Gobbi G, Bambico F R, Mangieri R, Bortolato M, Campolongo P, Solinas M, Cassano T, Morgese M G, Debonnel G, Duranti A, Tontini A, Tarzia G, Mor M, Trezza V, Goldberg S R, Cuomo V, Piomelli D
Department of Psychiatry, McGill University, Montréal, QC, Canada H1N 3V2.
Proc Natl Acad Sci U S A. 2005 Dec 20;102(51):18620-5. doi: 10.1073/pnas.0509591102. Epub 2005 Dec 13.
Although anecdotal reports suggest that cannabis may be used to alleviate symptoms of depression, the psychotropic effects and abuse liability of this drug prevent its therapeutic application. The active constituent of cannabis, delta9-tetrahydrocannabinol, acts by binding to brain CB1 cannabinoid receptors, but an alternative approach might be to develop agents that amplify the actions of endogenous cannabinoids by blocking their deactivation. Here, we show that URB597, a selective inhibitor of the enzyme fatty-acid amide hydrolase, which catalyzes the intracellular hydrolysis of the endocannabinoid anandamide, exerts potent antidepressant-like effects in the mouse tail-suspension test and the rat forced-swim test. Moreover, URB597 increases firing activity of serotonergic neurons in the dorsal raphe nucleus and noradrenergic neurons in the nucleus locus ceruleus. These actions are prevented by the CB1 antagonist rimonabant, are accompanied by increased brain anandamide levels, and are maintained upon repeated URB597 administration. Unlike direct CB1 agonists, URB597 does not exert rewarding effects in the conditioned place preference test or produce generalization to the discriminative effects of delta9-tetrahydrocannabinol in rats. The findings support a role for anandamide in mood regulation and point to fatty-acid amide hydrolase as a previously uncharacterized target for antidepressant drugs.
尽管有传闻称大麻可用于缓解抑郁症状,但该药物的精神作用和滥用倾向阻碍了其在治疗上的应用。大麻的活性成分Δ9-四氢大麻酚通过与大脑CB1大麻素受体结合发挥作用,但另一种方法可能是开发通过阻断内源性大麻素失活来增强其作用的药物。在此,我们表明,URB597是一种脂肪酸酰胺水解酶的选择性抑制剂,该酶催化内源性大麻素花生四烯酸乙醇胺的细胞内水解,在小鼠悬尾试验和大鼠强迫游泳试验中发挥强大的类抗抑郁作用。此外,URB597增加了中缝背核中5-羟色胺能神经元和蓝斑核中去甲肾上腺素能神经元的放电活性。这些作用可被CB1拮抗剂利莫那班阻断,伴随着脑内花生四烯酸乙醇胺水平的升高,并且在重复给予URB597后仍持续存在。与直接的CB1激动剂不同,URB597在条件性位置偏爱试验中不产生奖赏效应,也不会使大鼠对Δ9-四氢大麻酚的辨别效应产生泛化。这些发现支持了花生四烯酸乙醇胺在情绪调节中的作用,并指出脂肪酸酰胺水解酶是抗抑郁药物一个以前未被认识的靶点。