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1.
Drug Deliv ; 28(1): 2525-2533, 2021 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-34842016

RESUMEN

Causing more and more deaths, stroke has been a leading cause of death worldwide. However, success in clinical stroke trials has remained elusive. N-oleoylethanolamine (OEA) was an endogenous highly hydrophobic molecule with outstanding neuroprotective effect. In this article, hydrogen bonds were successfully formed between OEA and soybean phosphatidylcholine (SPC). The synthetic OEA-SPC complex and DSPE-PEG were self-assembled into liposomes (OEA NPs), with OEA-SPC loaded in the core and PEG formed a hydrophilic shell. Hence, highly hydrophobic OEA was loaded into liposomes as amorphous state with a drug loading of 8.21 ± 0.18 wt%. With fairly uniform size and well-distributed character, the OEA NPs were systemically assessed as an intravenous formulation for stroke therapy. The results indicated that the administration of OEA NPs could significantly improve the survival rate and the Garcia score of the MCAO rats compared with free OEA. The TTC-stained brain slices declared that the cerebral infarct volume and the edema degree induced by MCAO could be decreased to an extremely low level via the administration of OEA NPs. The Morris water maze (MWM) test suggested that the spatial learning and memory of the MCAO rats could also be ameliorated by OEA NPs. The immunofluorescence assay stated that the apoptosis of the neurons and the inflammation within the brain were greatly inhibited. The results suggest that the OEA NPs have a great chance to develop OEA as a potential anti-stroke formulation for clinic application.


Asunto(s)
Portadores de Fármacos/química , Endocannabinoides/administración & dosificación , Endocannabinoides/farmacología , Etanolaminas/administración & dosificación , Etanolaminas/farmacología , Liposomas/química , Ácidos Oléicos/administración & dosificación , Ácidos Oléicos/farmacología , Accidente Cerebrovascular/tratamiento farmacológico , Animales , Química Farmacéutica , Modelos Animales de Enfermedad , Liberación de Fármacos , Interacciones Hidrofóbicas e Hidrofílicas , Masculino , Fosfatidilcolinas/química , Fosfatidiletanolaminas/química , Polietilenglicoles/química , Ratas , Ratas Sprague-Dawley
2.
Nat Commun ; 12(1): 926, 2021 02 10.
Artículo en Inglés | MEDLINE | ID: mdl-33568652

RESUMEN

The endocannabinoid system is a promising target to mitigate pain as the endocannabinoids are endogenous ligands of the pain-mediating receptors-cannabinoid receptors 1 and 2 (CB1 and CB2) and TRPV1. Herein, we report on a class of lipids formed by the epoxidation of N-arachidonoyl-dopamine (NADA) and N-arachidonoyl-serotonin (NA5HT) by epoxygenases. EpoNADA and epoNA5HT are dual-functional rheostat modulators of the endocannabinoid-TRPV1 axis. EpoNADA and epoNA5HT are stronger modulators of TRPV1 than either NADA or NA5HT, and epoNA5HT displays a significantly stronger inhibition on TRPV1-mediated responses in primary afferent neurons. Moreover, epoNA5HT is a full CB1 agonist. These epoxides reduce the pro-inflammatory biomarkers IL-6, IL-1ß, TNF-α and nitrous oxide and raise anti-inflammatory IL-10 cytokine in activated microglial cells. The epoxides are spontaneously generated by activated microglia cells and their formation is potentiated in the presence of anandamide. Detailed kinetics and molecular dynamics simulation studies provide evidence for this potentiation using the epoxygenase human CYP2J2. Taken together, inflammation leads to an increase in the metabolism of NADA, NA5HT and other eCBs by epoxygenases to form the corresponding epoxides. The epoxide metabolites are bioactive lipids that are potent, multi-faceted molecules, capable of influencing the activity of CB1, CB2 and TRPV1 receptors.


Asunto(s)
Antiinflamatorios/administración & dosificación , Dopamina/administración & dosificación , Dolor/tratamiento farmacológico , Receptor Cannabinoide CB1/inmunología , Receptor Cannabinoide CB2/inmunología , Serotonina/administración & dosificación , Animales , Antiinflamatorios/química , Dopamina/química , Endocannabinoides/administración & dosificación , Endocannabinoides/química , Compuestos Epoxi/química , Femenino , Humanos , Interleucina-10/genética , Interleucina-10/inmunología , Interleucina-1beta/genética , Interleucina-1beta/inmunología , Interleucina-6/genética , Interleucina-6/inmunología , Masculino , Ratones , Ratones Endogámicos C57BL , Óxido Nitroso/inmunología , Dolor/genética , Dolor/inmunología , Receptor Cannabinoide CB1/genética , Receptor Cannabinoide CB2/genética , Serotonina/química , Canales Catiónicos TRPV/genética , Canales Catiónicos TRPV/inmunología
3.
Anesth Analg ; 133(1): 251-262, 2021 07 01.
Artículo en Inglés | MEDLINE | ID: mdl-33560661

RESUMEN

BACKGROUND: Cholestatic diseases are often accompanied by elevated plasma levels of endogenous opioid peptides, but it is still unclear whether central or peripheral mechanisms are involved in this process, and little is known about the change of pain threshold in these patients. The purpose of this study was to determine the preoperative pain threshold, postoperative morphine consumption, and central and peripheral ß-endorphin levels in patients with obstructive jaundice. This study also tests the hypothesis that activation of the cannabinoid receptor-2 (CB2R) in skin keratinocytes by endocannabinoids is the mechanism underlying circulating ß-endorphin elevation in patients with obstructive jaundice. METHODS: The electrical pain thresholds, 48-hour postoperative morphine consumption, concentrations of ß-endorphin in plasma and cerebrospinal fluid, skin and liver ß-endorphin expression, and plasma levels of endocannabinoids were measured in jaundiced (n = 32) and control (n = 32) patients. Male Sprague-Dawley rats and human keratinocytes (human immortalized keratinocyte cell line [HaCaT]) were used for the in vivo and in vitro experiments, respectively. Mechanical and thermal withdrawal latency, plasma level, and skin expression of ß-endorphin were measured in CB2R-antagonist-treated and control bile duct-ligated (BDL) rats. In cultured keratinocytes, the effect of CB2R agonist AM1241-induced ß-endorphin expression was observed and the phosphorylation of extracellular-regulated protein kinases 1/2, p38, and signal transducer and activator of transcription (STAT) pathways were investigated. RESULTS: This study found (1) the plasma level of ß-endorphin (mean ± standard error of the mean [SEM]) was 193.9 ± 9.6 pg/mL in control patients, while it was significantly increased in jaundiced patients (286.6 ± 14.5 pg/mL); (2) the electrical pain perception threshold and the electrical pain tolerance threshold were higher in patients with obstructive jaundice compared with controls, while the 48-hour postoperative morphine consumption was lower in the jaundiced patients; (3) there was no correlation between plasma ß-endorphin levels, electrical pain thresholds, and 48-hour postoperative morphine consumption in patients with obstructive jaundice; (4) the plasma level of the endogenous cannabinoid anandamide was increased in the jaundiced patients; (5) CB2R antagonist treatment of the BDL rats reduced ß-endorphin levels in plasma and skin keratinocytes, while it did not alter the nociceptive thresholds in BDL and control rats; (6) the endocannabinoid anandamide-induced ß-endorphin synthesis and release via CB2R in cultured keratinocytes; and (7) phosphorylation of extracellular-regulated protein kinases 1/2 is involved in the CB2R-agonist-induced ß-endorphin expression in keratinocytes. CONCLUSIONS: CB2R activation in keratinocytes by the endocannabinoid anandamide may play an important role in the peripheral elevation of ß-endorphin during obstructive jaundice.


