Receptor, Cannabinoid, CB1

受体,大麻素,CB1
  • 文章类型: Journal Article
    The addictive use of nicotine contained in tobacco is associated with stressor-like emotional and cognitive effects such as anxiety and working memory impairment, and the involvement of epigenetic mechanisms such as histone acetylation has recently been reported. Although the precise nature of behavioural plasticity remains unclear, both anxiogenic- and working memory impairment-like effects were observed in the present experimental model of mice treated with repeated subcutaneous nicotine and/or immobilization stress, and these effects were commonly attenuated by the histone deacetylase (HDAC) inhibitors that induce histone acetylation. Such HDAC inhibitor-induced resilience was mimicked by ligands for the endocannabinoid (ECB) system, a neurotransmitter system that is closely associated with nicotine-induced addiction-related behaviours: the anxiogenic-like effects were mitigated by the cannabinoid type 1 (CB1) agonist arachidonylcyclopropylamide (ACPA), whereas the working memory impairment-like effects were mitigated by the CB1 antagonist SR 141716A. Moreover, the effects of the HDAC inhibitors were also mimicked by ligands for the endovanilloid (transient receptor potential vanilloid 1 [TRPV1]) system, a system that shares common characteristics with the ECB system: the anxiogenic-like effects were mitigated by the TRPV1 antagonist capsazepine, whereas the working memory impairment-like effects were mitigated by the TRPV1 agonist olvanil. Notably, the HDAC inhibitor-induced anxiolytic-like effects were attenuated by SR 141716A, which were further counteracted by capsazepine, whereas the working memory improvement-like effects were attenuated by capsazepine, which were further counteracted by SR 141716A. These results suggest the contribution of interrelated control of the ECB/TRPV1 systems and epigenetic processes such as histone acetylation to novel therapeutic approaches.
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    UNASSIGNED: Despite the evidence that energy balance is regulated differently in females and that the endocannabinoid system is sexually dimorphic, previous studies on the endocannabinoid system and energy balance predominantly used male models. Here, we characterize the effects of cannabinoid receptor deletion on body weight gain and glucose metabolism in female C57BL mice.
    UNASSIGNED: Female mice lacking the cannabinoid-1 receptor (CB1R-/-), cannabinoid-2 receptor (CB2R-/-), or both receptors (CB1R-/-/CB2R-/-) and wild-type (WT) mice were fed with a low (LFD; 10% of calories from fat) or high-fat diet (HFD; 45% of calories from fat) for six weeks.
    UNASSIGNED: Female WT mice fed with HFD gained significantly more weight than WT mice fed with LFD (p < 0.001). Similar pattern was observed for CB2/- mice fed with HFD compared to CB2R-/- mice fed with LFD (p < 0.001), but not for CB1R-/- fed with HFD vs. LFD (p = 0.22) or CB1R-/-/CB2R-/- fed with HFD vs. LFD (p = 0.96). Comparing the 4 groups on LFD, weight gain of CB1R-/- mice was greater than all other genotypes (p < 0.05). When fed with HFD, the deletion of CB1R alone in females did not attenuate weight gain compared to WT mice (p = 0.72). Female CB1R-/-/CB2R-/- mice gained less weight than WT mice when fed with HFD (p = 0.007) despite similar food intake and locomotor activity, potentially owing to enhanced thermogenesis in the white adipose tissue. No significant difference in weight gain was observed for female CB2R-/- and WT mice on LFD or HFD. Fasting glucose, however, was higher in CB2R-/- mice fed with LFD than all other groups (p < 0.05).
    UNASSIGNED: The effects of cannabinoid receptor deletion on glucose metabolism in female mice were similar to previously published findings on male mice, yet the effects on body weight gain and thermogenesis were attenuated in CB1R-/- mice.
