Evidence map›Paper›PMID 21151866›Full record

ArticlePloS one2010

Distribution and pharmacokinetics of methamphetamine in the human body: clinical implications.

Nora D Volkow, Joanna S Fowler, Gene-Jack Wang, Elena Shumay, Frank Telang, Peter K Thanos, David Alexoff

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 87 papers.

0numbers the graph read from it
0cells of the map it votes in
87citing papers in PubMed
4.3field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

87 citing papers in PubMed, 161 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. A Mechanistic Review on Toxicity Effects of Methamphetamine.International journal of medical sciences · 2025
    Review
  8. Review
  9. Quercitrin, the primary active ingredient ofFrontiers in pharmacology · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article

27 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Nora D VolkowNational Institute on Drug Abuse, Bethesda, Maryland, United States of America. nvolkow@nida.nih.gov
Joanna S Fowler
Gene-Jack Wang
Elena Shumay
Frank Telang
Peter K Thanos
David Alexoff
Brookhaven National Laboratory · USNational Institute on Alcohol Abuse and Alcoholism · USNational Institutes of Health · US

Funding

Neurobiology of Substance Abuse and AddictionZIAAA000550 · NIAAA · NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM · PI VOLKOW, NORA D. · 2009 to 2025
$115.1M
World Trade Center Worker and Volunteer Medical Screening ProgramM01RR010710 · NCRR · STATE UNIVERSITY NEW YORK STONY BROOK · PI CHEN, WEN Y · 1998 to 2009
$17.6M
Role of Genotype and Maternal Smoking on Brain MAO AK05DA020001 · NIDA · BROOKHAVEN SCIENCE ASSOC-BROOKHAVEN LAB · PI FOWLER, JOANNA S · 2005 to 2009
$685k
Intramural NIH HHSNCRR NIH HHS M01 RR010710NCRR NIH HHS MO1RR10710NIDA NIH HHS K05 DA020001NIDA NIH HHS K05DA020001
6 · The paper itself

Abstract

backgroundMethamphetamine is one of the most toxic of the drugs of abuse, which may reflect its distribution and accumulation in the body. However no studies have measured methamphetamine's organ distribution in the human body.

methodsPositron Emission Tomography (PET) was used in conjunction with [(11)C]d-methamphetamine to measure its whole-body distribution and bioavailability as assessed by peak uptake (% Dose/cc), rate of clearance (time to reach 50% peak-clearance) and accumulation (area under the curve) in healthy participants (9 Caucasians and 10 African Americans).

resultsMethamphetamine distributed through most organs. Highest uptake (whole organ) occurred in lungs (22% Dose; weight ∼1246 g), liver (23%; weight ∼1677 g) and intermediate in brain (10%; weight ∼1600 g). Kidneys also showed high uptake (per/cc basis) (7%; weight 305 g). Methamphetamine's clearance was fastest in heart and lungs (7-16 minutes), slowest in brain, liver and stomach (>75 minutes), and intermediate in kidneys, spleen and pancreas (22-50 minutes). Lung accumulation of [(11)C]d-methamphetamine was 30% higher for African Americans than Caucasians (p<0.05) but did not differ in other organs.

conclusionsThe high accumulation of methamphetamine, a potent stimulant drug, in most body organs is likely to contribute to the medical complications associated with methamphetamine abuse. In particular, we speculate that methamphetamine's high pulmonary uptake could render this organ vulnerable to infections (tuberculosis) and pathology (pulmonary hypertension). Our preliminary findings of a higher lung accumulation of methamphetamine in African Americans than Caucasians merits further investigation and questions whether it could contribute to the infrequent use of methamphetamine among African Americans.

Indexed as

AdultAmphetamine-Related DisordersArea Under CurveBlack or African AmericanCase-Control StudiesCentral Nervous System StimulantsHumansHypertension, PulmonaryImage Processing, Computer-AssistedMaleMethamphetaminePositron-Emission TomographyTissue DistributionTuberculosis, PulmonaryWhite PeopleCentral Nervous System StimulantsMethamphetamine

Identifiers

PMID21151866
PMCPMC2998419
OpenAlexW2049160155

What OpenQuestion holds

Textmetadata
LicenceCC0
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.