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The molecular machinery required to process endocannabinoids lipid signaling and their respective receptors

ABSTRACT

BACKGROUND AND OBJECTIVES:

Pharmaceutical preparations of cannabis have been used by mankind since long time ago, and recently they have been the pharmaceutical industry’s focus. However, for proper therapeutic application, in-depth knowledge of the endocannabinoid system, which is made mainly by lipid signaling, is needed. The purpose of this study was to explore the current understanding of the players in this system, paying special attention to the molecular machinery required to process it.

CONTENTS:

This is a narrative review of the current literature regarding major components of the endocannabinoid system, in particular: the receptors, main endogenous ligands, and the enzymes responsible for its components processing. The pharmacological and preclinical aspects were emphasized.

CONCLUSION:

The better comprehension of the molecular structure of receptors and enzymes will be crucial to developing new pharmacological strategies. A detailed description of the machinery responsible for endocannabinoid lipid metabolization will pave the way for the discovery of new drugs that act on the endogenous system and that can be applied effectively in clinical practice.

Keywords
Cannabinoids; Membrane lipids; Pharmacology

RESUMO

JUSTIFICATIVA E OBJETIVOS:

Os preparados medicinais canabinoides são há muito utilizados pela humanidade e têm sido objeto de interesse da indústria farmacológica recente. Para a aplicação terapêutica adequada é necessário, no entanto, o conhecimento aprofundado do sistema canabinoide endógeno, o qual em sua grande parte é constituído por mensageiros lipídicos. O objetivo deste estudo foi explorar o conhecimento vigente a respeito dos constituintes desse sistema, com especial atenção à maquinaria molecular necessária para processá-los.

CONTEÚDO:

Trata-se de uma revisão narrativa da literatura atual acerca dos integrantes do sistema canabinoide endógeno, notadamente: seus receptores, os principais ligantes endógenos e as enzimas responsáveis pelo processamento de seus componentes. Os aspectos farmacológicos e pré-clínicos foram enfatizados.

CONCLUSÃO:

O melhor entendimento da ultraestrutura de receptores e enzimas contribuirá de forma decisiva para o desenvolvimento de novas estratégias farmacológicas. A partir da descrição pormenorizada da maquinaria responsável pela metabolização lipídica endocanabinoide é que se pavimentará o caminho para a descoberta de novos fármacos que atuem no sistema endógeno e que possam ser aplicados de forma eficaz na prática clínica.

Descritores
Canabinoides; Farmacologia; Lipídeos de membrana

HIGHLIGHTS

  • Emphasize the complexity of the endocannabinoid system and go beyond understanding direct pharmacological action.

  • Comment regarding the interactions between the endocannabinoid system and other receptor families such as TRPs and PPARs.

  • Point out potential promising targets for future research.

HIGHLIGHTS

  • Emphasize the complexity of the endocannabinoid system and go beyond understanding direct pharmacological action.

  • Comment regarding the interactions between the endocannabinoid system and other receptor families such as TRPs and PPARs.

  • Point out potential promising targets for future research.

INTRODUCTION

Medicinal preparations from the plant Cannabis sativa have been used throughout human history11 Mechoulam R. The Pharmacohistory of Cannabis Sativa. In: Cannabinoids as Therapeutic Agents. Chapman and Hall/CRC; 1986. as already mentioned in this special issue. However, only recently the psychoactive substance, Δ9-tetrahydrocannabinol (Δ9-THC), was discovered and isolated from hundreds of phytocannabinoids present in the plant22 Pertwee RG. Cannabinoid pharmacology: the first 66 years. Br J Pharmacol. 2006;147(Suppl 1):S163-71.,33 Mechoulam R, Gaoni Y. The absolute configuration of delta-1-tetrahydrocannabinol, the major active constituent of hashish. Tetrahedron Lett. 1967;12:1109-11.. This fundamental discovery led to the synthesis of several cannabinoids, which enabled the accumulation of pharmacological knowledge until, two decades after the discovery of THC, the first cannabinoid membrane receptor was identified and cloned, receiving the acronym CB144 Devane WA, Dysarz FA, Johnson MR, Melvin LS, Howlett AC. Determination and characterization of a cannabinoid receptor in rat brain. Mol Pharmacol. 1988;34(5):605-13., followed quickly by the discovery of the second cannabinoid receptor CB255 Munro S, Thomas KL, Abu-Shaar M. Molecular characterization of a peripheral receptor for cannabinoids. Nature. 1993;365(6441):61-5..

