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Endocannabinoids:
Molecular, Pharmacological, Behavioral
and Clinical Features
Editor
Eric Murillo-Rodríguez
Laboratory of Molecular and Integrative Neurosciences
School of Medicine, Health Sciences Division
Anahuac University Mayab
Merida 97310
Yucatan, Mexico
Co-Editors
Emmanuel S. Onaivi
William Paterson University,
USA
Nissar A. Darmani
Western University of Health Sciences,
USA
Edward Wagner
Western University of Health Sciences,
USA
Bentham Science Publishers Bentham Science Publishers Bentham Science Publishers
Executive Suite Y - 2 P.O. Box 446 P.O. Box 294
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Sharjah, U.A.E. USA THE NETHERLANDS
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CONTENTS
Foreword ii
Preface vi
Acknowledgements viii
List of Contributors ix
CHAPTERS
Index 205
i
*The genetics of cannabinoid CB1 and CB2 receptors and their tissue distribution,
their splicing variants and polymorphisms, and the possible implications of all this
in determining different behaviours as well as various pathological conditions and
the addiction to substances of abuse.
INTENDED AUDIENCE/READERSHIP
FOREWORD
For me, personally, the year 2013 has a special significance. Exactly 50 years ago
I published my first paper on cannabinoids. At that time, in 1963, research on the
constituents of Cannabis sativa had mostly come to a stop. Although investigation
on cannabis in its various forms –hashish, marijuana, bhang – had been reported
over a century, its psychoactive constituent(s) had not been isolated in a pure form
and its structure – or possibly structures – was unknown. And yet, there was no
research going on in either North America or the UK – the major research
countries at the time. The major reason for this neglect was possibly legal.
Cannabis was an illicit substance and was not readily available to scientists. And
even if it were obtained legally, research with it would have been impossible in an
academic laboratory, due to strict security regulations for work with such
substances. Luckily I was not aware of these problems. Through the research
institute I worked at the time – the Weizmann Research Institute – I obtained 5kg
of confiscated hashish from the police, who apparently were also unaware of the
international agreements on cannabis. First, my colleagues, the late Yuval Shvo,
Yehiel Gaoni and I reisolated cannabidiol, a non-psychoactive constituent. This
compound had been obtained previously by Lord Todd, a Nobel Prize winner, and
by Roger Adams but its structure had not been elucidated. By use of then modern
methods – NMR and mass spectrometry – we established its structure and
published the results in 1963 – 50 years ago. At this point I asked for a grant from
the US National Institute of Health (NIH). My application never went beyond the
administrative office. Their answer was that cannabis use was not an American
problem. Would I, they wrote, apply with a more relevant topic. Nevertheless
Yehiel Gaoni and I went ahead and by 1964 had isolated several cannabinoids – a
term I coined several years later – and had elucidated their structures. Dr. Habib
Edery and Yona Grunfeld, colleagues at a nearby biological research station,
tested these constituents for psychoactivity in monkeys. Only one compound
caused such activity. At that time we called the compound delta-1-
tetrahydrocannabinol, but later it was renamed delta-9 –tetrahydrocannabiol (Δ9-
THC) and many thousands of publications on it have been published. Suddenly
NIH decided that cannabinoid research is a relevant topic for research. A
prominent NIH pharmacologist flew over, took with him the entire supply of pure
iii
THC and for the next few years most of the research on this compound in the US
was done with it. And NIH has supported my work ever since.
Over the next 2 decades we, and many other groups, worked on the chemistry,
biochemistry, pharmacogy and even some clinical effects of the cannabinoids. We
learned how the cannabinoids are formed in the body, how they are metabolized
and what effects they cause in vitro and in vivo. Some clinical work was also
published. THC was approved as a drug for enhancement of appetite (mostly in
cancer and AIDS patients) and for prevention of vomiting and nausea in patients
undergoing cancer chemotherapy. But, surprisingly, the mechanism of THC
action remained unclear. It was believed that it had something to do with possible
action on lipid membranes due to its lipophilic properties. In the mid-1980's Allyn
Howlett's group showed that a specific receptor exists. Stimulation of this
receptor, known now as the CB1 receptor today, leads to the well known
marijuana effects. Later a second receptor, CB2, was discovered in the immune
system. We assumed that these receptors are stimulated by endogenous
constituents and went ahead looking for them. As THC is a lipid, we assumed that
the endogenous constituents are also lipophilic compounds, In 1992 we isolated
the first such endocannabinoid and named it anandamide. Later a second
endocannabinoid, 2-AG, was identified. The present, outstanding eBook describes
in considerable detail the enormous amount of research done on the
endocannabinoids, the endocannabinoid receptors, the unique endocannabinoid
signaling system and the advances in the clinic.
