Cannabinoid Receptor

In subject area: Pharmacology, Toxicology and Pharmaceutical Science

Cannabinoid receptors are G-protein-coupled receptors (GPCRs) that respond to a wide range of endogenous, synthetic and plant-derived cannabinoids [1,2•].

From: Current Opinion in Pharmacology, 2017

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2010, Methods in EnzymologyAlan C. Spivey, Chih-Chung Tseng

1.1 Cannabinoid receptors

Cannabinoid receptors obtained their name as a result of their response to cannabinoids, for example, Δ9-tetrahydrocannabinol (Δ9-THC) from Cannabis sativa (marijuana) and synthetic analogs. Cannabinoid receptors are members of the endocannabinoid system and are key mediators of many psychological processes (Wotjak, 2005). These receptors belong to the rhodopsin family of G protein-coupled receptors (GPCRs). Two subtypes of receptors have been identified: type 1 (CB1) and type 2 (CB2). The CB1 receptor abounds in the brain and central nervous system (CNS), whereas the CB2 is found mainly in the immune system (Howlett et al., 2002).

As deduced by complementary DNA encoding (Matsuda et al., 1990) and molecular cloning (Gerard et al., 1991), human CB1 receptors are encoded by an amino sequence of 472 residues. As for other proteins belonging to the rhodopsin family, the CB1 receptor has seven transmembrane helical (TMH) domains of which the TMH-4 and -5 domains form the high-affinity ligand binding site (Shire et al., 1996).

Studies of the physiological roles of the CB1 receptor have revealed strong correlations with inhibition of adenylyl cyclase, pain control, regulation of ion channels, modulation of energy intake, and various other signal transduction pathways (Howlett, 2004; Pagotto et al., 2006). Among these functions, arguably the most promising feature of this receptor's regulatory profile from a therapeutic-potential standpoint, is (or at least was, see below) its role in energy regulation and metabolism. In particular, animal models revealed that CB1 knockout mice were leaner than wild-type species (Di Marzo et al., 2001). Blocking the CB1 receptor potentially therefore provides a therapeutic strategy for treatment of obesity and metabolic syndrome as well as drug additions and addiction to smoking (Di Marzo et al., 2001).

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2021, Pharmacological ResearchSamridhi Lal, ... Subash C. Gupta

4 Receptors of cannabinoids

Cannabinoid receptors are transmembrane proteins that mediate the action of CBs. Two common cannabinoid receptors are CB1 and CB2 that belong to the class A family of G-protein coupled receptors. Both receptors contain a glycosylated amino-terminal (extracellular) and carboxy-terminal (intracellular) domain connected by 7 transmembrane domains, 3 extracellular loops and 3 intracellular loops [3,65].

Cannabinoid receptors are found in both central and peripheral tissues of the body [66]. CB1 is predominant in the regions of brain such as cerebral cortex and cerebellum. CB2 is mostly located in peripheral tissues including lungs, leukocytes, liver, and spleen [66]. CB1 and CB2 receptors along with endogenous CBs and endocannabinoid metabolic enzymes [monoacylglycerol lipase (MAG lipase) and fatty acid amide hydrolase (FAAH)] constitute ECS of the body. Natural and synthetic CBs play important roles in different pathophysiological conditions, including cancer, by modulating ECS [67].

The ability of CBs to modulate tumorigenic properties depends on various factors including the type of cancer, binding affinity between the ligand and the pharmacological target (e.g., cannabinoid receptor) and the site of the tumour [10,68,69]. For instance, binding affinity of WIN-55,212−2 with cannabinoid receptors is higher compared to its natural analogue, THC [10]. However, WIN-55,212−2 is less efficient in promoting cell death as compared to THC [10]. WIN-55,212−2 is a schedule I controlled substance and illegal to use. The anti-tumorigenic action of CBs is attributed to the modulation of various signalling pathways crucial for cancer pathogenesis (Fig. 8) [10,69–71].

Fig. 8

Fig. 8. Key signaling pathways modulated by cannabinoids in cancer cells.