Asunto(s)
Agonistas de Receptores de Cannabinoides/administración & dosificación , Ictericia Obstructiva/sangre , Queratinocitos/metabolismo , Receptor Cannabinoide CB2/agonistas , Receptor Cannabinoide CB2/sangre , betaendorfina/sangre , Animales , Ácidos Araquidónicos/administración & dosificación , Línea Celular Transformada , Células Cultivadas , Endocannabinoides/administración & dosificación , Humanos , Indoles/farmacología , Indoles/uso terapéutico , Ictericia Obstructiva/diagnóstico , Ictericia Obstructiva/tratamiento farmacológico , Queratinocitos/efectos de los fármacos , Masculino , Persona de Mediana Edad , Morfina/administración & dosificación , Dimensión del Dolor/efectos de los fármacos , Dimensión del Dolor/métodos , Alcamidas Poliinsaturadas/administración & dosificación , Ratas , Ratas Sprague-Dawley
4.
Neuropharmacology ; 185: 108450, 2021 03 01.
Artículo en Inglés | MEDLINE | ID: mdl-33450278

RESUMEN

The endocannabinoid system has been shown to be a putative therapeutic target for retinal disease. Here, we aimed to investigate the ability of the endocannabinoid 2-arachidonoylglycerol (2-AG) and novel inhibitors of its metabolic enzymes, α/ß-hydrolase domain-containing 6 (ABHD6) and monoacylglycerol lipase (MAGL), a) to protect the retina against excitotoxicity and b) the mechanisms involved in the neuroprotection. Sprague-Dawley rats, wild type and Akt2-/- C57BL/6 mice were intravitreally administered with phosphate-buffered saline or (RS)-α-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid hydrobromide (AMPA). 2-AG was intravitreally co-administered with AMPA in the absence and presence of AM251 or AM630 (cannabinoid 1 and 2 receptor antagonists, respectively) or Wortmannin [Phosphoinositide 3-Kinase (PI3K)/Akt inhibitor]. Inhibitors of ABHD6 and dual ABHD6/MAGL (AM12100 and AM11920, respectively) were co-administered with AMPA intravitreally in rats. Immunohistochemistry was performed using antibodies raised against retinal neuronal markers (bNOS), microglia (Iba1) and macroglia (GFAP). TUNEL assay and real-time PCR were also employed. The CB2 receptor was expressed in rat retina (approx. 62% of CB1 expression). 2-AG attenuated the AMPA-induced increase in TUNEL+ cells. 2-AG activation of both CB1 and CB2 receptors and the PI3K/Akt downstream signaling pathway, as substantiated by the use of Akt2-/- mice, afforded neuroprotection against AMPA excitotoxicity. AM12100 and AM11920 attenuated the AMPA-induced glia activation and produced a dose-dependent partial neuroprotection, with the dual inhibitor AM11920 being more efficacious. These results show that 2-AG has the pharmacological profile of a putative therapeutic for retinal diseases characterized by neurodegeneration and neuroinflammation, when administered exogenously or by the inhibition of its metabolic enzymes.


Asunto(s)
Antiinflamatorios/administración & dosificación , Ácidos Araquidónicos/administración & dosificación , Endocannabinoides/administración & dosificación , Inhibidores Enzimáticos/administración & dosificación , Glicéridos/administración & dosificación , Monoacilglicerol Lipasas/antagonistas & inhibidores , Retina/efectos de los fármacos , Ácido alfa-Amino-3-hidroxi-5-metil-4-isoxazol Propiónico/toxicidad , Animales , Relación Dosis-Respuesta a Droga , Femenino , Inyecciones Intravítreas , Masculino , Ratones , Ratones Endogámicos C57BL , Ratones Noqueados , Monoacilglicerol Lipasas/metabolismo , Neuroprotección/efectos de los fármacos , Neuroprotección/fisiología , Ratas , Ratas Sprague-Dawley , Retina/metabolismo , Ácido alfa-Amino-3-hidroxi-5-metil-4-isoxazol Propiónico/administración & dosificación
5.
Adv Med Sci ; 66(1): 72-80, 2021 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-33388673

RESUMEN

PURPOSE: Hypertensive lesions induce alterations at hemodynamic, peripheral, and central levels. Anandamide (N-arachidonoylethanolamine; AEA) protects neurons from inflammatory damage, but its free administration may cause central adverse effects. AEA controlled release by nanoformulations could reduce/eliminate its side effects. The present study aimed to evaluate the effects of nanoformulated AEA (nf-AEA) on systolic blood pressure (SBP), behavior, and central/peripheral inflammatory, oxidative, and apoptotic state in spontaneously hypertensive rats (SHR). MATERIALS/METHODS: Male rats were used, both Wistar Kyoto (WKY) and SHR (n â€‹= â€‹10 per group), with/without treatment with nf-AEA (obtained by electrospraying) at a weekly dose of 5 â€‹mg/kg IP for 4 weeks. SBP was measured and behavioral tests were performed. Inflammatory/oxidative markers were quantified at the central (brain cortex) and peripheral (serum) level. RESULTS: SHR showed hyperactivity, low anxiety, and high concentrations of central/peripheral inflammatory/oxidative markers, also higher apoptosis of brain cortical cells compared to WKY. As opposed to this group, treatment with nf-AEA in SHR significantly reduced SBP, peripheral/central inflammatory/oxidative makers, and central apoptosis. Nf-AEA also increased neuroprotective mechanisms mediated by intracellular heat shock protein 70 (Hsp70), which were attenuated in untreated SHR. Additionally, nf-AEA reversed the abnormal behaviors observed in SHR without producing central adverse effects. CONCLUSIONS: Our results suggest protective properties of nf-AEA, both peripherally and centrally, through a signaling pathway that would involve the type I angiotensin II receptor, Wilms tumor transcription factor 1, Hsp70, and iNOS. Considering non-nf-AEA limitations, this nanoformulation could contribute to the development of new antihypertensive and behavioral disorder treatments associated with neuroinflammation.


