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Lasting effects of (+-)-3,4-methylenedioxymethamphetamine (MDMA) on central serotonergic neurons in nonhuman primates: neurochemical observations.

George A. Ricaurte, A L Martello, J L Katz, M B Martello

Journal of Pharmacology and Experimental Therapeutics May 1, 1992 DOI: 10.1016/s0022-3565(25)11083-5 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational cohort Peer reviewed
Sample size 15
Population Squirrel monkeys (nonhuman primates); three controls and 12 MDMA-treated animals
Intervention MDMA
Dose 5 mg/kg twice daily for 4 consecutive days, subcutaneous
Duration 4-day treatment; assessments at 2 weeks, 10 weeks, 8 months, and 18 months after treatment
Measures regional brain serotonin content, 5-hydroxyindoleacetic acid content, [3H] paroxetine-labeled serotonin uptake sites
Topics Serotonin MDMA
Keywords Brain Neurons Cell membrane Animals Saimiri Norepinephrine Dopamine N-methyl-3,4-methylenedioxyamphetamine 3,4-dihydroxyphenylacetic acid Hydroxyindoleacetic acid Piperidines Paroxetine Serotonin antagonists Injections, subcutaneous Female
Key findings MDMA given to squirrel monkeys at 5 mg/kg twice daily for four days caused profound reductions in serotonergic presynaptic markers at two weeks; partial recovery appeared at ten weeks, but by 18 months deficits had returned to two-week severity in most brain regions. The thalamus and hypothalamus were exceptions, showing recovery or increases above control levels, which the authors suggest may reflect reinnervation or hyperinnervation.

Abstract

The purpose of this study was to assess the duration of (+-)-3,4-methylenedioxymethamphetamine's (MDMA's) effects on serotonin containing neurons in nonhuman primates. Fifteen squirrel monkeys were used: three served as controls, 12 received MDMA s.c. at a dose of 5 mg/kg twice daily for 4 consecutive days. Two weeks, 10 weeks, 8 months and 18 months after drug treatment, groups (n = 3) of MDMA-treated monkeys, along with controls, were examined for regional brain content of serotonin and 5-hydroxyindoleacetic acid, and for the number of [3H] paroxetine-labeled serotonin uptake sites. Two weeks after MDMA treatment, monkeys showed profound reductions in all three serotonergic presynaptic markers. By 10 weeks, there was evidence of partial recovery in some brain regions (e.g., hippocampus, caudate nucleus, frontal cortex). However, by 18 months, it was evident that recovery did not continue, as serotonergic deficits returned to the level of severity observed 2 weeks after MDMA treatment. This was the case in all brain regions examined except the thalamus and hypothalamus. In the thalamus, the level of serotonin increased to 63% of control, whereas that of 5-hydroxyindoleacetic acid recovered completely. In the hypothalamus, concentrations of serotonin and 5-hydroxyindoleacetic acid were 140 and 187% of control, respectively. These results suggest that MDMA produces lasting effects on serotonergic neurons in nonhuman primates, with most brain regions showing evidence of persistent denervation and some showing signs of reinnervation (thalamus) or possibly even hyperinnervation (hypothalamus). The morphological and functional correlates of these enduring neurochemical changes in the MDMA-treated primate remain to be delineated.

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