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Amphetamines mechanism

vecktor

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I have been trying to figure out the current situation in my head anyway here's what I understand as of now, I am not a pharmacologist and I tend to find neuroscience papers a bit obtuse. So if anyone has input I'd appreciate it

AMP mode of action
Tthe most important action is that AMP and METH trigger reverse transport of the catecholamines Dopamine DA and Noepinephrine NE.
this reverse transport moves DA and NE from the synaptic storage vesicles into the cytoplasm of the cell. Further reverse transport this time involving DAT the dopamine transporter and NERT the norepinephrine transporter moves the NE and DA into the synaptic cleft where it increases the levels of these neurotransmitters.


so the sequence works like this.

Uptake into the neuron
AMP or METH are taken into the neuron by the Dopamine Transporter DAT (this is why DAT inhibitors like nomifensine block a lot of amphetamines action)

Uptake into the synaptic storage vesicles
In the neuron some/most of the AMP ends up interacting with VMAT (vesicular monoamine transporter) the transporter that hoovers catecholamines out ot the cytoplasm into the storage vesicles, AMP is taken into the storage vesicles

Causes the vesicles to dump DA and NE into the cytoplasm
Once in the vesicle it appears by one mechanism or another, to cause the vesicle to dump its contents of catecholamines into the cytoplasm, this is thought to be either through disruption of the pH of the vesicle, the weak base theory AMP is a weak base, it enters the vesicle as the freebase and is converted to the salt form inside the vesicle, this has the efffect of raising the pH of the vesicle, this pushes DA and NE out of the vesicle. DA and NE are very closely linked in this respect as NE is made from DA, indeed AMP might increase the rate of conversion of DA to NE.
or disruption of VMAT by binding to it possibly causing VMAT to transport DA and NE out of the vesicle.
Which of these two mechanisms are more important I have no idea or indeed if there isn't some other mechanism but overall AMP Increases cytoplasmic concentration of DA and NE

Causes DA and NE to flood the synapse
the increased concentration of DA and NE in the cytoplasm causes increased diffusion of DA and NE out of the neuron, but more importantly AMP somehow activates DAT probably through phosphorylation by PKC (PKC inhibitors block dopamine release by AMP), creating a form that actively reverse transports DA backwards ie into the synapse rather than out of the synapse.

net result AMP dramatically increases the concentration of DA and NE in the synapse and this much increased conentration of DA and NE modifies brain activity giving euphoria wakefullness agitation paranoia etc.


to make things more complex AMP has been shown to activate certain genes in the neuron,
It is also a weak competitive (non substrate) MAOI so it reduces the breakdown of DA and NE as well.
It is also an adrenergic agonist, a D2 agonist and so on and these may cause some of the effects in the neuron..
definately not a clean drug pharmacologically.

anyway the thing I take away from this is that as a general rule releasers are probably much more fun than reuptake inhibitors.
Cocaine is often stated to be a re-uptake inhibitor and yes primarily is but it is also a releaser, this is indicated by the mis-match between its activity as DAT inhibitor and its activity in man, methiphenidate is a much more potent DAT inhibitor but is less fun (understatement of the year).
DAT inhibitors which also inhibit VMAT, which is what GBR-12909 does?? are also pretty much a waste of time.
Simple DAT inhibitors which have long half lives and slow onset are also pretty useless for fun factor, they simply cannot raise the DA levels quickly enough or high enough with simple reuptake inhibition. When they do though they keep the DA levels elevated for a long while, causing excessive sensitisation and tolerance, followed by serious cravings but no great crash because they don't cause excessive DA and NE depletion. I am thinking about things like BTCP, and probably desoxypipradrol.
I think a few more things will become clearer as I think this over..

v
 
Sounds good.
You've covered all the important bases from what I can see =) .

Reuptake transporter blockade and functionality reversal, and actual uptake past the plasma membrane to cause direct efflux, & mild MAOI activity.

Agreed that transporter inhibitors are likely to be less fun. Nevertheless I think it is they which we should be focused on developing.
 
thanks I have been meaning to figure the current state of knowledge out, and summarise it for when I become (more) senile, for sometime
I agree some DAT inhibitors have potential, in particular those which also have some release activity, I am thinking along the lines of fencamfamine, 1-amino-2-phenyl cyclopentane (and the related cyclohexane) and some of the tropanes along with a couple of more esoteric compounds which are definate releasers.
my criteria for selection is stimulant activity/locomotor stimulation and stereotypical behavioralpotency in rats that does not correlate properly with DAT inhibition activity (not DAT binding affinity which is a whole different animal).
Also looking for rapid peak effects, which has eliminated some of the slow burners.
 
vecktor

I've fiddled with that mechanism before, but found it somewhat difficult to get to the bottom of. You made it crystal (no meth pun intended) clear, and I thank you. Very interesting and easy to understand.
 
what about reuptake inhibitors playing the role in a poly-drug cocktail (combined with a releaser).