After the discovery of the receptors, it was possible to verify their first endogenous agonists. In 1992, the substance N-araquidonylethanolamine (AEA or anandamide)66 Devane WA, Hanus L, Breuer A, Pertwee RG, Stevenson LA, Griffin G, Gibson D, Mandelbaum A, Etinger A, Mechoulam R. Isolation and structure of a brain constituent that binds to the cannabinoid receptor. Science. 1992 Dec 18;258(5090):1946-9. was recognized. Subsequently, with the fact that AEA cannot completely reproduce the effects verifiable with THC, the second most important endocannabinoid (EC), 2-araquidonylglycerol (2-AG)77 Sugiura T, Kondo S, Sukagawa A, Nakane S, Shinoda A, Itoh K, Yamashita A, Waku K. 2-Arachidonoylglycerol: a possible endogenous cannabinoid receptor ligand in brain. Biochem Biophys Res Commun. 1995;215(1):89-97.,88 Mechoulam R, Ben-Shabat S, Hanus L, Ligumsky M, Kaminski NE, Schatz AR, Gopher A, Almog S, Martin BR, Compton DR, et al. Identification of an endogenous 2-monoglyceride, present in canine gut, that binds to cannabinoid receptors. Biochem Pharmacol. 1995;50(1):83-90., was arrived at. Both derivatives of arachidonic acid (AA), were the first endogenous cannabinoid substances identified and remain the best studied. Some peptides and derivatives of AA metabolism that generate a cannabinoid-like effect have been recently described and are the target of intense research99 Zou S, Kumar U. Cannabinoid receptors and the endocannabinoid system: signaling and function in the central nervous system. Int J Mol Sci. 2018;19(3):833.,1010 Di Marzo V, De Petrocellis L. Why do cannabinoid receptors have more than one endogenous ligand? Philos Trans R Soc Lond B Biol Sci. 2012;367(1607):3216-28..

Thus, synthetically, there is a system formed by two membrane receptors (CB1 and CB2) and two families of lipid signalers that act as their ligands, which, together with the enzymes that synthesize and metabolize them, form the so-called endogenous cannabinoid system (ECs)1111 Woodhams SG, Sagar DR, Burston JJ, Chapman V. The role of the endocannabinoid system in pain. Handb Exp Pharmacol. 2015;227:119-43.. This system has some characteristics that allow it to be distinguished from other classical neurotransmitter systems, especially in regard to nociception. Among them, a fundamentally important characteristic is the fact that the machinery related to the processing of lipid EC messengers is located in the synaptic terminals of the nociceptive pathway. Moreover, since ECs are not stored in synaptic vesicles, but produced on demand after intense neuronal activation, the probable ECs role is to brake neuronal signaling in response to its high activation1111 Woodhams SG, Sagar DR, Burston JJ, Chapman V. The role of the endocannabinoid system in pain. Handb Exp Pharmacol. 2015;227:119-43.. In this review article, the intent was to explore this machinery components, detailing its constituents and elucidating its main aspects, with special focus on the relationship between ECs and their receptors.

RECEPTORS

CB1 and CB2 receptors belong to the large family of G-protein-coupled receptors (GPCR). It is an extensive and diverse family of membrane receptors responsible for translating external signals (such as light, lipidic and proteinic particles, among others) into specific cellular responses1313 Hauser AS, Attwood MM, Rask-Andersen M, Schiöth HB, Gloriam DE. Trends in GPCR drug discovery: new agents, targets and indications. Nat Rev Drug Discov. 2017;16(12):829-42.. Currently, the central contributions of these receptors in cell signaling have turned them into a key piece in drug discovery research1212 Shahbazi F, Grandi V, Banerjee A, Trant JF. Cannabinoids and cannabinoid receptors: the story so far. iScience. 2020;23(7):101301.,1313 Hauser AS, Attwood MM, Rask-Andersen M, Schiöth HB, Gloriam DE. Trends in GPCR drug discovery: new agents, targets and indications. Nat Rev Drug Discov. 2017;16(12):829-42.. They are composed of seven transmembrane α-helices with loops connecting them, being the N-terminal extracellular and C-terminal facing the intracellular side. Binding with a given substance leads to a conformational change in the receptor, leading to activation of the G protein docked on receptor’s intracellular side, which initiates the specific cellular signaling process1414 Weis WI, Kobilka BK. The molecular basis of G protein-coupled receptor activation. Annu Rev Biochem. 2018;87(1):897-919.,1515 Latorraca NR, Venkatakrishnan AJ, Dror RO. GPCR dynamics: structures in motion. Chem Rev. 2017;117(1):139-55..

