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Preventive effects of fructose and N-acetyl-L-cysteine against cytotoxicity induced by the psychoactive compounds N-methyl-5-(2-aminopropyl)benzofuran and 3,4-methylenedioxy-N-methamphetamine in isolated rat hepatocytes.

Yoshio Nakagawa, Toshinari Suzuki, Akiko Inomata

Journal of Applied Toxicology February 2018 DOI: 10.1002/jat.3523 (opens in new tab)

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AI-extracted from the abstract
Characteristics In vitro study Peer reviewed
Population Rat hepatocytes
Interventions 5-MAPB MDMA fructose N-acetyl-L-cysteine (NAC)
Dose 5-MAPB and MDMA: 0-4 mM; fructose: 10 mM; NAC: 2.5 mM
Duration 0-3 hours
Topics MDMA
Keywords 5-mapb N-acetyl-l-cysteine Cytotoxicity Designer drugs Fructose Mitochondrial dysfunction Oxidative stress Rat hepatocytes
Key points 5-MAPB and MDMA caused concentration- and time-dependent death of rat hepatocytes, with 5-MAPB more toxic than MDMA. Toxicity was accompanied by ATP and reduced glutathione depletion, increased oxidized glutathione, and loss of mitochondrial membrane potential. Fructose (10 mM) or N-acetyl-L-cysteine (2.5 mM) pretreatment prevented cytotoxicity, suggesting toxicity involves mitochondrial failure and oxidative stress.

Abstract

Psychoactive compounds, N-methyl-5-(2-aminopropyl)benzofuran (5-MAPB) and 3,4-methylenedioxy-N-methamphetamine (MDMA), are known to be hepatotoxic in humans and/or experimental animals. As previous studies suggested that these compounds elicited cytotoxicity via mitochondrial dysfunction and/or oxidative stress in rat hepatocytes, the protective effects of fructose and N-acetyl-l-cysteine (NAC) on 5-MAPB- and MDMA-induced toxicity were studied in rat hepatocytes. These drugs caused not only concentration-dependent (0-4 mm) and time-dependent (0-3 hours) cell death accompanied by the depletion of cellular levels of adenosine triphosphate (ATP) and glutathione (reduced form; GSH) but also an increase in the oxidized form of GSH. The toxic effects of 5-MAPB were greater than those of MDMA. Pretreatment of hepatocytes with either fructose at a concentration of 10 mm or NAC at a concentration of 2.5 mm prevented 5-MAPB-/MDMA-induced cytotoxicity. In addition, the exposure of hepatocytes to 5-MAPB/MDMA caused the loss of mitochondrial membrane potential, although the preventive effect of fructose was weaker than that of NAC. These results suggest that: (1) 5-MAPB-/MDMA-induced cytotoxicity is linked to mitochondrial failure and depletion of cellular GSH; (2) insufficient cellular ATP levels derived from mitochondrial dysfunction were ameliorated, at least in part, by the addition of fructose; and (3) GSH loss via oxidative stress was prevented by NAC. Taken collectively, these results indicate that the onset of toxic effects caused by 5-MAPB/MDMA may be partially attributable to cellular energy stress as well as oxidative stress.

Comparable studies

Other preclinical and animal studies on MDMA, most cited first.

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