What would a DA reuptake inhibitor do combined with a pure HT releaser (a la IAP)? Fuck all or would it increase the euphoria of IAP?
 
oh and also what about taking a DA reuptake inhibitor at the tail end of an MDMA experience? Isn't it theorized that neurotoxicity is caused by dopamine being taken back up because there is a lack of serotonin? So could you effectively block this action?
 
No, because the neurotox isn't at DAT, it's at SERT. To block that mechanism of MDMA neurotox you want to stop DA being taken up by SErT when the 5-HT levels in the synapse drop.

There have been tentative tests done with Prozac and the like (SSRI's) to try and block MDMA neurotox by administering it at the tail end of the MDMA experience.
I'm not sure how successful they were.
 
samadhi_smiles said:
what about reuptake inhibitors playing the role in a poly-drug cocktail (combined with a releaser).

What would a DA reuptake inhibitor do combined with a pure HT releaser (a la IAP)? Fuck all or would it increase the euphoria of IAP?

And this one, i'm really interested in.

Maybeee 2-Me-3,4-MD-Amphetamine (or IAP, as you say) as the very selective 5-HT releaser, and something like MDPV for the dopamine side of things.
 
samadhi_smiles said:
what about reuptake inhibitors playing the role in a poly-drug cocktail (combined with a releaser).
I will keep this to the simple meth and amp situation for the moment because these are transported into the neuron by DAT (I will explain why later.)

Theoretically at least it seems that the timing is important a DAT inhibitor and effective DAT inhibition before administration of an amphetamine type releaser like METH or AMP will block the uptake of METH or AMP into the neuron and so reduce the effects of AMP or METH. If the DAT inhibitor is taken after the METH or AMP has already got into the neuron it should have less effect or even no effect on AMP or METH action, because at that point AMP or METH is already inside causing release from the vesicles and has already caused the Dopamine transporter to change into the form which reverse transports.
I do not know whether common DAT inhibitors bind to the Phosphorylated form of the DAT protein (the one that reverse transports), I suspect some might as there are mutiple binding sites on DAT and different DAT inhibitors bind to different sites. those that can inhibit the phosphorylated form would inhibit reverse transport and so dramatically reduce AMP or METH effects. Those that do not inhibit the phosphorylated form would bind only to the un phosphorylated form and so would increase METH or AMP effects by reducing the effectiveness of the normal transporter.

I haven't sat down and read all recent the literature on MDMA yet I will and then summarise it. MDMA despite its structural similarities to METH and AMP works in a different way.
The situation for MDMA and I suppose IAP and MDAI MMAI is a little more complex, Evidence points to the idea MDMA on the whole gets into the neuron through diffusion (OR Perhaps SERT the serotonin transporter though I doubt that), the use of GBR 12909 (vanoxerine) A DAT blocker before administering MDMA doesn't reduce MDMA effects, the MDMA still gets in and still does its stuff, indeed GBR 12909 enhances the effects of MDMA, 5 times greater dopamine release for the combo than MDMA alone. this is really interesting because GBR 12909 alone is a very effective DAT inhibitor but it also reduces the release of DA (I haven't figured out how GBR 12909 inhibits release I suspect VMAT is involved). This suggests that MDMA is releasing from the synaptic vesicles without major involment of VMAT, so it is probably releasing through the weak base mechanism.
So MDMA does not use DAT to get into the neuron and also the release of dopamine into the synapse caused by MDMA is not a through reverse transport by DAT. (of course it is possible that GBR 12909 cannot bind to the Reverse transport form of DAT) ***
there is also some evidence that DAT inhibitors reduce the neurotoxicity of MDMA.
I will post this caveat Cocaine is not a simple DAT inhibitor, so cocaine MDMA combos tell us nothing.

What would a DA reuptake inhibitor do combined with a pure HT releaser (a la IAP)? Fuck all or would it increase the euphoria of IAP?

