Pre-exposure to ( Ϯ )3,4-methylenedioxymeth-amphetamine (MDMA) elevates locomotor activity and extracellular dopamine levels in the nucleus accumbens following a cocaine challenge. The present study determined whether MDMA-induced sensitization to the effects of cocaine could be demonstrated in rats selfA large body of evidence indicates that the reinforcing effect of cocaine is dependent in part upon increased dopamine (DA) transmission, particularly within the mesolimbic DA pathway terminating in the nucleus accumbens. Neurochemical studies have shown that at self-administered doses, cocaine increases extracellular DA levels in the nucleus accumbens (Pettit and Justice 1991;Di Ciano et al. 1995). Lesion studies have demonstrated that depletion of DA within the nucleus accumbens abolishes self-administration of cocaine (Roberts et al. 1977(Roberts et al. , 1980Pettit et al 1984). Similarly, pharmacologic studies indicate that injection of DA receptor antagonists in the nucleus accumbens increases intrave- nous self-administration of cocaine (Maldonado et al. 1993;Caine et al. 1995).The response of the mesolimbic dopamine system to cocaine, or such other psychomotor stimulants as amphetamine, can be influenced by previous drug exposure. Repeated intermittent injections of either cocaine or amphetamine result in an augmentation of the behavioral effects of a subsequent challenge dose of cocaine or amphetamine. The development of such sensitization is accompanied by a variety of adaptations in the functioning of mesolimbic neurons, including an increase in the ability of psychomotor stimulants to elevate extracellular levels of dopamine in the nucleus accumbens (reviewed in Kalivas and Stewart 1991;Kalivas et al 1993;Pierce and Kalivas 1997). Although the behavioral manifestation of sensitization has been most thoroughly studied in the context of locomotor activity, a number of studies indicate that the acquisition of cocaine or amphetamine self-administration can be enhanced by previous experience with these drugs (Horger et al. 1990(Horger et al. , 1992Valadez and Schenk 1994;Pierre and Vezina 1997;Lorrain et al. 2000). The results of these studies suggest that the reinforcing effects of cocaine and amphetamine are increased in animals previously exposured to these drugs.The amphetamine derivative ( Ϯ )3,4-methylenedioxymethamphetamine (MDMA, "Ecstasy") shares some stimulant properties with both amphetamine and cocaine (Gold et al. 1989;Geyer and Callaway 1994;Green et al. 1995;White et al. 1996). One of these similarities is that rats treated with MDMA may subsequently show augmented responses to psychomotor stimulants. Repeated treatment with MDMA (20 mg/ kg, twice a day for 4 days) augments the locomotor stimulant properties of amphetamine (Callaway and Geyer 1992) and of cocaine (Kalivas et al. 1998). Using the same treatment regimen, extracellular levels of dopamine in the nucleus accumbens were elevated in MDMA-treated rats following a cocaine challenge (Morgan et al. 1997), an effect similar to that obser...