PMID- 28122248 OWN - NLM STAT- MEDLINE DCOM- 20171212 LR - 20181203 IS - 1872-9754 (Electronic) IS - 0197-0186 (Linking) VI - 105 DP - 2017 May TI - MDMA-induced neurotoxicity of serotonin neurons involves autophagy and rilmenidine is protective against its pathobiology. PG - 80-90 LID - S0197-0186(17)30030-X [pii] LID - 10.1016/j.neuint.2017.01.010 [doi] AB - Toxicity of 3,4-methylenedioxymethamphetamine (MDMA) towards biogenic amine neurons is well documented and in primate brain predominantly affects serotonin (5-HT) neurons. MDMA induces damage of 5-HT axons and nerve fibres and intracytoplasmic inclusions. Whilst its pathobiology involves mitochondrially-mediated oxidative stress, we hypothesised MDMA possessed the capacity to activate autophagy, a proteostatic mechanism for degradation of cellular debris. We established a culture of ventral pons from embryonic murine brain enriched in 5-HT neurons to explore mechanisms of MDMA neurotoxicity and recruitment of autophagy, and evaluated possible neuroprotective actions of the clinically approved agent rilmenidine. MDMA (100 muM-1 mM) reduced cell viability, like rapamycin (RM) and hydrogen peroxide (H(2)O(2)), in a concentration- and time-dependent manner. Immunocytochemistry revealed dieback of 5-HT arbour: MDMA-induced injury was slower than for RM and H(2)O(2), neuritic blebbing occurred at 48 and 72 h and Hoechst labelling revealed nuclear fragmentation with 100 muM MDMA. MDMA effected concentration-dependent inhibition of [(3)H]5-HT uptake with 500 muM MDMA totally blocking transport. Western immunoblotting for microtubule associated protein light chain 3 (LC3) revealed autophagosome formation after treatment with MDMA. Confocal analyses and immunocytochemistry for 5-HT, Hoechst and LC3 confirmed MDMA induced autophagy with abundant LC3-positive puncta within 5-HT neurons. Rilmenidine (1 muM) protected against MDMA-induced injury and image analysis showed full preservation of 5-HT arbours. MDMA had no effect on GABA neurons, indicating specificity of action at 5-HT neurons. MDMA-induced neurotoxicity involves autophagy induction in 5-HT neurons, and rilmenidine via beneficial actions against toxic intracellular events represents a potential treatment for its pathobiology in sustained usage. CI - Copyright (c) 2017 Elsevier Ltd. All rights reserved. FAU - Mercer, Linda D AU - Mercer LD AD - Florey Institute of Neuroscience and Mental Health, The University of Melbourne, Parkville, Victoria 3010, Australia. FAU - Higgins, Gavin C AU - Higgins GC AD - Florey Institute of Neuroscience and Mental Health, The University of Melbourne, Parkville, Victoria 3010, Australia. FAU - Lau, Chew L AU - Lau CL AD - Florey Institute of Neuroscience and Mental Health, The University of Melbourne, Parkville, Victoria 3010, Australia. FAU - Lawrence, Andrew J AU - Lawrence AJ AD - Florey Institute of Neuroscience and Mental Health, The University of Melbourne, Parkville, Victoria 3010, Australia. FAU - Beart, Philip M AU - Beart PM AD - Florey Institute of Neuroscience and Mental Health, The University of Melbourne, Parkville, Victoria 3010, Australia. Electronic address: philip.beart@florey.edu.au. LA - eng PT - Journal Article DEP - 20170123 PL - England TA - Neurochem Int JT - Neurochemistry international JID - 8006959 RN - 0 (Adrenergic alpha-Agonists) RN - 0 (Neuroprotective Agents) RN - 0 (Oxazoles) RN - 0 (Serotonin Agents) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) RN - P67IM25ID8 (Rilmenidine) SB - IM MH - Adrenergic alpha-Agonists/pharmacology MH - Animals MH - Autophagy/*drug effects/physiology MH - Cell Survival/drug effects/physiology MH - Cells, Cultured MH - Dose-Response Relationship, Drug MH - Female MH - Male MH - Mice MH - Mice, Inbred C57BL MH - N-Methyl-3,4-methylenedioxyamphetamine/*toxicity MH - Neuroprotective Agents/*pharmacology MH - Oxazoles/*pharmacology MH - Pregnancy MH - Rilmenidine MH - Serotonergic Neurons/*drug effects/*pathology/physiology MH - Serotonin Agents/toxicity OTO - NOTNLM OT - MDMA OT - Neuroprotection OT - Programmed cell death OT - Rilmenidine OT - Serotonin neuron OT - mTOR-independent autophagy EDAT- 2017/01/26 06:00 MHDA- 2017/12/13 06:00 CRDT- 2017/01/26 06:00 PHST- 2017/01/20 00:00 [received] PHST- 2017/01/20 00:00 [accepted] PHST- 2017/01/26 06:00 [pubmed] PHST- 2017/12/13 06:00 [medline] PHST- 2017/01/26 06:00 [entrez] AID - S0197-0186(17)30030-X [pii] AID - 10.1016/j.neuint.2017.01.010 [doi] PST - ppublish SO - Neurochem Int. 2017 May;105:80-90. doi: 10.1016/j.neuint.2017.01.010. Epub 2017 Jan 23.