CBs exert their apoptotic action by binding to CB1 and CB2 receptors. For instance, cannabinoid receptor agonists when bind to receptors enhance pro-apoptotic molecules such as sphingolipid ceramide which in-turn modulates various signalling pathways involved in the pathogenesis of cancer. In leukemic cells, CBs act through ceramide which induces apoptosis by modulation of the p38 mitogen-activated protein kinase (MAPK) pathway. In glioma cells, CBs induces apoptosis by upregulating endoplasmic reticulum stress-related genes [72]. Furthermore, in lung cancer, CBD is reported to up-regulate the expression of cyclooxygenase-2 (COX-2) and pro-apoptotic prostaglandin E-2 (PGE2) which contribute to cellular apoptosis [73].

A pathway by which Δ9-THC promotes apoptosis is via upregulation of Tribbles homolog 3 (TRB3) protein. Upregulation of TRB3 leads to cellular autophagy and inhibition of protein kinase B (PKB) leading to increased synthesis of Bcl2-associated agonist of cell death (BAD), which is a pro-apoptotic protein [73,74]. Autophagy either acts as an alternate to apoptosis causing cell death or acts together with the apoptotic pathway leading to cell death. For instance, Δ9-THC and JWH-015, when bind to CB2 receptors, induced cellular autophagy and reduced cellular viability in HepG2 and HuH-7 hepatocarcinoma cell lines and tumour models [75]. Here, JWH-015 and Δ9-THC upregulated TRB3.This resulted in the suppression of the PKB/mammalian target of rapamycin Complex1 (mTORC1) axis and stimulation of adenosine monophosphate-activated kinase (AMPK). Further, calmodulin-dependent protein kinase kinase-beta (CAMKK-β) induced AMPK phosphorylation leads to cellular autophagy [75].

CBs have also been reported to downregulate glycolysis which is a novel target for cancer therapy (Fig. 9) [76–78]. Cancer cells, in order to survive in a hypoxic environment, undergo metabolic reprogramming and make aerobic glycolysis their preferred pathway irrespective of the status of oxygen levels in the cell (Warburg effect) [78]. On the other hand, normal or healthy cells undergo mitochondrial Krebs’ cycle and oxidative phosphorylation after formation of pyruvate from glucose in the process of glycolysis. Anaerobic glycolysis is preferred only in unusual conditions such as stress and limited oxygen supply. This distinctive feature of cancer cells could be further explored for CB mediated cell killing.

Fig. 9. Schematic representation of energy metabolism in healthy and malignant cells along with effect of cannabinoids on key pathways involved.

Arachidonoyl cyclopropamide (ACPA) and GW405833 (GW), upon binding to CB1 and CB2 receptors respectively, release reactive oxygen species (ROS) which inhibit glycolysis, Krebs’ cycle and oxidative phosphorylation in pancreatic cancer cells (Fig. 9) [76,77]. Additionally, inhibition of oxidative phosphorylation changes the Adenosine Triphosphate/Adenosine Monophosphate ratio of cells and induces AMPK, the enzyme responsible for maintaining the intracellular homeostasis and energy regulation of cells. Activation of AMPK leads to inhibition of mTORC1, a key regulator of protein synthesis and cell growth. All these events eventually trigger the cell towards autophagy. mTORC1 inhibition also downregulates its downstream targets, hypoxia-inducible factor-1 alpha (HIF-1α) and pyruvate dehydrogenase kinase (PDHK) resulting in cell death (Fig. 9) [76].

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Review article

Neurosciences

2017, Current Opinion in PharmacologyRobert B Laprairie, ... Eileen M Denovan-Wright

Highlights

Cannabinoid receptors are pleiotropically-coupled GPCRs.

Few studies quantify cannabinoid bias using Black and Leff's operational model.

Correlations between cannabinoid bias in vitro and in vivo are just being measured.

Understanding cannabinoid bias could yield effective cannabinoid-based drugs.

