(Hypertension. 2000;35:679.)
© 2000 American Heart Association, Inc.
Scientific Contributions |
From the Department of Pharmacology and Toxicology, Medical College of Virginia of Virginia Commonwealth University, Richmond (Z.J., J.A.W., S.K.G., L.W., G.K.); Organix, Inc, Woburn, Mass (R.K.R.); the Faculty of Pharmaceutical Sciences, Teikyo University, Sagamiko, Kanagawa, Japan (T.S.); and the Section on Genetics, National Institute of Mental Health, Bethesda, Md (A.M.Z., T.I.B., A.Z.). J.A.W. is now with the Department of Medicine, University of Wuerzburg, Wuerzburg, Germany.
Correspondence to Dr George Kunos, Department of Pharmacology and Toxicology, MCV/VCU, 410 North 12th St, PO Box 980613, Richmond, VA 23298. E-mail gkunos{at}hsc.vcu.edu
| Abstract |
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Key Words: receptors mice hypotension cannabinoid
| Introduction |
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9-tetrahydrocannabinol (THC) causes prolonged
hypotension and bradycardia.1 In 1992, arachidonyl
ethanolamide (anandamide) extracted from porcine brain was identified
as an endogenous cannabinoid based on its ability to bind
to the brain cannabinoid receptor and to mimic the neurobehavioral
effects of THC.2 Anandamide also elicits hypotension and
bradycardia in anesthetized rats through a
peripheral mechanism.3 4 5 These effects are
mediated by CB1 cannabinoid receptors,6 as indicated by
their susceptibility to blockade by SR141716A,3 5 a
selective CB1 receptor antagonist,7 and by
their absence in CB1 receptor knockout (CB1-/-)
mice.8 In 1995, 2-arachidonoyl glycerol (2-AG), found in
canine gut9 and rat brain,10 was identified
as another endogenous cannabinoid. The concentration of
2-AG in the brain is several hundredfold higher than that of
anandamide,10 11 and, unlike anandamide, which often acts
as a partial agonist,12 13 14 15 2-AG is a full agonist at CB1
receptors.11 16 17 This has led to the proposal that the
CB1 receptor is a 2-AG receptor.17 Endogenous cannabinoids also have been implicated in the local control of vascular tone. In certain vascular preparations, SR141716A inhibits the vasodilation induced by the endothelium-derived hyperpolarizing factor,18 19 and anandamide has been identified in vascular endothelial cells.20 SR141716A also antagonizes hemorrhagic21 and endotoxin-induced hypotension,22 and circulating macrophages produce anandamide under such conditions, which suggests a paracrine mechanism in the control of vascular tone.21 22 Recently, 2-AG also has been identified in vascular endothelial cells,23 24 and in platelets the concentration of 2-AG was found to increase in response to endotoxin treatment.22 Thus 2-AG also may play a role in the local control of vascular tone by the activation of SR141716A-sensitive receptors.
We22 and others24 have reported that intravenous injection of 2-AG in anesthetized rats causes dose-dependent hypotension. However, this effect was antagonized by SR141716A less effectively than anandamide-induced hypotension,22 and, unlike anandamide, which causes CB1 receptor-mediated bradycardia,5 2-AG elicits tachycardia unaffected by SR141716A.22 In the present study we analyzed the cardiovascular effects of 2-AG in anesthetized mice and assessed the role of CB1 receptors through the use of selective antagonists and CB1-/- mice. The results indicate that 2-AG is rapidly degraded in mouse blood, and the observed hypotensive effect does not involve CB1 receptors but probably is caused by an arachidonic acid (AA) metabolite. In contrast, a metabolically stable analogue of 2-AG causes CB1 receptormediated hypotension and bradycardia.
| Methods |
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Analysis of 2-AG and Anandamide by Liquid
Chromatography/Mass Spectrometry
For assessing the stability of 2-AG and anandamide in mouse
blood, 200-µL aliquots of heparinized blood were withdrawn from ICR
mice and incubated with 100 µg of synthetic 2-AG (final concentration
1.32 mmol/L) or 100 µg of anandamide (1.44 mmol/L) for 1 to
5 minutes at 37°C. At the end of the incubation, the whole blood was
extracted 3 times with 500 µL of cold diethyl ether + 20 µL 1.0N
HCl; the organic phase was dried under a stream of nitrogen and
resuspended in 100 µL methanol. The sample was fractionated by
reversed-phase high-performance liquid
chromatography on an ODS column (Supelcosil, 5
µm, 4.6 mmx15 cm), with the use of a mobile phase of
methanol/water/acetic acid (85:15:0.03 vol/vol/vol) at a flow rate of 1
mL/min on a Waters 2690 system. This was followed in line by mass
spectroscopic analysis on a Micromass Quattro II mass
spectrometer equipped with an atmospheric pressure chemical ionization
source. Two selected ions were simultaneously monitored
(alternating at 0.2 seconds), as specified in the legend of Figure 5.
