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The Journal of Neuroscience, December 1, 2001, 21(23):9414-9418
Loss of Dopamine Transporters in Methamphetamine Abusers Recovers
with Protracted Abstinence
Nora D.
Volkow1, 3,
Linda
Chang1, 3,
Gene-Jack
Wang1,
Joanna S.
Fowler2,
Dinko
Franceschi1,
Mark
Sedler3,
Samuel J.
Gatley1,
Eric
Miller4,
Robert
Hitzemann3,
Yu-Shin
Ding1, and
Jean
Logan1
1 Medical and 2 Chemistry Departments,
Brookhaven National Laboratory, Upton, New York 11973, 3 Department of Psychiatry, State University of New York at
Stony Brook, Stony Brook, New York 11794, and 4 Department
of Psychiatry, Harbor-University of California, Los Angeles, Torrance,
California 90502
Methamphetamine is a popular drug of abuse that is neurotoxic to
dopamine (DA) terminals when administered to laboratory animals. Studies in methamphetamine abusers have also documented significant loss of DA transporters (used as markers of the DA terminal) that are
associated with slower motor function and decreased memory. The extent
to which the loss of DA transporters predisposes methamphetamine abusers to neurodegenerative disorders such as Parkinsonism is unclear
and may depend in part on the degree of recovery. Here we assessed the
effects of protracted abstinence on the loss of DA transporters
in striatum, in methamphetamine abusers using positron emission
tomography and
[11C]d-threo-methylphenidate (DA
transporter radioligand). Brain DA transporters in five methamphetamine
abusers evaluated during short abstinence (<6 months) and then
retested during protracted abstinence (12-17 months) showed
significant increases with protracted abstinence (caudate, +19%;
putamen, +16%). Although performance in some of the tests for which we
observed an association with DA transporters showed some improvement,
this effect was not significant. The DA transporter increases with
abstinence could indicate that methamphetamine-induced DA transporter
loss reflects temporary adaptive changes (i.e., downregulation), that
the loss reflects DA terminal damage but that terminals can recover, or
that remaining viable terminals increase synaptic arborization. Because
neuropsychological tests did not improve to the same extent, this
suggests that the increase of the DA transporters was not sufficient
for complete function recovery. These findings have treatment
implications because they suggest that protracted abstinence may
reverse some of methamphetamine-induced alterations in brain DA terminals.
Key words:
methamphetamine; dopamine transporters; imaging; positron
emission tomography; addiction; detoxification; neurotoxicity; dopamine
terminal
Copyright © 2001 Society for Neuroscience 0270-6474/01/21239414-05$05.00/0
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