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Journal of Pharmacology And Experimental Therapeutics Fast Forward
First published on July 13, 2005; DOI: 10.1124/jpet.105.087916


0022-3565/05/3151-91-98$20.00
JPET 315:91-98, 2005
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*Compound via MeSH
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*AMPHETAMINE
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*Attention Deficit Hyperactivity Disorder

TOXICOLOGY

Amphetamine Treatment Similar to That Used in the Treatment of Adult Attention-Deficit/Hyperactivity Disorder Damages Dopaminergic Nerve Endings in the Striatum of Adult Nonhuman Primates

George A. Ricaurte, Annis O. Mechan, Jie Yuan, George Hatzidimitriou, Tao Xie, Andrew H. Mayne, and Una D. McCann

Department of Neurology (G.A.R., A.O.M., J.Y., G.H., T.X., A.H.M.) and Psychiatry (U.D.M.), The Johns Hopkins Medical Institutions, Baltimore, Maryland

Pharmacotherapy with amphetamine is effective in the management of attention-deficit/hyperactivity disorder (ADHD), now recognized in adults as well as in children and adolescents. Here we demonstrate that amphetamine treatment, similar to that used clinically for adult ADHD, damages dopaminergic nerve endings in the striatum of adult nonhuman primates. Furthermore, plasma concentrations of amphetamine associated with dopaminergic neurotoxicity in nonhuman primates are on the order of those reported in young patients receiving amphetamine for the management of ADHD. These findings may have implications for the pathophysiology and treatment of ADHD. Further preclinical and clinical studies are needed to evaluate the dopaminergic neurotoxic potential of therapeutic doses of amphetamine in children as well as adults.


Received for publication May 26, 2005
Accepted July 12, 2005.

Address correspondence to: Dr. George A. Ricaurte, Department of Neurology, Johns Hopkins Medical Institutions, 5501 Hopkins Bayview Circle, Rm. 5B.71E, Baltimore, MD 21224. E-mail: ricaurte{at}jhmi.edu




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