Where is endocannabinoid research going now? I shall try to put forward several
areas, which I believe will lead to major advances:
Pal Pacher and I have speculated in a recent review that "The mammalian body
has a highly developed immune system which guards against continuous invading
protein attacks and aims at preventing, attenuating or repairing the inflicted
damage. It is conceivable that through evolution analogous biological protective
systems have evolved against nonprotein attacks. There is emerging evidence that
iv
Over the last few years several groups have shown that endocannabinoid signaling
is involved in progenitor/stem cell development, thus leading to regulation of their
proliferation, differentiation and survival. In view of the importance of stem cells
in human health and disease, we should expect to see a major research effort in
this fascinating field.
Many dozens of fatty acid amides of ethanol amines and amino acids, as well as
esters of fatty acids with glycerol (endocannabinoid-like compounds) are present
in the brain and possibly in other organs. Those that have been investigated have
been shown to cause various physiological effects – lowering of pain,
vasodilation, anti-osteoporotic and anti-cancer activity. It is quite possible that
this type of compounds may represent a valuable treasure throve of physiological
mediators.
Linda Parker and I have speculated that "If subtle chemical disparity is one of the
causes for the variability in personality—an area in psychology that is yet to be
fully understood—we may have to look for a large catalog of compounds in the
brain with distinct CNS effects. Is it possible that the above-described large
cluster of chemically related anandamide-type compounds in the brain is related
to the chemistry of the human personality and the individual temperamental
differences? It is tempting to assume that the huge possible variability of the
levels and ratios of substances in such a cluster of compounds may allow an
infinite number of individual differences, the raw substance which of course is
sculpted by experience. If this intellectual speculation is shown to have some
v
factual basis, it may lead to major advances in molecular psychology". Will the
endocannabinoid system be the key to this yet unexplored niche of science?
R. Mechoulam
Hebrew University
Medical Faculty
Institute for Drug Research
Jerusalem
Israel
vi
PREFACE
Before the 1980’s, it was often speculated that cannabinoids produced their
physiological and behavioral effects via nonspecific interaction with cell
membranes, instead of interacting with specific membrane-bound receptors. The
discovery of the first cannabinoid receptors in the 1980s helped to resolve this
debate. These receptors are common in animals, and have been found in
mammals, birds, fish, and reptiles. There are currently two known types of
cannabinoid receptors, termed CB1 and CB2.
The cannabinoid system has been around for over 600 million years…even before
the dinosaurs!! The cannabinoid system is present in species such as hydra,
mollusks, and insects, leading to speculation on the physiological importance of
such a system preserved throughout evolution. To date, the presence in the central
nervous system of specific lipids that bind naturally to the CB1/CB2 cannabinoid
receptors has been documented. Pharmacological experiments have shown that
injection of endogenous cannabinoids or endocannabinoids modulates diverse
neurobiological functions, such as learning and memory, feeding, pain perception
and sleep generation.
Eric Murillo-Rodríguez
Laboratorio de Neurociencias Moleculares e Integrativas
Escuela de Medicina, División Ciencias de la Salud
Universidad Anáhuac Mayab
Mérida 97310
Yucatán, México
viii
ACKNOWLEDGEMENTS
Our Dean, P. Rafael Pardo Hervás L.C, for his vital support.
Dr. Narciso Acuña González, our Vice Dean for Academic Affairs, for his
understanding and support.
Dr. Manuel Echeverría y Eguiluz, Dean of the School of Medicine for his constant
encouragement.
Eric Murillo-Rodríguez
ix
List of Contributors
Andrew J. Hill, The School of Chemistry, Food and Nutritional Sciences and
Pharmacy, The University of Reading, Whiteknights, Reading, Berkshire,
RG53SA, UK
Thomas D. M. Hill, The School of Chemistry, Food and Nutritional Sciences and
Pharmacy, The University of Reading, Whiteknights, Reading, Berkshire,
RG53SA, UK
CHAPTER 1
Cannabinoid Receptor Gene Variations in Neuropsychiatric
Disorders
Hiroki Ishiguro1, Claire M. Leonard2, Susan Sgro2 and Emmanuel S.
Onaivi2,3,*
1
Yamanashi University, Japan, 2William Paterson University, Wayne NJ 07470,
USA and 3NIDA-NIH Baltimore MD 21224, USA
Abstract: The ubiquitous cannabinoid receptors (CBRs) – probably the most abundant
binding sites in the CNS - are known to be involved in a number of neuropsychiatric
disturbances. CBRs are coded in human chromosomes 1 and 6 and activated by
endocannabinoids, phytocannabinoids and marijuana use (medical/recreational use).
