Suppressing Effect of the Cannabinoid CB1 Receptor Antagonist, Rimonabant, on Alcohol Self-Administration in Alcohol-Preferring

Total Page:16

File Type:pdf, Size:1020Kb

Suppressing Effect of the Cannabinoid CB1 Receptor Antagonist, Rimonabant, on Alcohol Self-Administration in Alcohol-Preferring 40 The Open Neuropsychopharmacology Journal, 2009, 2, 40-44 Open Access Suppressing Effect of the Cannabinoid CB1 Receptor Antagonist, Rimonabant, on Alcohol Self-Administration in Alcohol-Preferring Rats Paola Maccioni, Noemi Fantini, Mauro A.M. Carai, Gian Luigi Gessa and Giancarlo Colombo* C.N.R. Institute of Neuroscience, Viale Diaz 182, I-09126 Cagliari (CA), Italy Abstract: Administration of the cannabinoid CB1 receptor antagonist, rimonabant (also known as SR 141716), has been reported to reduce alcohol intake (measured under the homecage 2-bottle “alcohol vs water” choice regimen) in selectively bred, Sardinian alcohol-preferring (sP) rats. The present study investigated whether rimonabant also had the capacity to decrease, in this rat line, alcohol’s reinforcing properties. To this end, male sP rats were initially trained to lever-press (on a fixed ratio 4 schedule of reinforcement) to orally self-administer alcohol (15%, v/v) in daily 30-min sessions. Once lever-pressing and self-administration behaviors reached stable levels (150-200 responses/session and 0.8- 1 g/kg alcohol per session, respectively), the effect of rimonabant (0, 0.3, 1, and 3 mg/kg, i.p.) on responding for alcohol and amount of self-administered alcohol was determined. Pretreatment with rimonabant resulted in a significant, dose- dependent reduction in both variables; specifically, the total number of lever responses for alcohol and amount of self- administered alcohol in the rat groups treated with 0.3, 1, and 3 mg/kg rimonabant were approximately 20%, 35%, and 60% lower than those recorded in vehicle-treated rats. Pretreatment with 3 mg/kg rimonabant also resulted in a significant increase in the latency to the first response on the “alcohol” lever. These results demonstrate the capacity of rimonabant to suppress alcohol’s reinforcing properties in alcohol-preferring sP rats. These data constitute a further piece of experimental evidence in support of the hypothesized role for the CB1 receptor in the control of alcohol drinking and reinforcement. INTRODUCTION The present study has been designed to provide a further piece of evidence to the “anti-alcohol” profile of rimonabant: Acute and repeated administration of the prototypic its capacity of suppressing operant, oral alcohol self- cannabinoid CB receptor antagonist, rimonabant (also 1 administration in Sardinian alcohol-preferring (sP) rats, one known as SR 141716), has been repeatedly reported to of the few rat lines selectively bred worldwide for excessive suppress alcohol seeking and drinking behaviors in rats and alcohol preference and consumption [see 31]. When tested mice exposed to multiple experimental procedures. under standard operant procedures of alcohol self- Specifically, treatment with rimonabant produced dose- administration, sP rats display a robust lever-pressing dependent reductions in: (a) acquisition [1-5] and behavior (e.g., 150-200 responses under the fixed ratio (FR) maintenance [5-15; see however also 13] of alcohol drinking 4 schedule of reinforcement in daily 30-min sessions) and under the homecage 2-bottle “alcohol vs water” choice self-administer pharmacologically revelant amounts of regimen in rats and mice; (b) “alcohol deprivation effect”, alcohol (0.8 g/kg/session) [e.g.: 32], suggesting that, in defined as the temporary increase in alcohol intake or these rats, alcohol functions as a reinforcer and has strong alcohol self-administration occurring after a period of forced incentive motivational capacities in directing lever-pressing abstinence from alcohol and validated as experimental model behavior. of alcohol relapse episodes, in rats [5, 14, 15]; (c) alcohol’s reinforcing properties, measured in rats exposed to Extension of the above-mentioned operant studies with conventional procedures of operant, oral alcohol self- rimonabant to sP rats is of interest since alcohol-preferring administration [16-23; see however also 24]; (d) alcohol’s rat lines – although selectively bred for the same phenotype motivational properties, measured by the progressive ratio (i.e., high alcohol preference and consumption under the schedule of responding [19, 25] and the extinction homecage 2-bottle “alcohol vs water” choice regimen) – responding procedure [26] in rats; (e) reinstatement of differ in a number of alcohol-related traits, including alcohol seeking behavior, triggered by injection of nicotine sensitivity of their alcohol drinking and seeking behavior to or exposure to cues previously associated to alcohol pharmacological manipulations [see 31], making these rat availability (another validated experimental models of alcohol lines potential animal models of the proposed different types, relapse episodes) in rats [15, 17, 19, 20]. Notably, most of or typologies, of alcoholism (in which pharmacotherapies these results have been replicated with other in vivo effective have often been observed to be differentially effective [e.g.: cannabinoid CB1 receptor antagonists, including surinabant 33]). [27-29], AM251 [30], and LH-21 [21]. MATERIALS AND METHODOLOGY All experimental procedures employed in the present *Address correspondence to this author at the C.N.R. Institute of study were in accordance with the Italian Law on the Neuroscience, Viale Diaz 182, I-09126 Cagliari (CA), Italy; Tel: +39 070 “Protection of animals used for experimental and other 302227; Fax: +39 070 302076; E-mail: [email protected] 1876-5238/09 2009 Bentham Open Rimonabant and Alcohol Self-Administration The Open Neuropsychopharmacology Journal, 2009, Volume 2 41 scientific reasons”, which fully incorporates Directive solution was presented at the final concentration of 15% 86/609/EEC of the European Union Legislation. (v/v). Rats were then exposed to 4 consecutive sessions during which the “water” lever or the “alcohol” lever alone Animals was available every other day; water and alcohol were Male sP rats, from the 69th generation and 75-days-old at available on FR1 and FR4, respectively. From then onwards, the start of the study, were used. Rat body weight averaged both levers were concomitantly available (maintenance 290 ± 7 g and 530 ± 10 g at the start and at the end of the phase); these sessions were conducted with FR4 and FR1 on study, respectively. Rats were housed four per cage in the “alcohol” and “water” lever, respectively. standard plastic cages with wood chip bedding. The animal After approximately 20 self-administration sessions of facility was under an inverted 12:12 hour light-dark cycle the maintenance phase, rats were selected for inclusion in the (lights on at 7:00 p.m.), at a constant temperature of 22±2°C rimonabant experiment. Specifically, the 12 rats displaying and relative humidity of approximately 60%. Rats were the most stable responding behavior over the last 5 daily extensively habituated to handling and intraperitoneal sessions (less than 10% daily difference) were selected. Test injections. Food pellets (Harlan, San Pietro al Natisone, sessions were conducted on Fridays; four consecutive Italy) and water were always available in the homecage, (Monday-Thursday) baseline (no drug treatment) sessions except as noted. elapsed between test sessions. All doses of rimonabant were Apparatus tested in each rat under a latin-square design. Notably, after each test session alcohol self-administration immediately Self-administration sessions were conducted in modular recovered to baseline levels. Rimonabant (Sanofi-Aventis, chambers (Med Associates, St. Albans, VT, USA) located in Montpellier, France) was suspended in 2 ml/kg saline with a sound-attenuated cubicles, with fans for ventilation and few drops of Tween 80, and administered intraperitoneally – background white noise. The front panel of each chamber at the doses of 0, 0.3, 1, and 3 mg/kg – 30 min before the was equipped with (a) two retractable response levers, (b) start of the session. one dual-cup liquid receptacle positioned between the two levers, and (c) two stimulus lights (one green and one white) Measured Variables and Data Analysis mounted above each lever. The liquid receptacle was Measured variables