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2010, Methods in EnzymologyAlan C. Spivey, Chih-Chung Tseng

1 Introduction

1.1 Cannabinoid receptors

Cannabinoid receptors obtained their name as a result of their response to cannabinoids, for example, Δ9-tetrahydrocannabinol (Δ9-THC) from Cannabis sativa (marijuana) and synthetic analogs. Cannabinoid receptors are members of the endocannabinoid system and are key mediators of many psychological processes (Wotjak, 2005). These receptors belong to the rhodopsin family of G protein-coupled receptors (GPCRs). Two subtypes of receptors have been identified: type 1 (CB1) and type 2 (CB2). The CB1 receptor abounds in the brain and central nervous system (CNS), whereas the CB2 is found mainly in the immune system (Howlett et al., 2002).

As deduced by complementary DNA encoding (Matsuda et al., 1990) and molecular cloning (Gerard et al., 1991), human CB1 receptors are encoded by an amino sequence of 472 residues. As for other proteins belonging to the rhodopsin family, the CB1 receptor has seven transmembrane helical (TMH) domains of which the TMH-4 and -5 domains form the high-affinity ligand binding site (Shire et al., 1996).

Studies of the physiological roles of the CB1 receptor have revealed strong correlations with inhibition of adenylyl cyclase, pain control, regulation of ion channels, modulation of energy intake, and various other signal transduction pathways (Howlett, 2004; Pagotto et al., 2006). Among these functions, arguably the most promising feature of this receptor's regulatory profile from a therapeutic-potential standpoint, is (or at least was, see below) its role in energy regulation and metabolism. In particular, animal models revealed that CB1 knockout mice were leaner than wild-type species (Di Marzo et al., 2001). Blocking the CB1 receptor potentially therefore provides a therapeutic strategy for treatment of obesity and metabolic syndrome as well as drug additions and addiction to smoking (Di Marzo et al., 2001).

1.2 Antagonists and inverse agonists of CB1 receptors

A 1,5-diarylpyrazole-based ligand, SR141716A, later known as rimonabant (acomplia), was released in 1994 by Sanofi-Aventis to target the CB1 receptor. It displayed nanomolar affinity for this receptor and just micromolar affinity for the CB2 receptor making it the first efficient, competitive agent for selective blocking of CB1 receptors (Rinaldi-Carmona et al., 1994). Rimonabant was first categorized as a CB1 receptor antagonist; however, after comprehensive pharmacological studies taking into account the intrinsic activity of the endocannabinoid system, it was recategorized as an inverse agonist (Pertwee, 2005). An analog, AM251, which has an iodine-substituent in place of a chlorine atom in the 5-phenyl ring of rimonabant, has similar inhibitory activity and selectivity for CB1 whilst also providing an opportunity to introduce a radioactive-iodine isotope (123I or 124I) to allow visualization of the CNS by position emission tomography (PET) or single photon emission computed tomography (SPECT; Howlett, 2004; Pagotto et al., 2006). A ring-constrained analog NESS0327 was reported as having femtomolar affinity for the CB1 receptor in vitro; however, no inhibition was shown when administered orally (Murineddu et al., 2005; Stoit et al., 2002). The poor biodistribution of this compound in vivo doubtless contributed to this outcome. Extensive studies have also been reported toward the development of new CB1 ligands by changing the central core of rimonabant to imidazole, triazole, and phenyl units (e.g., O-1803) and by de novo design to give novel scaffolds such as found in CP-945598 (Pfizer), MK-0364 (taranabant, Merck), and AVE-1625 (Sanofi-Aventis; Scheme 27.1).

Scheme 27.1. “Drug-like” potential CB1 inhibitors.

Clinical trials of rimonabant for treatment of obesity suggested that it was a promising and effective medicine and so the compound was approved by the European Medicines Agency for sale in Europe as acomplia in 2006. Although only minor side-effects were reported during the clinic trials, several serious psychiatric disorder cases emerged once the drug was available on prescription. As a consequence, this drug was withdrawn from the market in 2008 and many other ongoing projects targeting the CB1 receptor as a strategy for developing antiobesity drugs were also apparently terminated (Jones, 2008).

