Department of Neuroscience, University of Connecticut Health Center, Farmington,CT 06030, USA.
J Neurosci Res. 2012 Jul;90(7):1454-63. doi: 10.1002/jnr.23027. Epub 2012 Mar 2.
The anticonvulsant properties of marijuana have been known for centuries. The recently characterized endogenous cannabinoid system thus represents a promising target for novel anticonvulsant agents; however, administration of exogenous cannabinoids has shown mixed results in both human epilepsy and animal models. The ability of cannabinoids to attenuate release of both excitatory and inhibitory neurotransmitters may explain the variable effects of cannabinoids in different models of epilepsy, but this has not been well explored. Using acute mouse brain slices, we monitored field potentials in the CA1 region of the hippocampus to characterize systematically the effects of the cannabinoid agonist WIN55212-2 (WIN) on evoked basal and epileptiform activity. WIN, acting presynaptically, significantly reduced the amplitude and slope of basal field excitatory postsynaptic potentials as well as stimulus-evoked epileptiform responses induced by omission of magnesium from the extracellular solution. In contrast, the combination of omission of magnesium plus elevation of potassium induced an epileptiform response that was refractory to attenuation by WIN. The effect of WIN in this model was partially restored by blocking γ-aminobutyric acid type B (GABA(B) ), but not GABA(A) , receptors. Subtle differences in models of epileptiform activity can profoundly alter the efficacy of cannabinoids. Endogenous GABA(B) receptor activation played a role in the decreased cannabinoid sensitivity observed for epileptiform activity induced by omission of magnesium plus elevation of potassium. These results suggest that interplay between presynaptic G protein-coupled receptors with overlapping downstream targets may underlie the variable efficacy of cannabinoids in different models of epilepsy.
大麻的抗惊厥特性已为人所知数百年。最近被描述的内源性大麻素系统因此代表了新型抗惊厥药物的有希望的靶标;然而,外源性大麻素在人类癫痫和动物模型中的给药显示出混合结果。大麻素减弱兴奋性和抑制性神经递质释放的能力可以解释大麻素在不同癫痫模型中的不同作用,但这尚未得到充分探索。使用急性小鼠脑切片,我们监测海马 CA1 区的场电位,以系统地表征大麻素激动剂 WIN55212-2(WIN)对基础和癫痫样活动诱发的影响。WIN 作用于突触前,显著降低基础场兴奋性突触后电位的幅度和斜率,以及从细胞外溶液中去除镁诱导的刺激诱发的癫痫样反应。相比之下,去除镁加升高钾诱导的癫痫样反应对 WIN 的衰减具有抗性。在这种模型中,WIN 的作用部分通过阻断 γ-氨基丁酸 B 型(GABA(B)),但不是 GABA(A),受体得到恢复。癫痫样活动模型中的细微差异会极大地改变大麻素的疗效。内源性 GABA(B)受体激活在去除镁加升高钾诱导的癫痫样活动中观察到的大麻素敏感性降低中起作用。这些结果表明,具有重叠下游靶标的突触前 G 蛋白偶联受体之间的相互作用可能是大麻素在不同癫痫模型中的疗效不同的基础。