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  • 文章类型: Journal Article
    背景:自2019年底以来,用合成大麻素受体激动剂(SCRA)强化“常规”大麻植物材料已成为药物市场上的显着现象。由于许多SCRA比真正的大麻构成更高的健康风险,从减少危害的角度来看,认识到SCRA掺杂的大麻很重要。然而,这并不总是一件容易的事,因为掺假的大麻只能通过专用的方式与真正的大麻区分开来,通常是昂贵且耗时的分析技术。此外,SCRA市场的动态特性使强化样品的识别成为一项具有挑战性的任务。因此,我们建立并应用了基于体外大麻素受体1(CB1)活性的程序来筛选植物材料中SCRA的存在。
    方法:测定原理依赖于β-抑制蛋白2募集到活化的CB1后分裂纳米荧光素酶的功能互补。简单的样品制备,包括甲醇提取和稀释,针对植物基质进行了优化,包括大麻,加标5微克/毫克的SCRACP55,940。
    结果:生物测定法成功检测了一组(n=24)经分析确认的真实香料产品的所有样品,另外提供有关制剂的“强度”的相关信息,以及不同样品是否可能来自单独的批次或同一生产批次。最后,该方法用于评估在国际舞蹈节上收集的大量草药材料(n=252)中SCRA掺假的发生情况.这并没有显示任何积极因素,即没有产生相关CB1激活的样品。
    结论:总之,我们建立了SCRA筛选草药材料作为基于活性的CB1生物测定的新应用。样品制备的简单性,快速的结果和生物测定的普遍特征使其成为评估草药材料是否存在SCRA的有效且面向未来的工具,这在减少伤害的背景下是相关的。
    BACKGROUND: Since late 2019, fortification of \'regular\' cannabis plant material with synthetic cannabinoid receptor agonists (SCRAs) has become a notable phenomenon on the drug market. As many SCRAs pose a higher health risk than genuine cannabis, recognizing SCRA-adulterated cannabis is important from a harm reduction perspective. However, this is not always an easy task as adulterated cannabis may only be distinguished from genuine cannabis by dedicated, often expensive and time-consuming analytical techniques. In addition, the dynamic nature of the SCRA market renders identification of fortified samples a challenging task. Therefore, we established and applied an in vitro cannabinoid receptor 1 (CB1) activity-based procedure to screen plant material for the presence of SCRAs.
    METHODS: The assay principle relies on the functional complementation of a split-nanoluciferase following recruitment of β-arrestin 2 to activated CB1. A straightforward sample preparation, encompassing methanolic extraction and dilution, was optimized for plant matrices, including cannabis, spiked with 5 µg/mg of the SCRA CP55,940.
    RESULTS: The bioassay successfully detected all samples of a set (n = 24) of analytically confirmed authentic Spice products, additionally providing relevant information on the \'strength\' of a preparation and whether different samples may have originated from separate batches or possibly the same production batch. Finally, the methodology was applied to assess the occurrence of SCRA adulteration in a large set (n = 252) of herbal materials collected at an international dance festival. This did not reveal any positives, i.e. there were no samples that yielded a relevant CB1 activation.
    CONCLUSIONS: In summary, we established SCRA screening of herbal materials as a new application for the activity-based CB1 bioassay. The simplicity of the sample preparation, the rapid results and the universal character of the bioassay render it an effective and future-proof tool for evaluating herbal materials for the presence of SCRAs, which is relevant in the context of harm reduction.
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  • 文章类型: Journal Article
    中风是导致死亡的主要原因之一。它不仅影响成年人,也影响许多儿童。据估计,每年,全世界有1500万人中风。其中,五百万人死亡,而500万人永久残疾。在这个意义上,寻找新治疗方法的研究应该伴随着新的治疗方法,以对抗神经元死亡,避免发展为认知障碍和痴呆。植物大麻素是人类使用最长历史时期的化合物之一。它们的有益作用如疼痛调节或神经保护是众所周知的,并使它们成为具有高潜力的治疗剂。这些化合物结合大麻素受体CB1和CB2。不幸的是,精神活性副作用已经在绝大多数地区取代了他们。因此,在研究和开发新的化合物,显示有效的神经保护剂没有这种精神作用是至关重要的。一方面,这些化合物可以选择性地结合不显示精神活性的CB2受体,在胶质细胞中,在这一研究领域开辟了新的途径,揭示了使用大麻素受体作为治疗靶标来对抗神经退行性疾病,如阿尔茨海默病,帕金森病,或中风。另一方面,一种新的可能性在于形成含有大麻素受体的异聚体。杂聚体是新的功能单元,其与单独的原聚体相比显示出新的性质。因此,它们代表了一种新的可能性,可以提供大麻素的有益作用,而没有不必要的精神作用。如今,CBD(大麻二酚)和Δ9-THC(四氢大麻酚)的混合物用于治疗多发性硬化症的神经性疼痛和痉挛或纯化的大麻二酚用于对抗小儿癫痫的批准在大麻素领域开辟了新的治疗可能性,并将这些化合物返回到研究的前线,以治疗与中风相关的病理。
