PMID- 24485894 OWN - NLM STAT- MEDLINE DCOM- 20150129 LR - 20211021 IS - 1879-0712 (Electronic) IS - 0014-2999 (Print) IS - 0014-2999 (Linking) VI - 727 DP - 2014 Mar 15 TI - Altered energy production, lowered antioxidant potential, and inflammatory processes mediate CNS damage associated with abuse of the psychostimulants MDMA and methamphetamine. PG - 125-9 LID - S0014-2999(14)00053-3 [pii] LID - 10.1016/j.ejphar.2014.01.032 [doi] AB - Central nervous system (CNS) damage associated with psychostimulant dependence may be an ongoing, degenerative process with adverse effects on neuropsychiatric function. However, the molecular mechanisms regarding how altered energy regulation affects immune response in the context of substance use disorders are not fully understood. This review summarizes the current evidence regarding the effects of psychostimulant [particularly 3,4-methylenedioxy-N-methylamphetamine (MDMA) and methamphetamine] exposure on brain energy regulation, immune response, and neuropsychiatric function. Importantly, the neuropsychiatric impairments (e.g., cognitive deficits, depression, and anxiety) that persist following abstinence are associated with poorer treatment outcomes - increased relapse rates, lower treatment retention rates, and reduced daily functioning. Qualifying the molecular changes within the CNS according to the exposure and use patterns of specifically abused substances should inform the development of new therapeutic approaches for addiction treatment. CI - Published by Elsevier B.V. FAU - Downey, Luke A AU - Downey LA AD - Centre for Human Psychopharmacology, Swinburne University of Technology, Hawthorn, VIC 3122, Australia; Department of Psychology, Swansea University, Swansea, Wales, UK. FAU - Loftis, Jennifer M AU - Loftis JM AD - Research & Development Service, Portland VA Medical Center, 3710 SW US Veterans Hospital Road, Portland, OR 97239 USA; Department of Psychiatry, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239-3098, USA; Methamphetamine Abuse Research Center, Oregon Health & Science University, Portland VA Medical Center, Portland, OR, USA. Electronic address: loftisj@ohsu.edu. LA - eng GR - DA018165/DA/NIDA NIH HHS/United States GR - P50 DA018165/DA/NIDA NIH HHS/United States GR - DA028537/DA/NIDA NIH HHS/United States GR - I01 BX002061/BX/BLRD VA/United States GR - RC1 DA028537/DA/NIDA NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20140128 PL - Netherlands TA - Eur J Pharmacol JT - European journal of pharmacology JID - 1254354 RN - 0 (Central Nervous System Stimulants) RN - 0 (Inflammation Mediators) RN - 44RAL3456C (Methamphetamine) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - Amphetamine-Related Disorders/*complications/immunology/metabolism/pathology/rehabilitation MH - Animals MH - Brain/*drug effects/immunology/metabolism/pathology MH - Central Nervous System Stimulants/adverse effects MH - Energy Metabolism/*drug effects MH - Humans MH - Inflammation Mediators/*metabolism MH - Methamphetamine/*adverse effects MH - N-Methyl-3,4-methylenedioxyamphetamine/*adverse effects MH - Oxidative Stress/*drug effects MH - Recurrence MH - Substance Withdrawal Syndrome/etiology/metabolism PMC - PMC3970781 MID - NIHMS561335 OTO - NOTNLM OT - 2-Fluoro-2-deoxy-d-glucose (PubChem CID: 315411) OT - 3,4-Methylenedioxy-N-methylamphetamine (MDMA) OT - 3,4-Methylenedioxy-N-methylamphetamine (MDMA) (PubChem CID: 1615) OT - 3,4-Methylenedioxyethamphetamine (MDE) (PubChem CID: 105039) OT - Bioenergetics OT - Cocaine (PubChem CID: 5760) OT - Inflammation OT - Methamphetamine OT - Methamphetamine (PubChem CID: 10836) OT - Neurodegenerative diseases OT - Oxidative stress EDAT- 2014/02/04 06:00 MHDA- 2015/01/30 06:00 PMCR- 2015/03/15 CRDT- 2014/02/04 06:00 PHST- 2013/07/16 00:00 [received] PHST- 2013/12/18 00:00 [revised] PHST- 2014/01/09 00:00 [accepted] PHST- 2014/02/04 06:00 [entrez] PHST- 2014/02/04 06:00 [pubmed] PHST- 2015/01/30 06:00 [medline] PHST- 2015/03/15 00:00 [pmc-release] AID - S0014-2999(14)00053-3 [pii] AID - 10.1016/j.ejphar.2014.01.032 [doi] PST - ppublish SO - Eur J Pharmacol. 2014 Mar 15;727:125-9. doi: 10.1016/j.ejphar.2014.01.032. Epub 2014 Jan 28.