Following the International Union of Pharmacological Sciences taxonomic compatibility goals, it is possible to adopt a classification (to some extent minimalist, but widely accepted) of GPCR ligands that groups them into four categories according to their pharmacodynamic profile: agonists, antagonists, partial agonists, and inverse agonists.

In summary, agonists bind to receptors and activate the cellular response through conformational change. Antagonists bind to receptors and prevent the agonists from binding, generating no cellular response. The partial agonists works as a middle ground, binding to the receptors and generating an incomplete conformational response, but still allowing some cellular response, but blocking the receptors, preventing the full agonists from acting. So, ultimately, when both full and partial agonists are present, the partial agonists acts as competitive antagonists, decreasing the overall vector of receptor activation. The fourth group is represented by the inverse agonists, which induce a physiological response in the opposite direction to that expected from an agonist1212 Shahbazi F, Grandi V, Banerjee A, Trant JF. Cannabinoids and cannabinoid receptors: the story so far. iScience. 2020;23(7):101301..

Although the idea that activation of a receptor only occurs when an agonist molecule binds to it is being spread, it is possible to find many examples that an appreciable level of activation can occur even in the absence of ligands1616 Bond RA, Leff P, Johnson TD, Milano CA, Rockman HA, McMinn TR, Apparsundaram S, Hyek MF, Kenakin TP, Allen LF, et al. Physiological effects of inverse agonists in transgenic mice with myocardial overexpression of the beta 2-adrenoceptor. Nature. 1995;374(6519):272-6..

Naturally occurring receptors or those that have undergone mutations (spontaneous or induced) can cause activation scenarios in the absence of a ligand, that is, constitutive activation. The occurrence of such activation without agonist binding is found in studies of G-protein-coupled receptors, such as cannabinoids1616 Bond RA, Leff P, Johnson TD, Milano CA, Rockman HA, McMinn TR, Apparsundaram S, Hyek MF, Kenakin TP, Allen LF, et al. Physiological effects of inverse agonists in transgenic mice with myocardial overexpression of the beta 2-adrenoceptor. Nature. 1995;374(6519):272-6.,1717 Vilardaga J-P, Steinmeyer R, Harms GS, Lohse MJ. Molecular basis of inverse agonism in a G protein-coupled receptor. Nat Chem Biol. 2005;1(1):25-8..

Most of the time, constitutive receptor activation does not present magnitude for clinical repercussion, however, in certain conditions in which a large increase in receptor expression occurs, there may be pathophysiological implications of relevance. Plenty of scientific documentation of this is shown in studies on receptors for beta-adrenoreceptors and receptors for cannabinoids1616 Bond RA, Leff P, Johnson TD, Milano CA, Rockman HA, McMinn TR, Apparsundaram S, Hyek MF, Kenakin TP, Allen LF, et al. Physiological effects of inverse agonists in transgenic mice with myocardial overexpression of the beta 2-adrenoceptor. Nature. 1995;374(6519):272-6.

17 Vilardaga J-P, Steinmeyer R, Harms GS, Lohse MJ. Molecular basis of inverse agonism in a G protein-coupled receptor. Nat Chem Biol. 2005;1(1):25-8.
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Classical agonists have high affinity for R* and increase R* concentration, while inverse agonists have high affinity for R and decrease R* concentration. Neutral competitive antagonists have equal affinity for R and R* and do not shift the equilibrium, but can competitively antagonize the effects of both agonists and inverse agonists.

The concept of a two-state model is important for comprehending the basic mechanisms of action in various classes of drugs, but it does not correspond to reality. The receptors are not restricted to these two options, possessing conformational flexibility and more numerous possibilities. The different conformations that receptors are capable of adopting can be preferentially stabilized by different ligands and can produce different functional effects by activating different signal transduction pathways. The most current redefinition suggests a more complex scheme that contemplates a multi-state model and constitutes a challenge in this area of study. A given G-protein-coupled receptor such as cannabinoid can generate a diverse range of signaling responses, highlighting the physiological and clinical relevance of this class of proteins2020 Kuznetsov AS, Zamaletdinov MF, Bershatsky YV, Urban AS, Bocharova OV, Bennasroune A, et al. Dimeric states of transmembrane domains of insulin and IGF-1R receptors: structures and possible role in activation. Biochim Biophys Acta Biomembr. 2020;1862(11):183417.,2121 Mafi A, Kim S-K, Iii WAG. The G protein-first activation mechanism of opioid receptors by Gi protein and agonists. QRB Discov 2 E9. 2021;14.. It is important to note that the pharmacodynamic role is independent of the ligand’s affinity to the receptor. For example, it is possible to have complete agonists with weak binding and partial agonists with strong affinity.