1.3 Conformational analysis of rimonabant and computational modeling of its binding features with the CB1 receptor

Computational docking analyses of rimonabant and related structures in the CB1 receptor binding site have revealed that its gross orientation is set by an essential salt bridge between the carbonyl moiety and Lys192/Asp366 (Hurst et al., 2002). π–π Stacking interactions between the two substituted phenyl groups and the aromatic-rich TMH 3–6 regions of the CB1 receptor also constitute an important anchor for this binding mode, as are lipophilic interactions between the piperidinyl group and a hydrophobic cavity comprising Val196, Phe170, Leu387, and Met384. Notwithstanding these constraints, several distinct conformational minima are apparently energetically accessible (Scheme 27.2; Lange and Kruse, 2005).

Scheme 27.2. Rimonabant docked in the helical binding site of the CB1 receptor and a general inverse agonist-receptor interaction model (Lange and Kruse, 2005).

Conformations in which torsional angle τ1 (about the bond between the pyrazole ring and the acyl hydrazine carbonyl) enforces an s-trans pose and the torsional angle τ2 (about the N–N bond of the hydrazine unit) is in one of four particular values appear to be favored. The torsional angles τ3 and τ4 control the conformation of the two aryl groups, and these vary depending on the substituents on these rings (Thomas et al., 2006).

It is not clear what exact molecular mechanisms cause the adverse psychiatric side effects. However, the endocannabinoid system is known to be involved in our ability to manage stress and anxiety and so the onset of depression as a result of disruption of these pathways is perhaps unsurprising. Elaboration of the psychiatric functions controlled by the endocannabinoid system will be necessary if the effects caused by blocking the receptor are to be fully understood and safe modulators are to be developed.

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2017, NeuropharmacologyLeepakshi Khurana, ... Debra A. Kendall

1 Introduction

Cannabinoid receptors are considered to be key regulators of nausea, obesity (Bellocchio et al., 2006; DiMarzo and Deprés, 2009), pain (Manzanares et al., 2006; Sagar et al., 2009), anxiety, depression, substance use disorders (Mackie, 2006) and neurodegenerative disorders such as Alzheimer's disease (Aso and Ferrer, 2014), and Parkinson's disease (Brotchie, 2003). Despite exhaustive research, few cannabis-based therapeutics have reached clinical use, although nabilone (Cesamet) (Frank et al., 2008), dronabinol (Marinol) (Pertwee, 2006) and a Δ9-tetrahydrocannabinol (THC)/cannabidiol blend (Sativex) (Blake, 2006) are approved for the treatment of spasticity, nausea and pain in various countries. Conventional drug design has primarily targeted the orthosteric site of cannabinoid receptors, creating ligands that compete with the endogenous cannabinoid, anandamide and 2-arachidonoyl-glycerol (2-AG), for binding to this site. However, psychoactive side effects are frequent and often preclude clinical usefulness for ligands that target these sites on the CB1 cannabinoid receptor (CB1) which is expressed in high numbers in many of the regions of the brain (Mackie, 2006). It is now well appreciated that allosteric sites exist on many G-protein coupled receptors (GPCRs), including CB1 (Kenakin, 2012; Conn et al., 2014). Targeting these sites offers in principle several advantages such as greater subtype-selectivity (Conn et al., 2009), maintenance of spatial and temporal aspects of receptor activation and consequent attenuation of side effects (Conn et al., 2009; Burford et al., 2013). This manuscript focuses on the allosteric modulation of the CB1 receptor and gives a structural and functional review of its known allosteric modulators and their outcome.

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2020, Pharmacology & TherapeuticsCourtney A. Bouchet, Susan L. Ingram

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.

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Cannabinoid receptors: what they do

The cannabinoid receptors as part of the endocannabinoid system have been shown to play important roles in a variety of physiological conditions, including neuronal development, neuronal plasticity, food intake and energy balance, perception process, immune modulation, cell apoptosis, cardiovascular and reproductive functions (Marzo, Bifulco, & De Petrocellis, 2004; Rodriguez de Fonseca et al., 2005). The multifaceted functions of cannabinoid receptors are rooted by their cellular physiology and complex signaling pathways in transducing the binding of cannabinoid ligands into biological responses.