    Stroke is one of the leading causes of death. It not only affects adult people but also many children. It is estimated that, every year, 15 million people suffer a stroke worldwide. Among them, 5 million people die, while 5 million people are left permanently disabled. In this sense, the research to find new treatments should be accompanied with new therapies to combat neuronal death and to avoid developing cognitive impairment and dementia. Phytocannabinoids are among the compounds that have been used by mankind for the longest period of history. Their beneficial effects such as pain regulation or neuroprotection are widely known and make them possible therapeutic agents with high potential. These compounds bind cannabinoid receptors CB1 and CB2. Unfortunately, the psychoactive side effect has displaced them in the vast majority of areas. Thus, progress in the research and development of new compounds that show efficiency as neuroprotectors without this psychoactive effect is essential. On the one hand, these compounds could selectively bind the CB2 receptor that does not show psychoactive effects and, in glia, has opened new avenues in this field of research, shedding new light on the use of cannabinoid receptors as therapeutic targets to combat neurodegenerative diseases such as Alzheimer\'s, Parkinson\'s disease, or stroke. On the other hand, a new possibility lies in the formation of heteromers containing cannabinoid receptors. Heteromers are new functional units that show new properties compared to the individual protomers. Thus, they represent a new possibility that may offer the beneficial effects of cannabinoids devoid of the unwanted psychoactive effect. Nowadays, the approval of a mixture of CBD (cannabidiol) and Δ9-THC (tetrahydrocannabinol) to treat the neuropathic pain and spasticity in multiple sclerosis or purified cannabidiol to combat pediatric epilepsy have opened new therapeutic possibilities in the field of cannabinoids and returned these compounds to the front line of research to treat pathologies as relevant as stroke.
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  • 文章类型: Journal Article
    大麻二酚(CBD),植物大麻素,似乎满足了防止吸毒行为的安全方法的几个标准,包括阿片类药物。然而,大多数成功的临床前和临床结果来自对成年男性的研究。我们检查了是否全身注射CBD(10mg/kg,i.p.)在羟考酮(OXY,3mg/kg,i.p.)诱导的条件性位置偏爱(CPP)可以减弱OXY(1.5mg/kg,i.p.)在两性的青春期大鼠中启动,以及这种影响是否依赖于性别。因此,引发剂量的OXY可恢复男性和女性先前熄灭的CPP。在两性中,这种效应与CBD预处理减弱的运动致敏作用有关.然而,CBD仅在青春期男性中能够防止OXY诱导的CPP的恢复,并且该结果与前额叶皮层(PFC)中大麻素1受体(CB1R)的增加和μ阿片受体(MOR)的表达减少有关。女性CCP的恢复与MOR表达降低有关,但是在海马(HIP)中没有检测到CB1R的变化。此外,灭绝期间的CBD施用显着增强了雄性PFC中MOR表达的降低,并显示出增强雌性HIP中MOR降低的趋势。此外,CBD仅在男性中逆转了OXY诱导的识别记忆缺陷。这些结果表明,在青春期的雄性而不是雌性大鼠中,禁欲一段时间后,CBD可以减少对OXY的恢复。然而,需要更多的调查。
    Cannabidiol (CBD), a phytocannabinoid, appeared to satisfy several criteria for a safe approach to preventing drug-taking behavior, including opioids. However, most successful preclinical and clinical results come from studies in adult males. We examined whether systemic injections of CBD (10 mg/kg, i.p.) during extinction of oxycodone (OXY, 3 mg/kg, i.p.) induced conditioned place preference (CPP) could attenuate the reinstatement of CPP brought about by OXY (1.5 mg/kg, i.p.) priming in adolescent rats of both sexes, and whether this effect is sex dependent. Accordingly, a priming dose of OXY produced reinstatement of the previously extinguished CPP in males and females. In both sexes, this effect was linked to locomotor sensitization that was blunted by CBD pretreatments. However, CBD was able to prevent the reinstatement of OXY-induced CPP only in adolescent males and this outcome was associated with an increased cannabinoid 1 receptor (CB1R) and a decreased mu opioid receptor (MOR) expression in the prefrontal cortex (PFC). The reinstatement of CCP in females was associated with a decreased MOR expression, but no changes were detected in CB1R in the hippocampus (HIP). Moreover, CBD administration during extinction significantly potentialized the reduced MOR expression in the PFC of males and showed a tendency to potentiate the reduced MOR in the HIP of females. Additionally, CBD reversed OXY-induced deficits of recognition memory only in males. These results suggest that CBD could reduce reinstatement to OXY seeking after a period of abstinence in adolescent male but not female rats. However, more investigation is required.
