“…Second, with regard to sleep abnormalities, there is little known about the long-term effects of most recreational drugs of abuse on sleep architecture. However, given preclinical reports of lasting effects of MDMA on circadian regulation (Gardani et al, 2005;Biello and Dafters, 2001) and the known roles of 5-HT and catecholamines in sleep regulation, it is certainly plausible that sleep abnormalities in the present study could be related to lasting effects of MDMA on 5-HT systems as well as altered 5-HT/catecholamine interactions. Third, as with all studies involving retrospective accounts of drug use, drug use histories could be clouded by the passage of time, inaccuracy of recall (given memory deficits), or because drugs believed to be MDMA may have been contaminated with other drugs.…”
Section: Rem Latencymentioning
confidence: 76%
“…Although it could be argued that the development of compensatory mechanisms diminishes the clinical importance of MDMA-induced neurotoxicity, an alternative view is that MDMA-induced lesions produce a brain milieu of diminished functional reserve that may become clinically apparent under various forms of stress. One method that has proved useful for unmasking such 'subclinical' deficits in animals treated with neurotoxic doses of MDMA has been the use of pharmacological challenge (Poland et al, 1997;Virden and Baker, 1999;Shankaran and Gudelsky, 1999;Gardani et al, 2005). The foregoing studies demonstrate that animals with MDMA-induced lesions that exhibit normal behaviors or physiology at baseline have abnormal thermal, behavioral and circadian responses to pharmacological challenges with drugs that influence these 5-HTmediated functional domains.…”
(7) 3, 4-Methylenedioxymethamphetamine (MDMA) is a popular recreational drug of abuse and a brain serotonin (5-HT) neurotoxin in animals. Growing evidence suggests that humans who use MDMA recreationally can also develop 5-HT neurotoxic injury, although functional consequences have been difficult to identify. Twenty-five abstinent MDMA users and 23 non-MDMA using controls were studied to determine whether pharmacologic depletion of brain catecholamines by alpha-methyl-para-tyrosine (AMPT) would differentially effect MDMA users on measures of cognition and sleep, two processes dually modulated by brain serotonergic and catecholaminergic neurons. During a 5-day in-patient study, all subjects underwent formal neuropsychiatric testing, repeated computerized cognitive testing, and all-night sleep studies. At baseline, MDMA users had performance deficits on tasks of verbal and visuospatial working memory and displayed increased behavioral impulsivity on several computerized tasks, reflecting a tendency to perform quickly at the expense of accuracy. Baseline sleep architecture was also altered in abstinent MDMA users compared to controls. AMPT produced differential effects in MDMA users compared to controls on several cognitive and sleep measures. Differences in cognitive performance, impulsivity, and sleep were significantly correlated with MDMA use. These data extend findings from earlier studies demonstrating cognitive deficits, behavioral impulsivity, and sleep alterations in abstinent MDMA users, and suggest that lasting effects of MDMA lead to alterations in the ability to modulate behaviors reciprocally influenced by 5-HT and catecholamines. More research is needed to determine potential relationships between sleep abnormalities, cognitive deficits and impulsive behavior in abstinent MDMA users.
“…Second, with regard to sleep abnormalities, there is little known about the long-term effects of most recreational drugs of abuse on sleep architecture. However, given preclinical reports of lasting effects of MDMA on circadian regulation (Gardani et al, 2005;Biello and Dafters, 2001) and the known roles of 5-HT and catecholamines in sleep regulation, it is certainly plausible that sleep abnormalities in the present study could be related to lasting effects of MDMA on 5-HT systems as well as altered 5-HT/catecholamine interactions. Third, as with all studies involving retrospective accounts of drug use, drug use histories could be clouded by the passage of time, inaccuracy of recall (given memory deficits), or because drugs believed to be MDMA may have been contaminated with other drugs.…”
Section: Rem Latencymentioning
confidence: 76%
“…Although it could be argued that the development of compensatory mechanisms diminishes the clinical importance of MDMA-induced neurotoxicity, an alternative view is that MDMA-induced lesions produce a brain milieu of diminished functional reserve that may become clinically apparent under various forms of stress. One method that has proved useful for unmasking such 'subclinical' deficits in animals treated with neurotoxic doses of MDMA has been the use of pharmacological challenge (Poland et al, 1997;Virden and Baker, 1999;Shankaran and Gudelsky, 1999;Gardani et al, 2005). The foregoing studies demonstrate that animals with MDMA-induced lesions that exhibit normal behaviors or physiology at baseline have abnormal thermal, behavioral and circadian responses to pharmacological challenges with drugs that influence these 5-HTmediated functional domains.…”
(7) 3, 4-Methylenedioxymethamphetamine (MDMA) is a popular recreational drug of abuse and a brain serotonin (5-HT) neurotoxin in animals. Growing evidence suggests that humans who use MDMA recreationally can also develop 5-HT neurotoxic injury, although functional consequences have been difficult to identify. Twenty-five abstinent MDMA users and 23 non-MDMA using controls were studied to determine whether pharmacologic depletion of brain catecholamines by alpha-methyl-para-tyrosine (AMPT) would differentially effect MDMA users on measures of cognition and sleep, two processes dually modulated by brain serotonergic and catecholaminergic neurons. During a 5-day in-patient study, all subjects underwent formal neuropsychiatric testing, repeated computerized cognitive testing, and all-night sleep studies. At baseline, MDMA users had performance deficits on tasks of verbal and visuospatial working memory and displayed increased behavioral impulsivity on several computerized tasks, reflecting a tendency to perform quickly at the expense of accuracy. Baseline sleep architecture was also altered in abstinent MDMA users compared to controls. AMPT produced differential effects in MDMA users compared to controls on several cognitive and sleep measures. Differences in cognitive performance, impulsivity, and sleep were significantly correlated with MDMA use. These data extend findings from earlier studies demonstrating cognitive deficits, behavioral impulsivity, and sleep alterations in abstinent MDMA users, and suggest that lasting effects of MDMA lead to alterations in the ability to modulate behaviors reciprocally influenced by 5-HT and catecholamines. More research is needed to determine potential relationships between sleep abnormalities, cognitive deficits and impulsive behavior in abstinent MDMA users.