Asunto(s)
Antihipertensivos/farmacología , Ácidos Araquidónicos/farmacología , Sistema Nervioso Central/efectos de los fármacos , Endocannabinoides/farmacología , Hemodinámica , Hipertensión/tratamiento farmacológico , Nanopartículas/química , Sistema Nervioso Periférico/efectos de los fármacos , Alcamidas Poliinsaturadas/farmacología , Animales , Antihipertensivos/administración & dosificación , Antihipertensivos/química , Ácidos Araquidónicos/administración & dosificación , Ácidos Araquidónicos/química , Presión Sanguínea , Endocannabinoides/administración & dosificación , Endocannabinoides/química , Hipertensión/metabolismo , Hipertensión/patología , Masculino , Nanopartículas/administración & dosificación , Estrés Oxidativo , Alcamidas Poliinsaturadas/administración & dosificación , Alcamidas Poliinsaturadas/química , Ratas , Ratas Endogámicas SHR , Ratas Endogámicas WKY , Transducción de Señal
6.
Artículo en Inglés | MEDLINE | ID: mdl-33152387

RESUMEN

Cannabis is one of the most widely used substances across the globe and its use has a substantial heritable component. However, the heritability of cannabis use varies according to substance use phenotype, suggesting that a unique profile of gene variants may contribute to the different stages of use, such as age of use onset, lifetime use, cannabis use disorder, and withdrawal and craving during abstinence. Herein, we review a subset of genes identified by candidate gene, family-based linkage, and genome-wide association studies related to these cannabis use phenotypes. We also describe their relationships with other substances, and their functions at the neurobiological, cognitive, and behavioral levels to hypothesize the role of these genes in cannabis use risk. Delineating genetic risk factors in the various stages of cannabis use will provide insight into the biological mechanisms related to cannabis use and highlight points of intervention prior to and following the development of dependence, as well as identify targets to aid drug development for treating problematic cannabis use.


Asunto(s)
Ansia/fisiología , Estudios de Asociación Genética/métodos , Abuso de Marihuana/genética , Fenotipo , Síndrome de Abstinencia a Sustancias/genética , Cannabis , Ansia/efectos de los fármacos , Endocannabinoides/administración & dosificación , Endocannabinoides/efectos adversos , Endocannabinoides/metabolismo , Estudios de Asociación Genética/tendencias , Humanos , Abuso de Marihuana/metabolismo , Síndrome de Abstinencia a Sustancias/metabolismo
7.
Psychopharmacology (Berl) ; 238(1): 293-304, 2021 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-33130926

RESUMEN

RATIONALE: Anandamide is an endocannabinoid that contributes to certain aspects of social behavior, like play and reward, by binding to cannabinoid receptor type 1 (CB1). Most interesting is the recent discovery that anandamide may be mobilized by oxytocin receptor activation under certain contexts, particularly in the nucleus accumbens. OBJECTIVES: Given the established role of oxytocin and the nucleus accumbens in the neurobiology of pair-bonding, we investigated whether systemic administration of brain-permeable modulators of the endocannabinoid system could alter preferential partner contact in both male and female prairie voles. METHODS: Specifically, we tested whether intraperitoneal administration of the neutral CB1 antagonist AM4113 (4.0-16.0 mg/kg) or the anandamide hydrolysis inhibitor URB597 (5.0-20.0 mg/kg) could prevent or facilitate partner preference formation, respectively. To further investigate the specificity of effects on partner preference, we repeated our URB597 dosing regimen on an additional group of females and tested their anxiety-related behavior in both an elevated-plus maze and a light/dark test. RESULTS: AM4113 administration had no effect on partner preference. But while URB597 also had no effect on partner preference, low-dose females did increase absolute preferential contact with either the partner or the stranger; individual females spent significant contact time with either the partner or the stranger. None of our outcome measures in either anxiety test showed significant effects of treatment. CONCLUSIONS: Our results reveal that experimentally increasing anandamide levels in female prairie voles can increase social contact with both a familiar and novel male via unknown mechanisms that are likely separate from anxiety reduction.


Asunto(s)
Ácidos Araquidónicos/farmacología , Endocannabinoides/farmacología , Conducta Exploratoria/efectos de los fármacos , Apareamiento , Alcamidas Poliinsaturadas/farmacología , Conducta Social , Animales , Ansiedad/metabolismo , Ansiedad/prevención & control , Ansiedad/psicología , Ácidos Araquidónicos/administración & dosificación , Arvicolinae , Conducta Animal , Benzamidas/farmacología , Carbamatos/farmacología , Endocannabinoides/administración & dosificación , Femenino , Masculino , Aprendizaje por Laberinto/efectos de los fármacos , Núcleo Accumbens/efectos de los fármacos , Núcleo Accumbens/metabolismo , Alcamidas Poliinsaturadas/administración & dosificación , Pirazoles/farmacología , Receptor Cannabinoide CB1/antagonistas & inhibidores , Receptor Cannabinoide CB1/metabolismo , Receptores de Oxitocina/metabolismo
8.
Artículo en Inglés | MEDLINE | ID: mdl-33186639

RESUMEN

The endocannabinoid system is a metabolic pathway involved in the communication between the gut microbiota and the host. In the gut, the endocannabinoid system regulates the integrity of the intestinal barrier. A compromised integrity of the intestinal barrier is associated with several disorders such as inflammatory bowel disorder, obesity and major depressive disorder. Decreasing the integrity of the intestinal barrier results in an increased translocation of bacterial metabolites, including lipopolysaccharides, across the epithelial layer of the gut, causing the subsequent inflammation. Targeting the endocannabinoid system in the gut can improve the integrity of the intestinal barrier. Currently, microbial interventions in the form of probiotics are under investigation for the treatment of diseases related to a compromised integrity of the intestinal barrier. However, the role of the endocannabinoid system in the gut is ambiguous since activity of the endocannabinoid system is increased in obesity and decreased in inflammatory bowel disease, emphasizing the need for development of personalized microbial interventions. This review discusses the role of the endocannabinoid system in regulating the gut barrier integrity and highlights current efforts to develop new endocannabinoid-targeted microbial interventions.


