Comparison of the effects of ( )3,4-Methylenedioxymethamphetamine (MDMA), ( )3,4Methylenedioxyamphetamine (MDA) and d-Methamphetamine (METH) on temperature and activity in monkeys Rebecca D. Crean, Sophia A. Davis, Stefani N. Von Huben, Christopher C. Lay, Simon N. Katner and Michael A. Taffe Molecular and Integrative Neuroscience Department, The Scripps Research Institute, La Jolla, CA 37.0 37.0 # # # Vehicle 0.56 mg/kg 1.0 mg/kg 1.78 mg/kg 2.4 mg/kg 35 # * Open symbols indicate a significant difference from the vehicle condition at a given time point. The * symbol indicates a significant increase from pre-injection baseline. Vehicle 0.56 mg/kg 1.0 mg/kg 1.78 mg/kg 2.4 mg/kg 1 2 3 5 6 7 8 9 MDA 37.5 Activity Counts * ** * 37.0 36.5 36.0 35.5 Vehicle 0.56 mg/kg 1.0 mg/kg 1.78 mg/kg 2.4 mg/kg 35.0 -1 1 2 3 4 5 6 7 8 9 Thermoregulatory and Activity Recordings Radio telemetric transmitters were surgically implanted subcutaneously in the flank. Data (temperature and activity) were recorded by the controlling computer and represented as a 10-minute average of. * * * * ** * 37.5 * * * * * * METH * * * 36.5 36.0 Vehicle 0.1 mg/kg 0.32 mg/kg 0.56 mg/kg 1.0 mg/kg 35.5 35.0 -1 1 2 3 4 5 6 7 8 9 MDMA + 0.32 mg/kg METH 37.5 37.0 36.5 300 270 240 210 180 150 120 300 270 240 210 180 150 300 270 240 210 180 150 120 90 60 0 -30 30 8 9 10 11 12 13 14 15 16 17 18 19 20 The * symbol indicates a significant increase from the vehicle condition. MDA 1 2 3 4 5 6 7 8 9 200 METH * 150 120 150 180 210 240 270 300 100 -1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 1.78 mg/kg MDMA + 0.32 mg/kg Meth 38.5 Vehicle MDMA only MDMA + 0.1 mg/kg METH 0.1 mg/kg METH 37.5 37.0 Vehicle MDMA only 38.0 MDMA + 0.32 mg/kg METH 0.32 mg/kg METH 37.5 0 30 60 Combining METH with MDMA significantly increased temperature over MDMA alone. 90 120 150 180 210 240 270 300 METH elevates temperature over a more protracted time course. Temperature responses to all three amphetamines were not strongly dose-dependent across the tested ranges, except when MDMA and METH were combined. Temperature responses were not dependent on significant increases in locomotor activity following any of the compounds. 37.0 36.5 -90 -60 -30 The results of the present study establish that rhesus monkeys develop elevated body temperature following an intramuscular injection of a range of doses of each of three substituted amphetamines. The immediate temperature response in ~4 hours after the administration of ( )MDA is similar to the ( )MDMA response at identical doses. Hours Post-Injection 38.0 Discussion These data support and extend our initial report (Taffe et al. 2006) that monkeys hyperthermic responses to these compounds are similar to humans and not hypothermic, which contrasts with one prior report on the effects of (+)MDMA in rhesus monkeys (Bowyer et al. 2003). 10 11 12 13 14 15 16 17 18 19 20 Vehicle 0.1 mg/kg 0.32 mg/kg 0.56 mg/kg 1.0 mg/kg 36.5 90 7 Body Temperature MDMA + 0.1 mg/kg METH 60 6 1.78 mg/kg MDMA + 0.1 mg/kg Meth Body Temperature Body Temperature MDMA only 30 5 50 10 11 12 13 14 15 16 17 18 19 20 38.5 0 4 100 0 Vehicle -90 -60 -30 3 50 1.78 mg/kg MDMA + Meth 38.0 2 Open symbols indicate a significant difference from the pre-injection baseline. 150 Hours Post-Injection 38.5 1 Vehicle 0.56 mg/kg 1.0 mg/kg 1.78 mg/kg 2.4 mg/kg -1 37.0 34.5 -1 200 10 11 12 13 14 15 16 17 18 19 20 Activity Counts Body Temperature ( C) Body temperature and spontaneous home cage activity were monitored continuously in six male rhesus monkeys via radiotelemetric devices. Subjects were challenged intramuscularly with 0.56-2.4 mg/kg MDMA, 0.56-2.4 mg/kg MDA and 0.1-1.0 mg/kg METH. 50 250 38.0 * * 100 Mean (N=6, bars indicate SEM) activity values in the 20 hours following acute challenge with doses of ( )MDMA, ( )MDA and (+)METH. 0 38.5 Methods MDMA 150 250 38.0 34.5 Vehicle 0.56 mg/kg 1.0 mg/kg 1.78 mg/kg 2.4 mg/kg 200 10 11 12 13 14 15 16 17 18 19 20 38.5 Significant decreases from baseline are not depicted. 120 15 0 4 90 20 -120 36.5 -1 90 25 300 270 240 210 180 150 120 90 60 30 * * 37.0 34.5 60 30 Minutes Post-Injection MDMA 35.0 Activity levels were only significantly increased by 0.32 mg/kg METH. 35 250 35.5 0.56 mg/kg 1.0 mg/kg 0 38.5 36.0 A disruption of nighttime circadian cooling was observed up to 18 hours after 1.0. mg/kg METH and 1.78-2.4 mg/kg MDA, but not after MDMA. 5 Activity Counts Body Temperature ( C) Mean (N=6, bars indicate SEM) subcutaneous temperature values in the 20 hours following acute challenge with doses of ( )MDMA, ( )MDA and (+)METH. 60 40 The acute effect of METH lasted hours longer than MDA or MDMA. 10 0 -30 -90 -60 Vehicle 0.1 mg/kg 0.32 mg/kg 0.56 mg/kg 1.0 mg/kg 30 -120 Activity Counts 37.0 V ehicle 0.1 mg/kg 0.32 mg/kg METH 45 Increases were not dose-dependent. Combining METH with 1.78 mg/kg MDMA significantly increased temperature over MDMA alone, in a dosedependent fashion. 