Evidence map›Paper›PMID 22353758›Full record

ArticleNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2012

Sustained recreational use of ecstasy is associated with altered pre and postsynaptic markers of serotonin transmission in neocortical areas: a PET study with [¹¹C]DASB and [¹¹C]MDL 100907.

Nina Bl Urban, Ragy R Girgis, Peter S Talbot, Lawrence S Kegeles, X Xu, W Gordon Frankle, Carl L Hart, Mark Slifstein, Anissa Abi-Dargham, Marc Laruelle

Open access · bronzeAbstract read
In one paragraph

Article in Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
5.5field-weighted citation impact, top 3% 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 59 citations in OpenAlex.

  1. Pooled it
  2. Meta-analysis of molecular imaging of serotonin transporters in major depression.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2014
    Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. MDMA for the treatment of mood disorder: all talk no substance?Therapeutic advances in psychopharmacology · 2015
    Review
  12. Article
  13. Central 5-HT neurotransmission modulates weight loss following gastric bypass surgery in obese individuals.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2015
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. 3,4-methylenedioxymethamphetamine (MDMA): current perspectives.Substance abuse and rehabilitation · 2013
    Review
  20. Review
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

10 authors at 4 institutions in 2 countries.

Nina Bl UrbanDepartment of Psychiatry, Columbia University, New York State Psychiatric Institute, New York, NY 10032, USA. nu2118@columbia.edu
Ragy R Girgis
Peter S Talbot
Lawrence S Kegeles
X Xu
W Gordon Frankle
Carl L Hart
Mark Slifstein
Anissa Abi-Dargham
Marc Laruelle
New York State Psychiatric InstituteNew York Psychoanalytic Society and Institute · USUniversity of Manchester · GBUniversity of Pittsburgh · US

Funding

PET Imaging of Serotonin Transmission in MDMA UsersR01DA015806 · NIDA · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI ABI-DARGHAM, ANISSA · 2003 to 2008
$1.7M
NIDA NIH HHS R01 DA015806NIDA NIH HHS R01 DA015806-02
6 · The paper itself

Abstract

3,4-Methylenedioxymethamphetamine (MDMA), the main psychoactive component of the recreational drug ecstasy, is a potent serotonin (5-HT) releaser. In animals, MDMA induces 5-HT depletion and toxicity in 5-HT neurons. The aim of this study was to investigate both presynaptic (5-HT transporter, SERT) and postsynaptic (5-HT(2A) receptor) markers of 5-HT transmission in recently abstinent chronic MDMA users compared with matched healthy controls. We hypothesized that MDMA use is associated with lower SERT density and concomitant upregulation of 5-HT(2A) receptors. Positron emission tomography studies using the SERT ligand [¹¹C]DASB and the 5-HT(2A) receptor ligand [¹¹C]MDL 100907 were evaluated in 13 current and recently detoxified MDMA users and 13 matched healthy controls. MDMA users reported a mean duration of ecstasy use of 8 years, regular exposure, and at least 2 weeks of abstinence before the scans. SERT and 5-HT(2A) receptor availability (binding potential, BP(ND)) were analyzed with a two-tissue compartment model with arterial input function. Current recreational MDMA use was significantly associated with lower SERT BP(ND) and higher 5-HT(2A) receptor BP(ND) in cortical, but not subcortical regions. Decreased SERT BP(ND) was regionally associated with upregulated 5-HT(2A) receptor BP(ND). In light of the animal literature, the most parsimonious interpretation is that repeated exposure to MDMA in humans, even in moderate amounts, leads to damage in 5-HT neuron terminals innervating the cortex. Alterations in mood, cognition, and impulse control associated with these changes might contribute to sustain MDMA use. The reversibility of these changes upon abstinence remains to be firmly established.

Indexed as

AdultAmphetamine-Related DisordersBenzylaminesBrain MappingCarbon RadioisotopesFemaleFluorobenzenesHumansMaleNeocortexN-Methyl-3,4-methylenedioxyamphetaminePiperidinesPositron-Emission TomographyProtein BindingReceptor, Serotonin, 5-HT2ASelective Serotonin Reuptake InhibitorsBenzylaminesCarbon RadioisotopesFluorobenzenesN-Methyl-3,4-methylenedioxyamphetamineN,N-dimethyl-2-(2-amino-4-cyanophenylthio)benzylaminePiperidinesReceptor, Serotonin, 5-HT2ASelective Serotonin Reuptake InhibitorsSerotonin 5-HT2 Receptor AntagonistsSerotonin Plasma Membrane Transport Proteinsvolinanserin

Identifiers

PMID22353758
PMCPMC3327851
OpenAlexW2033849968

What OpenQuestion holds

Textmetadata
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.