From the *Department of Anesthesiology, School of Medicine; †Department of Occupational Toxicology, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, ‡Department of Pharmacology, School of Medicine, University of Occupational and Environmental Health, Fukuoka; §Department of Molecular Pathology & Metabolic Disease, Faculty of Pharmaceutical Sciences, Tokyo university of Science, Chiba; and ‖Cancer Pathophysiology Division, National Cancer Center Research Institute, Tokyo, Japan.
Anesth Analg. 2014 Mar;118(3):554-62. doi: 10.1213/ANE.0000000000000070.
Anandamide is an endocannabinoid that regulates multiple physiological functions by pharmacological actions, in a manner similar to marijuana. Recently, much attention has been paid to the analgesic effect of endocannabinoids in terms of identifying new pharmacotherapies for refractory pain management, but the mechanisms of the analgesic effects of anandamide are still obscure. Voltage-gated sodium channels are believed to play important roles in inflammatory and neuropathic pain. We investigated the effects of anandamide on 4 neuronal sodium channel α subunits, Nav1.2, Nav1.6, Nav1.7, and Nav1.8, to explore the mechanisms underlying the antinociceptive effects of anandamide.
We studied the effects of anandamide on Nav1.2, Nav1.6, Nav1.7, and Nav1.8 α subunits with β1 subunits by using whole-cell, 2-electrode, voltage-clamp techniques in Xenopus oocytes.
Anandamide inhibited sodium currents of all subunits at a holding potential causing half-maximal current (V1/2) in a concentration-dependent manner. The half-maximal inhibitory concentration values for Nav1.2, Nav1.6, Nav1.7, and Nav1.8 were 17, 12, 27, and 40 μmol/L, respectively, indicating an inhibitory effect on Nav1.6, which showed the highest potency. Anandamide raised the depolarizing shift of the activation curve as well as the hyperpolarizing shift of the inactivation curve in all α subunits, suggesting that sodium current inhibition was due to decreased activation and increased inactivation. Moreover, anandamide showed a use-dependent block in Nav1.2, Nav1.6, and Nav1.7 but not Nav1.8.
Anandamide inhibited the function of α subunits in neuronal sodium channels Nav1.2, Nav1.6, Nav1.7, and Nav1.8. These results help clarify the mechanisms of the analgesic effects of anandamide.
内源性大麻素通过药理学作用调节多种生理功能,其作用方式类似于大麻。最近,人们非常关注内源性大麻素在识别治疗难治性疼痛的新药物方面的镇痛作用,但内源性大麻素的镇痛作用机制仍不清楚。电压门控钠离子通道被认为在炎症性和神经性疼痛中发挥重要作用。我们研究了大麻素对 4 种神经元钠离子通道 α 亚基 Nav1.2、Nav1.6、Nav1.7 和 Nav1.8 的影响,以探讨大麻素的抗伤害作用的机制。
我们通过在非洲爪蟾卵母细胞中使用全细胞、双电极、电压钳技术研究了大麻素对带有β1 亚基的 Nav1.2、Nav1.6、Nav1.7 和 Nav1.8 α 亚基的影响。
大麻素以浓度依赖性方式抑制所有亚基在引起半最大电流(V1/2)的保持电位下的钠离子电流。Nav1.2、Nav1.6、Nav1.7 和 Nav1.8 的半最大抑制浓度值分别为 17、12、27 和 40 μmol/L,表明对 Nav1.6 有抑制作用,其抑制作用最强。大麻素使所有 α 亚基的激活曲线的去极化移位和失活曲线的超极化移位升高,表明钠离子电流抑制是由于激活减少和失活增加所致。此外,大麻素在 Nav1.2、Nav1.6 和 Nav1.7 中表现出使用依赖性阻滞,但在 Nav1.8 中则没有。
大麻素抑制了神经元钠离子通道 Nav1.2、Nav1.6、Nav1.7 和 Nav1.8 中 α 亚基的功能。这些结果有助于阐明内源性大麻素镇痛作用的机制。