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Drugs
2-AG and 1- (or 3-)arachidonoyl glycerol (1-AG) were synthesized
as described earlier.26 The synthesis of an ether-linked
analogue of 2-AG, 2-eicosatetraenylglycerol (2-AG-ether), has been
detailed elsewhere.17 The structure of all 3 compounds was
confirmed by nuclear magnetic resonance and electron impact mass
spectrometry. SR141716A7
(N-[piperidin-1-yl]-5-[4-chlorophenyl]-1-[2,4-dichlorophenyl]-4-methyl-1H-pyrazol-3-carboxamide
HCl) and the CB2 receptor antagonist
SR14452827
(N-[(1S)-endo-1,3,3-trimethyl
bicyclo[2.2.1]heptan-2-yl]-5-(4-chloro-3-methylphenyl)-1-(4-methyl-benzyl)-pyrazole-3-carboxamide)
were gifts from Sanofi Recherche (Montpellier, France). Anandamide was
provided by Dr Billy R. Martin.
Statistical Analyses
The dose- or time-dependent effects of drugs on BP and HR and on
neurobehavioral parameters were analyzed by ANOVA
followed by Tukeys post hoc test. Differences from corresponding
baseline values with a value of P <0.05 were considered
statistically significant.
| Results |
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10 minutes. Unexpectedly,
neither effect was influenced by pretreatment with 6 nmol (3 µg)/g
SR141716A (Figure 1A). The same dose of
SR141716A nearly completely blocked the hypotension and attenuated the
bradycardia elicited by an equihypotensive dose (11.5 nmol [4
µg]/g) of anandamide (Figure 1B). Basal BP in the absence or
presence of SR141716A was 74±3 versus 76±5 mm Hg, and HR was
365±13 versus 414±16 bpm. The dose dependence of the hypotensive
response to 2-AG is illustrated in Figure 2A. At none of the doses tested was any
inhibition by SR141716A observed. 1-AG, which has been described to
have similar potency as 2-AG in producing cannabinoid
effects,11 also caused dose-dependent hypotension, which
was also not blocked by SR141716A pretreatment (Figure 2B). In
fact, SR141716A potentiated the effect of 1-AG, which was significant
at the 2.6 nmol/g dose.
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Because the lack of inhibition by SR141716A called into question the role of CB1 receptors in the effects of 2-AG, we tested these effects in CB1-/- and CB1+/+ mice (Figure 3). In both types of animals, 26.4 nmol/g of 2-AG caused hypotension and tachycardia similar to the effects seen in ICR mice, although the hypotension was somewhat less in CB1-/- than in CB1+/+ animals. Nevertheless, the effect of SR141716A (6 nmol/g IV) on the hypotensive effect of 2-AG was similar in the 2 groups: no inhibition was observed. In CB1+/+ mice, basal BP in the absence or presence of SR141716A was 81±6 versus 84±9 mm Hg and basal HR was 278±19 versus 416±10 bpm. In CB1-/- mice, the corresponding values were 75±4 versus 75±1 mm Hg and 331±20 versus 413±28 bpm. Although the tachycardic effect of 2-AG was reduced by SR141716A in both CB1-/- and CB1+/+ mice, this may have been related to the marked increase in basal HR caused by SR141716A in both groups. Pretreatment of CB1 receptor knockout mice with the CB2 receptor antagonist SR144528 (10.5 nmol [5 µg]/g IV, Figure 3), which did not affect basal BP or HR, also failed to affect the responses to 2-AG.
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In contrast to SR141716A, indomethacin (14 nmol [5 µg]/g IV) pretreatment of ICR mice significantly inhibited the hypotensive response to 2-AG, whereas the moderate tachycardia was unaffected (Figure 4A). AA (15 nmol [5 µg]/g IV) also elicited hypotension and moderate tachycardia, and the hypotension but not the tachycardia was inhibited by 14 nmol/g indomethacin (Figure 4B). On the other hand, SR141716A pretreatment (6 nmol/g IV) failed to influence the effects of AA (Figure 4B), and, conversely, indomethacin (14 nmol/g IV) did not influence the hypotensive response to 11.5 nmol/g anandamide (18±2 vs 19±3 mm Hg, n=5, before and after indomethacin, respectively). Because this suggested that 2-AG may break down to release AA, which could be further metabolized into a hypotensive cyclooxygenase product(s), we tested the stability of 2-AG in mouse blood. Authentic 2-AG or anandamide (100 µg each) was added to 0.2-mL aliquots of heparinized mouse blood at 37°C, the blood samples were extracted after various time intervals with diethyl ether, and the extracts were analyzed by liquid chromatography/mass spectrometry. As illustrated in the left panels of Figure 5, 2-AG disappeared from the blood within 2 minutes, with the parallel appearance of AA. In contrast, most of the anandamide added could be recovered unmetabolized after similar incubations (Figure 5, right panels) and even after a 5-minute incubation (not shown). These findings confirm the extreme instability of 2-AG in mouse blood, whereas anandamide appears to be more stable under similar conditions.