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  • 文章类型: Journal Article
    大麻素受体1型(CB1R)是各种神经退行性疾病的有希望的治疗靶点,包括HIV-1相关神经认知障碍(HAND)。然而,由于其精神活性副作用,CB1R通过直接激活的治疗潜力有限.因此,研究集中在通过利用正变构调节剂(PAMs)间接激活CB1R。研究表明,CB1RPAMs(ZCZ011和GAT211)在亨廷顿病和神经性疼痛的小鼠模型中是有效的,因此,我们评估了ZCZ011在建立良好的NeuroHIV小鼠模型中的治疗潜力.目前的研究调查了慢性ZCZ011治疗(14天)对HIV-1Tat转基因雌性和雄性小鼠的各种行为范式和内源性大麻素系统的影响。慢性ZCZ011治疗(10mg/kg)不会改变体重,运动活动,或焦虑样行为,无论性别或基因型。然而,在热板潜伏期中注意到差异效应,电机协调,只有雌性老鼠的识别记忆,ZCZ011治疗增加了热板潜伏期,提高了运动协调性和识别记忆。除了小脑外,内源性大麻素系统和相关脂质中只有轻微的作用或没有变化。其中ZCZ011的作用在雌性小鼠中更为明显。此外,小脑中的AEA和PEA水平与雌性小鼠的运动协调性改善呈正相关。总之,这些发现表明,慢性ZCZ011治疗对镇痛作用有不同的影响,电机协调,和记忆,基于性别和HIV-1Tat表达,使CB1RPAMs成为HAND的潜在治疗选择,而没有精神活性副作用。
    The cannabinoid receptor type 1 (CB1R) is a promising therapeutic target for various neurodegenerative diseases, including HIV-1-associated neurocognitive disorder (HAND). However, the therapeutic potential of CB1R by direct activation is limited due to its psychoactive side effects. Therefore, research has focused on indirectly activating the CB1R by utilizing positive allosteric modulators (PAMs). Studies have shown that CB1R PAMs (ZCZ011 and GAT211) are effective in mouse models of Huntington\'s disease and neuropathic pain, and hence, we assess the therapeutic potential of ZCZ011 in a well-established mouse model of neuroHIV. The current study investigates the effect of chronic ZCZ011 treatment (14 days) on various behavioral paradigms and the endocannabinoid system in HIV-1 Tat transgenic female and male mice. Chronic ZCZ011 treatment (10 mg/kg) did not alter body mass, locomotor activity, or anxiety-like behavior regardless of sex or genotype. However, differential effects were noted in hot plate latency, motor coordination, and recognition memory in female mice only, with ZCZ011 treatment increasing hot plate latency and improving motor coordination and recognition memory. Only minor effects or no alterations were seen in the endocannabinoid system and related lipids except in the cerebellum, where the effect of ZCZ011 was more pronounced in female mice. Moreover, AEA and PEA levels in the cerebellum were positively correlated with improved motor coordination in female mice. In summary, these findings indicate that chronic ZCZ011 treatment has differential effects on antinociception, motor coordination, and memory, based on sex and HIV-1 Tat expression, making CB1R PAMs potential treatment options for HAND without the psychoactive side effects.
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  • 文章类型: Journal Article
    人G蛋白偶联受体(GPCR)的酵母表达可用作检测药物的生物传感器平台。大麻素受体1型(CB1R)是特别感兴趣的,考虑到天然和合成大麻素的聚宝盆正在探索作为治疗剂。我们首次表明,改造CB1R的N端可以在酵母中进行有效的信号转导,并且改造酵母膜的甾醇成分可以调节其性能。使用工程大麻素生物传感器,我们证明,合成大麻素和萜烯的大型文库可以快速筛选,以阐明已知和新的结构-活性关系。生物传感器菌株为评估新合成大麻素的活性提供了现成的平台,监测滥用药物,开发治疗分子。
    Yeast expression of human G-protein-coupled receptors (GPCRs) can be used as a biosensor platform for the detection of pharmaceuticals. Cannabinoid receptor type 1 (CB1R) is of particular interest, given the cornucopia of natural and synthetic cannabinoids being explored as therapeutics. We show for the first time that engineering the N-terminus of CB1R allows for efficient signal transduction in yeast, and that engineering the sterol composition of the yeast membrane modulates its performance. Using an engineered cannabinoid biosensor, we demonstrate that large libraries of synthetic cannabinoids and terpenes can be quickly screened to elucidate known and novel structure-activity relationships. The biosensor strains offer a ready platform for evaluating the activity of new synthetic cannabinoids, monitoring drugs of abuse, and developing therapeutic molecules.
