Quednow Boris B, Jessen Frank, Kuhn Kai-Uwe, Maier Wolfgang, Daum Irene, Wagner Michael
Department of Psychiatry, University of Bonn, Bonn, Germany.
J Psychopharmacol. 2006 May;20(3):373-84. doi: 10.1177/0269881106061200.
Chronic administration of the common club drug 3,4-methylenedioxymethamphetamine (MDMA, ecstasy) is associated with long-term depletion of serotonin (5-HT) and loss of 5-HT axons in the brains of rodents and non-human primates, and evidence suggests that recreational MDMA consumption may also affect the human serotonergic system. Moreover, it was consistently shown that abstinent MDMA users have memory deficits. Recently, it was supposed that these deficits are an expression of a temporal or rather hippocampal dysfunction caused by the serotonergic neurotoxicity of MDMA. The aim of this study is to examine the memory deficits of MDMA users neuropsychologically in order to evaluate the role of different brain regions. Nineteen male abstinent MDMA users, 19 male abstinent cannabis users and 19 male drug-naive control subjects were examined with a German version of the Rey Auditory Verbal Learning Test (RAVLT). MDMA users showed widespread and marked verbal memory deficits, compared to drug-naive controls as well as compared to cannabis users, whereas cannabis users did not differ from control subjects in their memory performance. MDMA users revealed impairments in learning, consolidation, recall and recognition. In addition, they also showed a worse recall consistency and strong retroactive interference whereby both measures were previously associated with frontal lobe function. There was a significant correlation between memory performance and the amount of MDMA taken. These results suggest that the memory deficits of MDMA users are not only the result of a temporal or hippocampal dysfunction, but also of a dysfunction of regions within the frontal cortex.
长期服用常见的俱乐部毒品3,4-亚甲基二氧甲基苯丙胺(摇头丸,MDMA)会导致啮齿动物和非人类灵长类动物大脑中5-羟色胺(5-HT)长期耗竭以及5-HT轴突丧失,并且有证据表明,吸食MDMA娱乐也可能会影响人类的5-羟色胺能系统。此外,研究一直表明,戒除MDMA的使用者存在记忆缺陷。最近,有人认为这些缺陷是由MDMA的5-羟色胺能神经毒性引起的颞叶或海马功能障碍的表现。本研究的目的是从神经心理学角度检查MDMA使用者的记忆缺陷,以评估不同脑区的作用。使用德语版的雷伊听觉词语学习测验(RAVLT)对19名戒除MDMA的男性使用者、19名戒除大麻的男性使用者和19名未接触过毒品的男性对照者进行了检查。与未接触过毒品的对照者以及大麻使用者相比,MDMA使用者表现出广泛且明显的言语记忆缺陷,而大麻使用者在记忆表现上与对照者并无差异。MDMA使用者在学习、巩固、回忆和识别方面均有损伤。此外,他们还表现出较差的回忆一致性和强烈的倒摄干扰,而这两种情况之前都与额叶功能有关。记忆表现与MDMA的服用量之间存在显著相关性。这些结果表明,MDMA使用者的记忆缺陷不仅是颞叶或海马功能障碍的结果,也是额叶皮质内区域功能障碍的结果。