Elsevier

Neurotoxicology and Teratology

Volume 26, Issue 4, July–August 2004, Pages 571-577
Neurotoxicology and Teratology

The relationship between hyperthermia and glycogenolysis in 3,4-methylenedioxymethamphetamine-induced serotonin depletion in rats

https://doi.org/10.1016/j.ntt.2004.03.008Get rights and content

Abstract

Although the exact mechanisms involved in the serotonergic neurotoxicity produced by substituted amphetamines are not completely known, evidence suggests that oxidative and/or bioenergetic stress may contribute in the mechanism of neurotoxicity of 3,4-methylenedioxymethamphetamine (MDMA). It has been postulated that MDMA-induced hyperthermia also contributes to the MDMA-induced neurotoxicity. MDMA produces brain glycogenolysis, and MDMA-induced hyperthermia appears to mediate this effect. The relationship of MDMA-induced hyperthermia and glycogenolysis in the serotonergic neurotoxicity of MDMA was investigated in the present study. The administration of MDMA (20 mg/kg sc) at an ambient temperature of 24 °C produced hyperthermia and brain glycogenolysis in Postnatal Day (PND)21 and PND70 rats; however, long-term reductions in serotonin (5-HT) concentrations in the striatum were detected only in the PND70 rats. Treatment of PND21 and PND70 rats with MDMA at 17 °C resulted in neither hyperthermia nor glycogenolysis; nevertheless, long-term reductions in 5-HT concentrations were still evident in the PND70 rats treated with MDMA. These results support the conclusion that hyperthermia, as well as glycogenolysis, are neither necessary nor sufficient in the serotonergic neurotoxicity of MDMA.

Introduction

3,4-methylenedioxymethamphetamine (MDMA), a ring-substituted amphetamine analog, is widely abused as a recreational drug, and there is concern that the drug may damage serotonergic nerve terminals [17]. MDMA-induced neurotoxicity of serotonergic nerve terminals in rodents and nonhuman primates is evidenced by several biochemical and immunocytochemical findings such as depletion of tissue concentration of serotonin (5-HT) and its major metabolite, 5-hydroxyindoleacetic acid [43], [51], decrease in the activity of the enzyme tryptophan hydroxylase [44], reduction in the [3H] paroxetine-labeled 5-HT reuptake sites [2], and reduced immunostaining of 5-HT terminals [38].

Although the exact mechanisms involved in the serotonergic neurotoxicity produced by amphetamine analogs are not completely known, evidence is supportive of a role of oxidative and/or bioenergetic stress in the process. For example, MDMA increases hydroxyl radical formation [11], [46], [47] and reduces the concentration of the endogenous antioxidants vitamin E and ascorbic acid [48]. The administration of antioxidants also has been shown to attenuate MDMA-induced 5-HT depletion [10], [18], [48]. The involvement of bioenergetic stress is predicated on the findings that methamphetamine reduces striatal concentration of ATP [9] and administration of energy substrates, i.e., ubiquinone and nicotinamide, attenuates methamphetamine-induced neurotoxicity [49]. In addition, MDMA produces a rapid and transient inhibition of mitochondrial function [8], and the mitochondrial toxin malonate greatly exacerbates MDMA neurotoxicity [35].

The findings that substituted amphetamines decrease brain glycogen [13], [19], [21] and increase the extracellular concentration of glucose in the brain [13] also are consistent with the view that amphetamines disrupt cellular energetics. MDMA has also been shown to activate glycogen phosphorylase, an enzyme responsible for the breakdown of glycogen, in astroglial-rich primary cultures [40].

Hyperthermia has been postulated to contribute to substituted amphetamine-induced neurotoxicity [7], [25], [26], and alterations in ambient temperature at which methamphetamine or MDMA are administered to rats affect the magnitude of neurotoxicity [3], [4], [5], [16], [27], [45]. Hyperthermia also may contribute to MDMA-induced glycogenolysis [13].

The purpose of the present study was to examine the relationship between MDMA-induced hyperthermia and glycogenolysis as it relates to the process of MDMA-induced serotonergic neurotoxicity.

Section snippets

Animal procedures

Male rats of Postnatal Day (PND)70 (300–325 g) and PND21 rats of the Sprague–Dawley strain (Charles River, Portage, MI) were used in the studies. The adult male (PND70) rats were housed three per cage in a temperature- (22–24 °C) and humidity-controlled room with a 12:12-h light–dark cycle and allowed food and water ad libitum. Pregnant rats (Charles River, Portage, MI) were singly housed, and upon parturition, the offspring in each litter were counted, sexed, and culled to eight pups (four

Results

A single injection of MDMA (20 mg/kg sc) produced a significant (t=7.1, P<0.001) increase in body temperature of 1.3 °C in PND21 rats maintained at 24 °C (Table 1). MDMA-induced hyperthermia in PND21 rats at 24 °C was accompanied by a significant (P<0.001) 34% decrease in glycogen content in the brain (Fig. 1A).