The conformational change generated by ligand-receptor binding leads to a change in the relative orientation of transmembrane portions 3 (TM3) and 6 (TM6), which leads to the exposure of G-protein complex binding sites previously hidden on the intracellular side2222 Nakanishi J, Takarada T, Yunoki S, Kikuchi Y, Maeda M. FRET-based monitoring of conformational change of the β2 adrenergic receptor in living cells. Biochem Biophys Res Commun. 2006;343(4):1191-6.,2323 Jensen AD, Guarnieri F, Rasmussen Søren GF, Asmar F, Ballesteros JA, Gether U. Agonist-induced conformational changes at the cytoplasmic side of transmembrane segment 6 in the β2 adrenergic receptor mapped by site-selective fluorescent labeling*. J Biol Chem. 2001;276(12):9279-90.. The heterotrimeric G-protein complex is specific for a particular type of GPCR, which once activated leads to inhibition or activation of various effector enzymes or ion channels.

The molecular structure of cannabinoid receptors comprehension has increased with recent studies of their crystallization2424 Xing C, Zhuang Y, Xu TH, Feng Z, Zhou XE, Chen M, Wang L, Meng X, Xue Y, Wang J, Liu H, McGuire TF, Zhao G, Melcher K, Zhang C, Xu HE, Xie XQ. Cryo-EM structure of the human cannabinoid receptor CB2-Gi signaling complex. Cell. 2020 Feb 20;180(4):645-54.e13.

25 Hua T, Li X, Wu L, Iliopoulos-Tsoutsouvas C, Wang Y, Wu M, Shen L, Brust CA, Nikas SP, Song F, Song X, Yuan S, Sun Q, Wu Y, Jiang S, Grim TW, Benchama O, Stahl EL, Zvonok N, Zhao S, Bohn LM, Makriyannis A, Liu ZJ. Activation and signaling mechanism revealed by cannabinoid receptor-Gi complex structures. Cell. 2020;180(4):655-65.e18.

26 Li X, Hua T, Vemuri K, Ho JH, Wu Y, Wu L, Popov P, Benchama O, Zvonok N, Locke K, Qu L, Han GW, Iyer MR, Cinar R, Coffey NJ, Wang J, Wu M, Katritch V, Zhao S, Kunos G, Bohn LM, Makriyannis A, Stevens RC, Liu ZJ. Crystal structure of the human cannabinoid receptor CB2. Cell. 2019;176(3):459-67.e13.

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28 Hua T, Vemuri K, Nikas SP, Laprairie RB, Wu Y, Qu L, Pu M, Korde A, Jiang S, Ho JH, Han GW, Ding K, Li X, Liu H, Hanson MA, Zhao S, Bohn LM, Makriyannis A, Stevens RC, Liu ZJ. Crystal structures of agonist-bound human cannabinoid receptor CB 1. Nature. 2017;547(7664):468-71.
-2929 Shao Z, Yin J, Chapman K, Grzemska M, Clark L, Wang J, Rosenbaum DM. High-resolution crystal structure of the human CB1 cannabinoid receptor. Nature. 2016;540(7634):602-6.. To date, only the synthetic cannabinoid receptor-ligand set has been crystallized1212 Shahbazi F, Grandi V, Banerjee A, Trant JF. Cannabinoids and cannabinoid receptors: the story so far. iScience. 2020;23(7):101301.. The structures of human CB1 and CB2 receptors share an aminoacid similarity of approximately 44% and a 68% homology with respect to transmembrane helices (TM)55 Munro S, Thomas KL, Abu-Shaar M. Molecular characterization of a peripheral receptor for cannabinoids. Nature. 1993;365(6441):61-5.,3030 Hryhorowicz S, Kaczmarek-Ryś M, Andrzejewska A, Staszak K, Hryhorowicz M, Korcz A, Słomski R. Allosteric modulation of cannabinoid receptor 1-current challenges and future opportunities. Int J Mol Sci. 2019;20(23):5874.. It has been shown that the binding site for the cannabinoid receptor is located in the membrane’s lipid bilayer, with action on the receptor through lateral insertion of the ligand, rather than directly from the outer side, through solution1212 Shahbazi F, Grandi V, Banerjee A, Trant JF. Cannabinoids and cannabinoid receptors: the story so far. iScience. 2020;23(7):101301.,3131 Patricia HR. Endocannabinoid binding to the cannabinoid receptors: what is known and what remains unknown. Curr Med Chem. 2010;17(14):1468-86.. The main differences between both receptors reside in the sequences of second extracellular N-terminal loop, TM7 C-terminal helix and intracellular C-termination itself2929 Shao Z, Yin J, Chapman K, Grzemska M, Clark L, Wang J, Rosenbaum DM. High-resolution crystal structure of the human CB1 cannabinoid receptor. Nature. 2016;540(7634):602-6.,3232 Montero C, Campillo NE, Goya P, Páez JA. Homology models of the cannabinoid CB1 and CB2 receptors. A docking analysis study. Eur J Med Chem. 2005;40(1):75-83.. These structural differences are precisely what confer preference for a given ligand.

