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Brain serotonin transporter binding in former users of MDMA (‘ecstasy’)

Sudhakar Selvaraj, Rosa Hoshi, Zubin Bhagwagar, Naga Venkatesha Murthy, Rainer Hinz, Philip J. Cowen, Valerie H. Curran, Paul M. Grasby

The British Journal of Psychiatry March 31, 2009 DOI: 10.1192/bjp.bp.108.050344 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational cohort Peer reviewed
Sample size 40
Population Former MDMA users, polydrug users who never took MDMA, and controls with no illicit drug history
Topics MDMA Serotonin
Keywords Serotonin transporter Neurotoxicity Methylenedioxy Pharmacology
Citations 59
Key findings No significant difference in serotonin transporter binding potential was found between former MDMA users, polydrug users, and controls.

Abstract

Background: Animal experimental studies have prompted concerns that widespread use of 3,4-methylenedioxymethamphetamine (MDMA; ‘ecstasy’) by young people may pose a major public health problem in terms of persistent serotonin neurotoxicity.

Aims: To determine the status of brain serotonin neurons in a group of abstinent MDMA users.

Method: We assessed the integrity of brain serotonin neurons by measuring serotonin transporter (SERT) binding using positron emission tomography (PET) and [ 11 C]DASB in 12 former MDMA users, 9 polydrug users who had never taken MDMA and 19 controls who reported no history of illicit drug use.

Results: There was no significant difference in the binding potential of [ 11 C]DASB between the groups in any of the brain regions examined.

Conclusions: To the extent that [ 11 C]DASB binding provides an index of the integrity of serotonin neurons, our findings suggest that MDMA use may not result in long-term damage to serotonin neurons when used recreationally in humans.

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