Effects on rat sexual behaviour of acute MDMA (ecstasy) alone or in combination with loud music
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European Review for Medical and Pharmacological Sciences 2008; 12: 285-292 Effects on rat sexual behaviour of acute MDMA (ecstasy) alone or in combination with loud music R. CAGIANO, I. BERA*, R. SABATINI**, P. FLACE^, D. VERMESAN^^, H. VERMESAN^^, S.I. DRAGULESCU^^, L. BOTTALICO§, L. SANTACROCE# Department of Pharmacology and Human Physiology, Faculty of Medicine, University of Bari, Bari (Italy) *“Lucian Blaga” University, Medical School, Sibiu (Romania) **Dept. of Obstetrics and Gynaecology, General Hospital Policlinico, University of Bari, Bari (Italy) ^Department of Human Anatomy and Histology, Faculty of Medicine, University of Bari, Bari (Italy) ^^University of Medicine and Pharmacy ”Victor Babes”, Timisoara (Romania) § School of Dental Hygiene, Faculty of Medicine, University of Bari, Bari (Italy) # Dept. of Internal Medicine, Infectious Diseases and Immunology, Faculty of Medicine, University of Bari, Bari (Italy) Abstract. – The effects on sexual behaviour gained increased popularity during the last of acute low doses of methylendioxymethamphet- decade in many countries of the world despite amine (MDMA) (0.3, 1, 3 mg/kg/i.p.), alone or in legislative action to limit its distribution. MD- combination with exposure to loud music (1 h stimulation), were investigated in Wistar rats. Re- MA, structurally related to the stimulant amphet- sults indicate that acute MDMA, at dose of 3 amine and the hallucinogen mescaline, is able to mg/kg, notably impaired copulatory behavior of cause serotonergic and dopaminergic neural toxi- sexually experienced male rats. city in every species tested and short term In particular, MDMA-exposed animals exhibited changes in noradrenergic system. Its acute effects a significant increase in intromission and ejacula- appear to be mediated by the release and reup- tion latencies as well as a significant decrease in take inhibition of brain monoamines, particularly percentage of rats displaying copulatory activity (one intromission at least). Surprisingly, one hour serotonin and dopamine1-3. It is well known that exposure to loud music, which per se resulted in- these biogenic amines have been implicated as effective, antagonized the suppressive effect of facilitatory (dopamine) and inhibitory (serotonin) MDMA by increasing the percent of animals dis- mediators of sexual desire, arousal and orgasm4,5. playing sexual activity. However, combined treat- Furthermore, recent findings demonstrate that ment of MDMA and music stimulation did not ful- serotonin is important for male reproductive de- ly restore normal sexual behavior as the animals reaching ejaculation still showed a marked reduc- velopment6. Taken together, these evidences sug- tion of copulatory efficiency. gest that the acute and long-term exposure to These findings demonstrate that the systemic MDMA might affect sexual function and genital administration of a single low dose of MDMA, morphology. In fact, in spite of its mentioning as alone or in combination with loud music, which aphrodisiac, there are empirical and experimental is commonly present in certain environments evidence that MDMA impairs human sexual dri- such as rave parties, notably impairs copulatory ve and behaviour. However, several methodologi- activity of male rats. cal limitations associated with clinical studies Key Words: such as the heterogeneity of human MDMA con- sumption, confounding variables such as doses, MDMA, Loud music, Sexual behavior, % of ejaculat- ing rats, Copulatory efficiency. purity of the substance, duration and time of ex- posure, indicate that preclinical studies are need- ed in allowing a definitive account for the MD- MA sexual properties. Surprisingly, to our Introduction knowledge, only one study investigated, so far, the effects of MDMA on sexual function in male The recreational use of 3,4-methylen- rats7. In particular, Dornan et al. found a transient dioxymethamphetamine (MDMA or Ecstasy) has disruption of male copulatory behaviour after a Corresponding Author: Raffaele Cagiano MD; e-mail: r.cagiano@farmacol.uniba.it 285