Asunto(s)
Eje Cerebro-Intestino/fisiología , Trastorno Depresivo Mayor/metabolismo , Endocannabinoides/metabolismo , Microbioma Gastrointestinal/fisiología , Probióticos/administración & dosificación , Animales , Eje Cerebro-Intestino/efectos de los fármacos , Trastorno Depresivo Mayor/dietoterapia , Trastorno Depresivo Mayor/psicología , Endocannabinoides/administración & dosificación , Microbioma Gastrointestinal/efectos de los fármacos , Humanos
9.
Nat Rev Urol ; 18(1): 19-32, 2021 01.
Artículo en Inglés | MEDLINE | ID: mdl-33214706

RESUMEN

Marijuana is the most widely consumed recreational drug worldwide, which raises concerns for its potential effects on fertility. Many aspects of human male reproduction can be modulated by cannabis-derived extracts (cannabinoids) and their endogenous counterparts, known as endocannabinoids (eCBs). These latter molecules act as critical signals in a variety of physiological processes through receptors, enzymes and transporters collectively termed the endocannabinoid system (ECS). Increasing evidence suggests a role for eCBs, as well as cannabinoids, in various aspects of male sexual and reproductive health. Although preclinical studies have clearly shown that ECS is involved in negative modulation of testosterone secretion by acting both at central and testicular levels in animal models, the effect of in vivo exposure to cannabinoids on spermatogenesis remains a matter of debate. Furthermore, inconclusive clinical evidence does not seem to support the notion that plant-derived cannabinoids have harmful effects on human sexual and reproductive health. An improved understanding of the complex crosstalk between cannabinoids and eCBs is required before targeting of ECS for modulation of human fertility becomes a reality.


Asunto(s)
Cannabinoides/metabolismo , Endocannabinoides/metabolismo , Genitales Masculinos/metabolismo , Transducción de Señal/fisiología , Animales , Cannabinoides/administración & dosificación , Endocannabinoides/administración & dosificación , Genitales Masculinos/efectos de los fármacos , Humanos , Masculino , Receptores de Cannabinoides/metabolismo , Transducción de Señal/efectos de los fármacos , Testosterona/antagonistas & inhibidores , Testosterona/metabolismo
10.
Eur Rev Med Pharmacol Sci ; 24(22): 11871-11882, 2020 11.
Artículo en Inglés | MEDLINE | ID: mdl-33275258

RESUMEN

OBJECTIVE: The members of the matrix metalloproteinase (MMP) family and cannabinoids (CBs) are reportedly associated with hippocampus-dependent memory functions. However, the effects of endogenously formed CBs on hippocampal long-term potentiation remain unknown. The present study aimed to investigate the changes in the gene and protein expression levels of matrix metallopeptidase 9 (MMP-9), phosphatase and tensin homolog (PTEN), and NOTCH receptor 1 (NOTCH1) in rat hippocampal tissues treated with anandamide (AEA), AM251, 6-iodopravadolin (AM630), and N-[4-{[(3,4-Dimethyl-5-isoxazolyl)amino]sulfonyl}phenyl] (ML193). MATERIALS AND METHODS: The subjects were divided into 10 groups (n = five per group). The pharmaceuticals were administered via intraperitoneal injection once a day for seven days, except for the control group. The resected hippocampal tissues were then evaluated using a quantitative real-time polymerase chain reaction (RT-qPCR) and Western blot analysis. The data obtained were statistically analyzed, and p < 0.01 was considered statistically significant. RESULTS: Contrary to the literature, the changes in MMP-9 expression were not statistically significant, but the changes in PTEN and NOTCH1 were. The findings of this in vivo experimental study revealed that the agonists and antagonists acting on the CB system have significant molecular effects on hippocampal tissue. CONCLUSIONS: The changes in gene and protein expressions may be one of the reasons for the neurodegenerative processes observed in patients using these agonists and antagonists, whose effects on the CB system have not been fully explained yet. Our study can contribute to the literature as it is the first study investigating the MMP-9, PTEN and NOTCH1 gene and protein expression.


Asunto(s)
Ácidos Araquidónicos/farmacología , Agonistas de Receptores de Cannabinoides/farmacología , Endocannabinoides/farmacología , Hipocampo/efectos de los fármacos , Alcamidas Poliinsaturadas/farmacología , Animales , Ácidos Araquidónicos/administración & dosificación , Agonistas de Receptores de Cannabinoides/administración & dosificación , Método Doble Ciego , Endocannabinoides/administración & dosificación , Hipocampo/metabolismo , Inyecciones Intraperitoneales , Metaloproteinasa 9 de la Matriz/genética , Metaloproteinasa 9 de la Matriz/metabolismo , Fosfohidrolasa PTEN/genética , Alcamidas Poliinsaturadas/administración & dosificación , Ratas , Ratas Wistar , Receptor Notch1/genética
11.
Trials ; 21(1): 890, 2020 Oct 27.
Artículo en Inglés | MEDLINE | ID: mdl-33109244

RESUMEN

OBJECTIVES: In this study, we investigate the effect of boron-containing compounds and oleoylethanolamide supplementation on the recovery trend in patients with COVID-19. TRIAL DESIGN: The current study is a single-center, randomized, double-blind, placebo-controlled clinical trial with parallel groups. PARTICIPANTS: The inclusion criteria include male and female patients≥18 years of age, with a confirmed diagnosis of SARS-CoV-2 infection via polymerase chain reaction (PCR) and/or antibody test and with written informed consent to participate in this trial. The exclusion criteria include regular use of any other supplement, severe and critical COVID-19 pneumonia, pregnancy and breastfeeding. This study is being conducted at Imam Reza Hospital, Tabriz University of Medical Sciences, Tabriz, Iran. INTERVENTION AND COMPARATOR: Patients are randomly assigned to four groups. The first group (A) will take one capsule containing 5 mg of boron compounds twice a day for two weeks. The second group (B) will take one capsule containing 200 mg oleoylethanolamide twice a day for two weeks. The third group (C) will take one capsule containing 5 mg boron compounds with 200 mg oleoylethanolamide twice a day for two weeks, and the fourth group (D) does not receive any additional treatment other than routine treatments. Boron-containing compounds and oleoylethanolamide capsules will be synthesized at Nutrition Research Center of Tabriz University of Medical Sciences. MAIN OUTCOMES: The primary end point of this study is to investigate the recovery rate of clinical symptoms, including fever, dry cough, and fatigue, as well as preclinical features, including complete blood count (CBC), the erythrocyte sedimentation rate (ESR), C-reactive protein (CRP) profiles within two weeks of randomization. RANDOMISATION: Patients are randomized into four equal groups in a parallel design (allocation ratio 1:1). A randomized block procedure is used to divide subjects into one of four treatment blocks (A, B, C, and D) by a computer-generated allocation schedule. BLINDING (MASKING): The participants and investigators (enrolling, assessing, and analyzing) are blinded to the intervention assignments until the end of the study and data analysis. NUMBERS TO BE RANDOMISED (SAMPLE SIZE): The calculated total sample size is 40 patients, with 10 patients in each group. TRIAL STATUS: The protocol is Version 1.0, May 17, 2020. Recruitment began May 19, 2020, and is anticipated to be completed by October 19, 2020. TRIAL REGISTRATION: This clinical trial has been registered by the title of "Assessment of boron-containing compounds and oleoylethanolamide supplementation on the recovery trend in Patients with COVID-19: A double-blind randomized placebo-controlled clinical trial" in the Iranian Registry of Clinical Trials (IRCT). The registration number is " IRCT20090609002017N35 ", https://www.irct.ir/trial/48058 . The registration date is 17 May 2020. FULL PROTOCOL: The full protocol is attached as an additional file, accessible from the Trials website (Additional file 1). In the interest in expediting dissemination of this material, the familiar formatting has been eliminated; this Letter serves as a summary of the key elements of the full protocol.