were: total number of responses on connected by polyethylene tubes to two syringe pumps each lever; total amount of self-administered alcohol and located outside the chamber. A white house light was water (expressed in g/kg pure alcohol and ml/kg water, centered at the top of the back wall of each chamber. For half respectively, and determined from the total number of of the rats, the right lever was associated to alcohol, and reinforcers); latency (expressed in s) to the first response on achievement of response requirement (a) activated the the “alcohol” lever. “alcohol” pump, resulting in the delivery of 0.1 ml alcohol solution, and (b) switched on the green light for the 2-s Data on the effect of rimonabant on each variable were period of alcohol delivery; for these rats, the left lever was statistically analyzed by separate 1-way ANOVAs for associated to water, and achievement of the response repeated measures, followed by the Newman-Keuls test for requirement (a) activated the “water” pump, resulting in the post hoc comparisons. delivery of 0.1 ml water, and (b) switched on the white light RESULTS for the 2-s period of water delivery. For the other half of the rats, the opposite condition applied (left lever: alcohol During the 20-day maintenance phase, the 12 rats solution; right lever: water). subsequently selected for the rimonabant experiment displayed an average number of total responses for alcohol Experimental Procedure of 165 per session; the resulting average of the amount of Rats (n=16) were initially exposed to the homecage 2- self-administered alcohol was of 0.92 g/kg per session. bottle “alcohol (10%, v/v) vs water” choice regimen with Conversely, a negligible number of total responses for water unlimited access for 24 hours/day for 10 consecutive days. (averaging <2 per session) was recorded during the entire This initial phase was conducted to allow the rats to become maintenance phase as well as in vehicle-treated rats in the accustomed to the taste of alcohol and start to experience its subsequent test sessions.
Recommended publications
  • Potential Cannabis Antagonists for Marijuana Intoxication
    Central Journal of Pharmacology & Clinical Toxicology Bringing Excellence in Open Access Review Article *Corresponding author Matthew Kagan, M.D., Cedars-Sinai Medical Center, 8730 Alden Drive, Los Angeles, CA 90048, USA, Tel: 310- Potential Cannabis Antagonists 423-3465; Fax: 310.423.8397; Email: Matthew.Kagan@ cshs.org Submitted: 11 October 2018 for Marijuana Intoxication Accepted: 23 October 2018 William W. Ishak, Jonathan Dang, Steven Clevenger, Shaina Published: 25 October 2018 Ganjian, Samantha Cohen, and Matthew Kagan* ISSN: 2333-7079 Cedars-Sinai Medical Center, USA Copyright © 2018 Kagan et al. Abstract OPEN ACCESS Keywords Cannabis use is on the rise leading to the need to address the medical, psychosocial, • Cannabis and economic effects of cannabis intoxication. While effective agents have not yet been • Cannabinoids implemented for the treatment of acute marijuana intoxication, a number of compounds • Antagonist continue to hold promise for treatment of cannabinoid intoxication. Potential therapeutic • Marijuana agents are reviewed with advantages and side effects. Three agents appear to merit • Intoxication further inquiry; most notably Cannabidiol with some evidence of antipsychotic activity • THC and in addition Virodhamine and Tetrahydrocannabivarin with a similar mixed receptor profile. Given the results of this research, continued development of agents acting on cannabinoid receptors with and without peripheral selectivity may lead to an effective treatment for acute cannabinoid intoxication. Much work still remains to develop strategies that will interrupt and reverse the effects of acute marijuana intoxication. ABBREVIATIONS Therapeutic uses of cannabis include chronic pain, loss of appetite, spasticity, and chemotherapy-associated nausea and CBD: Cannabidiol; CBG: Cannabigerol; THCV: vomiting [8]. Recreational cannabis use is on the rise with more Tetrahydrocannabivarin; THC: Tetrahydrocannabinol states approving its use and it is viewed as no different from INTRODUCTION recreational use of alcohol or tobacco [9].
