In the liver, activation of the CB1 receptor is known to increase de novo lipogenesis,[4] Activation of presynaptic CB1 receptors is also known to inhibit sympathetic innervation of blood vessels and contributes to the suppression of the neurogenic vasopressor response in septic shock.[5]
Gastrointestinal activity
Inhibition of gastrointestinal activity has been observed after administration of Δ9-THC, or of anandamide. This effect has been assumed to be CB1-mediated since the specific CB1 antagonist SR 141716A (Rimonabant) blocks the effect. Another report, however, suggests that inhibition of intestinalmotility may also have a CB2-mediated component.[6]
Cardiovascular activity
Cannabinoids are well known for their cardiovascular activity. Activation of peripheral CB1 receptors contributes to hemorrhagic and endotoxin-induced hypotension. Anandamide and 2-AG, produced by macrophages and platelets respectively, may mediate this effect.
Pain
Anandamide attenuates the early phase or the late phase of pain behavior produced by formalin-induced chemical damage. This effect is produced by interaction with CB1 (or CB1-like) receptors, located on peripheral endings of sensory neurons involved in pain transmission. Palmitylethanolamide, which like anandamide is present in the skin, also exhibits peripheral antinociceptive activity during the late phase of pain behavior. Palmitylethanolamide, however does not bind to either CB1 or CB2. Its analgetic activity is blocked by the specific CB2 antagonist SR 144528, though not by the specific CB1 antagonist SR 141716A. Hence a CB2-like receptor was postulated.
Use of antagonists
CB1 selective antagonists are used for weight reduction and smoking cessation (see Rimonabant). Activation of CB1 provides neuroprotection after brain injury.[7]
Mechanism
Cannabinoid receptors are activated by cannabinoids, generated naturally inside the body (endocannabinoids) or introduced into the body as cannabis or a related synthetic compound. They are activated in a dose-dependent, stereoselective and pertussis toxin-sensitive manner[1].
Separation between the therapeutically undesirable psychotropic effects, and the clinically desirable ones however, has not been reported with agonists that bind to cannabinoid receptors. THC, as well as the two major endogenous compounds identified so far that bind to the cannabinoid receptors (anandamide and 2-arachidonylglycerol) produce most of their effects by binding to both the CB1 and CB2 cannabinoid receptors.citation needed
^ abcde Pagotto U, Marsicano G, Cota D, Lutz B, Pasquali R (2006). "The emerging role of the endocannabinoid system in endocrine regulation and energy balance". Endocr. Rev.27 (1): 73–100. doi:10.1210/er.2005-0009. PMID 16306385.
^ Burns HD, Van Laere K, Sanabria-Bohórquez S, Hamill TG, Bormans G, Eng WS, Gibson R, Ryan C, Connolly B, Patel S, Krause S, Vanko A, Van Hecken A, Dupont P, De Lepeleire I, Rothenberg P, Stoch SA, Cote J, Hagmann WK, Jewell JP, Lin LS, Liu P, Goulet MT, Gottesdiener K, Wagner JA, de Hoon J, Mortelmans L, Fong TM, Hargreaves RJ (2007). "[18F]MK-9470, a positron emission tomography (PET) tracer for in vivo human PET brain imaging of the cannabinoid-1 receptor". Proc. Natl. Acad. Sci. U.S.A.104 (23): 9800–5. doi:10.1073/pnas.0703472104. PMID 17535893.
^ Osei-Hyiaman D, DePetrillo M, Pacher P, Liu J, Radaeva S, Bátkai S, Harvey-White J, Mackie K, Offertáler L, Wang L, Kunos G (2005). "Endocannabinoid activation at hepatic CB1 receptors stimulates fatty acid synthesis and contributes to diet-induced obesity". J. Clin. Invest.115 (5): 1298–305. doi:10.1172/JCI200523057. PMID 15864349.
^ Godlewski G, Malinowska B, Schlicker E (2004). "Presynaptic cannabinoid CB1 receptors are involved in the inhibition of the neurogenic vasopressor response during septic shock in pithed rats". Br. J. Pharmacol.142 (4): 701–8. doi:10.1038/sj.bjp.0705839. PMID 15159284.
^ Mathison R, Ho W, Pittman QJ, Davison JS, Sharkey KA (2004). "Effects of cannabinoid receptor-2 activation on accelerated gastrointestinal transit in lipopolysaccharide-treated rats". Br. J. Pharmacol.142 (8): 1247–54. doi:10.1038/sj.bjp.0705889. PMID 15249429.
^ Panikashvili D, Simeonidou C, Ben-Shabat S, Hanus L, Breuer A, Mechoulam R, Shohami E (2001). "An endogenous cannabinoid (2-AG) is neuroprotective after brain injury". Nature413 (6855): 527–31. doi:10.1038/35097089. PMID 11586361.