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  • 文章类型: Journal Article
    突触前Ca2+通过电压门控Ca2+通道(VGCCs)流入是突触小泡释放的关键信号。突触神经素可以通过调节VGCC来部分确定传输强度。然而,目前尚不清楚神经素是否类似地通过所有VGCC亚型调节Ca2+流入。这里,我们用Ca2+指示剂对原代海马神经元的突触结进行了活细胞成像.我们使用非活性和活性Cre重组酶的表达来将对照与缺乏所有或选定的Neurexin变体的条件性敲除神经元进行比较。我们发现,由所有神经素缺失引起的总突触前Ca2瞬变减少主要是由于P/Q型VGCC的贡献减少。单独删除neurexin1α也减少了突触前Ca2的总内流,但通过N型VGCC增加了Ca2的内流。此外,我们测试了大麻素受体1(CB1-受体)激活诱导的Ca2+内流的减少是否受神经素调节.与早期强调β-neurexin作用的观察不同,我们发现,由CB1受体激活诱导的突触前Ca2+瞬变的减少更强烈地依赖于海马神经元中α-neurexin的存在.一起,我们的结果表明,神经素在通过VGCC亚型调节突触前Ca2流入中具有独特的作用,并且不同的神经素变体可能会影响特定的VGCC。
    Presynaptic Ca2+ influx through voltage-gated Ca2+ channels (VGCCs) is a key signal for synaptic vesicle release. Synaptic neurexins can partially determine the strength of transmission by regulating VGCCs. However, it is unknown whether neurexins modulate Ca2+ influx via all VGCC subtypes similarly. Here, we performed live cell imaging of synaptic boutons from primary hippocampal neurons with a Ca2+ indicator. We used the expression of inactive and active Cre recombinase to compare control to conditional knockout neurons lacking either all or selected neurexin variants. We found that reduced total presynaptic Ca2+ transients caused by the deletion of all neurexins were primarily due to the reduced contribution of P/Q-type VGCCs. The deletion of neurexin1α alone also reduced the total presynaptic Ca2+ influx but increased Ca2+ influx via N-type VGCCs. Moreover, we tested whether the decrease in Ca2+ influx induced by activation of cannabinoid receptor 1 (CB1-receptor) is modulated by neurexins. Unlike earlier observations emphasizing a role for β-neurexins, we found that the decrease in presynaptic Ca2+ transients induced by CB1-receptor activation depended more strongly on the presence of α-neurexins in hippocampal neurons. Together, our results suggest that neurexins have unique roles in the modulation of presynaptic Ca2+ influx through VGCC subtypes and that different neurexin variants may affect specific VGCCs.
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  • 文章类型: Journal Article
    阻塞性睡眠呼吸暂停(OSA)可导致肠道损伤,内毒素血症,和肠道菌群紊乱。此外,作为内源性大麻素系统的重要组成部分,一些研究表明,大麻素1(CB1)受体与OSA引发的多器官功能障碍密切相关。然而,CB1受体在减轻OSA诱导的结肠损伤中的作用尚不清楚.这里,通过OSA经典模型的构建,我们发现,慢性间歇性缺氧(CIH)诱导的小鼠的结肠组织表现出CB1受体的过度表达。苏木精-伊红染色和透射电子显微镜的结果表明,抑制CB1受体可以减少粘膜和粘膜肌层之间的间隙,缓解线粒体肿胀,减少微绒毛脱落,并促进CIH诱导小鼠紧密连接的恢复。此外,CB1受体抑制降低了代谢性内毒素血症和炎症反应的水平,对CIH引起的结肠损伤表现出明显的保护作用。在分子水平上,通过蛋白质印迹和实时聚合酶链反应技术,我们发现抑制CB1受体可以显著增加ZO-1和Occludin蛋白的表达,与维持肠黏膜屏障功能密切相关。通过16SrRNA高通量测序和短链脂肪酸(SCFA)测定,我们发现CB1受体的抑制增加了微生物菌群的多样性并控制了肠道菌群的构成。此外,丁酸浓度和产生SCFA的细菌数量,如Ruminocycaceae和Lachnospileaceae,均因CB1受体抑制而显著升高。Spearman相关研究结果表明,Lachnospileaceae与ZO-1和Occludin均呈正相关,但与结肠CB1受体呈负相关,IL-1β,和TNF-α。根据这项研究,我们发现抑制CB1受体可以通过调节肠道菌群改善CIH诱导的结肠损伤,减少粘膜损伤,促进紧密连接恢复。关键点:•CIH导致结肠组织中CB1受体的过表达。•CIH导致肠道菌群紊乱,肠粘膜损伤,和紧密连接的中断。•抑制CB1受体可以通过调节肠道菌群来减轻CIH引起的结肠损伤,减少粘膜损伤,促进紧密连接恢复。
    Obstructive sleep apnea (OSA) can lead to intestinal injury, endotoxemia, and disturbance of intestinal flora. Additionally, as a crucial component of the endocannabinoid system, some studies have demonstrated that cannabinoid 1 (CB1) receptors are closely linked to the multiple organ dysfunction triggered by OSA. However, the role of the CB1 receptor in alleviating OSA-induced colon injury remains unclear. Here, through the construction of the OSA classic model, we found that the colon tissue of chronic intermittent hypoxia (CIH)-induced mice exhibited an