PMID- 22404300 OWN - NLM STAT- MEDLINE DCOM- 20121030 LR - 20211021 IS - 1476-5381 (Electronic) IS - 0007-1188 (Print) IS - 0007-1188 (Linking) VI - 166 IP - 5 DP - 2012 Jul TI - MDMA and 5-HT neurotoxicity: the empirical evidence for its adverse effects in humans - no need for translation. PG - 1518-20; discussion 1521-2 LID - 10.1111/j.1476-5381.2012.01941.x [doi] AB - In this issue of the BJP, Green et al. suggest that animal data could not be used to predict the adverse effects of 3,4-methylenedioxymethamphetamine (MDMA) in humans and that MDMA did not produce 5-HT neurotoxicity in the human brain. This proposal was, however, not accompanied by a review of the empirical evidence in humans. The neuroimaging data on 5-HT markers in abstinent recreational ecstasy/MDMA users are extensive and broadly consistent. Reduced levels of the 5-HT transporter (SERT) have been found by research groups worldwide using a variety of assessment measures. These SERT reductions occur across the higher brain regions and remain after controlling for potential confounds. There are also extensive empirical data for impairments in memory and higher cognition, with the neurocognitive deficits correlating with the extent of SERT loss. Hence, MDMA is clearly damaging to humans, with extensive empirical data for both structural and functional deficits. CI - (c) 2012 The Author. British Journal of Pharmacology (c) 2012 The British Pharmacological Society. FAU - Parrott, Andrew C AU - Parrott AC AD - Department of Psychology, Swansea University, UK. a.c.parrott@swansea.ac.uk LA - eng PT - Comment PT - Journal Article PL - England TA - Br J Pharmacol JT - British journal of pharmacology JID - 7502536 RN - 0 (Hallucinogens) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM CON - Br J Pharmacol. 2012 Jul;166(5):1523-36. PMID: 22188379 MH - Animals MH - Hallucinogens/*adverse effects MH - Humans MH - N-Methyl-3,4-methylenedioxyamphetamine/*adverse effects MH - Neurotoxicity Syndromes/*etiology PMC - PMC3419896 EDAT- 2012/03/13 06:00 MHDA- 2012/10/31 06:00 PMCR- 2013/07/01 CRDT- 2012/03/13 06:00 PHST- 2012/03/13 06:00 [entrez] PHST- 2012/03/13 06:00 [pubmed] PHST- 2012/10/31 06:00 [medline] PHST- 2013/07/01 00:00 [pmc-release] AID - 10.1111/j.1476-5381.2012.01941.x [doi] PST - ppublish SO - Br J Pharmacol. 2012 Jul;166(5):1518-20; discussion 1521-2. doi: 10.1111/j.1476-5381.2012.01941.x.