The Endocannabinoid System and Its Relevance for Nutrition
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NU30CH20-Maccarrone ARI 7 July 2010 4:52 The Endocannabinoid System and Its Relevance for Nutrition Mauro Maccarrone,1,2 Valeria Gasperi,3 Maria Valeria Catani,3 ThiAiDiep,4 Enrico Dainese,1 Harald S. Hansen,4 and Luciana Avigliano3 1Department of Biomedical Sciences, University of Teramo, Teramo, Italy; email: [email protected], [email protected] 2European Center for Brain Research (CERC)/Santa Lucia Foundation, Rome, Italy 3Department of Experimental Medicine and Biochemical Sciences, University of Rome, Tor Vergata, Rome, Italy; email: [email protected], [email protected], [email protected] 4Department of Pharmacology and Pharmacotherapy, Faculty of Pharmaceutical Sciences, University of Copenhagen, Copenhagen, Denmark; email: [email protected], [email protected] Annu. Rev. Nutr. 2010. 30:423–40 Key Words The Annual Review of Nutrition is online at anandamide, 2-arachidonoylglycerol, diet, energy balance, food nutr.annualreviews.org intake, gastrointestinal pathologies, obesity This article’s doi: 10.1146/annurev.nutr.012809.104701 Abstract Copyright c 2010 by Annual Reviews. Endocannabinoids bind to cannabinoid, vanilloid, and peroxisome by Universidad de Costa Rica on 10/07/10. For personal use only. All rights reserved proliferator-activated receptors. The biological actions of these polyun- 0199-9885/10/0821-0423$20.00 saturated lipids are controlled by key agents responsible for their synthe- Annu. Rev. Nutr. 2010.30:423-440. Downloaded from www.annualreviews.org sis, transport and degradation, which together form an endocannabinoid system (ECS). In the past few years, evidence has been accumulated for a role of the ECS in regulating food intake and energy balance, both centrally and peripherally. In addition, up-regulation of the ECS in the gastrointestinal tract has a potential impact on inflammatory bowel dis- eases. In this review, the main features of the ECS are summarized in order to put in better focus our current knowledge of the nutritional relevance of endocannabinoid signaling and of its role in obesity, car- diovascular pathologies, and gastrointestinal diseases. The central and peripheral pathways that underlie these effects are discussed, as well as the possible exploitation of ECS components as novel drug targets for therapeutic intervention in eating disorders. 423 NU30CH20-Maccarrone ARI 7 July 2010 4:52 N-Arachidonoylethanolamine (anandamide, Contents AEA) and 2-arachidonoylglycerol (2-AG), the best studied members of fatty acid THE ENDOCANNABINOID amides (FAAs) and monoacylglycerols SYSTEM.......................... 424 (MAGs), respectively, are the most active Endocannabinoids . 424 eCBs as yet described (16). In addition, Metabolic Routes . 424 N-arachidonoyldopamine (NADA) has been Molecular Targets shown to behave as a cannabimimetic com- and Signaling Pathways . 425 pound (16), although its pharmacology is as yet Central and Peripheral Activities. 427 poorly understood. Other endogenous FAAs ENDOCANNABINOIDS IN are called endocannabinoid-like compounds FOOD............................ 427 because they do not activate CBRs but seem EFFECT OF DIET ON to have an entourage effect, i.e., they may ENDOCANNABINOID potentiate the activity of AEA or 2-AG at LEVELS.......................... 427 their receptors by inhibiting their degradation CONTROL OF ENERGY BALANCE (16). Among the latter substances are the anti- BY THE ENDOCANNABINOID inflammatory, anticonvulsant, and antiprolifer- SYSTEM.......................... 429 ative N-palmitoylethanolamine (PEA) (47), the CentralMechanisms............... 429 immunomodulator N-stearoylethanolamine, Peripheral Mechanisms . 430 which also induces apoptosis of glioma cells RELEVANCE OF THE (56), and notably the appetite-suppressor N- ENDOCANNABINOID oleoylethanolamine (OEA) (29). The chemical SYSTEM FOR OBESITY . 431 structures of 9-THC, relevant eCBs, PEA, RELEVANCE OF THE and OEA are shown in Figure 1. ENDOCANNABINOID SYSTEM FOR CARDIOVASCULAR DISEASES........................ 432 Metabolic Routes RELEVANCE OF THE AEA and 2-AG are produced on demand ENDOCANNABINOID through multiple biosynthetic pathways, SYSTEM FOR which include key agents such as the N- GASTROINTESTINAL acyl-phosphatidylethanolamines (NAPE)- PATHOLOGIES.................. 433 hydrolyzing phospholipase D (NAPE-PLD) THERAPEUTIC EXPLOITATION for AEA, PEA, and OEA (69), and the sn- by Universidad de Costa Rica on 10/07/10. For personal use only. OF ENDOCANNABINOID 1-specific diacylglycerol lipase for 2-AG (8). SYSTEM–ORIENTED DRUGS . 