Asunto(s)
Compuestos de Boro , Infecciones por Coronavirus , Quimioterapia Combinada/métodos , Endocannabinoides , Ácidos Oléicos , Pandemias , Neumonía Viral , Administración Oral , Adulto , Betacoronavirus/efectos de los fármacos , Betacoronavirus/aislamiento & purificación , Compuestos de Boro/administración & dosificación , Compuestos de Boro/efectos adversos , COVID-19 , Infecciones por Coronavirus/diagnóstico , Infecciones por Coronavirus/tratamiento farmacológico , Suplementos Dietéticos , Método Doble Ciego , Monitoreo de Drogas/métodos , Endocannabinoides/administración & dosificación , Endocannabinoides/efectos adversos , Femenino , Humanos , Irán , Masculino , Ácidos Oléicos/administración & dosificación , Ácidos Oléicos/efectos adversos , Neumonía Viral/diagnóstico , Neumonía Viral/tratamiento farmacológico , Ensayos Clínicos Controlados Aleatorios como Asunto , SARS-CoV-2 , Oligoelementos/administración & dosificación , Oligoelementos/efectos adversos , Resultado del Tratamiento
12.
Biomed Pharmacother ; 129: 110456, 2020 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-32603895

RESUMEN

BACKGROUND: Modulation of the endocannabinoid system has been shown to alleviate neuropathic pain. The aim of this study was to evaluate if treatment with paclitaxel, a chemotherapeutic agent that induces neuropathic pain, affects endocannabinoid levels at a time when mice develop paclitaxel-induced mechanical allodynia. We also evaluated the peripheral antiallodynic activity of the endocannabinoid 2-arachidonoyl glycerol (2-AG) and an inhibitor of monoacylglycerol lipase (MAGL), an enzyme responsible for 2-AG hydrolysis. METHODS: Female BALB/c mice were treated intraperitoneally with paclitaxel to induce mechanical allodynia. Levels of the endocannabinoids, N-arachidonoylethanolamine (anandamide, AEA), 2-AG, and the N-acylethanolamines (NAEs), N-palmitoylethanolamide (PEA) and N-oleoylethanolamide (OEA), which are structurally-related to AEA, in the brain, spinal cord and paw skin were measured using LC-MS/MS. Protein expression of MAGL in the paw skin was measured using Wes™. The effects of subcutaneous (s.c.) injection of 2-AG and JZL184 (a MAGL inhibitor) into the right hind paw of mice with paclitaxel-induced mechanical allodynia were assessed using the dynamic plantar aesthesiometer. The effects of pretreatment, s.c., into the right hind paw, with cannabinoid type 1 (CB1) receptor antagonist AM251 and CB2 receptor antagonist AM630 on the antiallodynic effects of 2-AG were also evaluated. RESULTS: The levels of 2-AG were reduced only in the paw skin of paclitaxel-treated mice, whilst the levels of AEA, PEA and OEA were not significantly altered. There was no change in the expression of MAGL in the paw skin. Administration of 2-AG and JZL184 produced antiallodynic effects against paclitaxel-induced mechanical allodynia in the injected right paw, but did not affect the uninjected left paw. The antiallodynic activity of 2-AG was antagonized by both AM251 and AM630. CONCLUSION: These results indicate that during paclitaxel-induced mechanical allodynia there is a deficiency of 2-AG in the periphery, but not in the CNS. Increasing 2-AG in the paw by local administration of 2-AG or a MAGL inhibitor, alleviates mechanical allodynia in a CB1 and CB2 receptor-dependent manner.


Asunto(s)
Analgésicos/administración & dosificación , Ácidos Araquidónicos/administración & dosificación , Benzodioxoles/administración & dosificación , Agonistas de Receptores de Cannabinoides/administración & dosificación , Endocannabinoides/administración & dosificación , Inhibidores Enzimáticos/administración & dosificación , Glicéridos/administración & dosificación , Hiperalgesia/tratamiento farmacológico , Neuralgia/tratamiento farmacológico , Paclitaxel , Piperidinas/administración & dosificación , Piel/efectos de los fármacos , Animales , Ácidos Araquidónicos/deficiencia , Modelos Animales de Enfermedad , Endocannabinoides/deficiencia , Femenino , Glicéridos/deficiencia , Hiperalgesia/sangre , Hiperalgesia/inducido químicamente , Ratones Endogámicos BALB C , Monoacilglicerol Lipasas/antagonistas & inhibidores , Monoacilglicerol Lipasas/metabolismo , Neuralgia/inducido químicamente , Neuralgia/metabolismo , Receptor Cannabinoide CB1/agonistas , Receptor Cannabinoide CB1/metabolismo , Receptor Cannabinoide CB2/agonistas , Receptor Cannabinoide CB2/metabolismo , Piel/metabolismo
13.
Arch Toxicol ; 93(10): 2979-2992, 2019 10.
Artículo en Inglés | MEDLINE | ID: mdl-31428840

RESUMEN

Conventional in vitro toxicity studies have focused on identifying IC50 and the underlying mechanisms, but how toxicants influence biophysical and biomechanical changes in human cells, especially during developmental stages, remain understudied. Here, using an atomic force microscope, we characterized changes in biophysical (cell area, actin organization) and biomechanical (Young's modulus, force of adhesion, tether force, membrane tension, tether radius) aspects of human fetal brain-derived neural progenitor cells (NPCs) induced by four classes of widely used toxic compounds, including rotenone, digoxin, N-arachidonoylethanolamide (AEA), and chlorpyrifos, under exposure up to 36 h. The sub-cellular mechanisms (apoptosis, mitochondria membrane potential, DNA damage, glutathione levels) by which these toxicants induced biochemical changes in NPCs were assessed. Results suggest a significant compromise in cell viability with increasing toxicant concentration (p < 0.01), and biophysical and biomechanical characteristics with increasing exposure time (p < 0.01) as well as toxicant concentration (p < 0.01). Impairment of mitochondrial membrane potential appears to be the most sensitive mechanism of neurotoxicity for rotenone, AEA and chlorpyrifos exposure, but compromise in plasma membrane integrity for digoxin exposure. The surviving NPCs remarkably retained stemness (SOX2 expression) even at high toxicant concentrations. A negative linear correlation (R2 = 0.92) exists between the elastic modulus of surviving cells and the number of living cells in that environment. We propose that even subtle compromise in cell mechanics could serve as a crucial marker of developmental neurotoxicity (mechanotoxicology) and therefore should be included as part of toxicology assessment repertoire to characterize as well as predict developmental outcomes.


