4.7 Review

Neurotoxicity of MDMA: Main effects and mechanisms

Journal

EXPERIMENTAL NEUROLOGY
Volume 347, Issue -, Pages -

Publisher

ACADEMIC PRESS INC ELSEVIER SCIENCE
DOI: 10.1016/j.expneurol.2021.113894

Keywords

Ecstasy; Excitotoxicity; Hyperthermia; MDMA metabolites; Mitochondrial dysfunction; Neurotoxicity; Neuroinflammation; Oxidative stress

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Studies suggest that MDMA, commonly known as 'ecstasy', not only has abuse potential, but may also cause acute and persistent central level abnormalities with demonstrated neurotoxic effects in experimental animals. This could pose serious health risks since MDMA is frequently used recreationally by young and adult individuals.
Preclinical and clinical studies indicate that 3,4-methylenedioxymethamphetamine (MDMA; 'ecstasy'), in addition to having abuse potential, may elicit acute and persistent abnormalities of varying severity at the central level. Importantly, neurotoxic effects of MDMA have been demonstrated in experimental animals. Accordingly, central toxicity induced by MDMA may pose a serious harm for health, since MDMA is among the substances that are used for recreational purposes by young and adult people. This review provides a concise overview of recent findings from preclinical and clinical studies that evaluated the central effects of MDMA, and the mechanisms involved in the neurotoxicity induced by this amphetamine-related drug.

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