanol/*toxicity MH - Fever/*chemically induced/physiopathology MH - Glutathione/metabolism MH - Hallucinogens/*toxicity MH - Lipid Peroxidation/drug effects MH - Liver/enzymology/pathology MH - Male MH - Mice MH - Microscopy, Electron, Transmission MH - N-Methyl-3,4-methylenedioxyamphetamine/*toxicity MH - NF-kappa B/metabolism MH - Organ Size/drug effects MH - Oxidative Stress/drug effects MH - Protein Carbonylation/drug effects EDAT- 2008/09/02 09:00 MHDA- 2009/01/06 09:00 CRDT- 2008/09/02 09:00 PHST- 2008/06/17 00:00 [received] PHST- 2008/07/24 00:00 [revised] PHST- 2008/07/26 00:00 [accepted] PHST- 2008/09/02 09:00 [pubmed] PHST- 2009/01/06 09:00 [medline] PHST- 2008/09/02 09:00 [entrez] AID - S0300-483X(08)00369-7 [pii] AID - 10.1016/j.tox.2008.07.064 [doi] PST - ppublish SO - Toxicology. 2008 Oct 30;252(1-3):64-71. doi: 10.1016/j.tox.2008.07.064. Epub 2008 Aug 7.