R. Cagiano, I. Bera, R. Sabatini, P. Flace, D. Vermesan, et al. sub-chronic treatment with high doses (40 session, males with similar performance were mg/kg) of the drug. Nevertheless, MDMA users equally distributed into eight experimental typically consume much lower doses than those groups (10 per group). used in animal studies8-10. Moreover, the effect of Four groups received three MDMA dose levels acute low doses of MDMA on sexual behaviour (0.3, 1, 3 mg/kg) and MDMA-vehicle (control) remained unexplored. Therefore, further investi- one hour before the test session. The drug was gations on acute and chronic effects of low to dissolved in 0,9% saline and injected intraperi- moderate doses of MDMA in rodents result nec- toneally (i.p.) at the volume of 1 ml/kg. Human essary to reach a predictive clinical value. A fur- MDMA users typically consume 1-2 tablets of ther source of variability in MDMA effects in hu- MDMA in a single session giving an estimated mans that should be taken into account deals oral dose of 1-4 mg/kg. Allowing for interspecies with the environmental conditions11,12. In particu- scaling effects and differences in route of admin- lar, in most cases, ecstasy is abused in organised istration, the doses of MDMA employed in the all-night dance parties known as “raves” where present study correspond to a low-moderate ex- techno-music is played at a high volume. It has posure to “ecstasy” in man8-10. The other four been demonstrated that music recruits neuronal groups were treated with the same MDMA doses systems of rewards and emotions similar to those (0.3, 1, 3 mg/kg) and MDMA vehicle (saline) in known to respond specifically to biologically rel- combination with 1 h exposure to loud music (s). evant stimuli, such as food and sex and those that The acoustic stimulus (intensity = 88.2-91.8 are activated by drugs of abuse. Techno-music is dBA); frequency = 50 Hz-8 KHz) was delivered able to activate the noradrenergic system and the for one hour in a sound-attenuating cabin (3.00 x hyphotalamic-pituitary-adrenal (HPA) axis more 2.00 × 2.00 m) soon after each saline or MDMA than slow music, producing a neuroendocrine administration. At the beginning of the experi- pattern similar to that elicited by psychological ment, the sound pressure level was measured by stress13,14. an integrated Bruel & Kjaer phonometer placed 3 The aim of the present study was to address meter far from the location of the animal rack. both these issues, namely the acute effect of Male rats were then tested for sexual activity in a moderate MDMA doses on rat sexual function 30 min test session. and the concomitant exposure to loud music. Drugs MDMA, (±)-3,4-methylendioxymethampheta- mine hydrochloride, (SALARS s.p.a., Como, Materials and Methods Italy) was dissolved in 0,9% saline and injected i.p. at a volume of 1 ml/kg. Control rats received Procedure equivalent i.p. injections of saline. The experiments have been conducted in ac- cordance with guidelines released by Italian Min- Sexual Behaviour and istry of Health (D.L. 116/92 and D.L. 111/94-B), Ultrasonic Emission the Declaration of Helsinki, and the Guide for These study procedures had been performed the Care and Use of Laboratory Animals as according with the original protocols by Ca- adopted and promulgated by the National Insti- giano et al.15,16. As stimulus females we used tutes of Health (USA). Male and female rats bilaterally ovariectomized rats in which oestrus were housed under a reversed 12/12 light/dark had been induced by subcutaneous injection of cycle (light on: 20.00h-08.00 h) for two weeks estradiol benzoate (8 µg/rat) and progesterone before testing, with food and water ad libitum at (200 µg/rat) dissolved in 0.2 ml of sesame oil, constant room temperature (20-22°C). Ninety 52 and 4 h before the test session, respectively. Wistar adult male rats weighing 300-350 g were Sexual behaviour was recorded by a video-tape used in the following experiments. Each male rat recording unit (JVC videocamera, Videotape was given sexual screening tests during which it recorder and TV monitor). Ultrasonic calls, de- was placed, on alternate days, with a sexual re- tected by a QMC ultrasonic microphone con- ceptive female until one ejaculation was achieved nected to a receiver (QMC Bat Detector S200, during each of the three-30 min tests. Only males London, UK) which transformed, in real time, reaching this criterion were subsequently used. the ultrasonic calls into audible sounds, were After successful completion of the last screening sent to the video tape-recorder through the mi- 286
