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Reneman L, Booij J, Schmand B, van den Brink W, Gunning B. 
“Memory disturbances in 'Ecstasy' users are correlated with an altered brain serotonin neurotransmission”. 
Psychopharmacology (Berl). 2000;148(3):322-4.
Abstract

RATIONALE: Methylenedioxymethamphetamine (MDMA) is known to damage brain pre-synaptic serotonin (5-HT) neurons. Since loss of 5-HT neurons has been implicated in memory loss, it is important to establish whether MDMA use may produce changes in postsynaptic 5-HT receptors and memory function in humans.
OBJECTIVE: To investigate whether MDMA use leads to compensative alterations in post-synaptic 5-HT2A receptors and whether there is a relation with memory disturbances.

METHODS: Brain cortical 5-HT2A receptor densities were studied with [123I]-5-I-R91150 SPECT in five abstinent MDMA users and nine healthy controls. Memory performance was assessed using RAVLT.

RESULTS: [123I]-5-I-R91150 binding ratios were significantly higher in the occipital cortex of MDMA users than in controls, indicating up-regulation. Mean cortical 5-HT2A receptor binding correlated positively with RAVLT-recall in MDMA users. CONCLUSION: Our preliminary results may indicate altered 5-HT neuronal function with correlated memory impairment in abstinent MDMA users.
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