0 METH ** ** 30 15 5 37.5 37.5 0 20 10 38.0 38.0 -30 25 50 36.5 -60 30 300 270 240 210 180 150 120 90 60 30 0 -30 -60 -90 -120 Significant increase in activity, compared with preinjection baseline, were observed with 0.32 mg/kg METH. 0 36.0 40 Breaks in the series indicate the time of injection. No significant increases in activity, compared with pre-injection baseline, were observed with MDMA or MDA. MDA -30 ** Vehicle 0.56 mg/kg 1.0 mg/kg 1.78 mg/kg 2.4 mg/kg 45 -60 # -120 -90 -120 210 180 150 120 90 60 30 0 -30 0 37.5 36.0 Mean (N=6) activity values following acute challenge with doses of ( )MDMA, ( )MDA and (+)METH. Minutes Post-Injection Objective: The present study was conducted to determine the relative thermoregulatory disruption produced by recreational doses of MDMA, MDA and METH in nonhuman primates. Acute Drug Challenges, administered IM in a volume of 0.1 ml/kg saline MDMA: 0, 0.56, 1.0, 1.78, 2.4 mg/kg MDA: 0, 0.56, 1.0, 1.78, 2.4 mg/kg METH: 0, 0.1, 0.32, 0.56, 1.0 mg/kg Combination of 1.78 mg/kg MDMA with 0.0, 0.1 or 0.32 METH mg/kg 15 5 38.0 38.5 Body Temperature ( C) A clear distinction of thermoregulatory risks posed by different amphetamines, individually and in combination, is critical to understand factors that may produce medical emergencies related to hyperthermia. 20 35.5 Introduction In animal studies the degree of (subcritical) hyperthermia is often related to the severity of amphetamine-induced neurotoxicity, suggesting health risks to the human user even when emergency medical services are not invoked 25 50 36.5 All three amphetamines significantly elevated temperature. 30 10 MDA 35.5 Severe and malignant hyperthermia is a frequently reported factor in Emergency Department visits and fatalities in which use of amphetamine drugs, such as MDMA, MDA and METH, is confirmed. Individuals who use Ecstasy are also often exposed, intentionally or otherwise, to several of these structurally-related compounds alone or in combination. 35 -60 38.5 -60 35.5 40 300 36.0 Vehicle 0.56 mg/kg 1.0 mg/kg 1.78 mg/kg 2.4 mg/kg MDMA 45 -90 The * and # indicate time points in which all four (*) or three of four (#) active dose conditions differed significantly from the vehicle temperature. Vehicle 0.56 mg/kg 1.0 mg/kg 1.78 mg/kg 2.4 mg/kg Activity Counts Open symbols indicate significant change from pre-injection baseline # 270 * 240 36.5 -120 Body Temperature ( C) Breaks in the series indicate the time of injection. Activity Counts 37.5 -90 Body Temperature ( C) Mean (N=6, bars indicate SEM) subcutaneous temperature values following acute challenge with doses of MDMA, MDA and METH. Body Temperature ( C) Rationale: Recreational Ecstasy pills thought to contain ( )3,4methylenedioxymethamphetamine (MDMA) frequently include other substituted amphetamines such as ( )3,4-methylenedioxyamphetamine (MDA) and d-methamphetamine (METH). Hyperthermia is a critical factor in Ecstasy-related Emergency Department visits and fatalities, and the degree of hyperthermia is related to the severity of MDMA-induced neurotoxicity in animal studies. Given that the majority of Ecstasy pills are contaminated with other amphetamines, the etiology of thermodysregulation is unclear. Objective: To determine the relative thermoregulatory disruption produced by recreational doses of MDMA, MDA and METH in nonhuman primates. Methods: Body temperature and spontaneous home cage activity were monitored continuously in six male rhesus monkeys via radiotelemetric devices. The subjects were challenged intramuscularly with 0-2.4 mg/kg ( )MDMA, 0-2.4 mg/kg ( )MDA and 0-1.0 mg/kg METH in a randomized order. Results: Temperature was significantly elevated by all three substituted amphetamines, and the increase was not dose dependent. A disruption of nighttime circadian cooling was observed as long as 18 hours after 1.0 mg/kg METH and 1.782.4 mg/kg MDA, but not after MDMA. With the exception of 0.32 mg/kg METH , activity levels were not increased. Conclusions: All three substituted amphetamines produce hyperthermia in rhesus monkeys and these effects do not depend on elevated locomotor activity. These studies establish a novel model of thermoregulatory disruption associated with substituted amphetamines. The results further our understanding of the risks posed by recreational Ecstasy exposure, clinical MDMA use, and help to refine preclinical models of exposure to substituted amphetamines. Supported by DA018418. MDMA 38.0 Results 50 -90 ABSTRACT 38.5 -90 -60 -30 0 30 60 90 120 150 180 210 240 270 300