Lecture 13 Flashcards

1
Q

What are the central effects of THC?

A
  • impaired short-term memory and motor coordination
  • altered sense of time
  • changes in mood (euphoria/dysphoria)
  • catalepsy (trance-like state)
  • hypothermia (read out of THC action)
  • analgesia
  • antiemetic
  • increase in appetite
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2
Q

What are the peripheral effects of THC?

A
  • tachycardia (risk of myocardial infarction)
  • vasodilation (bloodshot eyes)
  • fall in intraocular eye pressure
  • bronchodilation
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3
Q

What are the pharmacokinetics of THC?

A
  • smoked or taken orally
  • smoking > oral (due to quicker onset)
  • metabolised by conjugation and enterohepatic circulation (prolongs duration)
  • lipophilic (sequestered in body fat, detectable after several weeks of admin)
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4
Q

How was the CB1 cannabinoid receptor discovered?

A
  • ligand-binding assay
  • tritiated form of a cannabinoid
  • specific binding occurred and analogue was displaced by delta 9 THC and was saturable
  • if binding was non-specific= no saturation
  • decreased binding of a non-hydrolysable GTP analog suggests it is a GPCR which acts through allosteric regulation
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5
Q

How was the CB2 cannabinoid receptor discovered?

A
  • identified among cDNAs based on similarity in sequence to CB1 receptor
  • molecular explanation of cannabinoid effects on the immune system
  • inhibits adenylyl cyclase activity
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6
Q

What is the distribution of the cannabinoid receptors?

A
  • CB1= widespread brain distribution e.g. cortex. hypothalamus, amygdala
  • CB2= more defined pattern in cells and tissues of the immune system e.g. glial cells
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7
Q

What are the mechanisms of cannabinoid GPCR activation?

A
  • couples with G protein
  • inhibits Ca2+ channels
  • activates K+ channels
  • inhibits cAMP and PKA
  • inhibition of synaptic transmission
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8
Q

What are the effects of knocked out CB1 receptors (in mice)?

A
  • increased mortality
  • leanness, resistance to diet induced obesity, enhanced leptin sensitivity
  • loss of THC-induced hypothermia
  • less pain sensitive in tests of supraspinal pain responses
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9
Q

What were the first identified endogenous ligands for CB receptors?

A
  • anandamide
  • 2-arachidonoyl glycerol (2-AG)
  • all are lipids
  • both activate CB1 + CB2
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10
Q

What are the properties of the endogenous ligands?

A
  • produced on demand and not stored in vesicle
  • produced following elevation of intracellular Ca2+ by Ca2+ sensitive enzymes
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11
Q

How is anandamide synthesised?

A
  • enzymatic hydrolysis of a family of membrane phospholipids (NArPE)
  • NAPE-PLD is Ca2+ sensitive and catalyses the hydrolysis of NArPE to anandamide
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12
Q

How is 2-AG synthesised?

A

DAGs converted into 2-AG via two Ca2+-sensitive DAG lipases (DAG-α and DAGL-β)

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13
Q

How are cannabinoids synthesised and released?

A
  • produced from phospholipids present in the cell membrane
  • released in a regular and retrograde direction
  • CB receptors present on both the pre and post synapse
  • also receptors present on glial cells
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14
Q

What enzymes terminate cannabinoid activation?

A
  • MAGL (monoacylglycerol lipase)
  • FAAH (fatty acid amide hydrolase)
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15
Q

What is the function of FAAH?

A

Main metabolising enzyme for the fatty acid amides (e.g. anandamide)

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16
Q

What would be the effects of FAAH KO?

A
  • analgesic phenotype (reduced pain sensation)
  • hypersensitivity to exogenous anandamide (cannot be broken down)
17
Q

What is the role of the endocannabinoid membrane transporter (EMT)?

A
  • releases cannabinoids from cells
  • inhibition abolishes phasic and tonic endogenous cannabinoid-mediated control of excitatory synaptic transmission
  • fatty acid binding protein 5 shown to be transporter
18
Q

What is the function of cannabinoid retrograde signalling?

A
  • usually GABA activates GABARs
  • postsynaptic depolarisation synthesises cannabinoids
  • cannabinoids released back onto presynaptic neuron
  • inhibits DSI (depolarisation suppression of inhibition)
19
Q

How are cannabinoids associated with glial cells?

A
  • glia can release cannabinoids (contain enzymes which make and break them)
  • Ca2+ rises occur if cannabinoids are applied
20
Q

How do synthetic derivatives of cannabinoids differ from naturally-occurring ligands?

A
  • higher affinity and efficacy
  • increased potency
21
Q

K2/Spice as a synthetic cannabinoid

A
  • not easily detectable in urine/blood samples
  • strict structure-activity relationship
  • hypertension, tachycardia, hallucinations, seizures and panic attacks
22
Q

What are examples of cannabinoid derivatives?

A
  • nabilone synthetic THC analogue
  • dronabinol (THC tradename)
  • levonantradol THC analogue
  • cannabidiol (CBD)
23
Q

What are desirable effects of cannabinoid derivatives?

A
  • anti-emetic effects e.g. nabilone for chemotherapy
  • analgesia e.g. CB1 agonists
  • appetite stimulation e.g. anorexics, cachexia (weight loss associated w/ cancer)
  • multiple sclerosis e.g. agonists reduce spasms and pain
  • anti-cancer e.g. THC inhibits tumour growth
24
Q

What are the reported benefits of CBD (cannabidiol)?

A
  • relieve pain
  • treat depression and anxiety
  • reduce acne
  • neuroprotective properties
  • increase cardiac health
  • antipsychotic effects
  • substance abuse treatment
25
Q

What are the potential CBD mechanisms of action?

A
  • anandamide uptake inhibitor
  • receptor activation
  • modifies adenosine uptake
26
Q

Where are the areas where CBD may act?

A
  • areas involved in pain perception
  • a new CB receptor (orphan)
  • hypothalamus and cortical areas
27
Q

What are the side effects and long-term risks of marijuana use?

A
  • temporary hallucinations
  • temporary paranoia
  • worsens schizophrenia symptoms
  • depression, anxiety, suicidal thoughts amongst teens
28
Q

When was cannabinoid receptor discovered

A

1988

29
Q

Difference between THC and CBD structure

A

CBD - OH group
THC - O molecule