Department of Clinical and Experimental Medicine, Pharmacology Section and Interdisciplinary Center for the Study of Inflammation, University of Ferrara, Ferrara, Italy.
Br J Pharmacol. 2012 Aug;166(8):2371-85. doi: 10.1111/j.1476-5381.2012.01948.x.
Among several pharmacological properties, analgesia is the most common feature shared by either opioid or cannabinoid systems. Cannabinoids and opioids are distinct drug classes that have been historically used separately or in combination to treat different pain states. In the present study, we characterized the signal transduction pathways mediated by cannabinoid CB(2) and µ-opioid receptors in quiescent and LPS-stimulated murine microglial cells.
We examined the effects of µ-opioid and CB(2) receptor stimulation on phosphorylation of MAPKs and Akt and on IL-1β, TNF-α, IL-6 and NO production in primary mouse microglial cells.
Morphine enhanced release of the proinflammatory cytokines, IL-1β, TNF-α, IL-6, and of NO via µ-opioid receptor in activated microglial cells. In contrast, CB(2) receptor stimulation attenuated morphine-induced microglial proinflammatory mediator increases, interfering with morphine action by acting on the Akt-ERK1/2 signalling pathway.
Because glial activation opposes opioid analgesia and enhances opioid tolerance and dependence, we suggest that CB(2) receptors, by inhibiting microglial activity, may be potential targets to increase clinical efficacy of opioids.
在几种药理学特性中,镇痛作用是阿片类或大麻素系统共有的最常见特征。大麻素和阿片类药物是不同的药物类别,历史上分别或联合用于治疗不同的疼痛状态。在本研究中,我们研究了大麻素 CB2 和 μ 阿片受体在静息和 LPS 刺激的小鼠小胶质细胞中介导的信号转导途径。
我们研究了 μ 阿片和 CB2 受体刺激对 MAPKs 和 Akt 磷酸化以及在原代小鼠小胶质细胞中 IL-1β、TNF-α、IL-6 和 NO 产生的影响。
吗啡通过激活小胶质细胞中的 μ 阿片受体增强促炎细胞因子 IL-1β、TNF-α、IL-6 和 NO 的释放。相比之下,CB2 受体刺激减弱了吗啡诱导的小胶质细胞促炎介质增加,通过作用于 Akt-ERK1/2 信号通路干扰吗啡的作用。
因为神经胶质细胞的激活会对抗阿片类药物的镇痛作用,并增强阿片类药物的耐受性和依赖性,所以我们认为 CB2 受体通过抑制小胶质细胞的活性,可能是增加阿片类药物临床疗效的潜在靶点。