Asunto(s)
Apoptosis/efectos de los fármacos , Células-Madre Neurales/efectos de los fármacos , Síndromes de Neurotoxicidad/etiología , Ácidos Araquidónicos/administración & dosificación , Ácidos Araquidónicos/toxicidad , Membrana Celular/efectos de los fármacos , Supervivencia Celular/efectos de los fármacos , Células Cultivadas , Daño del ADN/efectos de los fármacos , Digoxina/administración & dosificación , Digoxina/toxicidad , Relación Dosis-Respuesta a Droga , Endocannabinoides/administración & dosificación , Endocannabinoides/toxicidad , Humanos , Insecticidas/administración & dosificación , Insecticidas/toxicidad , Potencial de la Membrana Mitocondrial/efectos de los fármacos , Células-Madre Neurales/patología , Síndromes de Neurotoxicidad/embriología , Síndromes de Neurotoxicidad/patología , Alcamidas Poliinsaturadas/administración & dosificación , Alcamidas Poliinsaturadas/toxicidad
14.
J Cutan Med Surg ; 23(5): 528-536, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31167547

RESUMEN

Itch treatment is a major challenge in the dermatologist's practice. We encounter patients suffering from pruritus on a regular basis, and often lack diverse treatment options to adequately respond to the patients' needs. In the last 20 years, novel pathways have been investigated that were beyond the scope of histamine. Although most did not result in a molecule available on the Canadian market, it is interesting and important as health care providers to stay up to date with new neuronal pathways involved in itch transmission and potential new therapeutic options. In this review, we will discuss pathways targeted in new topical treatments such as antagonist of proteinase-activated receptor-2, the endocannabinoid system, neurotrophins and tropomyosin-related kinase A receptor, the transient receptor potential-vanilloid or transient receptor potential-melastatine ion channels. New systemic therapies are now focusing on antagonizing the neurokinin receptor, modulating the opioidergic system, or targeting itch cytokines such as interleukin-31.


Asunto(s)
Antagonistas de Narcóticos/uso terapéutico , Prurito/tratamiento farmacológico , Prurito/metabolismo , Administración Cutánea , Animales , Aprepitant/uso terapéutico , Capsaicina/administración & dosificación , Endocannabinoides/administración & dosificación , Humanos , Interleucinas/antagonistas & inhibidores , Interleucinas/metabolismo , Mentol/administración & dosificación , Factor de Crecimiento Nervioso/antagonistas & inhibidores , Antagonistas del Receptor de Neuroquinina-1/uso terapéutico , Polidocanol/administración & dosificación , Receptor PAR-2/antagonistas & inhibidores , Receptor trkA/antagonistas & inhibidores , Canales Catiónicos TRPM/agonistas , Canales Catiónicos TRPV/agonistas
15.
Int J Pharm ; 566: 1-10, 2019 Jul 20.
Artículo en Inglés | MEDLINE | ID: mdl-31112795

RESUMEN

Anandamide (AEA), an endogenous cannabinoid, has a relevant antihypertensive effect. However, its cardioprotective role has been barely explored due to unfavorable physico-chemical properties and, sometimes, undesirable psychoactive effects. In this context, drug encapsulation in nanocarriers could overcome the limitations associated with the administration of AEA in free form. The aim of the present study was to encapsulate AEA in poly-ε-caprolactone/Pluronic® F127 nanoparticles (AEA/PCL/PF127 NPs) by means of electrospraying, to characterize their physico-chemical properties and cytocompatibility and to evaluate their effect in an in vivo model of cardiovascular remodeling caused by hypertension. AEA/PCL/PF127 NPs were characterized in terms of morphology, size, polydispersity, Z-potential, hydrophilicity, thermal and spectroscopic properties. Also, the encapsulation and loading efficiencies and in vitro release of AEA were analyzed. AEA/PCL/PF127 NPs (700-1000 nm) showed adequate cytocompatibility. For the cardiovascular remodeling studies, normotensive (WKY) and hypertensive (SHR) male rats were treated or not with AEA/PCL/PF127 NPs (5 mg/Kg, intraperitoneal injection) weekly for 1 month. Inflammatory markers and hemodynamic, structural and cardiac functional parameters were monitored. In SHR, the treatment with AEA/PCL/PF127 NPs reversed all altered cardiovascular markers and parameters (p < 0.05). Overall, nanoformulated AEA obtained by electrospraying proved to be effective for the treatment of hypertension and its comorbidities, especially cardiovascular remodeling.


Asunto(s)
Ácidos Araquidónicos/administración & dosificación , Cardiotónicos/administración & dosificación , Endocannabinoides/administración & dosificación , Hipertensión/tratamiento farmacológico , Nanopartículas/administración & dosificación , Alcamidas Poliinsaturadas/administración & dosificación , Células 3T3 , Animales , Ácidos Araquidónicos/química , Proteína C-Reactiva/análisis , Cardiotónicos/química , Supervivencia Celular/efectos de los fármacos , Citocinas/sangre , Composición de Medicamentos , Endocannabinoides/química , Proteínas HSP70 de Choque Térmico/sangre , Hipertensión/sangre , Hipertensión/patología , Masculino , Ratones , Nanopartículas/química , Poloxámero/administración & dosificación , Poloxámero/química , Poliésteres/administración & dosificación , Poliésteres/química , Alcamidas Poliinsaturadas/química , Ratas Endogámicas SHR , Ratas Endogámicas WKY , Remodelación Ventricular/efectos de los fármacos
16.
Appetite ; 141: 104301, 2019 10 01.
Artículo en Inglés | MEDLINE | ID: mdl-31132422