    [Show full text]
  • Endocannabinoid System: the Direct and Indirect Involvement in the Memory and Learning Processes—A Short Review
    Mol Neurobiol DOI 10.1007/s12035-016-0313-5 Endocannabinoid System: the Direct and Indirect Involvement in the Memory and Learning Processes—a Short Review Marta Kruk-Slomka1 & Agnieszka Dzik1 & Barbara Budzynska1 & Grazyna Biala1 Received: 30 September 2016 /Accepted: 21 November 2016 # The Author(s) 2016. This article is published with open access at Springerlink.com Abstract The endocannabinoid system via cannabinoid Ca 2+ Calcium ions (CB: CB1 and CB2) receptors and their endogenous ligands CB Cannabinoid is directly and indirectly involved in many physiological func- CB1KOS CB1 receptor genetic knockout mice tions, especially in memory and learning processes. Extensive CB2KOS CB2 receptor genetic knockout mice studies reported that this system strictly modulates cognition- CFC Contextual fear conditioning related processes evaluated in various animal models. CNS Central nervous system However, the effects of cannabinoids on the cognition have ECS Endocannabinoid system been contradictory. The cannabinoid compounds were able to ETM Elevated T-maze both impair or improve different phases of memory processes FAAH Fattyacidamidhydrolase through direct (receptor related) or indirect (non-receptor GABA Gamma-aminobutyric acid related) mechanism. The memory-related effects induced by IA Inhibitory avoidance the cannabinoids can be depended on the kind of cannabinoid Intra-BLA Intra-basolateral amygdala compound used, dosage, and route of administration as well as Intra-PLC Intra-prelimbic on the memory task chosen. Therefore, the objectives of this i.p. Intra-peritoneally paper are to review and summarize the results describing the MAGL Monoacylglycerol lipase role of endocannabinoid system in cognition, including NADA N-arachidonoyl dopamine various stages of memory. NAGly N-arachidonylglycine OEA Oleoylethanolamine Keywords Endocannabinoid system .
    [Show full text]
  • Novel Approaches in Clinical Development of Cannabinoid Drugs
    Novel approaches in clinical development of cannabinoid drugs Linda Klumpers novel approaches in clinical development of cannabinoid drugs Novel approaches in clinical development of cannabinoid drugs proefschrift ter verkrijging van de graad van Doctor aan de Universiteit Leiden, op gezag van de Rector Magnificus prof. mr. C.J.J.M. Stolker, volgens besluit van het College voor Promoties, te verdedigen op dinsdag 21 januari 2014, klokke 16:15 uur door Linda Elvira Klumpers, geboren te Rotterdam in 1980 Promotiecommissie chapter i 7 Introduction to the endocannabinoid system as a target for drug development promotores Prof. dr. J.M.A. van Gerven chapter ii 49 Professor of Clinical Neuropsychopharmacology, Leiden University Medical Center Novel ∆9-tetrahydrocannabinol formulation Namisol® has bene- and Centre for Human Drug Research ficial pharmacokinetics and promising pharmacodynamic effects Prof. dr. A.F. Cohen Professor of Clinical Pharmacology, Leiden University Medical Center and Centre chapter iii 79 for Human Drug Research Manipulating brain connectivity with ∆9-tetrahydrocannabinol: a pharmacological resting state fmri study overige leden chapter iv 115 Prof. dr. P.H. van der Graaf Surinabant, a selective cb¡ antagonist, inhibits thc-induced Professor of Bio-pharmaceutical Sciences, Leiden University central nervous system and heart rate effects in humans Dr. J.T. Tamsma Internist and Medical Director of the Leiden University Medical Center chapter v 145 Prof. dr. R.F. Witkamp Peripheral selectivity of the novel cannabinoid receptor
    [Show full text]
  • 2 Spice English Presentation
    Spice Spice contains no compensatory substances Специи не содержит компенсационные вещества Spice is a mix of herbs (shredded plant material) and manmade chemicals with mind-altering effects. It is often called “synthetic marijuana” because some of the chemicals in it are similar to ones in marijuana; but its effects are sometimes very different from marijuana, and frequently much stronger. It is most often labeled “Not for Human Consumption” and disguised as incense. Eliminationprocess • The synthetic agonists such as THC is fat soluble. • Probably, they are stored as THC in cell membranes. • Some of the chemicals in Spice, however, attach to those receptors more strongly than THC, which could lead to a much stronger and more unpredictable effect. • Additionally, there are many chemicals that remain unidentified in products sold as Spice and it is therefore not clear how they may affect the user. • Moreover, these chemicals are often being changed as the makers of Spice alter them to avoid the products being illegal. • To dissolve the Spice crystals Acetone is used endocannabinoids synhtetic THC cannabinoids CB1 and CB2 agonister Binds to cannabinoidreceptor CB1 CB2 - In the brain -in the immune system Decreased avtivity in the cell ____________________ Maria Ellgren Since some of the compounds have a longer toxic effects compared to naturally THC, as reported: • negative effects that often occur the day after consumption, as a general hangover , but without nausea, mentally slow, confused, distracted, impairment of long and short term memory • Other reports mention the qualitative impairment of cognitive processes and emotional functioning, like all the oxygen leaves the brain.