“…At ZT6: the MDMA group had n=4, n=6 and n=6 animals at 30, 60 and 120 min, respectively, while the saline group had n=5, n=6 and n=5 animals at 30, 60 and 120 min. At ZT16: the MDMA group had n=5, n=3 and n=6 animals at 30, 60 and 120 min, respectively, while the saline group had n=4, n=6 and n=4 animals at 30, 60 and 120 min Previous studies have suggested that the circadian timing system may be disrupted by MDMA (Colbron et al 2002;Gardani et al 2005;Wallace et al 2001), with even a single dose affecting the free-running activity rhythm (Ogeil et al 2010), attenuating the normal response to photic stimuli in rats (Balogh et al 2004) and nonphotic stimuli in hamsters (Gardani et al 2005). However, there is uncertainty as to whether these changes may have been caused indirectly, either by damage to the serotonergic system caused by the multiple high dose MDMA treatment regimen (Schuhler et al 1998;Xie et al 2006) or due to the altered integrity of the serotonin transporter subsequent to MDMA treatment (McGregor et al 2003).…”
Section: Discussionmentioning
confidence: 99%
“…MDMA pretreatment altered the ability of the circadian system of hamsters to entrain to a new light-dark cycle (Gardani et al 2005) following administration of multiple doses across a series of days (day 1: 10 mg/kg, day 2: 15 mg/kg, day 3: 20 mg/kg). A single dose of MDMA has also been shown to disrupt the daily distribution of activity of rats held under a 12-12 h light-dark cycle (Balogh et al 2004;Ogeil et al 2010).…”
These data provide evidence that MDMA has time of day dependent actions on SCN functioning, as evident from its induction of core clock genes that are important for generating and maintaining circadian rhythmicity.
“…Certain drugs of use in clinical practice, e.g. antidepressives as imipramine and lithium [81], opioid-agonists as fentanyl [82,83], benzodiazepines as triazolam [84], 2 adrenoceptor agonists as fenoterol o procaterol [52], sleep-inducer melatonin [85] and experimental drugs as tetrodoxin [86] and Nmethyl-D-aspartate (NMDA) [84] can modify the clock phase.…”
Section: The Circadian System: How Physiology and Behaviour Are Harmomentioning
Chronobiology studies the phenomenon of rhythmicity in living organisms. Circadian rhythms are genetically determined and are regulated by external synchronizers (i.e. light/day cycle). Several biological processes involved in the pharmacokinetics and pharmacodynamics of drugs are subject to circadian variations. Chronopharmacology studies how biological rhythms impact on drug pharmacokinetic (chronokinetics), pharmacodynamics (chronoesthesy) and toxicity and determines whether time of day administration modifies drug's pharmacological characteristics. Chronotherapy applies chronopharmacological studies to clinical treatments, determining the best biological time for its dosing, i.e. when beneficial effects are maximal and incidence and/or intensity of related side-effects and toxicity are minimal. Significant variations in the pharmacokinetics and toxicity of antibiotics (aminoglycosides, beta-lactams and fluoroquinolones) related to administration time are well known. The aims of this review are to discuss, briefly, the currently accepted model of the circadian system that substantiates endogenous rhythmicity and to provide an update on the knowledge of circadian rhythms applied to drugs used as medicines, with a special mention to the possible impact on antimicrobial treatments. It is concluded that the dosing time of an antimicrobial agent might be clinically relevant in some treatments, thus, clinicians should be aware that the dosing time might affect the clinical response of a drug.
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