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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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