Retracted article on neurotoxicity of ecstasy
Encyclopedia
"Severe dopaminergic neurotoxicity in primates after a common recreational dose regimen of MDMA' ("ecstasy
Methylenedioxymethamphetamine
MDMA is an entactogenic drug of the phenethylamine and amphetamine class of drugs. In popular culture, MDMA has become widely known as "ecstasy" , usually referring to its street pill form, although this term may also include the presence of possible adulterants...

")
'", was a paper by Dr. George Ricaurte which was published
Academic publishing
Academic publishing describes the subfield of publishing which distributes academic research and scholarship. Most academic work is published in journal article, book or thesis form. The part of academic written output that is not formally published but merely printed up or posted is often called...

 in the leading journal Science
Science (journal)
Science is the academic journal of the American Association for the Advancement of Science and is one of the world's top scientific journals....

, and later retracted
Retraction
A retraction is a public statement, by the author of an earlier statement, that withdraws, cancels, refutes, diametrically reverses the original statement or ceases and desists from publishing the original statement...

.

The retraction of the paper led to questions over its publication. It has also been asserted that this questions the peer review
Peer review
Peer review is a process of self-regulation by a profession or a process of evaluation involving qualified individuals within the relevant field. Peer review methods are employed to maintain standards, improve performance and provide credibility...

 process.
Many have also argued that the failings in the paper (use of materials other than those specified) could not have been caught by peer review; and that the scientific process
Scientific method
Scientific method refers to a body of techniques for investigating phenomena, acquiring new knowledge, or correcting and integrating previous knowledge. To be termed scientific, a method of inquiry must be based on gathering empirical and measurable evidence subject to specific principles of...

 did work successfully in the end, in that the article was ultimately retracted.

The paper was published in the 27 September 2002 issue of Science (volume 297, pages 2260-3). The article had been submitted to Science on 29 May 2002 and was accepted for publication on 14 August 2002. Neither the time required for peer review nor the time between acceptance for publication and actual date of publication were unusual.

Original publication

The Ricaurte article was published in the middle of a group of 16 "reports" and not given special prominence in the "Highlights of research in this issue" section of the 27 September 2002 issue of Science. The short editorial commentary on the article was called "More Dangers from Designer Drugs" and drew the reader's attention to previously published research indicating that "ecstasy" use alters serotoninergic
Serotonin
Serotonin or 5-hydroxytryptamine is a monoamine neurotransmitter. Biochemically derived from tryptophan, serotonin is primarily found in the gastrointestinal tract, platelets, and in the central nervous system of animals including humans...

 synaptic transmission. Science also commented that by linking "ecstasy" to dopaminergic
Dopamine
Dopamine is a catecholamine neurotransmitter present in a wide variety of animals, including both vertebrates and invertebrates. In the brain, this substituted phenethylamine functions as a neurotransmitter, activating the five known types of dopamine receptors—D1, D2, D3, D4, and D5—and their...

 neurotoxicity in monkeys, the Ricaurte article suggested that recreational users
Recreational drug use
Recreational drug use is the use of a drug, usually psychoactive, with the intention of creating or enhancing recreational experience. Such use is controversial, however, often being considered to be also drug abuse, and it is often illegal...

 of "ecstasy" might be putting themselves at risk for developing neuropsychiatric disorders
Neuropsychiatry
Neuropsychiatry is the branch of medicine dealing with mental disorders attributable to diseases of the nervous system. It preceded the current disciplines of psychiatry and neurology, in as much as psychiatrists and neurologists had a common training....

 (such as Parkinson's disease
Parkinson's disease
Parkinson's disease is a degenerative disorder of the central nervous system...

) that are related to dopamine dysfunction.

The Science section called "News of the Week" in the 27 September 2002 issue had an article by reporter Constance Holden called, "Drug Find Could Give Raver
Raver
Raver or ravers may refer to:* Raver, Maharashtra, a city in India* Raver, a party-goer: in the 1960s and 1970s, a "party animal"; since the 1980s, more specifically an aficionado of raves...

s the Jitters" (on pages 2185-2187). This news coverage did give some special prominence to the Ricaurte article. The Holden commentary stressed that the Ricaurte article was part of an active scientific controversy about the ability of "ecstasy" to cause permanent brain damage
Brain damage
"Brain damage" or "brain injury" is the destruction or degeneration of brain cells. Brain injuries occur due to a wide range of internal and external factors...

 in human recreational drug users. This news article included a section with speculation from Ricaurte trying to justify why other researchers fail to observe ecstasy-induced dopaminergic neurotoxicity. Jon Cole of the University of Liverpool explained that the results on dopaminergic neurotoxicity in the Ricaurte article were a big surprise and was quoted as saying, “The entire human literature relies on the notion that MDMA is a selective serotonergic neurotoxin
Neurotoxin
A neurotoxin is a toxin that acts specifically on nerve cells , usually by interacting with membrane proteins such as ion channels. Some sources are more general, and define the effect of neurotoxins as occurring at nerve tissue...

