PMID- 35806049 OWN - NLM STAT- MEDLINE DCOM- 20220712 LR - 20220716 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 23 IP - 13 DP - 2022 Jun 24 TI - Amitriptyline Accelerates SERT Binding Recovery in a Rat 3,4-Methylenedioxymethamphetamine (MDMA) Model: In Vivo 4-[(18)F]-ADAM PET Imaging. LID - 10.3390/ijms23137035 [doi] LID - 7035 AB - Numerous studies have confirmed that 3,4-Methylenedioxymethamphetamine (MDMA) produces long-lasting changes to the density of the serotonin reuptake transporter (SERT). Amitriptyline (AMI) has been shown to exert neuroprotective properties in neuropathologic injury. Here, we used a SERT-specific radionuclide, 4-[(18)F]-ADAM, to assess the longitudinal alterations in SERT binding and evaluate the synergistic neuroprotective effect of AMI in a rat MDMA model. In response to MDMA treatment regimens, SERT binding was significantly reduced in rat brains. Region-specific recovery rate (normalized to baseline) in the MDMA group at day 14 was 71.29% +/- 3.21%, and progressively increased to 90.90% +/- 7.63% at day 35. AMI dramatically increased SERT binding in all brain regions, enhancing average ~18% recovery rate at day 14 when compared with the MDMA group. The immunochemical staining revealed that AMI markedly increased the serotonergic fiber density in the cingulate and thalamus after MDMA-induction, and confirmed the PET findings. Using in vivo longitudinal PET imaging, we demonstrated that SERT recovery was positively correlated with the duration of MDMA abstinence, implying that lower SERT densities in MDMA-induced rats reflected neurotoxic effects and were (varied) region-specific and reversible. AMI globally accelerated the recovery rate of SERT binding and increased SERT fiber density with possible neuroprotective effects. FAU - Tsai, Chi-Jung AU - Tsai CJ AD - Department of Nuclear Medicine, Taipei Medical University Hospital, Taipei 110, Taiwan. FAU - Chiu, Chuang-Hsin AU - Chiu CH AUID- ORCID: 0000-0002-7275-6558 AD - Department of Nuclear Medicine, Tri-Service General Hospital, Taipei 114, Taiwan. FAU - Kuo, Yu-Yeh AU - Kuo YY AD - Department of Nursing, Hsin-Sheng College of Medical Care and Management, Taoyuan 325, Taiwan. FAU - Huang, Wen-Sheng AU - Huang WS AD - Department of Nuclear Medicine, Taipei Medical University Hospital, Taipei 110, Taiwan. AD - Department of Nuclear Medicine, Cheng-Hsin General Hospital, Taipei 112, Taiwan. FAU - Yu, Tsung-Hsun AU - Yu TH AD - Brain Research Center, National Yang Ming Chaio Tung University, Taipei 112, Taiwan. FAU - Flores, Leo Garcia 2nd AU - Flores LG 2nd AD - Radiomedix, Inc., Houston, TX 77042, USA. FAU - Yeh, Skye Hsin-Hsien AU - Yeh SH AUID- ORCID: 0000-0002-7495-1146 AD - Brain Research Center, National Yang Ming Chaio Tung University, Taipei 112, Taiwan. AD - School of Medicine, National Defense Medical Center, Taipei 110, Taiwan. FAU - Ma, Kuo-Hsing AU - Ma KH AD - Department of Biology and Anatomy, National Defense Medi Center, Taipei 110, Taiwan. LA - eng GR - MOST-109-2314-B-038-151, MOST-110-2314-B-A49A-528, 109-2314-B-016-014-MY2/Ministry of Science and Technology R.O.C./ GR - 110M0156/Development Center for Biotechnology/ PT - Journal Article DEP - 20220624 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Fluorine Radioisotopes) RN - 0 (Neuroprotective Agents) RN - 0 (Serotonin Plasma Membrane Transport Proteins) RN - 1806D8D52K (Amitriptyline) RN - GZ5I74KB8G (Fluorine-18) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - Amitriptyline/metabolism MH - Animals MH - Brain/metabolism MH - Fluorine Radioisotopes MH - *N-Methyl-3,4-methylenedioxyamphetamine/pharmacology MH - *Neuroprotective Agents/pharmacology MH - Positron-Emission Tomography/methods MH - Rats MH - Serotonin Plasma Membrane Transport Proteins/metabolism PMC - PMC9266335 OTO - NOTNLM OT - 4-[18F]-ADAM OT - MDMA OT - SERT OT - amitriptyline COIS- The authors declare no conflict of interest. EDAT- 2022/07/10 06:00 MHDA- 2022/07/14 06:00 PMCR- 2022/06/24 CRDT- 2022/07/09 01:11 PHST- 2022/06/01 00:00 [received] PHST- 2022/06/20 00:00 [revised] PHST- 2022/06/22 00:00 [accepted] PHST- 2022/07/09 01:11 [entrez] PHST- 2022/07/10 06:00 [pubmed] PHST- 2022/07/14 06:00 [medline] PHST- 2022/06/24 00:00 [pmc-release] AID - ijms23137035 [pii] AID - ijms-23-07035 [pii] AID - 10.3390/ijms23137035 [doi] PST - epublish SO - Int J Mol Sci. 2022 Jun 24;23(13):7035. doi: 10.3390/ijms23137035.