Associate editor: D.M. Lovinger
Receptor-independent actions of cannabinoids on cell membranes: Focus on endocannabinoids

The author dedicates this study to an excellent academician and an exemplary teacher, Professor R.K. Turker.
https://doi.org/10.1016/j.pharmthera.2005.09.009Get rights and content

Abstract

Cannabinoids are a structurally diverse group of mostly lipophilic molecules that bind to cannabinoid receptors. In fact, endogenous cannabinoids (endocannabinoids) are a class of signaling lipids consisting of amides and esters of long-chain polyunsaturated fatty acids. They are synthesized from lipid precursors in plasma membranes via Ca2+ or G-protein-dependent processes and exhibit cannabinoid-like actions by binding to cannabinoid receptors. However, endocannabinoids can produce effects that are not mediated by these receptors. In pharmacologically relevant concentrations, endocannabinoids modulate the functional properties of voltage-gated ion channels including Ca2+ channels, Na+ channels, various types of K+ channels, and ligand-gated ion channels such as serotonin type 3, nicotinic acetylcholine, and glycine receptors. In addition, modulatory effects of endocannabinoids on other ion-transporting membrane proteins such as transient potential receptor-class channels, gap junctions and transporters for neurotransmitters have also been demonstrated. Furthermore, functional properties of G-protein-coupled receptors for different types of neurotransmitters and neuropeptides are altered by direct actions of endocannabinoids. Although the mechanisms of these effects are currently not clear, it is likely that these direct actions of endocannabinoids are due to their lipophilic structures. These findings indicate that additional molecular targets for endocannabinoids exist and that these targets may represent novel sites for cannabinoids to alter either the excitability of the neurons or the response of the neuronal systems. This review focuses on the results of recent studies indicating that beyond their receptor-mediated effects, endocannabinoids alter the functions of ion channels and other integral membrane proteins directly.

Introduction

In biological systems, our understanding of cannabinoid actions has advanced significantly by a series of recent discoveries. First, the CB1 and CB2 receptors for Δ9-tetrahydrocannabinol (THC), the principal psychotropic component of marijuana, were identified, cloned and expressed functionally, heralding the beginning of the molecular era in cannabinoid research (Matsuda et al., 1990, Munro et al., 1993, Matsuda, 1997, Onaivi et al., 2002). Both receptors belong to the G-protein-coupled receptor family and couple to adenylyl cyclase as well as other second messenger systems such as protein kinase C (PKC) and Ca2+ (Howlett & Mukhopadhyay, 2000, McAllister & Glass, 2002). CB1 receptors are located predominantly on the presynaptic terminals of central and peripheral nerves and inhibit transmitter release through their coupling to Ca2+ and K+ channels. CB2 receptors, on the other hand, are found mainly on peripheral tissues and the immune system (Howlett et al., 2002).

Another major development was the discovery of endogenous ligands or endocannabinoids for cannabinoid receptors (Devane et al., 1992, Mechoulam et al., 1998). The best-known and most thoroughly investigated endocannabinoids are derivatives of arachidonic acid (AA), namely anandamide (N-arachidonoylethanolamine, AEA) and 2-arachidonoylglycerol (2-AG) (Devane et al., 1992, Mechoulam et al., 1998, De Petrocellis et al., 2004). Finally, in the mid-nineties, relatively specific antagonists such as SR141716A and SR144528 were developed for CB1 and CB2 receptors, respectively (for a review, see Shire et al., 1999). Cannabinoid-receptor mediated actions of endocannabinoids, natural and synthetic cannabinoids on both central and peripheral nervous systems, as well as on the cardiovascular system, are well documented in comprehensive reviews (Kunos et al., 2000, Wilson & Nicoll, 2002, Freund et al., 2003, Gerdeman et al., 2003, Pacher et al., 2005).

Following the discovery of AEA, it was found that some of the pharmacological effects of AEA are not sensitive to SR141716A treatments (for a review, see Wiley & Martin, 2002). Recent studies carried out in CB1 receptor knock-out mice showed that despite the lack of CB1 receptors, AEA still exerted cannabimimetic-like activity in the tetrad test and other behavioral tests (Di Marzo et al., 2000, Baskfield et al., 2004). Similarly, SR141716A did not antagonize the effects of mAEA in the open-field test (Jarbe et al., 2003). In vitro studies have also found that AEA continues to stimulate [3H]GTP-γ-S binding in brain membranes from CB1 knock-out mice and this stimulatory effect of AEA was insensitive to both CB1 and CB2 receptor antagonism (Di Marzo et al., 2000). In light of recent studies suggesting that several antipsychotics including clozapine, haloperidol, thioridazine, and chlorpromazine, known to act through their effects on 5-hydroxytryptamine (5-HT) and/or dopamine (DA)-activated G-protein coupled receptors (GPCR), also mimic the effect of cannabinoids in the widely used tetrad test in mice (Wiley & Martin, 2003); it is likely that other GPCR may also be involved in some of the actions of endocannabinoids observed in cannabinoid-receptor knock-out mice.

