PMID- 2433425 OWN - NLM STAT- MEDLINE DCOM- 19870227 LR - 20131121 IS - 0022-3565 (Print) IS - 0022-3565 (Linking) VI - 240 IP - 1 DP - 1987 Jan TI - Neurotoxicity of the psychedelic amphetamine, methylenedioxymethamphetamine. PG - 1-7 AB - The neurochemical effects of the unique psychedelic agent, methylenedioxymethamphetamine (MDMA), indicate it may be a serotonergic neurotoxin related to agents such as p-chloroamphetamine. MDMA had a biphasic effect on cortical serotonin concentrations beginning with an acute depletion of the transmitter which reached a maximum between 3 and 6 hr after drug administration. This early phase of depletion was reversible because cortical serotonin concentrations had recovered to control levels by 24 hr. However, transmitter concentrations were reduced significantly 1 week later, indicating a second phase of depletion. The latter phase of depletion was associated with a decrease in synaptosomal [3H]serotonin uptake due to a loss in the number of uptake sites with no change in the affinity of the carrier for serotonin. This neurotoxic effect of MDMA was found to be a property of the (+)-stereoisomer of the drug as only this enantiomer produced the depletion of cortical serotonin and the decrease in synaptosomal serotonin uptake at 1 week. In contrast to this, both stereoisomers of the drug could produce the acute depletion of cortical serotonin measured 3 hr after drug administration. Coadministration of the selective serotonin uptake inhibitor, fluoxetine, completely blocked the reduction in cortical serotonin concentrations 1 week after MDMA. Administration of fluoxetine at various times after MDMA revealed that the long-term effects of the drug developed independently of the acute depletion of serotonin and could be partially blocked by the uptake inhibitor as long as 6 hr after drug administration.(ABSTRACT TRUNCATED AT 250 WORDS) FAU - Schmidt, C J AU - Schmidt CJ LA - eng PT - Journal Article PL - United States TA - J Pharmacol Exp Ther JT - The Journal of pharmacology and experimental therapeutics JID - 0376362 RN - 0 (Amphetamines) RN - 01K63SUP8D (Fluoxetine) RN - 333DO1RDJY (Serotonin) RN - 4764-17-4 (3,4-Methylenedioxyamphetamine) RN - 54-16-0 (Hydroxyindoleacetic Acid) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - 3,4-Methylenedioxyamphetamine/analogs & derivatives/*toxicity MH - Amphetamines/*toxicity MH - Animals MH - Brain/*drug effects/metabolism MH - Cerebral Cortex/metabolism MH - Fluoxetine/pharmacology MH - Hydroxyindoleacetic Acid/metabolism MH - Kinetics MH - Male MH - N-Methyl-3,4-methylenedioxyamphetamine MH - Rats MH - Rats, Inbred Strains MH - Serotonin/metabolism MH - Stereoisomerism MH - Time Factors EDAT- 1987/01/01 00:00 MHDA- 1987/01/01 00:01 CRDT- 1987/01/01 00:00 PHST- 1987/01/01 00:00 [pubmed] PHST- 1987/01/01 00:01 [medline] PHST- 1987/01/01 00:00 [entrez] PST - ppublish SO - J Pharmacol Exp Ther. 1987 Jan;240(1):1-7.