Cell Physiology of Cannabinoid Receptors

Many studies have demonstrated that endocannabinoids function as retrograde messengers in the CNS. They are released from postsynaptic neurons in a calcium-dependent manner, and traverse retrogradely onto presynaptic cannabinoid CB1 receptors. Subsequently, they produce a transient or prolonged reduction in the release of neurotransmitters such as the inhibitory γ-aminobutyric acid (GABA), excitatory glutamate, acetylcholine, and noradrenaline (Piomelli, 2003; Rodriguez de Fonseca et al., 2005). Unlike classical peptide neurotransmitters, endocannabinoids are not presynthesized and stored in vesicles before release. In contrast, they are synthesized “on demand,” via enzymatic pathways triggered by a rapid increase of intracellular calcium through cell depolarization or receptor activation. At present, the knowledge concerning the physiology of CB2 receptors is relatively less than that of CB1 receptors. Given the high level of CB2 receptors on the cells of immune and hematopoietic systems, CB2 receptors are most likely involved in inflammation-associated pathologies. In general, CB2 receptors are involved in regulation of immune cells in several ways, including: (1) inducing immune cell apoptosis, (2) suppressing proliferation of immune cells and the production of proinflammatory cytokines/chemokines, (3) increasing secretion of antiinflammatory cytokines, (4) inducing regulatory T cells, and (5) promoting the trafficking and migration of immune cells (Klein & Cabral, 2006; Rom & Persidsky, 2013).

Signal Transductions of CB1 and CB2 Receptors

Cannabinoid receptors transduce signals through various pathways: G-protein-dependent processes (Demuth & Molleman, 2006; Pertwee, 1997) and G-protein-independent processes (Turu & Hunyady, 2010; Velasco et al., 2005). The major signal transductions of both CB1 and CB2 receptors are primarily mediated through the inhibitory Gi and Go proteins. However, under certain conditions, signal transductions of CB1 receptor through Gq/11 and stimulatory Gs are also possible (Turu & Hunyady, 2010). In contrast to CB1 receptors, CB2 receptors do not transduce signals through stimulatory Gs (Demuth & Molleman, 2006). Upon stimulation by agonists, cannabinoid receptors modulate adenylyl cyclase and, consequently, alter the cellular production of cAMP. Although activation of cannabinoid receptors typically suppresses adenylyl cyclase and downregulates signaling responses mediated by second messenger cAMP, evidence suggests that the isoforms of adenylyl cyclase expressed in cells determine the outcome of cAMP production. For instance, in COS-7 cells that coexpress CB1/CB2 with nine isoforms of adenylyl cyclase 1 to 9, activation of the cannabinoid receptors CB1 and CB2 inhibited the activity of adenylyl cyclase isoforms 1, 3, 5, 6, and 8. In contrast, adenylyl cyclase isozymes 2, 4, and 7 were stimulated (Rhee, Bayewitch, Avidor-Reiss, Levy, & Vogel, 1998). In addition, the CB1 and CB2 receptors can carry signal transductions through the activation of phosphatidylinositide 3-kinases (PI3K), but with different mechanisms (Demuth & Molleman, 2006; Howlett & Shim, 2004). Both the CB1 and CB2 cannabinoid receptors regulate the phosphorylation and activation of different members of all three families of mitogen-activated protein kinases (MAPKs), including p44/42 MAP kinase, p38 kinase, and JUN-terminal kinase (Atwood & Mackie, 2010; Turu & Hunyady, 2010). Unlike the activation of CB2 receptor, which generally has no effect on ion channels, activation of CB1 receptor inhibits N- and P/Q-type voltage-gated Ca2+ channels and activates A-type and G-protein-coupled inwardly-rectifying K+ channels (GIRK) (Howlett, 2005). Along with the G-protein mediated signal transductions, the CB1 receptor can interact with a variety of non-G protein partners (eg, β-arrestins, adaptor protein AP-3, GPCR-associated sorting protein 1 (GASP1), and the adaptor protein FAN) to control receptor signaling or trafficking (Howlett, Blume, & Dalton, 2010; Smith, Sim-Selley, & Selley, 2010). The CB1 and CB2 cannabinoid receptors can also transduce signals through G-protein independent pathways that employ ceramide as the second messenger (Velasco et al., 2005). Activation of cannabinoid receptors impacts both the short-term and long-term ceramide accumulation, which is respectively resulted from sphingomylin hydrolysis and ceramide de novo synthesis. Ceramide, in turn, mediates cannabinoid-induced metabolic regulation and cell apoptosis (Herrera et al., 2006; Velasco et al., 2005). The major signaling pathways of the CB1 and CB2 receptors are summarized in Fig. 58.5.

