PMID- 21886568 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20111110 LR - 20211020 IS - 1875-6190 (Electronic) IS - 1570-159X (Print) IS - 1570-159X (Linking) VI - 9 IP - 1 DP - 2011 Mar TI - The Nature of 3, 4-Methylenedioxymethamphetamine (MDMA)-Induced Serotonergic Dysfunction: Evidence for and Against the Neurodegeneration Hypothesis. PG - 84-90 LID - 10.2174/157015911795017146 [doi] AB - High doses of the recreational drug 3,4-methylenedioxymethamphetamine (MDMA, "Ecstasy") have been well-documented to reduce the expression of serotonergic markers in several forebrain regions of rats and nonhuman primates. Neuroimaging studies further suggest that at least one of these markers, the plasma membrane serotonin transporter (SERT), may also be reduced in heavy Ecstasy users. Such effects, particularly when observed in experimental animal models, have generally been interpreted as reflecting a loss of serotonergic fibers and terminals following MDMA exposure. This view has been challenged, however, based on the finding that MDMA usually does not elicit glial cell reactions known to occur in response to central nervous system (CNS) damage. The aim of this review is to address both sides of the MDMA-neurotoxicity controversy, including recent findings from our laboratory regarding the potential of MDMA to induce serotonergic damage in a rat binge model. Our data add to the growing literature implicating neuroregulatory mechanisms underlying MDMA-induced serotonergic dysfunction and questioning the need to invoke a degenerative response to explain such dysfunction. FAU - Biezonski, Dominik K AU - Biezonski DK AD - Neuroscience and Behavior Program, University of Massachusetts, Amherst MA 01003, USA. FAU - Meyer, Jerrold S AU - Meyer JS LA - eng PT - Journal Article PL - United Arab Emirates TA - Curr Neuropharmacol JT - Current neuropharmacology JID - 101157239 PMC - PMC3137208 OTO - NOTNLM OT - MDMA OT - biochemical downregulation. OT - gene expression OT - neurodegeneration OT - neurotoxicity OT - serotonin OT - serotonin transporter OT - vesicular monoamine transporter 2 EDAT- 2011/09/03 06:00 MHDA- 2011/09/03 06:01 PMCR- 2011/09/01 CRDT- 2011/09/03 06:00 PHST- 2009/10/01 00:00 [received] PHST- 2010/04/17 00:00 [revised] PHST- 2010/05/26 00:00 [accepted] PHST- 2011/09/03 06:00 [entrez] PHST- 2011/09/03 06:00 [pubmed] PHST- 2011/09/03 06:01 [medline] PHST- 2011/09/01 00:00 [pmc-release] AID - CN-9-84 [pii] AID - 10.2174/157015911795017146 [doi] PST - ppublish SO - Curr Neuropharmacol. 2011 Mar;9(1):84-90. doi: 10.2174/157015911795017146.