Oddi S, Spagnuolo P, Bari M, et al. (2007). "Differential modulation of type 1 and type 2 cannabinoid receptors along the neuroimmune axis.". Int. Rev. Neurobiol.82: 327–37. doi:10.1016/S0074-7742(07)82017-4. PMID 17678969.
Gérard CM, Mollereau C, Vassart G, Parmentier M (1991). "Molecular cloning of a human cannabinoid receptor which is also expressed in testis.". Biochem. J.279 ( Pt 1): 129–34. PMID 1718258.
Hoehe MR, Caenazzo L, Martinez MM, et al. (1991). "Genetic and physical mapping of the human cannabinoid receptor gene to chromosome 6q14-q15.". New Biol.3 (9): 880–5. PMID 1931832.
Matsuda LA, Lolait SJ, Brownstein MJ, et al. (1990). "Structure of a cannabinoid receptor and functional expression of the cloned cDNA.". Nature346 (6284): 561–4. doi:10.1038/346561a0. PMID 2165569.
Gérard C, Mollereau C, Vassart G, Parmentier M (1991). "Nucleotide sequence of a human cannabinoid receptor cDNA.". Nucleic Acids Res.18 (23): 7142. PMID 2263478.
Shire D, Carillon C, Kaghad M, et al. (1995). "An amino-terminal variant of the central cannabinoid receptor resulting from alternative splicing.". J. Biol. Chem.270 (8): 3726–31. PMID 7876112.
Bonaldo MF, Lennon G, Soares MB (1997). "Normalization and subtraction: two approaches to facilitate gene discovery.". Genome Res.6 (9): 791–806. PMID 8889548.
Kenney SP, Kekuda R, Prasad PD, et al. (1999). "Cannabinoid receptors and their role in the regulation of the serotonin transporter in human placenta.". Am. J. Obstet. Gynecol.181 (2): 491–7. PMID 10454705.
Porcella A, Maxia C, Gessa GL, Pani L (2000). "The human eye expresses high levels of CB1 cannabinoid receptor mRNA and protein.". Eur. J. Neurosci.12 (3): 1123–7. PMID 10762343.
Mukhopadhyay S, Howlett AC (2001). "CB1 receptor-G protein association. Subtype selectivity is determined by distinct intracellular domains.". Eur. J. Biochem.268 (3): 499–505. PMID 11168387.
Murphy WJ, Eizirik E, Johnson WE, et al. (2001). "Molecular phylogenetics and the origins of placental mammals.". Nature409 (6820): 614–8. doi:10.1038/35054550. PMID 11214319.
Nong L, Newton C, Friedman H, Klein TW (2002). "CB1 and CB2 receptor mRNA expression in human peripheral blood mononuclear cells (PBMC) from various donor types.". Adv. Exp. Med. Biol.493: 229–33. PMID 11727770.
Leroy S, Griffon N, Bourdel MC, et al. (2002). "Schizophrenia and the cannabinoid receptor type 1 (CB1): association study using a single-base polymorphism in coding exon 1.". Am. J. Med. Genet.105 (8): 749–52. PMID 11803524.
Schmidt LG, Samochowiec J, Finckh U, et al. (2002). "Association of a CB1 cannabinoid receptor gene (CNR1) polymorphism with severe alcohol dependence.". Drug and alcohol dependence65 (3): 221–4. PMID 11841893.
Lastres-Becker I, Cebeira M, de Ceballos ML, et al. (2002). "Increased cannabinoid CB1 receptor binding and activation of GTP-binding proteins in the basal ganglia of patients with Parkinson's syndrome and of MPTP-treated marmosets.". Eur. J. Neurosci.14 (11): 1827–32. PMID 11860478.
Petrelli A, Gilestro GF, Lanzardo S, et al. (2002). "The endophilin-CIN85-Cbl complex mediates ligand-dependent downregulation of c-Met.". Nature416 (6877): 187–90. doi:10.1038/416187a. PMID 11894096.
Huang SM, Bisogno T, Trevisani M, et al. (2002). "An endogenous capsaicin-like substance with high potency at recombinant and native vanilloid VR1 receptors.". Proc. Natl. Acad. Sci. U.S.A.99 (12): 8400–5. doi:10.1073/pnas.122196999. PMID 12060783.
Ujike H, Takaki M, Nakata K, et al. (2002). "CNR1, central cannabinoid receptor gene, associated with susceptibility to hebephrenic schizophrenia.". Mol. Psychiatry7 (5): 515–8. doi:10.1038/sj.mp.4001029. PMID 12082570.
Ho BY, Current L, Drewett JG (2002). "Role of intracellular loops of cannabinoid CB(1) receptor in functional interaction with G(alpha16).". FEBS Lett.522 (1-3): 130–4. PMID 12095632.
Matias I, Pochard P, Orlando P, et al. (2002). "Presence and regulation of the endocannabinoid system in human dendritic cells.". Eur. J. Biochem.269 (15): 3771–8. PMID 12153574.