Background/Aims: The aim of the present study was to examine the effects of
single and repeated administration of 3,4-methylenedioxymethamphetamine (M
DMA, "ecstasy") on rat liver. Methods: Animals were given an acute (20 mg/k
g) and repeated (20 mg/kg, b.i.d., for 4 consecutive days) intraperitoneal
dose of MDMA, and at various times after administration the hepatic and ser
um determinations were made. Results: The effect of acute MDMA administrati
on included increased triglyceride and cholesterol levels and an increase i
n all enzyme activities 6 h post administration. The toxic effect of MDMA w
as also observed in other hepatic processes. Glycogen content showed a mark
ed decrease, which was accompanied by a decrease in serum glucose levels. N
o significant changes in lipid peroxidation and hepatic GSH content were ob
served. In contrast. multiple MDMA administration produced some evidence of
oxidative stress, namely, increased MDA content and decreased GSH content,
a small decrease in liver glycogen at 3 h recovering 6 h post dose, no eff
ect on blood glucose and increased AST and ALP activities but no effects on
ALT activity. Seven days after the last MDMA injection a tendency towards
recovery was shown. Conclusion: Our results show that the liver toxicity ca
used by MDMA administration involves several mechanisms.