    [Show full text]
  • Review Article
    JOURNAL OF PHYSIOLOGY AND PHARMACOLOGY 2014, 65, 2, 171-181 www.jpp.krakow.pl Review article M. ZUBRZYCKI1, A. LIEBOLD1, A. JANECKA2, M. ZUBRZYCKA3 A NEW FACE OF ENDOCANNABINOIDS IN PHARMACOTHERAPY. PART I: PROTECTIVE ROLE OF ENDOCANNABINOIDS IN HYPERTENSION AND MYOCARDIAL INFARCTION 1Department of Cardiovascular and Thoracic Surgery, University of Ulm, Ulm, Germany; 2Department of Biomolecular Chemistry, Medical University of Lodz, Lodz, Poland; 3Department of Experimental Physiology, Chair of Experimental and Clinical Physiology, Medical University of Lodz, Lodz, Poland Cannabinoids are compounds which were first isolated from the Cannabis sativa plant. For thousands of years they have been used for treatment of numerous diseases. Currently, synthetic cannabinoids and endocannabinoids are also known. Cannabinoid receptors, endocannabinoids and the enzymes that catalyze their synthesis and degradation constitute the endocannabinoid system which plays an important role in functioning of the cardiovascular system. The results obtained to date suggest the involvement of endocannabinoids in the pathology of many cardiovascular diseases, including myocardial infarction, hypertension and hypotension associated with hemorrhagic, endotoxic, and cardiogenic shock. Cardioprotective effect and dilation of coronary vessels induced by endocannabinoids deserve special attention. It cannot be excluded now that in the future our better understanding of cannabinoid system will allow to develop new strategies for treatment of cardiovascular diseases.
    [Show full text]
  • Pharmaceutical Appendix to the Tariff Schedule 2
    Harmonized Tariff Schedule of the United States (2007) (Rev. 2) Annotated for Statistical Reporting Purposes PHARMACEUTICAL APPENDIX TO THE HARMONIZED TARIFF SCHEDULE Harmonized Tariff Schedule of the United States (2007) (Rev. 2) Annotated for Statistical Reporting Purposes PHARMACEUTICAL APPENDIX TO THE TARIFF SCHEDULE 2 Table 1. This table enumerates products described by International Non-proprietary Names (INN) which shall be entered free of duty under general note 13 to the tariff schedule. The Chemical Abstracts Service (CAS) registry numbers also set forth in this table are included to assist in the identification of the products concerned. For purposes of the tariff schedule, any references to a product enumerated in this table includes such product by whatever name known. ABACAVIR 136470-78-5 ACIDUM LIDADRONICUM 63132-38-7 ABAFUNGIN 129639-79-8 ACIDUM SALCAPROZICUM 183990-46-7 ABAMECTIN 65195-55-3 ACIDUM SALCLOBUZICUM 387825-03-8 ABANOQUIL 90402-40-7 ACIFRAN 72420-38-3 ABAPERIDONUM 183849-43-6 ACIPIMOX 51037-30-0 ABARELIX 183552-38-7 ACITAZANOLAST 114607-46-4 ABATACEPTUM 332348-12-6 ACITEMATE 101197-99-3 ABCIXIMAB 143653-53-6 ACITRETIN 55079-83-9 ABECARNIL 111841-85-1 ACIVICIN 42228-92-2 ABETIMUSUM 167362-48-3 ACLANTATE 39633-62-0 ABIRATERONE 154229-19-3 ACLARUBICIN 57576-44-0 ABITESARTAN 137882-98-5 ACLATONIUM NAPADISILATE 55077-30-0 ABLUKAST 96566-25-5 ACODAZOLE 79152-85-5 ABRINEURINUM 178535-93-8 ACOLBIFENUM 182167-02-8 ABUNIDAZOLE 91017-58-2 ACONIAZIDE 13410-86-1 ACADESINE 2627-69-2 ACOTIAMIDUM 185106-16-5 ACAMPROSATE 77337-76-9
    [Show full text]
  • Redalyc.Breve Reseña Sobre La Farmacología De Los Cannabinoides