Maintenance of PND21 rats at a cool ambient temperature of 17 °C not only prevented MDMA-induced hyperthermia but also completely abolished the MDMA-induced glycogenolysis. Indeed, at 17

Discussion

Amphetamine analogs have been shown to produce a breakdown of brain glycogen in rodents. The systemic administration of amphetamine has been shown to deplete brain glycogen in mice [21] and rats [32], [37]. Parachloroamphetamine, MDMA, and methamphetamine also have been shown to produce glycogenolysis in the rat brain [13], [19]. In the present study, MDMA administration resulted in the depletion of brain glycogen in both PND21 and PND70 rats maintained at 24 °C, and these results are

Acknowledgements

This study was supported by the grant USPHS DA07427.

References (58)

  • J.F Nash et al.

    Effect of the R (−) and S (+) isomers of MDA and MDMA on phosphotidyl inositol turnover in cultured cells expressing 5-HT2A or 5-HT2C receptors

    Neurosci. Lett.

    (1994)
  • Y Nomura et al.

    Regional changes in monoamine content and uptake of the rat brain during postnatal development

    Brain Res.

    (1976)
  • J.C Poblete et al.

    Activation of glycogen phosphorylase by serotonin and 3,4-methylenedioxymethamphetamine in astroglial rich primary cultures: involvement of the 5-HT2A receptor

    Brain Res.

    (1995)
  • C Pu et al.

    Developmental dissociation of methamphetamine-induced depletion of dopaminergic terminals and astrocytic reaction in the rat striatum

    Dev. Brain Res.

    (1993)
  • C.J Schmidt et al.

    Methylenedioxymethamphetamine-induced hyperthermia and neurotoxicity are independently mediated by 5-HT2 receptors

    Brain Res.

    (1990)
  • M Shankaran et al.

    Involvement of the serotonin transporter in the formation of hydroxyl radicals induced by 3,4-methylenedioxymethamphetamine

    Eur. J. Pharmacol.

    (1999)
  • V.E.V St. Omer et al.

    Behavioral and neurochemical effects of prenatal methylenedioxymethamphetamine (MDMA) exposure in rats

    Neurobehav. Toxicol. Teratol.

    (1991)
  • F.J Wan et al.

    d-Amphetamine-induced depletion of energy and dopamine in the rat striatum is attenuated by nicotinamide pretreatment

    Brain Res. Bull.

    (1999)
  • N Aguirre et al.

    The role of dopaminergic systems in the perinatal sensitivity to 3,4-methylenedioxymethamphetamine-induced neurotoxicity in rats

    J. Pharmacol. Exp. Ther.

    (1998)
  • G Battaglia et al.

    3,4-methylenedioxymethamphetamine and 3,4-methylenedioxyamphetamine destroy serotonergic terminals in rat brain: quantification of neurodegeneration by measurement of [3H] paroxetine-labeled serotonin uptake sites

    J. Pharmacol. Exp. Ther.

    (1987)
  • J.F Bowyer et al.

    The influence of environmental temperature on the transient effects of methamphetamine on dopamine levels and dopamine release in rat striatum

    J. Pharmacol. Exp. Ther.

    (1992)
  • J.F Bowyer et al.

    Further studies of the role of hyperthermia in methamphetamine neurotoxicity

    J. Pharmacol. Exp. Ther.

    (1994)
  • H.W Broening et al.

    Age modulates the long term but not the acute effects of the serotonergic neurotoxicant 3,4-methylenedioxymethamphetamine

    J. Pharmacol. Exp. Ther.

    (1994)
  • H.W Broening et al.

    Age-dependent sensitivity of long-term effects of the serotonergic neurotoxicant 3,4-methylenedioxymethamphetamine (MDMA) correlates with the magnitude of the MDMA-induced thermal response

    J. Pharmacol. Exp. Ther.

    (1995)
  • P Chan et al.

    Rapid ATP loss by methamphetamine in the mouse striatum: relationship between energy impairment and dopaminergic neurotoxicity

    J. Neurochem.

    (1994)
  • M.I Colado et al.

    In vivo evidence for free radical involvement in the degeneration of rat brain 5-HT following administration of MDMA (ecstasy) and p-chloroamphetamine but not the degeneration following fenfluramine

    Br. J. Pharmacol.

    (1997)
  • A.S Darvesh et al.

    3,4-methylenedioxymethamphetamine produces glycogenolysis and increases the extracellular concentration of glucose in the rat brain

    J. Pharmacol. Exp. Ther.

    (2002)
  • G.M Farfel et al.

    Role of hypothermia in the mechanism of protection against serotonergic toxicity: 1. Experiments using 3,4-methylenedioxymethamphetamine, dizocilpine, CGS 19755 and NBQX

    J. Pharmacol. Exp. Ther.

    (1995)
  • G.M Farfel et al.

    Role of hypothermia in the mechanism of protection against serotonergic toxicity: 2. Experiments with methamphetamine, p-chloroamphetamine, fenfluramine, dizocilpine and dextrometahorphan

    J. Pharmacol. Exp. Ther.

    (1995)
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