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,
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