    MEDISAN E-ISSN: 1029-3019 [email protected] Centro Provincial de Información de Ciencias Médicas de Santiago de Cuba Cuba Pascual Simón, José Ramón; Fernández Rodríguez, Bárbara Leonor Breve reseña sobre la farmacología de los cannabinoides MEDISAN, vol. 21, núm. 3, 2017, pp. 351-362 Centro Provincial de Información de Ciencias Médicas de Santiago de Cuba Santiago de Cuba, Cuba Disponible en: http://www.redalyc.org/articulo.oa?id=368450009014 Cómo citar el artículo Número completo Sistema de Información Científica Más información del artículo Red de Revistas Científicas de América Latina, el Caribe, España y Portugal Página de la revista en redalyc.org Proyecto académico sin fines de lucro, desarrollado bajo la iniciativa de acceso abierto MEDISAN 2017; 21(3):351 ARTÍCULO DE REVISIÓN Breve reseña sobre la farmacología de los cannabinoides Brief review on the pharmacology of cannabinoids Dr. C. José Ramón Pascual Simón I y Dra. Bárbara Leonor Fernández Rodríguez II I Facultad de Medicina No. 1, Universidad de Ciencias Médicas, Santiago de Cuba, Cuba. II Facultad de Enfermería, Universidad de Ciencias Médicas, Santiago de Cuba, Cuba. RESUMEN Intensa resulta la controversia entre los que promueven el uso de los cannabinoides con fines terapéuticos y quienes consideran que es temprana aún la introducción de estos en la clínica, por sus efectos deletéreos para la salud humana en las diferentes etapas y condicionales del desarrollo biológico. Paralelamente se debate, entre las autoridades encargadas de velar por la salud de sus conciudadanos, la polémica de legalizar o no el consumo de la Cannabis sativa en cualquiera de sus formas y derivados naturales.
    [Show full text]
  • Analysis of Natural Product Regulation of Cannabinoid Receptors in the Treatment of Human Disease☆
    Analysis of natural product regulation of cannabinoid receptors in the treatment of human disease☆ S. Badal a,⁎, K.N. Smith b, R. Rajnarayanan c a Department of Basic Medical Sciences, Faculty of Medical Sciences, University of the West Indies, Mona, Jamaica b Department of Genetics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA c Jacobs School of Medicine and Biomedical Sciences, Department of Pharmacology and Toxicology, University at Buffalo, Buffalo, NY 14228, USA article info abstract Available online 3 June 2017 The organized, tightly regulated signaling relays engaged by the cannabinoid receptors (CBs) and their ligands, G proteins and other effectors, together constitute the endocannabinoid system (ECS). This system governs many Keywords: biological functions including cell proliferation, regulation of ion transport and neuronal messaging. This review Drug dependence/addiction will firstly examine the physiology of the ECS, briefly discussing some anomalies in the relay of the ECS signaling GTPases as these are consequently linked to maladies of global concern including neurological disorders, cardiovascular Gproteins disease and cancer. While endogenous ligands are crucial for dispatching messages through the ECS, there are G protein-coupled receptor also commonalities in binding affinities with copious exogenous ligands, both natural and synthetic. Therefore, Natural products this review provides a comparative analysis of both types of exogenous ligands with emphasis on natural prod- Neurodegenerative disorders ucts given their putative safer efficacy and the role of Δ9-tetrahydrocannabinol (Δ9-THC) in uncovering the ECS. Efficacy is congruent to both types of compounds but noteworthy is the effect of a combination therapy to achieve efficacy without unideal side-effects.
