PMID- 21562484 OWN - NLM STAT- MEDLINE DCOM- 20120508 LR - 20211020 IS - 1740-634X (Electronic) IS - 0893-133X (Print) IS - 0893-133X (Linking) VI - 36 IP - 9 DP - 2011 Aug TI - Blockade of 5-HT2 receptor selectively prevents MDMA-induced verbal memory impairment. PG - 1932-9 LID - 10.1038/npp.2011.80 [doi] AB - 3,4-Methylenedioxymethamphetamine (MDMA) or 'ecstasy' has been associated with memory deficits during abstinence and intoxication. The human neuropharmacology of MDMA-induced memory impairment is unknown. This study investigated the role of 5-HT(2A) and 5-HT(1A) receptors in MDMA-induced memory impairment. Ketanserin is a 5-HT(2A) receptor blocker and pindolol a 5-HT(1A) receptor blocker. It was hypothesized that pretreatment with ketanserin and pindolol would protect against MDMA-induced memory impairment. Subjects (N=17) participated in a double-blind, placebo-controlled, within-subject design involving six experimental conditions consisting of pretreatment (T1) and treatment (T2). T1 preceded T2 by 30 min. T1-T2 combinations were: placebo-placebo, pindolol 20 mg-placebo, ketanserin 50 mg-placebo, placebo-MDMA 75 mg, pindolol 20 mg-MDMA 75 mg, and ketanserin 50 mg-MDMA 75 mg. Memory function was assessed at Tmax of MDMA by means of a word-learning task (WLT), a spatial memory task and a prospective memory task. MDMA significantly impaired performance in all memory tasks. Pretreatment with a 5-HT(2A) receptor blocker selectively interacted with subsequent MDMA treatment and prevented MDMA-induced impairment in the WLT, but not in the spatial and prospective memory task. Pretreatment with a 5-HT(1A) blocker did not affect MDMA-induced memory impairment in any of the tasks. Together, the results demonstrate that MDMA-induced impairment of verbal memory as measured in the WLT is mediated by 5-HT(2A) receptor stimulation. FAU - van Wel, J H P AU - van Wel JH AD - Department Neuropsychology and Psychopharmacology, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands. Janelle.vanWel@maastrichtuniversity.nl FAU - Kuypers, K P C AU - Kuypers KP FAU - Theunissen, E L AU - Theunissen EL FAU - Bosker, W M AU - Bosker WM FAU - Bakker, K AU - Bakker K FAU - Ramaekers, J G AU - Ramaekers JG LA - eng PT - Controlled Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110511 PL - England TA - Neuropsychopharmacology JT - Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology JID - 8904907 RN - 0 (Placebos) RN - 0 (Serotonin 5-HT2 Receptor Antagonists) RN - 0 (Serotonin Agents) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - Adult MH - Double-Blind Method MH - Female MH - Humans MH - Male MH - Memory Disorders/*chemically induced/drug therapy/*prevention & control MH - N-Methyl-3,4-methylenedioxyamphetamine/*adverse effects/antagonists & inhibitors MH - Placebos MH - Serotonin 5-HT2 Receptor Antagonists/*pharmacology MH - Serotonin Agents/*adverse effects MH - Young Adult PMC - PMC3154112 EDAT- 2011/05/13 06:00 MHDA- 2012/05/09 06:00 PMCR- 2012/08/01 CRDT- 2011/05/13 06:00 PHST- 2011/05/13 06:00 [entrez] PHST- 2011/05/13 06:00 [pubmed] PHST- 2012/05/09 06:00 [medline] PHST- 2012/08/01 00:00 [pmc-release] AID - npp201180 [pii] AID - 10.1038/npp.2011.80 [doi] PST - ppublish SO - Neuropsychopharmacology. 2011 Aug;36(9):1932-9. doi: 10.1038/npp.2011.80. Epub 2011 May 11.