Some endocannabinoid actions that are mediated by G-proteins or are sensitive to pertussis toxin (PTX) but are not blocked by the specific cannabinoid receptor antagonists have been proposed to be mediated by a third cannabinoid receptor distinct from CB1 and CB2 (for reviews, see Wiley & Martin, 2002, Begg et al., 2005). In addition to activation of GPCR, earlier studies demonstrated that AEA interacts directly with binding of radioligands to L-type Ca2+ channels (Johnson et al., 1993, Shiamsue et al., 1996) and modulates the function of the serotonin type 3 (5-HT3) receptors in a cannabinoid-receptor independent manner (Fan, 1995, Oz et al., 1995).

Radioligand displacement studies indicate that the Ki values of THC for CB1 and CB2 receptors are in the ranges of 35–80 nM and 4–75 nM, respectively. The Ki values for AEA and 2-AG are in the ranges of 60–540 nM and 60–470 nM for CB1 receptors and in the ranges of 370 nM–1.9 μM and 150 nM–1.4 μM for CB2 receptors, respectively (for a review, see Howlett et al., 2002). It is important to note that the psychotropic effects of THC occur at concentrations in the low to mid nM-range (Huestis, 2002). Thus, the receptor-independent effects of THC that occur at low micromolar concentrations were thought to be relevant only to THC toxicity. However, due to their high lipophilicity (Roth & Williams, 1979, Tian et al., 2005), cannabinoids are expected to reside nearly exclusively within the membrane bilayer; cannabinoid concentrations in lipid phases might be much higher than those in aqueous solutions. Since the time to reach equilibrium for the cannabinoids within membrane bilayer is unknown, equilibrium may not be achieved within the time course of in vitro experiments. Under these conditions, in vitro experiments with high concentrations of THC may better mimic in vivo equilibrium conditions. Furthermore, plasma concentrations of THC following cannabis smoking peak at 200–600 nM within 10 min and the onset of subjective effects are similarly rapid (Huestis, 2002). Thus, in vitro conditions testing relatively high concentrations (high nanomolar to low micromolar) of CB receptor ligands over short time periods (for 5–10 min) may mimic THC's pharmacological actions.

Endocannabinoids are produced intracellularly and interact first with plasma membranes before they are detected in extracellular compartments. Currently, there is no information available on the intracellular concentrations of endocannabinoids, though this parameter, to a large extent, is under the control of the experimenter during in vivo or in vitro studies using paradigms not utilizing endocannabinoid synthesis.

The purpose of this review is to point out receptor-independent effects of cannabinoids that are widespread and largely ignored. Although some of the results with AEA were reviewed previously (Di Marzo et al., 2002), this review attempts to compile an exhaustive volume of data on receptor-independent effects of cannabinoids and is intended as a guide for the researchers in the field and not as a conceptual overview. While some of the results are highlighted in Table 1, Table 2, Table 3, Table 4, details of the individual studies cannot be condensed into table format and are therefore given in the text. These tables are complementary to text information and are not designed to summarize related chapters. In this review, the actions of endocannabinoids are termed receptor-independent or direct when the effects of endocannabinoids are observed in a system that does not contain any of the known cannabinoid receptors (e.g. Xenopus oocytes, neurons from superior cervical ganglion or a particular cell line) or the effects of endocannabinoids are not sensitive to specific antagonists for the known cannabinoid receptors.

In addition to the eicosanoid-based molecules such as AEA and 2-AG, there are 3 different classes of cannabinoid receptor ligands that are employed currently in cannabinoid pharmacology. These consist of the classical agonist phytochemical THC, the non-classical cannabinoids, typified by the agonist CP55,940 and the aminoalkylindoles such as WIN55,212-2 (Pertwee, 1997). Although this review intends to focus mainly on the direct effects of endocannabinoids on ion transport through the cell membrane, studies of relevant receptor-independent effects of THC and other cannabinoid receptor ligands were also included. In addition, the results from endocannabinoid-related compounds including noladin ether (Howlett et al., 2002, De Petrocellis et al., 2004), virodhamine, (Porter et al., 2002, De Petrocellis et al., 2004), oleamide (Fowler, 2004, Leggett et al., 2004), and metabolites of endocannabinoids such as AA are also included.

