大麻素对中枢神经系统作用的受体机制:CB 受体及其他。

Receptor mechanisms underlying the CNS effects of cannabinoids: CB receptor and beyond.

机构信息

Addiction Biology Unit, Molecular Targets and Medications Discovery Branch, Intramural Research Program, National Institute on Drug Abuse, Baltimore, MD, United States.

Addiction Biology Unit, Molecular Targets and Medications Discovery Branch, Intramural Research Program, National Institute on Drug Abuse, Baltimore, MD, United States.

出版信息

Adv Pharmacol. 2022;93:275-333. doi: 10.1016/bs.apha.2021.10.006. Epub 2021 Dec 13.

Abstract

Cannabis legalization continues to progress in many US states and other countries. Δ-tetrahydrocannabinol (Δ-THC) is the major psychoactive constituent in cannabis underlying both its abuse potential and the majority of therapeutic applications. However, the neural mechanisms underlying cannabis action are not fully understood. In this chapter, we first review recent progress in cannabinoid receptor research, and then examine the acute CNS effects of Δ-THC or other cannabinoids (WIN55212-2) with a focus on their receptor mechanisms. In experimental animals, Δ-THC or WIN55212-2 produces classical pharmacological effects (analgesia, catalepsy, hypothermia, hypolocomotion), biphasic changes in affect (reward vs. aversion, anxiety vs. anxiety relief), and cognitive deficits (spatial learning and memory, short-term memory). Accumulating evidence indicates that activation of CBRs underlies the majority of Δ-THC or WIN55121-2's pharmacological and behavioral effects. Unexpectedly, glutamatergic CBRs preferentially underlie cannabis action relative to GABAergic CBRs. Functional roles for CBRs expressed on astrocytes and mitochondria have also been uncovered. In addition, Δ-THC or WIN55212-2 is an agonist at CBR, GPR55 and PPARγ receptors and recent studies implicate these receptors in a number of their CNS effects. Other receptors (such as serotonin, opioid, and adenosine receptors) also modulate Δ-THC's actions and their contributions are detailed. This chapter describes the neural mechanisms underlying cannabis action, which may lead to new discoveries in cannabis-based medication development for the treatment of cannabis use disorder and other human diseases.

摘要

大麻合法化在许多美国州和其他国家继续取得进展。Δ-四氢大麻酚(Δ-THC)是大麻中的主要精神活性成分,是其滥用潜力和大多数治疗应用的基础。然而,大麻作用的神经机制尚不完全清楚。在这一章中,我们首先回顾大麻素受体研究的最新进展,然后检查 Δ-THC 或其他大麻素(WIN55212-2)对急性中枢神经系统的影响,重点关注它们的受体机制。在实验动物中,Δ-THC 或 WIN55212-2 产生经典的药理学效应(镇痛、僵住、体温过低、运动减少)、情感的双相变化(奖励与厌恶、焦虑与焦虑缓解)和认知缺陷(空间学习和记忆、短期记忆)。越来越多的证据表明,CBR 的激活是 Δ-THC 或 WIN55121-2 的大多数药理学和行为效应的基础。出乎意料的是,相对于 GABA 能 CBR,谷氨酸能 CBR 优先参与大麻的作用。在星形胶质细胞和线粒体上表达的 CBR 的功能作用也已被揭示。此外,Δ-THC 或 WIN55212-2 是 CBR、GPR55 和 PPARγ 受体的激动剂,最近的研究表明这些受体在其许多中枢神经系统效应中起作用。其他受体(如 5-羟色胺、阿片和腺苷受体)也调节 Δ-THC 的作用,其贡献详细描述。这一章描述了大麻作用的神经机制,这可能导致基于大麻的药物开发方面的新发现,用于治疗大麻使用障碍和其他人类疾病。

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