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Because of its instability, 2-AG may not reach its site of action in the vasculature in amounts sufficient to activate CB1 receptors. Therefore we analyzed the cardiovascular effects of a metabolically stable ether analogue of 2-AG17 24 in ICR mice and in CB1-/- mice. As seen in Figure 6A, intravenous injection into ICR mice of 56 nmol (20 µg)/g 2-AGether elicited prolonged hypotension and bradycardia, and both effects were completely blocked by pretreatment with 6 nmol/g SR141716A. Similar effects were observed in CB1+/+ mice (data not shown), whereas 2-AG-ether failed to elicit any change in BP and caused a modest increase in HR in CB1-/- mice (Figure 6B). This further confirms the role of CB1 receptors in the effects of 2-AG-ether.
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| Discussion |
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We present 3 lines of evidence to indicate that these paradoxical findings are due to the rapid degradation of 2-AG in mouse blood and the subsequent generation of a hypotensive arachidonate metabolite whose actions are not mediated by cannabinoid receptors. First, the effects of 2-AG could be mimicked by AA, and the effects of both 2-AG and AA were antagonized by indomethacin. Because indomethacin did not influence the hypotensive response to anandamide, its effect cannot be attributed to a nonspecific interaction with CB1 receptors but is more likely to be caused by inhibition of the generation of an as-yet-unidentified hypotensive cyclooxygenase product.
The second evidence is the rapid disappearance of 2-AG from mouse blood. The parallel appearance of AA suggests that 2-AG is rapidly hydrolyzed to yield AA and glycerol. Because the breakdown is essentially complete in 2 minutes, well before the peak of the hypotensive response or a significant increase in HR develops, it is very unlikely that 2-AG would be responsible for these effects. The finding that anandamide is much more stable under the same conditions is consistent with its CB1-receptormediated hypotensive and bradycardic effects. The differential stability of these two endocannabinoids also suggests that the rapid breakdown of 2-AG is not catalyzed primarily by an amidohydrolase, which can degrade both anandamide and 2-AG,28 but rather by a lipase such as sn-2 monoacylglycerol lipase, which may be involved in the degradation of 2-AG but not of anandamide.29 30 Further studies may be warranted to analyze the activity of this enzyme in blood.
The third line of evidence is the effects of a metabolically stable ether analogue of 2-AG. Not only did this compound produce hypotension as well as bradycardia, as expected from an agonist of CB1 receptors,5 but both effects were completely blocked by a dose of SR141716A previously shown to produce selective blockade of CB1 receptors.7 Furthermore, both effects of 2-AG-ether were absent in CB1-/- mice. In a recent study, 2-AG-ether was 2 orders of magnitude less potent and also less efficacious than 2-AG in inducing CB1 receptormediated calcium transients in NG108 to 15 cells.17 If a similar relation holds for the cardiovascular effects of these two compounds, 2-AG should be a highly potent hypotensive and bradycardic agent if it were protected from degradation before reaching CB1 receptors. The present findings indicate that this does not happen even with high intravenous doses of 2-AG. However, endogenous 2-AG produced and released at sites close to the receptors may escape metabolic degradation. For example, 2-AG was identified in vascular endothelial cells,23 where its levels are increased severalfold by the muscarinic agonist carbachol,24 and CB1 receptors are present in cerebrovascular smooth muscle.15 If 2-AG is produced in and released from the endothelium, it may reach CB1 receptors on smooth muscle without being degraded. CB1 receptors also have been identified in vascular endothelium,23 and 2-AG was found in platelets22 and macrophages,30 where its levels were increased 2- to 3-fold in response to bacterial lipopolysaccharide.22 30 Because lipopolysaccharide increases the adhesion of platelets to the endothelium, platelet-derived 2-AG could act as a "juxtacrine" regulator of vascular tone, where its proximity to an endothelial site of action could protect it from degradation. 2-AG is highly lipid soluble, and it may remain associated with the cell membrane after its release, which could further protect it against rapid degradation by blood-borne lipases. In various tissues, 2-AG is accompanied by certain 2-acyl glycerol esters, which have no cannabinoid activity of their own but can potentiate the binding of 2-AG to CB1 receptors.31 This "entourage effect" has been attributed, at least in part, to the protection of 2-AG against enzymatic breakdown.31 Clearly, further studies are needed to explore the role of endogenous 2-AG as a cardiovascular regulator.
| Acknowledgments |
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Received June 30, 1999; first decision August 26, 1999; accepted September 27, 1999.
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