Gom Renaud C, Wickramarachchi Pasindu, George Antis G, Lightfoot Savannah H M, Newton-Gunderson Dana, Hill Matthew N, Teskey G Campbell, Colangeli Roberto
Hotchkiss Brain Institute, Cumming School of Medicine, University of Calgary, Calgary, AB, T2N 4N1, Canada.
Department of Cell Biology and Anatomy, University of Calgary, Calgary, Calgary, AB, Canada.
Neuropsychopharmacology. 2025 Apr;50(5):751-761. doi: 10.1038/s41386-024-02005-y. Epub 2024 Oct 21.
Epilepsy often presents with severe emotional comorbidities including anxiety and abnormal fear responses which impose a significant burden on, and reduce, quality of life in people living with the disease. Our lab has recently shown that kindled seizures lead to changes in emotional processing resulting from the downregulation of anandamide signalling within the amygdala. Phytocannabinoids derived from the Cannabis sativa plant have attracted a lot of interest as a new class of drugs with potential anticonvulsant effects. Among the wide number of compounds occurring in Cannabis sativa, Δ9- tetrahydrocannabinol (THC), the one responsible for its main psychoactive effects, and the nonpsychoactive cannabidiol (CBD) have been extensively examined under pre-clinical and clinical contexts to control seizures, however, neither have been assessed in the context of the management of emotional comorbidities associated with seizure activity. We used two behavioural procedures to assess anxiety- and fear-like responding in adult male Long-Evans rats: elevated plus maze and auditory fear conditioning. In agreement with previous reports, we found seizure-induced increases in anxiety- and fear-like responding. These effects were reversed by either CBD (vaporized) or THC (oral). We also found that antagonism of serotonin 1 A receptors prior to CBD exposure prevented its protective effects. Phytocannabinoids offer a novel and reliable opportunity to treat seizure induced comorbid emotional alterations.
癫痫常伴有严重的情绪共病,包括焦虑和异常恐惧反应,这给癫痫患者的生活质量带来了重大负担并使其降低。我们实验室最近发现,点燃式癫痫发作会导致情绪处理的变化,这是由于杏仁核内花生四烯酸乙醇胺信号下调所致。源自大麻植物的植物大麻素作为一类具有潜在抗惊厥作用的新型药物引起了广泛关注。在大麻中存在的众多化合物中,负责其主要精神活性作用的Δ9-四氢大麻酚(THC)和无精神活性的大麻二酚(CBD)已在临床前和临床环境中进行了广泛研究以控制癫痫发作,然而,尚未在与癫痫活动相关的情绪共病管理背景下进行评估。我们使用两种行为程序来评估成年雄性Long-Evans大鼠的焦虑样和恐惧样反应:高架十字迷宫和听觉恐惧条件反射。与先前的报道一致,我们发现癫痫发作会导致焦虑样和恐惧样反应增加。这些作用可被CBD(汽化)或THC(口服)逆转。我们还发现,在接触CBD之前拮抗5-羟色胺1A受体可阻止其保护作用。植物大麻素为治疗癫痫诱发的共病情绪改变提供了一种新颖且可靠的机会。