The components of the endocannabinoid system (ECS) include CNR1 and CNR2 genes
encoding these CBRs (CB1Rs and CB2Rs), endocannabinoids (eCBs), and their
synthesizing and degradation enzymes are major targets of investigation for their impact
in neuropsychiatry. Hence we have continued to study the influence of CBR variants in
neuropsychiatric disorders. Many studies have shown that CNR1 and FAAH single
nucleotide polymorphisms (SNPs) may contribute to drug addiction, depression, eating
disorders, schizophrenia, and multiple sclerosis. But little attention has been paid to the
neuronal and functional expression of CB2Rs in the brain and their role in
neuropsychiatric disorders has been much less well characterized. Indeed our studies
provided the first evidence for neuronal CNS effects of CB2Rs and their possible role in
drug addiction, eating disorders, psychosis, depression and autism spectrum disorders
(ASDs). In the current ongoing studies many features of CBR gene structures, SNPs,
copy number variations (CNVs), CpG islands, microRNA regulation and the impact of
CBR gene variants in neuropsychiatry and where possible in rodent models have been
assessed. Although CNR1 gene has more CpG islands than CNR2 gene, both have CPG
islands less than 300 bases, but they may be regulated by DNA methylation. MicroRNA
binding to the 3′ untranslated region of the CNR1 gene with two polyadenylation sites
may also potentially regulate CB1R expression. CNR1 gene has 4 exons and there are
135 SNPs reported in more than 1% of the population with no common SNP that
changes amino acids of CB1R currently known or reported. A copy number variant
(CNV) which is 19.5kb found in 4 out of 2026 people covers exons 3 and 4 and codes
amino acid that could alter the expression of CB1Rs. CNR2 has 4 exons with CB2A
with 3 exons and CB2B with 2 exons; and there are about 100 SNPs found in more than
1% of the population, which include common cSNPs that change amino acids of the
CB2R, including R63Q, Q66R and H316Y. CNVs in Asian and Yoruba population
Eric Murillo-Rodríguez, Emmanuel S. Onaivi, Nissar A. Darmani & Edward Wagner (Eds.)
All rights reserved-© 2013 Bentham Science Publishers
4 Molecular, Pharmacological, Behavioral and Clinical Features Ishiguro et al.
have been reported. We also report on the identification of novel human and rodent
CB2R isoforms, their differential tissue expression patterns and regulation by CBR
ligands. Our findings also indicate increased risk of schizophrenia, depression, drug
abuse, and eating and autism spectrum disorders in low CB2R function. Therefore,
studying the CBR genomic structure, its polymorphic nature, subtype specificity, its
variants and associated regulatory elements that confer vulnerabilities to a number of
neuropsychiatric disturbances may provide deeper insight in unraveling the underlining
mechanisms. Thus, understanding CBR variants and other components of the ECS may
provide novel targets for the effects of cannabinoids in neuropsychiatry. Support
R15DA032890 and WPUNJ.
INTRODUCTION
The discovery that specific genes codes for cannabinoid receptors (CBRs) that are
activated by marijuana use, and that the human body makes its own marijuana-
like substances - endocannabinoids [1], that also activate CBRs has provided
surprising new knowledge about cannabinoid genomic and proteomic profiles.
Our new remarkable understanding indicates that the cellular, biochemical and
behavioral responses to marijuana, which remains one of the most widely used
and abused drugs in the world, are coded in our genes and chromosomes. With
increasing new information from the decoding of the human genome, many
aspects of genetic risk factors in marijuana use including age of initiation,
continuation and problem use undoubtedly will interact with environmental
factors such as availability of marijuana along with the individual’s genotype and
phenotype. These remarkable advances in understanding the biological actions of
marijuana, cannabinoids and endocannabinoids, are unraveling the genetic basis
of marijuana use with implication in human health and disease. The two well
characterized cannabinoid CB1 and CB2 receptors are encoded by CNR1 and
CNR2 genes that have been mapped to human chromosome 6 and 1 respectively
(Figs. 1 and 2). A number of polymorphisms in cannabinoid receptor genes have
been associated with human disorders including osteoporosis [2, 3], attention
deficit hyperactivity disorder (ADHD) [4], post-traumatic stress disorder (PTSD)
[4], drug dependency [5], obesity [6, 7] and depression [5, 8] and other
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