RESUMEN

Akkermansia muciniphila bacterium is one of the inhabitant gut microbiota involving in the energy homeostasis and inhibition of the inflammations. The present study was designed to evaluate the effects of Oleoylethanolamide (OEA) supplementation on the abundance of A. muciniphila and the dietary intakes in obese people. In this randomized, double-blind, controlled clinical trial, 60 eligible obese people were selected and divided randomly into two groups including OEA group (received two capsules containing 125 mg of OEA daily) and placebo group (received two capsules containing 125 mg of starch daily). The treatment lasted for 8 weeks. Dietary intakes were evaluated according to the three -day food record and, were analyzed by the Nutritionist 4 software. In order to evaluate the changes in the abundance of A. muciniphila bacterium, faeces samples were collected at baseline and at the end of study. The targeting of the 16S rRNA gene in A. muciniphila was measured by the quantitative real-time PCR analysis. For OEA group, the energy and carbohydrate intakes decreased significantly after adjusting for baseline values and confounder factors; (p = 0.035), the amount of carbohydrate was reported as 422.25 (SD = 103.11) gr and 368.44 (SD = 99.08) gr; (p = 0.042)), before and after the treatment, respectively. The abundance of A. muciniphila bacterium increased significantly in OEA group compared to placebo group (p < 0.001). Considering the accumulating evidence identified OEA as a novel, safe, and efficacious pharmaceutical agent increasing the abundance of A. muciniphila bacterium and modifying the energy balance, therefore it is suggested to use its supplement for treatment of the obese people. However, future studies are needed to confirm the positive results obtained in this study.


Asunto(s)
Suplementos Dietéticos , Endocannabinoides/administración & dosificación , Microbioma Gastrointestinal , Obesidad/terapia , Ácidos Oléicos/administración & dosificación , Verrucomicrobia/aislamiento & purificación , Adulto , Akkermansia , Carbohidratos de la Dieta , Método Doble Ciego , Ingestión de Energía , Metabolismo Energético , Femenino , Humanos , Masculino , Persona de Mediana Edad , Obesidad/microbiología , ARN Ribosómico 16S
17.
Physiol Genomics ; 51(3): 90-96, 2019 03 01.
Artículo en Inglés | MEDLINE | ID: mdl-30707046

RESUMEN

Acute kidney injury (AKI) is an increasing clinical problem that is associated with chronic kidney disease progression. Cannabinoid receptor 2 (CB2) activation has been shown to mitigate some of the deleterious tubular effects due to AKI, but its role on the renal vasculature has not been fully described. In this study, we investigated the effects of our novel CB2 receptor agonist, SMM-295, on renal vasculature by assessing cortical perfusion with laser Doppler flowmetry and changes in luminal diameter with isolated afferent arterioles. In this study, intravenously infused SMM-295 (6 mg/kg) significantly increased cortical renal perfusion (13.8 ± 0.6%; P < 0.0001; n = 7) compared with vehicle (0.1 ± 1.5%; n = 10) normalized to baseline values in anesthetized C57BL/6J mice. This effect was not dependent upon activation of the CB1 receptor (met-anandamide; 6 mg/kg iv) and was predominantly abolished in Cnr2 knockout mice with SMM-295 (6 mg/kg iv). Ablation of the renal afferent nerves with capsaicin blocked the SMM-295-dependent increase in renal cortical perfusion, and the increased renal blood flow was not dependent upon products synthesized by cyclooxygenase or nitric oxide synthase. The increased renal perfusion by CB2 receptor activation is also attributed to a direct vascular effect, since SMM-295 (5 µM) engendered a significant 37 ± 7% increase ( P < 0.0001; n = 4) in luminal diameters of norepinephrine-preconstricted afferent arterioles. These data provide new insight into the potential benefit of SMM-295 by activating vascular and nonvascular CB2 receptors to promote renal vasodilation, and provide a new therapeutic target to treat renal injuries that impact renal blood flow dynamics.


Asunto(s)
Lesión Renal Aguda/tratamiento farmacológico , Lesión Renal Aguda/metabolismo , Receptor Cannabinoide CB2/agonistas , Receptor Cannabinoide CB2/metabolismo , Circulación Renal/efectos de los fármacos , Vasodilatadores/uso terapéutico , Animales , Ácidos Araquidónicos/administración & dosificación , Ácidos Araquidónicos/uso terapéutico , Agonistas de Receptores de Cannabinoides/administración & dosificación , Agonistas de Receptores de Cannabinoides/uso terapéutico , Modelos Animales de Enfermedad , Endocannabinoides/administración & dosificación , Endocannabinoides/uso terapéutico , Endotelio Vascular/efectos de los fármacos , Endotelio Vascular/metabolismo , Técnicas de Inactivación de Genes , Ratones , Ratones Endogámicos C57BL , Ratones Noqueados , Óxido Nítrico Sintasa/metabolismo , Alcamidas Poliinsaturadas/administración & dosificación , Alcamidas Poliinsaturadas/uso terapéutico , Prostaglandina-Endoperóxido Sintasas/metabolismo , Receptor Cannabinoide CB1/agonistas , Receptor Cannabinoide CB1/metabolismo , Receptor Cannabinoide CB2/genética , Vasodilatación/efectos de los fármacos , Vasodilatadores/administración & dosificación
18.
Psychopharmacology (Berl) ; 236(6): 1863-1874, 2019 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-30694375

RESUMEN

RATIONALE: The endocannabinoid system plays an important role in the organization of panic-like defensive behavior. Threatening situations stimulate brain areas, such as the dorsomedial hypothalamus (DMH). However, there is a lack of studies addressing the role of the DMH endocannabinoid system in panic-like responses. OBJECTIVES: We aimed to verify which mechanisms underlie anandamide-mediated responses in the DMH. METHODS: To test the hypothesis that the anandamide produces panicolytic-like effects, we treated mice with intra-DMH microinjections of vehicle or increasing doses of anandamide (0.5, 5, or 50 pmol) and then performed confrontation with the South American snake Epicrates cenchria assisi. RESULTS: Intra-DMH anandamide treatment yielded a U-shaped dose-response curve with no effect of the lowest (0.5 pmol) or the highest (50 pmol) dose and significant inhibition of panic-like responses at the intermediate (5 pmol) dose. In addition, this panicolytic-like effect was prevented by pretreatment of the DMH with the CB1 receptor antagonist AM251 (100 pmol). However, pretreatment of the DMH with the TRPV1 receptor antagonist 6-iodo-nordihydrocapsaicin (3 nmol) restored the panicolytic-like effect of the highest dose of anandamide. Immunohistochemistry revealed that CB1 receptors were present primarily on axonal fibers, while TRPV1 receptors were found almost exclusively surrounding the perikarya in DMH. CONCLUSIONS: The present results suggest that anandamide exerts a panicolytic-like effect in the DMH by activation of CB1 receptors and that TRPV1 receptors are related to the lack of effect of the highest dose of anandamide.