Figure 58.5. Major signaling pathways initiated from activation of the cannabinoid CB1 and CB2 receptors.

The major signaling pathways initiated by the binding of agonists (ECB) to cannabinoid receptors involve the activation and dissociation of the coupled Gi/o-protein heterotrimers (ie, α and βγ subunits). The released Gα subunits interact with adenylyl cyclase (AC) and inhibit its activity in synthesis of cAMP. This decreases the activation of protein kinase A (PKA), which in turn downregulates PKA-mediated signaling events. The βγ subunits can evoke the phosphatidylinositide 3-kinase (PI3K) and protein kinase B (PKB) pathways, which in turn induce the phosphorylation of P42/44 MAPK and other members of MAPK such as JNK and p38 MAPK. The CB1 and CB2 receptors can also couple to non-G-protein partners such as FAN, which activates neutral sphingomyelinase (SMase) that mediates the generation of ceramide from sphingomyelin. While ceramide is involved in other functions, it can function as a second messenger to activate several downstream effectors, including ERK, JNK, and p38 that are further involved in the control of gene transcriptions and cell fate. Activation of CB1 receptor inhibits N and P/Q types of voltage gated calcium channels (VGCC), while positively regulates A-type K+ (KA), and inwardly rectifying K+ (Kir) channels. The modulations of ion channels by CB1 are independent of the cAMP pathway, and are involved in the regulation of neurotransmitter release. In contrast, activation of CB2 receptors generally does not regulate ion channels.

The signaling events of CB1 and CB2 receptors can be attenuated by desensitization of the receptor, followed by an internalization process (Atwood, Straiker, & Mackie, 2012). Desensitization involves G-protein-receptor-kinase-mediated phosphorylation of multiple serine/threonine residues of the receptors, followed by binding of the β-arrestins. The internalized receptors can be either transported to endosomes for dephosphorylation, and then returned to the cell membrane for the next signaling event, or transported to lysosomes for degradation. Apart from the agonist-initiated signal transductions, both CB1 and CB2 receptors can induce cellular responses through constitutive activities (so called “constitutive tone”). In the absence of agonists, the two cannabinoid receptors have been shown to exhibit a spontaneous activation of Gi/o-proteins, and increased constitutive MAPK-activating properties (Yao & Mackie, 2009). These constitutive activities can be respectively attenuated by inverse agonists that can selectively interact with the CB1 and CB2 receptors.

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2021, European Journal of PharmacologyAleksandra Kicman, ... Hanna Kozłowska

2 Cannabinoid receptors in the respiratory system

Cannabinoid receptors belong to a family of receptors associated with G-proteins. There are two types of cannabinoid receptors: cannabinoid receptor type 1 (CB1) and type 2 (CB2). Cannabinoid receptors belong to a family of receptors associated with G-proteins. There are two types of cannabinoid receptors: cannabinoid receptor type 1 (CB1) and type 2 (CB2). CB1 receptors bind a various types of G proteins. Interaction with the Gi/o protein causes inhibition of adenylate cyclase, cyclic AMP-dependent signaling and voltage-gated calcium channels. Simultaneously, activation of mitogen-activated protein kinases (MAPKs), activation of K+ currents, and modulation of nitric oxide-dependent signaling are found. In addition to Gi/o, CB1 receptors can bind other proteins such as Gs and Gq/11 but their role in signal transduction has not been clearly established (Krishna Kumar et al., 2019; Walsh and Andersen, 2020). CB2 receptors are conjugated to the protein Gi/o. However, interaction with Gi/o induces adenylate cyclase inhibition but does not influences on ion channels activity. Other types of G proteins which coupled to CB2 receptors include Gβ/γ protein (Ibsen et al., 2017).