    [Show full text]
  • Cardiovascular Effects of Marijuana and Synthetic Cannabinoids: the Good, the Bad, and the Ugly
    REVIEWS PREVENTION OF CVD Cardiovascular effects of marijuana and synthetic cannabinoids: the good, the bad, and the ugly Pal Pacher1, Sabine Steffens2, György Haskó3, Thomas H. Schindler4 and George Kunos5 Abstract | Dysregulation of the endogenous lipid mediators endocannabinoids and their G‑protein‑coupled cannabinoid receptors 1 and 2 (CB1R and CB2R) has been implicated in a variety of cardiovascular pathologies. Activation of CB1R facilitates the development of cardiometabolic disease, whereas activation of CB2R (expressed primarily in immune cells) exerts anti-inflammatory effects. The psychoactive constituent of marijuana, Δ9-tetrahydrocannabinol (THC), is an agonist of both CB1R and CB2R, and exerts its psychoactive and adverse cardiovascular effects through the activation of CB1R in the central nervous and cardiovascular systems. The past decade has seen a nearly tenfold increase in the THC content of marijuana as well as the increased availability of highly potent synthetic cannabinoids for recreational use. These changes have been accompanied by the emergence of serious adverse cardiovascular events, including myocardial infarction, cardiomyopathy, arrhythmias, stroke, and cardiac arrest. In this Review, we summarize the role of the endocannabinoid system in cardiovascular disease, and critically discuss the cardiovascular consequences of marijuana and synthetic cannabinoid use. With the legalization of marijuana for medicinal purposes and/or recreational use in many countries, physicians should be alert to the possibility
    [Show full text]
  • Cannabinoids: Medical Implications
    Annals of Medicine ISSN: 0785-3890 (Print) 1365-2060 (Online) Journal homepage: http://www.tandfonline.com/loi/iann20 Cannabinoids: Medical implications Richard J. Schrot & John R. Hubbard To cite this article: Richard J. Schrot & John R. Hubbard (2016) Cannabinoids: Medical implications, Annals of Medicine, 48:3, 128-141, DOI: 10.3109/07853890.2016.1145794 To link to this article: http://dx.doi.org/10.3109/07853890.2016.1145794 Published online: 25 Feb 2016. Submit your article to this journal Article views: 1658 View related articles View Crossmark data Citing articles: 1 View citing articles Full Terms & Conditions of access and use can be found at http://www.tandfonline.com/action/journalInformation?journalCode=iann20 Download by: [Universiteit Leiden / LUMC] Date: 07 December 2016, At: 01:14 ANNALS OF MEDICINE, 2016 VOL. 48, NO. 3, 128–141 http://dx.doi.org/10.3109/07853890.2016.1145794 REVIEW ARTICLE Cannabinoids: Medical implications Richard J. Schrota,b and John R. Hubbardc,d aVeterans’ Administration Medical Center, Outpatient Clinic, Tampa, FL, USA; bDepartment of Family Medicine, University of South Florida, Morsani College of Medicine, Tampa, FL, USA; cPsychiatry South, Tuscaloosa, AL, USA; dIndian Rivers Mental Health Clinic, Tuscaloosa, AL, USA ABSTRACT ARTICLE HISTORY Herbal cannabis has been used for thousands of years for medical purposes. With elucidation of Received 26 July 2015 the chemical structures of tetrahydrocannabinol (THC) and cannabidiol (CBD) and with discovery Revised 28 December 2015 of the human endocannabinoid system, the medical usefulness of cannabinoids has been more Accepted 19 January 2016 intensively explored. While more randomized clinical trials are needed for some medical condi- Published online 24 February tions, other medical disorders, like chronic cancer and neuropathic pain and certain symptoms of 2016 multiple sclerosis, have substantial evidence supporting cannabinoid efficacy.