Asunto(s)
Ácidos Araquidónicos/administración & dosificación , Agonistas de Receptores de Cannabinoides/administración & dosificación , Núcleo Hipotalámico Dorsomedial/metabolismo , Endocannabinoides/administración & dosificación , Pánico/fisiología , Alcamidas Poliinsaturadas/administración & dosificación , Receptor Cannabinoide CB1/biosíntesis , Canales Catiónicos TRPV/biosíntesis , Animales , Boidae , Brasil , Núcleo Hipotalámico Dorsomedial/efectos de los fármacos , Relación Dosis-Respuesta a Droga , Inyecciones Intraventriculares , Masculino , Ratones , Ratones Endogámicos C57BL , Pánico/efectos de los fármacos , Piperidinas/administración & dosificación , Pirazoles/administración & dosificación , Ratas , Receptor Cannabinoide CB1/agonistas , Receptor Cannabinoide CB1/antagonistas & inhibidores , Canales Catiónicos TRPV/antagonistas & inhibidores
19.
Behav Brain Res ; 359: 418-427, 2019 02 01.
Artículo en Inglés | MEDLINE | ID: mdl-30439451

RESUMEN

The endocannabinoid anandamide (AEA) transforms half of the population of previously non-copulating (NC) rats into sexually active animals in a long-lasting manner. The aim of this work was to explore the nature of this transformation. We identified the dose range in which AEA induces mating behavior in previously NC rats, which evidenced a dose-based, biphasic profile for AEA to induce the transformation of NC rats. We demonstrate that the sexual interaction with a receptive female, involving at least an intromission, is essential for AEA to induce the transformation of NC rats. This AEA-induced conversion is centrally mediated and involves the activation of CB1 receptors. Results indicate that the sexual impairment of this population of NC rats relies on their incapacity to initiate sexual activity and that an unidentified brain inhibitory influence on sexual behavior expression is removed by AEA treatment, allowing previously NC rats to show copulatory behavior in a long-lasting manner. The inhibitory influence is not removed by AEA treatment when animals are not allowed to have sexual contact with the female immediately after AEA injection. The same result was found for the opioid receptor antagonist naloxone, the other treatment reported to induce copulation in rats classified as NC. These data suggest that sexual behavior expression could depend on two different neural mechanisms at two different moments: one involved in the display of the first copulatory response and another responsible for maintaining subsequent sexual behavior responding.


Asunto(s)
Ácidos Araquidónicos/metabolismo , Endocannabinoides/metabolismo , Alcamidas Poliinsaturadas/metabolismo , Conducta Sexual Animal/fisiología , Animales , Ácidos Araquidónicos/administración & dosificación , Encéfalo/efectos de los fármacos , Encéfalo/metabolismo , Moduladores de Receptores de Cannabinoides/farmacología , Relación Dosis-Respuesta a Droga , Endocannabinoides/administración & dosificación , Masculino , Naloxona/farmacología , Piperidinas/farmacología , Alcamidas Poliinsaturadas/administración & dosificación , Pirazoles/farmacología , Ratas Wistar , Receptor Cannabinoide CB1/metabolismo , Conducta Sexual Animal/efectos de los fármacos
20.
Cardiovasc Res ; 115(3): 602-613, 2019 03 01.
Artículo en Inglés | MEDLINE | ID: mdl-30295758

RESUMEN

AIMS: Myocardial infarction (MI) leads to an enhanced release of endocannabinoids and a massive accumulation of neutrophils and monocytes within the ischaemic myocardium. These myeloid cells originate from haematopoietic precursors in the bone marrow and are rapidly mobilized in response to MI. We aimed to determine whether endocannabinoid signalling is involved in myeloid cell mobilization and cardiac recruitment after ischaemia onset. METHODS AND RESULTS: Intravenous administration of endocannabinoid 2-arachidonoylglycerol (2-AG) into wild type (WT) C57BL6 mice induced a rapid increase of blood neutrophil and monocyte counts as measured by flow cytometry. This effect was blunted when using cannabinoid receptor 2 knockout mice. In response to MI induced in WT mice, the lipidomic analysis revealed significantly elevated plasma and cardiac levels of the endocannabinoid 2-AG 24 h after infarction, but no changes in anandamide, palmitoylethanolamide, and oleoylethanolamide. This was a consequence of an increased expression of 2-AG synthesizing enzyme diacylglycerol lipase and a decrease of metabolizing enzyme monoacylglycerol lipase (MAGL) in infarcted hearts, as determined by quantitative RT-PCR analysis. The opposite mRNA expression pattern was observed in bone marrow. Pharmacological blockade of MAGL with JZL184 and thus increased systemic 2-AG levels in WT mice subjected to MI resulted in elevated cardiac CXCL1, CXCL2, and MMP9 protein levels as well as higher cardiac neutrophil and monocyte counts 24 h after infarction compared with vehicle-treated mice. Increased post-MI inflammation in these mice led to an increased infarct size, an impaired ventricular scar formation assessed by histology and a worsened cardiac function in echocardiography evaluations up to 21 days. Likewise, JZL184-administration in a myocardial ischaemia-reperfusion model increased cardiac myeloid cell recruitment and resulted in a larger fibrotic scar size. CONCLUSION: These findings suggest that changes in endocannabinoid gradients due to altered tissue levels contribute to myeloid cell recruitment from the bone marrow to the infarcted heart, with crucial consequences on cardiac healing and function.


Asunto(s)
Ácidos Araquidónicos/toxicidad , Quimiotaxis/efectos de los fármacos , Endocannabinoides/toxicidad , Glicéridos/toxicidad , Insuficiencia Cardíaca/inducido químicamente , Células Mieloides/efectos de los fármacos , Infarto del Miocardio/complicaciones , Miocardio/metabolismo , Infiltración Neutrófila/efectos de los fármacos , Administración Intravenosa , Animales , Ácidos Araquidónicos/administración & dosificación , Ácidos Araquidónicos/metabolismo , Modelos Animales de Enfermedad , Progresión de la Enfermedad , Endocannabinoides/administración & dosificación , Endocannabinoides/metabolismo , Femenino , Fibrosis , Glicéridos/administración & dosificación , Glicéridos/metabolismo , Insuficiencia Cardíaca/metabolismo , Insuficiencia Cardíaca/fisiopatología , Mediadores de Inflamación/metabolismo , Ratones Endogámicos C57BL , Ratones Noqueados , Monoacilglicerol Lipasas/metabolismo , Células Mieloides/metabolismo , Infarto del Miocardio/metabolismo , Infarto del Miocardio/patología , Infarto del Miocardio/fisiopatología , Miocardio/patología , Receptor Cannabinoide CB2/genética , Receptor Cannabinoide CB2/metabolismo , Transducción de Señal , Remodelación Ventricular/efectos de los fármacos
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