Cannabinoid physiology and pharmacology: 30 years of progress

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Abstract

Δ9-Tetrahydrocannabinol from Cannabis sativa is mimicked by cannabimimetic analogs such as CP55940 and WIN55212-2, and antagonized by rimonabant and SR144528, through G-protein-coupled receptors, CB1 in the brain, and CB2 in the immune system. Eicosanoids anandamide and 2-arachidonoylglycerol are the “endocannabinoid” agonists for these receptors. CB1 receptors are abundant in basal ganglia, hippocampus and cerebellum, and their functional activity can be mapped during behaviors using cerebral metabolism as the neuroimaging tool. CB1 receptors couple to Gi/o to inhibit cAMP production, decrease Ca2+ conductance, increase K+ conductance, and increase mitogen-activated protein kinase activity. Functional activation of G-proteins can be imaged by [35S]GTPγS autoradiography. Post-synaptically generated endocannabinoids form the basis of a retrograde signaling mechanism referred to as depolarization-induced suppression of inhibition (DSI) or excitation (DSE). Under circumstances of sufficient intracellular Ca2+ (e.g., burst activity in seizures), synthesis of endocannabinoids releases a diffusible retrograde messenger to stimulate presynaptic CB1 receptors. This results in suppression of γ-aminobutyric acid (GABA) release, thereby relieving the post-synaptic inhibition. Tolerance develops as neurons adjust both receptor number and cellular signal transduction to the chronic administration of cannabinoid drugs. Future therapeutic drug design can progress based upon our current understanding of the physiology and pharmacology of CB1, CB2 and related receptors. One very important role for CB1 antagonists will be in the treatment of craving in the disease of substance abuse.

Section snippets

Plant-derived and synthetic cannabimimetic agents

Ingestion of Cannabis sativa preparations such as marijuana (leaves and flowering tops) or ganja (resin) results in an intoxication characterized by sedation, cognitive dysfunction, failure to consolidate short-term memory, alteration in time assessment, perceptual changes, motor incoordination and poor executive function (see Abood and Martin, 1992, Dewey, 1986, Hollister, 1986, Pertwee, 1988 for review). Cannabinoid compounds isolated from the plant C. sativa comprise a family of tricyclic

Radioreceptor ligand binding and in situ hybridizaton of CB1 receptors

CB1 receptors are among the most abundant G-protein-coupled receptors in brain, their densities being similar to levels of γ-aminobutyric acid (GABA)- and glutamate-gated ion channels. The distribution of cannabinoid receptors within the central nervous system was first described by Miles Herkenham in a landmark study using quantitative in vitro receptor autoradiography with the radioligand [3H]CP55940 (Herkenham et al., 1991). The distribution of CB1 receptors is highly heterogeneous with the

Signal transduction mechanisms of cannabinoid receptors

Both CB1 and CB2 cannabinoid receptors are members of the superfamily of G-protein-coupled receptors, so the signal transduction properties of these receptors are mediated by the process of G-protein activation. The use of specific signal transduction assays was a critical turning point in the identification of specific cannabinoid receptors. After many years of speculation, the existence of cannabinoid receptors was confirmed when Howlett and colleagues showed that cannabinoids decreased cAMP

Functional consequences of cannabinoid receptor activation

Cannabinoid receptors are among the most ubiquitous neurotransmitter elements in the mammalian brain, as they are present in almost every brain region and on many different types of neurons (Moldrich and Wenger, 2000). The multiple consequences of cannabinoid receptor activation, i.e., a reduction in adenylyl cyclase, modulation of ion channels and reduction in intracellular Ca2+, provide an important basis for control of multiple cellular signaling processes within the brain (Breivogel et al.,

Chronic cannabinoid effects on receptors and signal transduction systems

Chronic administration of cannabinoid drugs to animals results in tolerance to many of the acute effects of Δ9-THC, including memory disruption (Deadwyler et al., 1995), decreased locomotion (Abood et al., 1993, Oviedo et al., 1993), hypothermia (Fan et al., 1996, Pertwee et al., 1993), neuroendocrine effects (Rodriguez de Fonseca et al., 1991), and analgesia (Adams and Martin, 1996). Both cannabinoid receptors and their signal transduction systems are significantly regulated by chronic agonist

The next 30 years of cannabinoid physiology and pharmacology

Cannabinoid receptor agonists were developed by the pharmaceutical industry as non-NSAID, non-opioid analgesics; however, their therapeutic utility was curtailed due to untoward side effects such as sedation and cognitive dysfunction (Johnson et al., 1981). Both beneficial and untoward effects were believed to be the result of CB1 receptor activation. As the result of landmark studies in CB1 −/− knock-out mice (DiMarzo et al., 2000, Breivogel et al., 2001), we now understand that the

Acknowledgements

This work was supported by National Institute on Drug Abuse grants DA03690, DA00182, DA12385 to A.C.H.; DA07246 to C.S.B.; DA06784 to S.R.C.; DA03502, DA07624, DA00119 to S.A.D.; DA08549 to R.E.H; and DA06634 to L.J.P.

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