Most of the CB1 receptors are expressed in areas of the central nervous system such as the hippocampus, hypothalamus, and cerebral cortex. The interaction between cannabinoids and central CB1 receptors is responsible for the psychoactive properties some of these compounds (e.g., Δ⁹-THC). In rodents, activation of the central CB1 receptors causes symptoms known as the cannabinoid tetrad which includes hypothermia, antinociception, catalepsy, and a decrease in physical activity (Walsh and Andersen, 2020).

CB1 receptors are located peripherally in the cardiovascular system, digestive system, reproductive system, kidneys, tonsils, thymus, skin, bones, skeletal muscles, leukocytes, and adipose tissue (Kaur et al., 2016; Zou and Kumar, 2018; An et al., 2020). The central and peripheral CB1 receptors control various physiological functions in the body. More importantly, overactivity or overstimulation of peripheral CB1 receptors is linked to several pathological processes such as fibrosis (liver, heart, kidney, and skin), inflammation, oxidative/nitrosative stress, and insulin resistance (An et al., 2020; Marquart et al., 2010; Mukhopadhyay et al., 2010; Rajesh et al., 2012; Lecru et al., 2015; Jourdan et al., 2017; Dao et al., 2019; Tan et al., 2020).

In contrast to CB1 receptors, the density of CB2 receptors in the central nervous system is relatively small. The largest number of peripheral CB2 receptors are expressed within the cells of the immune system. Cannabinoid activation of CB2 receptors act to modulate the immune system through the induction of apoptosis, inhibition of cell proliferation and pro-inflammatory cytokines synthesis, increased production of anti-inflammatory cytokines and antibodies. The activation of peripheral CB2 receptors produces anti-inflammatory, immunosuppressive, and anti-fibrotic effects (Tahamtan et al., 2016; Kaur et al., 2016; Jang et al., 2020).

Studies examining cannabinoid receptor expression and function in the respiratory system are limited and unclear. Both CB1 and CB2 receptors are expressed in human lung tissue and bronchi, however CB1 receptor expression is higher (Galiègue et al., 1995; Grassin-Delyle et al., 2014; Turcotte et al., 2016; Staiano et al., 2016). There is no scientific data about the expression of cannabinoid receptors in the human trachea but according to Spicuzza et al. (2000), cannabinoid receptors were not detected in the tracheas of guinea pigs.

Respiratory epithelial cells display both CB1 and CB2 receptors (Fantauzzi et al., 2020). The pulmonary arteries also express CB1 and CB2 receptors but with a predominance of CB1 receptors (Karpińska et al., 2017). The expression of CB2 receptors on fibroblasts (Fu et al., 2017) and CB1 receptors on alveolar type II cells (Rice et al., 1997) have been confirmed in cultures of rodent cells. Fig. 2 shows the ratios of cannabinoid receptor expression among the individual components of the respiratory system.

Fig. 2

Fig. 2. Expression of cannabinoid receptors in respiratory system and recruited cells of immune system. Expression of cannabinoid receptors on structures of respiratory system and cells of immune system recruited in respiratory diseases is found. There are differences in the expression of cannabinoid receptors between individual structures and cells. Additionally, expression of cannabinoid receptors in some structures and cells is a moot point. Methods used for receptors detection: 1 Ligand binding assay; 2 Quantitative reverse transcriptase real-time PCR; 3 Reverse transcription polymerase chain reaction; 4 Western blot; 5 Microarray analysis techniques; 6 Flow cytometry.

Cannabinoid receptors are found on pulmonary macrophages and dendritic cells in the respiratory system and other immune system cells recruited in respiratory diseases (Moldoveanu et al., 2009; Turcotte et al., 2016). Pulmonary macrophages and dendritic cells express both cannabinoid receptors but in macrophages, the level of CB2 receptors is higher (Turcotte et al., 2016; Staiano et al., 2016; Matias et al., 2002). In monocytes, the presence of CB1 and CB2 receptors has been observed with a predominance of CB2 receptors (Galiègue et al., 1995; Sexton et al., 2013).

