PMID- 1899117 OWN - NLM STAT- MEDLINE DCOM- 19910222 LR - 20131121 IS - 0022-3565 (Print) IS - 0022-3565 (Linking) VI - 256 IP - 1 DP - 1991 Jan TI - 5-HT2 antagonists stereoselectively prevent the neurotoxicity of 3,4-methylenedioxymethamphetamine by blocking the acute stimulation of dopamine synthesis: reversal by L-dopa. PG - 230-5 AB - The active and inactive stereoisomers of the serotonin (5-HT2) antagonist, MDL 11,939, were used to examine the relationship between the acute effects of 3,4-methylenedioxymethamphetamine (MDMA) on the dopaminergic system and its long-term effects on the serotonergic system. Only the R-(+) stereoisomer of MDL 11,939 both reversed the acute stimulation of striatal dopamine synthesis by MDMA and prevented the deficit in forebrain 5-HT concentrations measured one week later. This acute activation of striatal dopamine synthesis by MDMA is a compensatory response to the carrier-mediated efflux of transmitter as shown by its sensitivity to the dopamine uptake inhibitor, nomifensine. It is suggested that in the absence of this enhanced synthesis, the dopaminergic neuron cannot sustain the carrier-mediated dopamine release which is a prerequisite for the development of MDMA-induced neurotoxicity. This hypothesis is supported by the observation that the administration of the dopamine precursor, L-dopa, with MDMA reverses the protective effects of 5-HT2 receptor antagonists. FAU - Schmidt, C J AU - Schmidt CJ AD - Merrell Dow Research Institute, Cincinnati, Ohio. FAU - Taylor, V L AU - Taylor VL FAU - Abbate, G M AU - Abbate GM FAU - Nieduzak, T R AU - Nieduzak TR LA - eng PT - Comparative Study PT - Journal Article PL - United States TA - J Pharmacol Exp Ther JT - The Journal of pharmacology and experimental therapeutics JID - 0376362 RN - 0 (Anti-Arrhythmia Agents) RN - 0 (Piperidines) RN - 0 (Serotonin Antagonists) RN - 102-32-9 (3,4-Dihydroxyphenylacetic Acid) RN - 107703-78-6 (alpha-phenyl-1-(2-phenylethyl)-4-piperidinemethanol) RN - 145TFV465S (Ritanserin) RN - 1LGS5JRP31 (Nomifensine) RN - 46627O600J (Levodopa) RN - 4764-17-4 (3,4-Methylenedioxyamphetamine) RN - J6292F8L3D (Haloperidol) RN - VTD58H1Z2X (Dopamine) RN - X77S6GMS36 (Homovanillic Acid) SB - IM MH - 3,4-Dihydroxyphenylacetic Acid/metabolism MH - 3,4-Methylenedioxyamphetamine/administration & dosage/*toxicity MH - Animals MH - Anti-Arrhythmia Agents/pharmacology MH - Brain/*drug effects/metabolism MH - Corpus Striatum/drug effects/metabolism MH - Dopamine/*biosynthesis/metabolism MH - Dose-Response Relationship, Drug MH - Drug Synergism MH - Haloperidol/pharmacology MH - Homovanillic Acid/metabolism MH - Levodopa/metabolism/pharmacology MH - Male MH - Nomifensine/pharmacology MH - Piperidines/pharmacology MH - Rats MH - Rats, Inbred Strains MH - Ritanserin MH - Serotonin Antagonists/*pharmacology/therapeutic use MH - Stereoisomerism MH - Time Factors EDAT- 1991/01/01 00:00 MHDA- 1991/01/01 00:01 CRDT- 1991/01/01 00:00 PHST- 1991/01/01 00:00 [pubmed] PHST- 1991/01/01 00:01 [medline] PHST- 1991/01/01 00:00 [entrez] PST - ppublish SO - J Pharmacol Exp Ther. 1991 Jan;256(1):230-5.