Chu T, Kumagai Y, DiStefano E W, Cho A K
Department of Molecular and Medical Pharmacology, UCLA School of Medicine, Los Angeles, CA 90095-1735, USA.
Biochem Pharmacol. 1996 Mar 22;51(6):789-96. doi: 10.1016/0006-2952(95)02397-6.
3,4-Methylenedioxymethamphetamine (MDMA) affects both dopamine and serotonin (5-HT) systems. One of its acute actions is to cause a reversible fall in steady-state brain 5-HT concentrations. To investigate the chemical basis of this acute effect, the brain levels of the parent compound and three major metabolites, 3,4- 3,4-methylenedioxyamphetamine (MDA), 3,4-dihydroxymethamphetamine (DHMA) and 6-hydroxy-3,4-methylenedioxymethamphetamine (6-OHMDMA), were monitored, together with 5-HT levels, over a period of 6 hr in male Sprague-Dawley (SD) rats. The temporal relationships between drug concentrations of both stereoisomers and depletions were evaluated first. There was no correlation between the concentrations of the compounds measured and the extent of 5-HT depletion. Brain levels of MDMA and MDA were higher than plasma levels and exhibited a stereoselectivity in that (-)-MDMA and (+)-MDA levels were higher than those of enantiomers. The relationship between the dose of ((+)-MDMA and reduction in 5-HT levels was next investigated in SD male, SD female, and Dark Agouti (DA) female rats. These animals exhibit different capabilities of MDMA metabolism. There is a lower level of MDA, the N-demethylated metabolite of MDMA, in female SD rats than in males. Female DA rats are deficient in CYP2D isozymes, one of the enzymes responsible for demethylenation of MDMA to DHMA at pharmacological concentrations of substrate. there was a significant accuulation of MDMA in the brain and plasma of DA rats, but their 5-HT depletion was somewhat attenuated. The results indicated that MDMA ++ was apparently not the single, causative agent for the acute 5-HT depletion, which may also involve a metabolite formed by CYP2D.
3,4-亚甲基二氧甲基苯丙胺(摇头丸)会影响多巴胺和5-羟色胺(5-HT)系统。其急性作用之一是导致稳态脑5-HT浓度出现可逆性下降。为了研究这种急性效应的化学基础,在雄性斯普拉格-道利(SD)大鼠中,对母体化合物及其三种主要代谢产物3,4-亚甲基二氧苯丙胺(MDA)、3,4-二羟基甲基苯丙胺(DHMA)和6-羟基-3,4-亚甲基二氧甲基苯丙胺(6-OHMDMA)的脑内水平以及5-HT水平进行了6小时的监测。首先评估了两种立体异构体的药物浓度与5-HT耗竭之间的时间关系。所测化合物的浓度与5-HT耗竭程度之间没有相关性。摇头丸和MDA的脑内水平高于血浆水平,并且表现出立体选择性,即(-)-摇头丸和(+)-MDA的水平高于对映体。接下来在SD雄性大鼠、SD雌性大鼠和深色刺豚鼠(DA)雌性大鼠中研究了(+)-摇头丸剂量与5-HT水平降低之间的关系。这些动物表现出不同的摇头丸代谢能力。雌性SD大鼠中MDA(摇头丸的N-去甲基代谢产物)的水平低于雄性。雌性DA大鼠缺乏CYP2D同工酶,该酶是在药理学底物浓度下将摇头丸去亚甲基化为DHMA的酶之一。DA大鼠脑和血浆中摇头丸有明显蓄积,但它们的5-HT耗竭有所减轻。结果表明,摇头丸显然不是急性5-HT耗竭的唯一致病因素,这可能还涉及由CYP2D形成的一种代谢产物。