2.2 Cannabinoid receptors
The cannabinoid receptors (CB1 and CB2), as well as a putative cannabinoid receptor GPR55, are seven transmembrane G protein-coupled receptors (GPCRs) that signal predominately through inhibitory Gαi/o G proteins. The CB1 receptor was cloned in 1990 (Matsuda, Lolait, Brownstein, Young, & Bonner, 1990) based on its binding affinity for the natural ligand (delta9-tetrahydrocannabinol, THC) and a synthetic analogue with potent analgesic properties (CP-55,940). This new receptor inhibited forskolin-stimulated adenylyl cyclase activity in a G protein-dependent manner, a hallmark of cannabinoid compounds isolated from cannabis. This opened the door for development of synthetic compounds, both agonists and antagonists, that bind CB1 receptors (Herkenham et al., 1990). CB1 receptors are the most abundant GPCRs in the central nervous system (Busquets-Garcia, Bains, & Marsicano, 2018) and are expressed in neurons throughout the central nervous system (Busquets-Garcia et al., 2018; Herkenham et al., 1990; Stella, 2010; Turcotte, Blanchet, Laviolette, & Flamand, 2016) where they are primarily expressed in presynaptic terminals and act to inhibit neurotransmitter release (Chevaleyre, Takahashi, & Castillo, 2006; Freund & Hajos, 2003; Freund, Katona, & Piomelli, 2003; Hajos et al., 2000; Huang et al., 2001; Kano, Ohno-Shosaku, Hashimotodani, Uchigashima, & Watanabe, 2009; Katona et al., 1999; Katona et al., 2001; Katona et al., 2006; Mackie, 2005; Morisset & Urban, 2001). More recently, postsynaptic actions of CB1 receptors have been described (Maroso et al., 2016), but appear to be rare compared to the ubiquitous expression of presynaptic CB1 receptors (for review, see Busquets-Garcia et al., 2018).
Historically, CB2 receptors were thought to be expressed exclusively in the periphery, primarily on immune cells, but functional and anatomical evidence now indicates that these receptors are also expressed in the central nervous system (Atwood & Mackie, 2010). Basally, CB2 receptors are expressed at lower levels than CB1 receptors in the midbrain and brainstem (Gong et al., 2006), although localization studies using putative CB2 receptor antibodies should be interpreted with caution due to issues with specificity (Brownjohn & Ashton, 2012; Cecyre, Thomas, Ptito, Casanova, & Bouchard, 2014; Marchalant, Brownjohn, Bonnet, Kleffmann, & Ashton, 2014). Functional studies using multiple CB2-selective agonists and antagonists provide convincing evidence for CB2-dependent effects in the rostral ventromedial medulla (RVM) (Deng et al., 2015; Li, Suchland, & Ingram, 2017) and spinal cord (Beltramo et al., 2006; Burston et al., 2013; Guindon & Hohmann, 2008a). Interestingly, CB2 receptor expression appears to be highly dynamic and dependent on the environment as CB2 expression is induced by inflammation and neuropathic pain (Hsieh et al., 2011; Li et al., 2017). CB2 receptor expression has been observed on microglia (Stella, 2010) and is upregulated in inflammation (Maresz, Carrier, Ponomarev, Hillard, & Dittel, 2005).
While CB1 and CB2 receptors are the best studied receptors in the cannabinoid system, both endocannabinoids and exogenous cannabinoids can target other receptors. GPR55 is an orphan GPCR that is stimulated by AEA and some lipophilic derivatives of endocannabinoids, as well as the CB1 receptor antagonist AM251 and inverse agonist SR141716A (rimonabant) (Kapur et al., 2009; Yang, Zhou, & Lehmann, 2016). GPR55 is expressed on neurons in the dorsal root ganglion (Lauckner et al., 2008), on adipose tissue (Tuduri, Lopez, Dieguez, Nadal, & Nogueiras, 2017) and microvascular endothelial cells (Leo et al., 2019) suggesting myriad functions of the endocannabinoid system that are largely unexplored.
Another binding site for AEA is the transient receptor potential channel TRPV1 (Di Marzo & De Petrocellis, 2010; Di Marzo, De Petrocellis, Fezza, Ligresti, & Bisogno, 2002). AEA is a full agonist at TRPV1 channels expressed on nociceptive primary afferents, as well as on many central neurons comprising ascending pain circuits. TRPV1 channels are non-selective cation channels gated by capsaicin, protons and heat that promote neuronal excitability. AEA is pro-nociceptive in some situations, promoting responses to painful stimuli (Dinis et al., 2004) but AEA activation of TRPV1 channels is also antinociceptive, especially in the presence of inflammation and neuropathic pain (Guindon, Lai, Takacs, Bradshaw, & Hohmann, 2013; Horvath, Kekesi, Nagy, & Benedek, 2008). Taken together, the actions of endocannabinoids depend both on expression of the target receptors on specific cells and on adaptations within specific brain areas that are induced in different pain states.
It should also be noted that there are documented variations in cannabinoid receptor function across species. The CB1 receptor appears to be well conserved with 98.7% amino acid sequence homology between guinea-pig and human CB1 receptors, 99.2% homology between guinea pig and rat or mouse (Kurz, Gottschalk, Schlicker, & Kathmann, 2008), and even 70% homology between pufferfish and human CB1 receptor amino acid sequence (Yamaguchi, Macrae, & Brenner, 1996). In contrast, the CB2 receptor is not as well conserved across species. CB2 receptor mRNA splicing and expression vary between mice and rats, which impacts CB2 receptor-dependent effects on cocaine self-administration between the species (Zhang et al., 2015). Rat and human CB2 receptors share 81% amino acid homology (Mukherjee et al., 2004) with sequence divergence in the carboxy terminus of mammalian CB2 receptors that could differentially impact receptor regulation, including desensitization and internalization (Brown, Wager-Miller, & Mackie, 2002). Appropriate caution should be employed when comparing CB2 receptor function across species.