Department of Neurobiology, Ramon y Cajal University Hospital, Ctra. de Colmenar Km. 9, Madrid, Spain.
J Alzheimers Dis. 2013;35(3):525-39. doi: 10.3233/JAD-130050.
Cannabinoids are neuroprotective in models of neurodegenerative dementias. Their effects are mostly mediated through CB1 and CB2 receptor-dependent modulation of excitotoxicity, inflammation, oxidative stress, and other processes. We tested the effects of Sativex®, a mixture of Δ9-tetrahydrocannabinol and cannabidiol, acting on both CB1 and CB2 receptors, in parkin-null, human tau overexpressing (PK-/-/TauVLW) mice, a model of complex frontotemporal dementia, parkinsonism, and lower motor neuron disease. The animals received Sativex®, 4.63 mg/kg, ip, daily, for one month, at six months of age, at the onset of the clinical symptoms. We evaluated the effects of Sativex® on behavior, dopamine neurotransmission, glial activation, redox state, mitochondrial activity, and deposition of abnormal proteins. PK-/-/TauVLW mice developed the neurological deficits, but those treated with Sativex® showed less abnormal behaviors related to stress, less auto and hetero-aggression, and less stereotypy. Sativex® significantly reduced the intraneuronal, MAO-related free radicals produced during dopamine metabolism in the limbic system. Sativex® also decreased gliosis in cortex and hippocampus, increased the ratio reduced/oxidized glutathione in the limbic system, reduced the levels of iNOS, and increased those of complex IV in the cerebral cortex. With regard to tau and amyloid pathology, Sativex® reduced the deposition of both in the hippocampus and cerebral cortex of PK-/-/TauVLW mice and increased autophagy. Sativex®, even after a short administration in animals with present behavioral and pathological abnormalities, improves the phenotype, the oxidative stress, and the deposition of proteins in PK-/-/TauVLW mice, a model of complex neurodegenerative disorders.
大麻素在神经退行性痴呆模型中具有神经保护作用。它们的作用主要通过 CB1 和 CB2 受体依赖性调节兴奋性毒性、炎症、氧化应激和其他过程来介导。我们测试了 Sativex®(一种 Δ9-四氢大麻酚和大麻二酚的混合物,作用于 CB1 和 CB2 受体)对帕金森病相关基因敲除、人 tau 过表达(PK-/-/TauVLW)小鼠的影响,该模型是一种复杂的额颞叶痴呆、帕金森病和下运动神经元病的模型。动物在 6 个月大时,即临床症状出现时,每天接受 Sativex®4.63mg/kg,ip 治疗一个月。我们评估了 Sativex®对行为、多巴胺神经传递、神经胶质激活、氧化还原状态、线粒体活性和异常蛋白沉积的影响。PK-/-/TauVLW 小鼠出现了神经功能缺损,但接受 Sativex®治疗的小鼠表现出与应激相关的异常行为减少,自相和他相攻击减少,刻板行为减少。Sativex®显著减少了边缘系统多巴胺代谢过程中产生的神经元内、MAO 相关的自由基。Sativex®还减少了皮质和海马中的神经胶质增生,增加了边缘系统还原/氧化型谷胱甘肽的比例,降低了 iNOS 的水平,增加了大脑皮质中复合物 IV 的水平。关于 tau 和淀粉样蛋白病理学,Sativex®减少了 PK-/-/TauVLW 小鼠海马和大脑皮质中这两种蛋白的沉积,并增加了自噬。Sativex®即使在有行为和病理异常的动物中进行短期给药,也能改善 PK-/-/TauVLW 小鼠的表型、氧化应激和蛋白沉积,这是一种复杂的神经退行性疾病模型。