    [Show full text]
  • Novel Approaches in Clinical Development of Cannabinoid Drugs
    Novel approaches in clinical development of cannabinoid drugs Linda Klumpers novel approaches in clinical development of cannabinoid drugs Novel approaches in clinical development of cannabinoid drugs proefschrift ter verkrijging van de graad van Doctor aan de Universiteit Leiden, op gezag van de Rector Magnificus prof. mr. C.J.J.M. Stolker, volgens besluit van het College voor Promoties, te verdedigen op dinsdag 21 januari 2014, klokke 16:15 uur door Linda Elvira Klumpers, geboren te Rotterdam in 1980 Promotiecommissie chapter i 7 Introduction to the endocannabinoid system as a target for drug development promotores Prof. dr. J.M.A. van Gerven chapter ii 49 Professor of Clinical Neuropsychopharmacology, Leiden University Medical Center Novel ∆9-tetrahydrocannabinol formulation Namisol® has bene- and Centre for Human Drug Research ficial pharmacokinetics and promising pharmacodynamic effects Prof. dr. A.F. Cohen Professor of Clinical Pharmacology, Leiden University Medical Center and Centre chapter iii 79 for Human Drug Research Manipulating brain connectivity with ∆9-tetrahydrocannabinol: a pharmacological resting state fmri study overige leden chapter iv 115 Prof. dr. P.H. van der Graaf Surinabant, a selective cb¡ antagonist, inhibits thc-induced Professor of Bio-pharmaceutical Sciences, Leiden University central nervous system and heart rate effects in humans Dr. J.T. Tamsma Internist and Medical Director of the Leiden University Medical Center chapter v 145 Prof. dr. R.F. Witkamp Peripheral selectivity of the novel cannabinoid receptor
    [Show full text]
  • The Toxicological Evaluation of Rimonabant
    FABAD J. Pharm. Sci., 33, 95–108, 2008 SCIENTIFIC REVIEW The Toxicological Evaluation of Rimonabant, Taranabant, Surinabant and Otenabant In The Treatment of Obesity: Why The Trials On Endocannabinoid Receptor Antagonists and Inverse Agonists Are Suspended? Pınar ERKEKOĞLU*, Belma GİRAY*, Gönül ŞAHİN*° The Toxicological Evaluation of Rimonabant, Taranabant Obezite Tedavisinde Kullanılan Rimonabant, Surinabant and Otenabant in the Treatment of Obesity: Taranabant Surinabant ve Otenabant’ın Toksikolojik Why the Trials on Endocannabinoid Receptor Antagonists Açıdan Değerlendirilmesi: Endocannabinoid Reseptör and Inverse Agonists are Suspended? Antagonistleri ve Ters Agonistler Üzerindeki Denemeler Neden Durduruldu? Summary Özet Obesity is a condition in which excess body fat has accu- Obezite, vücut yağının sağlık üzerine olumsuz etkiler mulated to the high extent that may have adverse effects on yaratabilecek şekilde yüksek miktarda birikmesidir. Hayat health. Obesity may lead to reduced life quality and expect- kalitesinin ve beklentisinin azalmasına yol açabilir. Ayrıca, ancy. Besides, it may cause serious health problems. Several ciddi sağlık problemlerine neden olabilir Birçok anorektik anorectic anti-obesitic drugs have been developed with quite anti-obezitik ilaç geliştirilmiş, bunların çok azı klinik a few entering clinical trials. Currently, there are only two çalışmalara girebilmiştir. Obezite tedavisinde kullanılan iki drugs (sibutramine and orlistat) commercially available. ilacın (sibutramin ve orlistat) satışı hali hazırda mevcuttur. Drugs acting on endocannabinoid system (EC) were expected Endokannabinoid sistem (EC) üzerine etki eden ilaçların da to be successful on preventing weight gain. Rimonabant was kilo alımını önlemede başarılı olabilecekleri düşünülmüştür. the first to be on market in 2006. However, the drug’s ap- Rimonabant, 2006’da satışa sunulan ilk ürün olmuştur. proval has been withdrawn in 2008 due to its adverse effects, Ancak, özellikle psikiyatrik bozukluklar başta olmak especially of its potential to cause psychiatric disorders.
    [Show full text]