Effects on rat sexual behaviour of acute MDMA (ecstasy) alone or in combination with loud music crophone connection terminal of the video Statistical Analysis camera. The experiments, performed in the Depending on the omo or heteroschedasticity central part of the dark period (12.00h-16.00h), of the data, statistical analysis was based on para- were carried out in a sound-attenuating cabin metric (two-way ANOVA followed by Tukey’s (Amplifon G-type cabin) under red illumina- Multiple Comparison Test) or non parametric test tion provided by two 40 W fluorescent lamps. (Kruskal-Wallis ANOVA followed by Dunn’s Each male rat was observed alone for 5 min. Multiple Comparison Test). Fisher’s exact test An oestrous female was then introduced into was used where appropriate. the centre of the arena and the behaviour of the couple was then recorded. Each test lasted a maximum of 30 minutes if no ejaculation was achieved or until one ejaculation followed by Results an intromission was achieved. If no intromis- sion was displayed within the first 15 minutes, Sexual Behaviour and the test terminated and the male was considered Ultrasonic Emission a “non copulator”. Video tape-recordings were The results indicate that MDMA treatment no- later replayed and analysed (in slow motion tably impaired the copulatory behaviour of sexu- when necessary) and the following parameters ally vigorous experienced male rats only at the were measured: (ML) mount latency (time be- dose of 3 mg/kg. As far as the latency to the first tween the introduction of the female into the intromission, Kruskal-Wallis ANOVA gave the mating cage and the first mount in the first following significant difference: H=51.14, df=7; ejaculatory series); (IL) intromission latency p
R. Cagiano, I. Bera, R. Sabatini, P. Flace, D. Vermesan, et al. Intromission latency (sec) Figure 1. Effects of acute 2000 MDMA (0,3-1-3 mg/kg, i.p.) or MDMA vehicle (saline) 1800 treatment, given alone or in combination with sound 1600 stimulation (s) on Intromis- sion Latency (I/L) of sexual- 1400 ly experienced male rats. Da- ta are expressed as median 1200 values and interquartiles. (_ _ _ ). *p
Effects on rat sexual behaviour of acute MDMA (ecstasy) alone or in combination with loud music Figure 3. Effects of acute EjL (sec) MDMA (0,3-1-3 mg/kg; 2000 i.p.) or MDMA vehicle (saline) treatment, given 1800 alone or in combination with sound stimulation (s) 1600 on Ejaculation Latency 1400 (EjL) of sexually experi- enced male rats. Data are 1200 expressed as mean values ± S.E.M. *p
R. Cagiano, I. Bera, R. Sabatini, P. Flace, D. Vermesan, et al. % of rats achieving ejaculation Figure 5. Effects of acute 1 MDMA (0,3-1-3 mg/kg; i.p.) or MDMA vehicle 0.9 (saline) treatment, given alone or in combination 0.8 with sound stimulation (s) on copulatory efficiency. 0.7 Data are expressed as mean values ± S.E.M. *p
Effects on rat sexual behaviour of acute MDMA (ecstasy) alone or in combination with loud music implicated in reward and emotion. The activation modulating sexual arousability and satiation. In- of the reward system by music may maximize terestingly, clinical studies have shown an im- pleasure, not only by activating the reward sys- pairment of sexual drive and performance after tem, but also simultaneously decreasing activity MDMA-ingestion, which may be caused by the in brain structures associated with negative emo- MDMA-induced secretion of prolactin leading to tions and could explain the improvement of sexu- a psychophysical equivalents state of sexual sati- al activity in presence of music stimulation, as ation compared to the post-orgasmic period20. obtained