Recently, the Food and Drug Agency (FDA) qualified a novel cannabinoid
receptor antagonist from Sanofi-Aventis as approvable in the treatment
of obesity and addiction and this has brought research into
endocannabinoid function back into centre stage. Recent advances in
understanding the function of the endocannabinoid system in the brain,
however, mainly arose from studies using in vitro, ex vivo, and cell
based assays. These, however, often fail to be confirmed by in
vivo investigations. For example:
1) In vitro slice work has now firmly established
that cannabinoids contribute to depolarisation-induced suppression of
inhibition (DSI) in the hippocampus. However, recordings from
freely moving animals show that induction protocol for DSI are
non-physiological and the phenomenon may not exist in a living animal,
with the corollary that endocannabinoids may not contribute to this
mechanism.
2) Cell-based assays show that very low doses of
cannabis (or synthetic agonists of cannabinoid receptors) are
neurotoxic, while higher doses are neuroprotective. At the same
time, low doses have little or no effect on memory formation although
this would be expected given that hippocampal cells are highly
vulnerable to this treatment. By contrast, high doses of
cannabinoids that should protect neurons, in fact lead to memory
impairment.
These two examples highlight the need for a wider
and more detailed analysis into the function of the endocannabinoid
system using systemic approaches. Towards this end, we have
selected four important areas of research from which a major
contribution toward a richer understanding of cannabinoid function and
potential treatments can be expected. These areas include
cognition, physiology of cell ensembles, neuro-imaging and
addiction. At the same time, these areas cannot be simply
substituted by in vitro models. |
- Liana Fattore:
Endocannabinoids and addiction: a chance for some treat
- Andrew Horti: Imaging
of the brain cannabinoid system.
- Robert E. Hampson:
Role of brain cannabinoids in shaping ensemble responses to behavioural
conditions.
- Gernot Riedel:
Endocannabinoid function in cognition.
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