434 Other enzymes are also important, especially Annu. Rev. Nutr. 2010.30:423-440. Downloaded from www.annualreviews.org in the formation of AEA (16). The degradation Endocannabinoids of eCBs also occurs through multiple routes, (eCBs): a group of which include fatty acid amide hydrolase lipid-signaling molecules that include THE ENDOCANNABINOID (FAAH) (27) and monoacylglycerol lipase fatty acid amides and SYSTEM as major hydrolytic enzymes for AEA or monoacylglycerols. 2-AG, respectively (19). These biosynthetic or Endocannabinoids Anandamide (N- degradative enzymes allow metabolic control arachidonoylethano- In recent years, several natural lipids, named of the endogenous tone of eCBs, and hence lamine) and 2- arachidonoylglycerol endocannabinoids (eCBs), have been shown they regulate the biological activities of these are the prototype to bind to and activate cannabinoid re- substances. AEA, 2-AG, and their congeners, members of the two ceptors (CBRs), which are the molecular together with their target receptors and the families of targets of the Cannabis sativa active prin- purported endocannabinoid membrane trans- endocannabinoids ciple 9-tetrahydrocannabinol (9-THC). porters, form the endocannabinoid system 424 Maccarrone et al. NU30CH20-Maccarrone ARI 7 July 2010 4:52 Figure 1 Exogenous and endogenous cannabinoids. Chemical structures of the phytocannabinoid 9-THC, of biologically relevant endocannabinoids, and of the endocannabinoid-like compounds OEA and PEA are illustrated. (ECS). The identity and activity of some of and spleen and couples to G12 proteins in an the elements of the ECS are summarized in agonist- and tissue-dependent manner (85). Table 1. Recently, the orphan G-protein coupled re- CBRs: cannabinoid ceptor 119 (GPR119) also has been shown to receptors be activated by OEA, leading to stimulation of 9-THC: 9- by Universidad de Costa Rica on 10/07/10. For personal use only. Molecular Targets adenylyl cyclase through stimulatory G pro- tetrahydrocannabinol and Signaling Pathways teins (72). The activation of GPR119 could Annu. Rev. Nutr. 2010.30:423-440. Downloaded from www.annualreviews.org AEA: anandamide (N- AEA and 2-AG activate different signaling be, at least in part, responsible for the effects arachidonoylethano- pathways depending on the specific receptor of OEA on food intake, a hypothesis that is lamine) engaged (Table 2). To date, three CBRs have supported by the localization of the receptor 2-AG: 2- arachidonoylglycerol been shown to bind eCBs: type-1 (CB1R), in brain, pancreas, and gastrointestinal tract type-2 (CB2R), and a purported type-3 (CB3R (72). PEA: N- palmitoylethanolamine or GPR55). CB1R is mainly expressed in the AEA, but not 2-AG, is also an agonist central nervous system (CNS), but it is also of the transient receptor potential vanilloid 1 OEA: present in peripheral tissues, including adipose (TRPV1), which is the natural target of cap- N-oleoylethanolamine tissue, liver, and skeletal muscle (64), whereas saicin, the pungent ingredient of hot peppers NAPE-PLD: N-acyl- phosphatidylethano- CB2R is expressed in immune cells and in some (16). The AEA-TRPV1 interaction occurs at areas of CNS (38, 94, 99). CB R, which shares a cytosolic binding site and triggers protein lamines (NAPE)- 3 hydrolyzing kinase activation, intracellular Ca2+ increase, low sequence homology (10%–15%) with the phospholipase D other two CB receptors, has been found in brain mitochondrial uncoupling, and cytochrome c www.annualreviews.org • Endocannabinoids and Nutrition 425 NU30CH20-Maccarrone ARI 7 July 2010 4:52 Table 1 Elements of the endocannabinoid system that have been best characterized so far Member Description Function AEA Prototype member of fatty acid amides Bioactive lipid that acts at cannabinoid and noncannabinoid receptors in the central nervous system and in the periphery 2-AG Prototype member of Bioactive lipid that acts at cannabinoid and noncannabinoid receptors in monoacylglycerols the central nervous system and in the periphery EMT Endocannabinoid membrane So far a putative entity responsible for the transport of AEA and/or 2-AG transporter NAPE-PLD Biosynthetic enzyme Partly responsible for the biosynthesis of AEA DAGL Biosynthetic enzyme Mainly responsible for the biosynthesis of 2-AG FAAH Hydrolytic enzyme Mainly responsible for AEA degradation MAGL Hydrolytic enzyme Mainly responsible for 2-AG degradation CB1R Cannabinoid receptor Mainly targets of AEA and 2-AG CB2R CB3R? Cannabinoid receptor Novel target of endocannabinoids TRPV1 Vanilloid receptor Target of AEA and congeners PPARα Peroxisome proliferator-activated Targets of AEA, 2-AG, and congeners PPARγ receptor Abbreviations: 2-AG, 2-arachidonoylglycerol; AEA, arachidonoylethanolamine (anandamide) and 2-arachidonoylglycerol; CBRs, cannabinoid receptors; DAGL, diacylglycerol lipase; EMT, endocannabinoid membrane transporter; FAAH, fatty acid amide hydrolase; MAGL, monoacylglycerol lipase; NAPE-PLD, N-acyl-phosphatidylethanolamines-hydrolyzing phospholipase D; PPAR,