in our experiments. The main limitation Therefore, the results of our study, showing a of the present study is clearly the lack of neuro- marked impairment of sexual performance in ex- chemical analysis of the brain of rats treated with perienced MDMA treated rats, which is in line both low MDMA doses and music stimulation. with clinical data, could explain the frequent ob- The hypothesis that the observed effects on sexu- servations of 22 kHz calls in non-copulating al performance are related to the action of MD- MDMA-treated animals, mainly in the absence MA on brain 5HT and DA systems, needs further of music stimulation (data not shown). These scientific demonstration. The neurobiological post-orgasmic vocalizations (22 kHz) occur con- substrate of human sexuality is, up to now, still currently with the absolute refractory period dur- poorly understood. Current hypothesis suggest ing which the male is incapable of renewed sexu- that dopaminergic activity in nucleus accumbens al activity. Even if their communicative function (NAc) is associated with sexual desire and erec- is not yet established, it has been suggested that tile response while central serotonergic activity is 22 kHz calls serve to discourage other males inhibitory to erectile and orgasmic function5. The from mating with the same female or to keep the stimulant and rewarding properties of MDMA female at a distance during the total postejacula- are in part thought to arise from the activation of tory refractory period21. mesolimbic dopaminergic neurons in the Ventral In conclusion, these data demonstrate that Tegmental Area (VTA) which project to NAc. MDMA, even in low doses, can disrupt sexual MDMA causes simultaneous release of 5-HT and performance of experienced male rats and that both transporter-mediated and impulse-mediated this effect is blunted by strong sensorial stimula- DA release, this latter depending on 5-HT trans- tion. Our results, therefore, further confirm the mission and may be explained by the stimulatory role of environmental factors in modulating the effect of 5-HT 1B/2A and inhibitory effect of 5- central effects of MDMA, even if the underlying HT 2C. receptors. Recent findings suggest that mechanisms remain to be elucidated. MDMA-mediated dopamine (DA) increases, within the NAC shell, are dampened by the in- creases in VTA GABA levels subsequent to acti- vation of 5-HT 2B/2C receptors 19. Furthermore, pharmacological studies demonstrated that drugs References which enhance serotonergic activity elevate serum corticosterone and/or prolactin (PRL) con- 1) KOCH S, GALLOWAY MP. MDMA induced dopamine centrations making these as sensitive indicators release in vivo: role of endogenous serotonin. J of 5HT receptor stimulation. Serum level of PRL Neural Transm 1997; 104: 135-146. were significantly increased by MDMA at doses 2) SHANKARAN M, GUDELSKY GA. Effect of 3,4-methyl- ranging from 1 to 20 mg up to 4 h after ingestion enedioxymethamphetamine (MDMA) on hip- of the drug. Recent neuroendocrine studies, ex- pocampal dopamine and serotonin. Pharmacol amining the effects of sexual arousal and orgasm Biochem Behav 1998; 61: 361-366. in humans, demonstrated a marked elevation of 3) STEELE TD, MCCANN UD, RICAURTE GA. 3,4-Methyl- plasma prolactin in both males and females im- enedioxymethamphetamine (MDMA, "Ecstasy"): mediately after orgasm. As prolactin was shown pharmacology and toxicology in animals and hu- mans. Addiction 1994; 89: 539-551. to be a robust marker of orgasm, it may act as pe- ripheral neuroendocrine reproductive reflex (im- 4) K APLAN HS. Psychogenic impotence. Curr Ther proving fertility and conception) and/or as a Endocrinol Metab 1994; 5: 323-328. feedback signal to neuronal systems that may 5) S CHIAVI RC, S EGRAVES RT. The biology of sexual mediate sexual arousability and satiation follow- function. Psychiatr Clin North Am 1995; 18: 7-23. ing orgasm. Prolactin may be able to down regu- 6) ARAGÓN MA, AYALA ME, MARÍN M, AVILÉS A, DAMIÁN- late the dopaminergic activity in certain areas, MATSUMURA P, DOMÍNGUEZ R. Serotoninergic system 291
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