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Characterization of 3,4-Methylenedioxymethamphetamine (MDMA) EnantiomersIn Vitroand in the MPTP-Lesioned Primate:R-MDMA Reduces Severity of Dyskinesia, WhereasS-MDMA Extends Duration of ON-Time

Philippe Huot, Tom H. Johnston, Katie D. Lewis, James B. Koprich, M. Gabriela Reyes, Susan H. Fox, Matthew Piggott, Jonathan M. Brotchie

Journal of Neuroscience May 11, 2011 DOI: 10.1523/jneurosci.1171-11.2011 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Experimental study Peer reviewed
Sample size 6
Population Female common marmosets (Callithrix jacchus) rendered parkinsonian by MPTP
Interventions R-MDMA S-MDMA L-DOPA
Dose 1, 3, and 10 mg/kg for R- or S-MDMA; 15 mg/kg for L-DOPA
Topics MDMA
Keywords Dyskinesia Hallucinogen Mptp Primate Pharmacology
Citations 83
Key findings R-MDMA reduces dyskinesia severity and disabling dyskinesia duration, while S-MDMA extends ON-time but worsens dyskinesia, in MPTP-treated marmosets.

Abstract

l -3,4-Dihydroxyphenylalanine ( l -DOPA) is the most effective treatment for Parkinson's disease, but long-term l -DOPA administration is marred by the emergence of motor complications, namely, dyskinesia and a shortening of antiparkinsonian benefit (wearing-OFF). 3,4-Methylenedioxymethamphetamine (MDMA) is unique in that it exerts antidyskinetic effects and may enhance antiparkinsonian actions of l -DOPA. MDMA is composed of two enantiomers with different pharmacological profiles; here, we describe a novel enantiospecific synthesis of the two enantiomers and expand on the previous characterization of their pharmacology. R -MDMA (rectus-MDMA) is relatively selective for 5-HT 2A receptors, whereas S -MDMA (sinister-MDMA) inhibits both serotonin (SERT) and dopamine transporters (DAT; SERT/DAT ratio of 10 to 1). R - or S -MDMA (1, 3, and 10 mg/kg, s.c.) was administered in combination with l -DOPA (15 mg/kg, s.c.) to six female common marmosets ( Callithrix jacchus ) rendered parkinsonian by MPTP (1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine) administration. Motor disability, including parkinsonism and dyskinesia, and duration of antiparkinsonian benefit (ON-time) were evaluated. After the administration of R -MDMA (3 and 10 mg/kg), the severity of peak-dose dyskinesia was decreased (by 33 and 46%, respectively; p < 0.05); although total ON-time was unchanged (∼220 min), the duration of ON-time with disabling dyskinesia was decreased by 90 min when compared to l -DOPA alone (69% reduction; p < 0.05). S -MDMA (1 mg/kg) increased the total ON-time by 88 min compared to l -DOPA alone (34% increase; p < 0.05), though dyskinesia were exacerbated. These data suggest that racemic MDMA exerts simultaneous effects, reducing dyskinesia and extending ON-time, by 5-HT 2A antagonism and SERT-selective mixed monoamine uptake inhibition, which arise from its R and S enantiomers, respectively.

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