The existence of cannabinoid receptors, especially CB2 receptors, in neutrophils is ambiguous (Small-Howard et al., 2005). Neutrophils are thought to express both CB1 and CB2 receptors, with the a dominance of CB1 receptors but some authors have suggested that neutrophils do not express CB2 receptors (Oka et al., 2004; Chouinard et al., 2011, 2013) or express them to a small extent (Graham et al., 2010). Eosinophils, mast cells, and basophils express CB1 and CB2 receptors but mast cells and basophils express more CB1 than CB2 receptors (Small-Howard et al., 2005). While eosinophils express CB2 receptors in higher quantities than CB1 receptors (Oka et al., 2004; Small-Howard et al., 2005; Frei et al., 2016; Chouinard et al., 2011, 2013). Cannabinoid receptor expression on lymphocytes is dependent on their type. B lymphocytes and NK cells express CB1 and CB2 receptors with a predominance of CB2 receptors (Galiègue et al., 1995). B lymphocytes have the highest level of CB2 receptors amongst all mononuclear leukocytes (Carayon et al., 1998). The expression of both cannabinoid receptors is observed in TCD8+ lymphocytes while TCD4+ cells express only CB2 receptors (Galiègue et al., 1995). The expression of cannabinoid receptors in immune system cells is summarized in Fig. 2.

Interestingly, cannabinoid receptors are also expressed on lung cancer cells. The presence of CB1 and CB2 receptors has been confirmed in cancerous tissue obtained from patients suffering from NSCLC (non-small-cell lung carcinoma) (confirmed by immunohistochemical staining) and in human lung cancer cell lines such as A549 and SW-1573 (confirmed by reverse transcription polymerase chain reaction or Western blot analysis) (Preet et al., 2008, 2011; Ravi et al., 2014; Milian et al., 2020). An overexpression of cannabinoid receptors has been associated with longer survival in patients (Milian et al., 2020). However, according to Xu et al. (2019), an increased expression of CB2 receptors signified a worse prognosis. Determination of cannabinoid receptor expression could be a useful tumor marker but further research is needed to determine the relationship between cannabinoid receptors with the severity, stage, and types of the lung cancer.

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2004, Life SciencesDiana L Cichewicz

Cannabinoid and opioid receptors are both members of the G-protein-coupled receptor family, activating pertussis toxin-sensitive Gi/Go proteins. Recent work has examined agonist-stimulated GTP binding in both of these receptor systems, using cellular and molecular paradigms. In COS-7 cells transfected with cannabinoid and opioid receptors, a combination of these drugs failed to induce an additive increase in [35S]GTPγS binding, suggesting that these receptors share a common pool of Gi/Go proteins (Shapira et al., 2000). However, in neuroblastoma cells that endogenously express delta opioid and cannabinoid receptors, etorphine and desacetyllevonantradol (DALN) produce an additive stimulation of binding, indicating that the receptors draw from separate G protein pools (Shapira et al., 2000). Thus, cells which typically contain these receptors likely contain different mechanisms than those into which foreign receptors are introduced, pointing to the importance of models that accurately depict human systems. The enhancement of opioid analgesic effect by cannabinoids in rodent models suggests that the receptors involved do not share the same pool of G proteins.

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Introduction

In the 1990s, a number of surprising discoveries laid a strong, new foundation for both Cannabis and cannabinoid research. The identification and early characterization of the cannabinoid receptors (Console-Bram, Marcu, & Abood, 2012; Matsuda, Lolait, Brownstein, Young, & Bonner, 1990; Pacher, 2006) literally provided substrate for the future of cannabinoid science. The CB1 receptor is now understood to be one of the most abundant proteins in the mammalian brain. The CB2 receptor—sharing significant genetic sequence (homology) with the CB1 receptor—has been found to be expressed predominately in immune tissue and cells of immune origin. Because of this characteristic distribution, cannabinoid receptors provide an attractive therapeutic target. The discovery and subsequent availability of various synthetic cannabinoid analogues have allowed researchers to begin characterizing the various physiological roles of these abundant G-protein-coupled receptors (GPCRs). The sum of all knowledge of how these cannabinoid receptors and their endogenous ligands work together to modulate mammalian biology and behavior is referred to as the endocannabinoid system (ECS).

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