IAP is a serotonin and dopamine releaser and a competitive MAO with much higher SE than DA activity, I cannot remember exactly but I think it releases 33 times more SE than DA, someone on here has posted the figures for MDMA but they are closer to 2 to 1 SE to DA (IIRC). In summary IAP is not a pure rather it is a selective SE releaser it is merely a better SE than DA releaser this is not semantics but is important..
Taking the evidence that GBR 12909 can increase the DA release by MDMA by 500% then I suspect that it can do the same for IAP, provided IAP's base line DA releasing activity is high enough for DAT inhibition to be effective in raising extracellular DA levels (because GBR 12909 alone is not very effective at raising DA). obviously DAT inhibition plus release causes much higher DA levels than plain ole DAT inhibition.
IAP plus DA NE releaser (AMP) is reported to be a good combo

I am looking for data on the DAT inhibitors that the rats have their hands on now to see if any are suitable for this experiment, the problem with desoxypipradrol or diphenyl prolinol is that they are chiral with desoxy one enantiomer has mostly DAT activity and the other does all sorts of stuff.
I suppose the only was to go is one of the tropanes like b-CIT of bCFT (though the SERT/DAT ratio too high for some of these), pharmaceutial GBR 12909 will probably hit the market in the next couple of years, rather than being hugely expensive from sigma sial or tocris or rbi, so perhaps waiting is the name of the game.
so other very interesting avenues are DAT inhibitors plus the benzofuran analogue of MDMA, (1-(benzofuran-5(or 4)-yl)-2-methylaminopropane) this without DAT inhibition should have better DA to SE ratios, which makes it easier for the DAT inhibitor to raise the DA levels.
I will try and work through the mountains of papers I have got on MDMA and other SE DA releasers and try and get it clear in my head.
V

WARNING
THERE ARE SOME POTENTIALLY LETHAL DANGERS HERE.
MOST DAT INHIBITORS HAVE SOME ACTIVITY AS SERT INHIBITORS SOME ARE VERY EFFECTIVE SERT INHIBITORS, SEROTONIN RELEASER PLUS SEROTONIN REUPTAKE INHIBITOR= SEROTONIN SYNDROME= DEATH ALSO SEROTONIN RELEASER PLUS MAOI=SEROTONIN SYNDROME= DEATH.

*** edit: it seems that more recent work using human cells indicates that MDMA is transported into the neurons by DAT SERT and NERT, however a selective DAT inhibitor will not inhibit uptake by SERT or NERT, also very few DAT inhibitors occupy anything approaching 100% of the DAT sites, cocaine for example only occupies 2/3rds of the sites at normal dosages only things like RTI-55 occupy 90% or greater at normal dosages. Also the amount of NE released seems to play a part in MDMA activity. I will figure out my thoughts and post an MDMA mechanism post for comment
 
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samadhi_smiles said:
oh and also what about taking a DA reuptake inhibitor at the tail end of an MDMA experience? Isn't it theorized that neurotoxicity is caused by dopamine being taken back up because there is a lack of serotonin? So could you effectively block this action?

I really don't understand the mechanism of MDMA toxicity at the moment. I thought I did then a chunk of papers blew my hypothesis out of the water.

SSRI's like prozac at the tail end of MDMA have been reported to reduce neurotox
as has deprenyl which is a selective MAOA inhibitor, so have some DRI's So have temperature reducing agents etc etc.

In short I don't know whether
a) brain changes induced by MDMA can be labelled with the pejorative terms neurotoxicity or brain damage.
b) How these changes come about
c) Whether they are permanent
d) whether they matter

In fact what I do know and understand is quite short.
in the last 15 years I have watched developments, and we _know_ about the same as we did 15 years ago. The neurosientists with fMRI and similar haven't found a hell of a lot. the pharmacologists have found that rats can be fried with large doses, So in have come the epidemiologists using pyschiatric measures, (if that isn't usng a card trick and a pseudoscience and calling it research then I don't know what is.)

Having said all that I chose many years ago to leave MDMA well alone because I am not convinced it is safe short or long term, and I haven't got a spare brain. So I have never taken MDMA or MDA or its ilk.
 
holy shit thanks for the informative response. Your OP is also absolutely clear and has helped me understand things quite a bit better (that there may be multiple things going on at once for any drug). Thanks for the write up!
 
to make things more complex AMP has been shown to activate certain genes in the neuron,

I was under the impression that most psychopharmaceutically active compounds alter neuronal gene expression..
 
nuke said:
I was under the impression that most psychopharmaceutically active compounds alter neuronal gene expression..

they do through inhibition of expression, down regulation reduced receptor synthesis icrased transcription of certain genes etc etc.
I have recently seen a paper talking of amphetamine indirectly inducing base methylation and gene silencing which strikes me as somewhat more permanent than simply changing the expression of a gene through the normal feedback mechanisms which do not change the gene itself rather they inhibit the promotor area of the gene or inhibit the RNA translation or whatever, I may have got this all wrong though.
V
 
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