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2015 ; 29
(6
): 801-13
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Minireview: From the bench, toward the clinic: therapeutic opportunities for
cannabinoid receptor modulation
#MMPMID25866875
Picone RP
; Kendall DA
Mol Endocrinol
2015[Jun]; 29
(6
): 801-13
PMID25866875
show ga
The effects of cannabinoids have been known for centuries and over the past
several decades two G protein-coupled receptors, CB1 and CB2, that are
responsible for their activity have been identified. Endogenous lipid-derived
cannabinergic agents have been found, biosynthetic and catabolic machinery has
been characterized, and synthetic agents have been designed to modulate these
receptors. Selective agents including agonists, antagonists, inverse agonists,
and novel allosteric modulators targeting either CB1 or CB2 have been developed
to inhibit or augment their basal tone. As a result, the role these receptors
play in human physiology and their potential therapeutic applications in disease
states are being elucidated. The CB1 receptor, although ubiquitous, is densely
expressed in the brain, and CB2 is largely found on cells of immune origin. This
minireview highlights the role of CB1 in excitotoxic assaults in the brain and
its potential to limit addiction liability. In addition, it will examine the
relationship between receptor activity and stimulation of insulin release from
pancreatic ?-cells, insulin resistance, and feeding behavior leading toward
obesity. The roles of CB2 in the neuropathology of amyotrophic lateral sclerosis
and in the central manifestations of chronic HIV infection potentially converge
at inflammatory cell activation, thereby providing an opportunity for
intervention. Last, CB2 modulation is discussed in the context of an experimental
model of postmenopausal osteoporosis. Achieving exquisite receptor selectivity
and elucidating the mechanisms underlying receptor inhibition and activation will
be essential for the development of the next generation of cannabinergic-based
therapeutic agents.
|*Translational Research, Biomedical
[MESH]
|Cannabinoid Receptor Modulators/*therapeutic use
[MESH]