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大麻二酚对电压依赖性钠离子电流的抑制作用。

Inhibitory effects of cannabidiol on voltage-dependent sodium currents.

机构信息

From the Department of Biomedical Physiology and Kinesiology, Simon Fraser University, Burnaby, British Columbia V5A 1S6, Canada and.

the Department of Cellular and Molecular Biology, Xenon Pharmaceuticals, Burnaby, British Columbia V5G 4W8, Canada.

出版信息

J Biol Chem. 2018 Oct 26;293(43):16546-16558. doi: 10.1074/jbc.RA118.004929. Epub 2018 Sep 14.

Abstract

contains many related compounds known as phytocannabinoids. The main psychoactive and nonpsychoactive compounds are Δ9-tetrahydrocannabinol (THC) and cannabidiol (CBD), respectively. Much of the evidence for clinical efficacy of CBD-mediated antiepileptic effects has been from case reports or smaller surveys. The mechanisms for CBD's anticonvulsant effects are unclear and likely involve noncannabinoid receptor pathways. CBD is reported to modulate several ion channels, including sodium channels (Nav). Evaluating the therapeutic mechanisms and safety of CBD demands a richer understanding of its interactions with central nervous system targets. Here, we used voltage-clamp electrophysiology of HEK-293 cells and iPSC neurons to characterize the effects of CBD on Nav channels. Our results show that CBD inhibits hNav1.1-1.7 currents, with an IC of 1.9-3.8 μm, suggesting that this inhibition could occur at therapeutically relevant concentrations. A steep Hill slope of ∼3 suggested multiple interactions of CBD with Nav channels. CBD exhibited resting-state blockade, became more potent at depolarized potentials, and also slowed recovery from inactivation, supporting the idea that CBD binding preferentially stabilizes inactivated Nav channel states. We also found that CBD inhibits other voltage-dependent currents from diverse channels, including bacterial homomeric Nav channel (NaChBac) and voltage-gated potassium channel subunit Kv2.1. Lastly, the CBD block of Nav was temperature-dependent, with potency increasing at lower temperatures. We conclude that CBD's mode of action likely involves 1) compound partitioning in lipid membranes, which alters membrane fluidity affecting gating, and 2) undetermined direct interactions with sodium and potassium channels, whose combined effects are loss of channel excitability.

摘要

含有许多被称为植物大麻素的相关化合物。主要的精神活性和非精神活性化合物分别是 Δ9-四氢大麻酚(THC)和大麻二酚(CBD)。 CBD 介导的抗癫痫作用的临床疗效的大部分证据来自病例报告或较小的调查。CBD 的抗惊厥作用机制尚不清楚,可能涉及非大麻素受体途径。据报道,CBD 可调节几种离子通道,包括钠通道(Nav)。评估 CBD 的治疗机制和安全性需要更深入地了解其与中枢神经系统靶标的相互作用。在这里,我们使用 HEK-293 细胞和 iPSC 神经元的电压钳电生理学来表征 CBD 对 Nav 通道的影响。我们的结果表明,CBD 抑制 hNav1.1-1.7 电流,IC50 为 1.9-3.8μm,表明这种抑制可能发生在治疗相关浓度。斜率陡峭的 ∼3 表明 CBD 与 Nav 通道的多种相互作用。CBD 表现出静息状态阻断,在去极化电位下变得更有效,并且也减慢了失活后的恢复,这支持了 CBD 结合优先稳定失活的 Nav 通道状态的观点。我们还发现 CBD 抑制来自不同通道的其他电压依赖性电流,包括细菌同源 Nav 通道(NaChBac)和电压门控钾通道亚基 Kv2.1。最后,CBD 对 Nav 的阻断作用与温度有关,在较低温度下,其效力增加。我们得出结论,CBD 的作用模式可能涉及 1)在脂质膜中进行化合物分配,这会改变膜的流动性,从而影响门控,2)与钠和钾通道的未确定直接相互作用,其综合效应是通道兴奋性丧失。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b804/6204917/53b9846ea310/zbc0451895700001.jpg

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