.”

Press response to original publication

RAVE Act

.

Published concerns about the study

The 6 June 2003 issue of Science contained a letter ("MDMA ("Ecstasy") and Neurotoxicity", volume 300, pages 1504-1505) that questioned the results of the September 2002 Ricaurte article. Ricaurte was allowed to provide a reply. Ricaurte stood by the results of the September 2002 article and further suggested that even careful clinical MDMA research ran the risk of causing brain injury.

Formal retraction

The retraction of the September 2002 Ricaurte article was published in the 12 September 2003 issue of Science (volume 301, page 1479). Ricaurte said that methamphetamine
Methamphetamine
Methamphetamine is a psychostimulant of the phenethylamine and amphetamine class of psychoactive drugs...

 had been the cause of the previously reported dopaminergic neurotoxicity, not "ecstasy". The retraction letter seemed to suggest that the supplier of the drugs had switched the labels on two bottles (one containing "ecstasy" and one containing methamphetamine) that were shipped to the Ricaurte lab on the same day.

Aftermath of the retraction

In the 12 September 2003 issue of Science there was also another Constance Holden "News of the Week" article called "Paper on Toxic Party Drug Is Pulled Over Vial Mix-Up". Holden reported that the drug supplier, Research Triangle Institute, was conducting a thorough review of its procedures to see if it could have switched the labels on the drug bottles. Ricaurte was reported to still be interested in previous results that suggested MDMA is toxic to dopamine neurons in mice.

In a review of the year's events published in the 19 December 2003 issue of Science (volume 302, page 2033), Editor-in-Chief Donald Kennedy
Donald Kennedy
Donald Kennedy is an American scientist, public administrator and academic.Donald Kennedy was born in New York and educated at Harvard University...

 wrote, "It was also a vintage year for scientific fluffs. We shared in one: Some vials containing the recreational drug Ecstasy got switched with vials containing methamphetamine, and we wound up publishing a paper we wish we hadn't".

An editorial in the journal Nature
Nature (journal)
Nature, first published on 4 November 1869, is ranked the world's most cited interdisciplinary scientific journal by the Science Edition of the 2010 Journal Citation Reports...

 called the retraction "one of the more bizarre episodes in the history of drug research" and noted that "Some observers have in the past questioned NIDA
National Institute on Drug Abuse
The National Institute on Drug Abuse is a United States federal-government research institute whose mission is to "lead the Nation in bringing the power of science to bear on drug abuse and addiction."-History:...

's ability to maintain its independence in the face of the immense pressures brought to bear by those who stand behind America's interminable 'war on drugs
War on Drugs
The War on Drugs is a campaign of prohibition and foreign military aid and military intervention being undertaken by the United States government, with the assistance of participating countries, intended to both define and reduce the illegal drug trade...

'."
In an interview in The Scientist
The Scientist
The Scientist: Magazine of Life Sciences is a professional magazine intended for life scientists. Coverage includes reviews of widely noticed research papers, informing its audience of current research, updates to technology, updates to career information, profiles of scientists achieving...

 British scientists Colin Blakemore
Colin Blakemore
Professor Colin Blakemore, Ph.D., FRS, FMedSci, HonFSB, HonFRCP, is a British neurobiologist who is Professor of Neuroscience at the University of Oxford and University of Warwick specialising in vision and the development of the brain. He was formerly Chief Executive of the British Medical...

 and Leslie Iversen described how they expressed concerns about the article with editors at Science. "It's an outrageous scandal," Iversen told The Scientist. "It's another example of a certain breed of scientist who appear to do research on illegal drugs mainly to show what the governments want them to show. They extract large amounts of grant money from the government to do this sort of biased work."

See also

  • Methylenedioxymethamphetamine
    Methylenedioxymethamphetamine
    MDMA is an entactogenic drug of the phenethylamine and amphetamine class of drugs. In popular culture, MDMA has become widely known as "ecstasy" , usually referring to its street pill form, although this term may also include the presence of possible adulterants...

  • RAVE Act
  • National Institute on Drug Abuse
    National Institute on Drug Abuse
    The National Institute on Drug Abuse is a United States federal-government research institute whose mission is to "lead the Nation in bringing the power of science to bear on drug abuse and addiction."-History:...

     (NIDA)
  • American Association for the Advancement of Science
    American Association for the Advancement of Science
    The American Association for the Advancement of Science is an international non-profit organization with the stated goals of promoting cooperation among scientists, defending scientific freedom, encouraging scientific responsibility, and supporting scientific education and science outreach for the...

     (AAAS)
  • Urban legends about illegal drugs

External links

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