Centre of Ophthalmology and Vision Sciences, IBILI, Faculty of Medicine, University of Coimbra, Coimbra, Portugal.
PLoS One. 2011;6(12):e29583. doi: 10.1371/journal.pone.0029583. Epub 2011 Dec 27.
3,4-Methylenedioxymethamphetamine (MDMA; ecstasy) is known to produce euphoric states, but may also cause adverse consequences in humans, such as hyperthermia and neurocognitive deficits. Although MDMA consumption has been associated with visual problems, the effects of this recreational drug in retinal physiology have not been addressed hitherto. In this work, we evaluated the effect of a single MDMA administration in the rat electroretinogram (ERG). Wistar rats were administered MDMA (15 mg/kg) or saline and ERGs were recorded before (Baseline ERG), and 3 h, 24 h, and 7 days after treatment. A high temperature (HT) saline-treated control group was also included. Overall, significantly augmented and shorter latency ERG responses were found in MDMA and HT groups 3 h after treatment when compared to Baseline. Twenty-four hours after treatment some of the alterations found at 3 h, mainly characterized by shorter latency, tended to return to Baseline values. However, MDMA-treated animals still presented increased scotopic a-wave and b-wave amplitudes compared to Baseline ERGs, which were independent of temperature elevation though the latter might underlie the acute ERG alterations observed 3 h after MDMA administration. Seven days after MDMA administration recovery from these effects had occurred. The effects seem to stem from specific changes observed at the a-wave level, which indicates that MDMA affects subacutely (at 24 h) retinal physiology at the outer retinal (photoreceptor/bipolar) layers. In conclusion, we have found direct evidence that MDMA causes subacute enhancement of the outer retinal responses (most prominent in the a-wave), though ERG alterations resume within one week. These changes in photoreceptor/bipolar cell physiology may have implications for the understanding of the subacute visual manifestations induced by MDMA in humans.
3,4-亚甲二氧基甲基苯丙胺(MDMA;摇头丸)已知可产生欣快状态,但也可能在人类中引起不良反应,如体温过高和神经认知缺陷。尽管 MDMA 的使用与视觉问题有关,但迄今为止,尚未研究这种娱乐性药物对视网膜生理学的影响。在这项工作中,我们评估了单次 MDMA 给药对大鼠视网膜电图(ERG)的影响。Wistar 大鼠给予 MDMA(15mg/kg)或生理盐水,并在治疗前(基础 ERG)以及治疗后 3 小时、24 小时和 7 天记录 ERG。还包括一个高温(HT)生理盐水处理的对照组。总的来说,与基础 ERG 相比,治疗后 3 小时 MDMA 和 HT 组的 ERG 反应明显增强且潜伏期延长。治疗后 24 小时,部分在 3 小时发现的改变,主要表现为潜伏期缩短,趋于恢复到基础值。然而,与基础 ERG 相比,MDMA 处理的动物仍然表现出暗视 a 波和 b 波幅度增加,尽管后者可能是 MDMA 给药后 3 小时观察到的急性 ERG 改变的基础,但与体温升高无关。MDMA 给药后 7 天,这些效应已恢复。这些影响似乎源于在 a 波水平观察到的特定变化,这表明 MDMA 亚急性(在 24 小时)影响外视网膜(光感受器/双极)层的视网膜生理学。总之,我们已经发现直接证据表明 MDMA 导致外视网膜反应的亚急性增强(在 a 波中最为明显),尽管 ERG 改变在一周内恢复。这些光感受器/双极细胞生理学的变化可能对理解 MDMA 在人类中引起的亚急性视觉表现具有重要意义。