overexpression of the CB1 receptor. The results of hematoxylin-eosin staining and transmission electron microscopy revealed that inhibition of the CB1 receptor could decrease the gap between the mucosa and muscularis mucosae, alleviate mitochondrial swelling, reduce microvilli shedding, and promote the recovery of tight junctions of CIH-induced mice. Furthermore, CB1 receptor inhibition reduced the levels of metabolic endotoxemia and inflammatory responses, exhibiting significant protective effects on the colon injury caused by CIH. At the molecular level, through western blotting and real-time polymerase chain reaction techniques, we found that inhibiting the CB1 receptor can significantly increase the expression of ZO-1 and Occludin proteins, which are closely related to the maintenance of intestinal mucosal barrier function. Through 16S rRNA high-throughput sequencing and short-chain fatty acid (SCFA) determination, we found that inhibition of the CB1 receptor increased the diversity of the microbial flora and controlled the makeup of intestinal flora. Moreover, butyric acid concentration and the amount of SCFA-producing bacteria, such as Ruminococcaceae and Lachnospiraceae, were both markedly elevated by CB1 receptor inhibition. The results of the spearman correlation study indicated that Lachnospiraceae showed a positive association with both ZO-1 and Occludin but was negatively correlated with the colon CB1 receptor, IL-1β, and TNF-α. According to this study, we found that inhibiting CB1 receptor can improve CIH-induced colon injury by regulating gut microbiota, reducing mucosal damage and promoting tight junction recovery. KEY POINTS: •CIH leads to overexpression of CB1 receptor in colon tissue. •CIH causes intestinal flora disorder, intestinal mucosal damage, and disruption of tight junctions. •Inhibition of CB1 receptor can alleviate the colon injury caused by CIH through regulating the gut microbiota, reducing mucosal injury, and promoting tight junction recovery.
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  • 文章类型: Journal Article
    靶向大麻素1型受体(CB1)是一种临床验证的抗肥胖治疗方法。唯一被批准的这种药物,利莫那班,于2006年在欧洲推出,但随后于2007年被美国食品和药物管理局(FDA)拒绝。FDA在反对利莫那班的批准时提到自杀风险增加,导致该药物最终在全球范围内停药,并放弃了这类疗法。十七年后,一类新的CB1靶向药物正在出现,但是2007年FDA决定的影响仍然是其临床开发的巨大障碍。我们根据自杀评估的演变,重新审视FDA提供的自杀数据,并将其与随后发表的临床试验中的数据进行交叉引用。我们得出的结论是,公开数据不支持FDA的结论,即使用利莫那班与自杀风险增加有关。
    Targeting the cannabinoid type 1 receptor (CB1) is a clinically validated antiobesity therapeutic approach. The only such drug approved, rimonabant, was launched in 2006 in Europe but subsequently rejected by the US Food and Drug Administration (FDA) in 2007. The FDA cited the increased risk of suicidality in its opposition to rimonabant\'s approval, leading to the drug\'s eventual worldwide withdrawal and the abandonment of this class of therapeutics. Seventeen years later, a new class of CB1-targeting drugs is emerging, but the impact of the 2007 FDA decision remains a formidable obstacle to its clinical development. We revisit the suicidality data presented by the FDA in light of the evolution of suicidality assessment and cross-reference this with the data in the subsequently published clinical trials. We conclude that the publicly available data do not support the FDA\'s conclusion that the use of rimonabant was associated with an increase in the risk of suicidality.
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