Section snippets

Receptor-independent effects of endocannabinoids on voltage-gated ion channels

The intrinsic electrical properties of excitable cells such as neurons are shaped in large part by the action of voltage-gated ion channels (VGIC). Three main families form the core of VGIC: K+, Na+, and Ca2+ channels. The assembled channel has 1α subunit plus other auxiliary subunits (β, γ, Δ, etc.) modulating channel function. The pore forming α subunit of a typical VGIC comprises 4 subunits (homologous tetrameric subunits for K+ channels or homologous repeat domains for Na+ and Ca2+

Interactions of endocannabinoids with ligand-gated ion channels

The ligand-gated ion channels (LGICs) activated by extracellular ligands (neurotransmitters) may be divided into 4 superfamilies: the Cys-loop superfamily, the glutamate receptors (N-methyl-d-aspartate [NMDA], α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid [AMPA] and kainate), the transient receptor potential (TRP) channels and the ATP-gated channels. The Cys-loop superfamily comprises both cationic receptors such as nicotinic acetylcholine (nACh) and 5-HT3 receptors and anionic receptors

Direct effects of endocannabinoids on G-protein-coupled receptors

Acute THC application modulates responses mediated through activation of various GPCR by neuromodulators or neurotransmitters such as ACh (Turker et al., 1975, Nah et al., 1993), 5-HT (Kimura et al., 1998), norepinephrine, histamine (Turker et al., 1975, Hillard & Bloom, 1982), morphine and enkephalin (Vaysse et al., 1987). For example, in rat hippocampal cultures, THC in the concentration range of 1–10 μM markedly inhibited the formation of inositol phosphates evoked by carbachol, glutamate or

Other ion transporting membrane proteins affected directly by endocannabinoids

Gap junctions are intercellular channels formed by docking of 2 connexons. They connect the cytoplasms of neighboring cells and thereby provide a direct pathway for ionic and biochemical communication between them. In cultured mouse embryonic striatal astrocytes, gap junction conductance measured with a double whole-cell recording technique and by dye permeability was decreased to less than 10–30% of control values by 5 μM AEA (Venance et al., 1995). This inhibitory effect is specific for AEA

Direct effects of endocannabinoids on other intracellular events

Several earlier studies have reported that endocannabinoids increase intracellular Ca2+ levels by cannabinoid receptor-independent mechanisms. In human umbilical vein-derived endothelial cells, application of AEA (5 μM) induced an increase in intracellular Ca2+ levels (Mombouli et al., 1999). This transient increase was derived from caffeine-sensitive stores and is not sensitive to PTX treatment. The response was weakly antagonized by 1 μM SR141716A, and increasing the concentration of

Regulation of endocannabinoid levels

Endocannabinoids have been extracted from various tissues or bodily fluids using variety of organic solvents and techniques (for reviews, see Porter & Felder, 2001, Schmid et al., 2002). However, the relatively short half-life and the lipophilic nature of these molecules have made measurements difficult (Porter & Felder, 2001, Schmid et al., 2002). Furthermore, the AEA can be generated during the extraction procedures and AEA levels increase with increased postmortem interval and ischemia (

Connections between the arachidonic acid pathway and endocannabinoids

It is notable that the majority of the membrane proteins upon which endocannabinoids exert their actions are modulated by polyunsaturated fatty acids (PUFA) such as AA and/or its oxygenated product, the prostaglandins (PG). Thus, as presented earlier, these fatty acid-based molecules also directly modulate the functional properties of voltage-gated channels including L, N, and T-type Ca2+ channels, Na+ channels and K+ channels (for reviews, see Ordway et al., 1991, Meves, 1994, Kogteva &

Mechanisms of the direct endocannabinoid actions

To date, all of the endocannabinoids discovered are PUFA-based lipid molecules. Thus, it is plausible that due to similarities in their chemical structures and biophysical properties, PUFA, PG and endocannabinoids all share similar mechanisms for their direct actions on the functional properties of VGIC and LGIC (Fig. 4). An important mechanistic dilemma has been whether the effects of these molecules are mediated by their specific binding to membrane proteins (ion channels) or by changing the

Conclusions

Once the ion channels are inserted into fluid membrane bilayers, they assume an energetically minimal conformational state leading to a stable structure. However, molecular insight into the functioning ion channels indicates that processes of voltage sensing or ligand-binding leads to conformational changes associated with the alterations of the 3-dimensional structure of the protein (Lee, 2003, Garcia, 2004, Lee & MacKinnon, 2004). Moreover, the energetic requirements of these conformational

Acknowledgments

The author cordially thanks Drs. R.A. Wise, W.J. Freed, M.A. Huestis, C.E. Spivak, M. Morales, C.R. Lupica, and A.F. Hoffman of NIDA/IRP, Baltimore, MD, Dr. L. Zhang of NIAAA/IRP, Bethesda, MD, and Dr. K. Hristova of Johns Hopkins University, Baltimore, MD, for their stimulating discussions and suggestions, Dr. A. Ravindran for sharing some of the data discussed in this review, and Mrs. Mary Pfeiffer for her careful editing of the manuscript. Given the wide breath of studies in examining the

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