PMID- 34655576 OWN - NLM STAT- MEDLINE DCOM- 20211223 LR - 20211223 IS - 1090-2430 (Electronic) IS - 0014-4886 (Linking) VI - 347 DP - 2022 Jan TI - Neurotoxicity of MDMA: Main effects and mechanisms. PG - 113894 LID - S0014-4886(21)00302-2 [pii] LID - 10.1016/j.expneurol.2021.113894 [doi] AB - Preclinical and clinical studies indicate that 3,4-methylenedioxymethamphetamine (MDMA; 'ecstasy'), in addition to having abuse potential, may elicit acute and persistent abnormalities of varying severity at the central level. Importantly, neurotoxic effects of MDMA have been demonstrated in experimental animals. Accordingly, central toxicity induced by MDMA may pose a serious harm for health, since MDMA is among the substances that are used for recreational purposes by young and adult people. This review provides a concise overview of recent findings from preclinical and clinical studies that evaluated the central effects of MDMA, and the mechanisms involved in the neurotoxicity induced by this amphetamine-related drug. CI - Copyright (c) 2021 Elsevier Inc. All rights reserved. FAU - Costa, Giulia AU - Costa G AD - Department of Biomedical Sciences, Section of Neuroscience, University of Cagliari, Cagliari, Italy. Electronic address: gcosta@unica.it. FAU - Golembiowska, Krystyna AU - Golembiowska K AD - Maj Institute of Pharmacology, Polish Academy of Sciences, Department of Pharmacology, 12 Smetna, 31-343 Krakow, Poland. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20211013 PL - United States TA - Exp Neurol JT - Experimental neurology JID - 0370712 RN - 0 (Hallucinogens) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - Animals MH - Brain/*drug effects MH - Hallucinogens/*adverse effects MH - Humans MH - N-Methyl-3,4-methylenedioxyamphetamine/*adverse effects MH - *Neurotoxicity Syndromes/etiology OTO - NOTNLM OT - Ecstasy OT - Excitotoxicity OT - Hyperthermia OT - MDMA metabolites OT - Mitochondrial dysfunction OT - Neuroinflammation OT - Neurotoxicity OT - Oxidative stress EDAT- 2021/10/17 06:00 MHDA- 2021/12/24 06:00 CRDT- 2021/10/16 20:09 PHST- 2021/06/17 00:00 [received] PHST- 2021/10/01 00:00 [revised] PHST- 2021/10/08 00:00 [accepted] PHST- 2021/10/17 06:00 [pubmed] PHST- 2021/12/24 06:00 [medline] PHST- 2021/10/16 20:09 [entrez] AID - S0014-4886(21)00302-2 [pii] AID - 10.1016/j.expneurol.2021.113894 [doi] PST - ppublish SO - Exp Neurol. 2022 Jan;347:113894. doi: 10.1016/j.expneurol.2021.113894. Epub 2021 Oct 13.