CB1 receptor is preferentially found in the central nervous system (CNS), being more expressed in the presynaptic axon termination of several structures (amygdala, hippocampus, cortex, cerebellum, and basal ganglia circuitry)1212 Shahbazi F, Grandi V, Banerjee A, Trant JF. Cannabinoids and cannabinoid receptors: the story so far. iScience. 2020;23(7):101301.,3333 Amin MR, Ali DW. Pharmacology of medical cannabis. Adv Exp Med Biol. 2019;1162:151-65.

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In turn, CB2 receptor is strongly related to the immune system, with its activation being associated with neuronal defense mechanisms and inflammation reduction4040 Mackie K. Cannabinoid receptors: where they are and what they do. J Neuroendocrinol. 2008;20(s1):10-4.. CB2 receptors are expressed mainly in the CNS, immune system cells, astrocytes, and mycroglia4040 Mackie K. Cannabinoid receptors: where they are and what they do. J Neuroendocrinol. 2008;20(s1):10-4.. Besides its presence as a membrane receptor in these locations, it has been described the intracellular presence of CB2 receptor in prefrontal cortex pyramidal neurons in murine model, exerting modulation of neuronal excitability through Ca2+-activated Cl- channels4141 Brailoiu GC, Deliu E, Marcu J, Hoffman NE, Console-Bram L, Zhao P, Madesh M, Abood ME, Brailoiu E. Differential activation of intracellular versus plasmalemmal CB2 cannabinoid receptors. Biochemistry. 2014;53(30):4990-9.,4242 den Boon FS, Chameau P, Schaafsma-Zhao Q, van Aken W, Bari M, Oddi S, Kruse CG, Maccarrone M, Wadman WJ, Werkman TR. Excitability of prefrontal cortical pyramidal neurons is modulated by activation of intracellular type-2 cannabinoid receptors. Proc Natl Acad Sci U S A. 2012;109(9):3534-9., reinforcing that although its predominant expression is in the periphery, CB2R also has a role in neurological functions such as nociception, drug dependence, and neuroinflammation4343 Dhopeshwarkar A, Mackie K. CB2 Cannabinoid receptors as a therapeutic target-what does the future hold? Mol Pharmacol. 2014;86(4):430-7.,4444 Atwood BK, Mackie K. CB2: a cannabinoid receptor with an identity crisis. Br J Pharmacol. 2010;160(3):467-79.. Although its presence in the CNS is up to 200 times less frequent than the CB1 receptor, there is an increase in its receptor transcription in situations of neurological insult such as chronic pain, stroke, and neuroinflammation4545 Jordan CJ, Xi ZX. Progress in brain cannabinoid CB2 receptor research: from genes to behavior. Neurosci Biobehav Rev. 2019;98:208-20.,4646 Yu SJ, Reiner D, Shen H, Wu KJ, Liu Q-R, Wang Y. Time-dependent protection of CB2 Receptor agonist in stroke. PloS One. 2015;10(7):e0132487..

As mentioned, the activity of both receptors, CB1 and CB2, is closely linked to the specific activation of G protein subunits. Classically, both receptors lead to suppression of adenylyl cyclase (AC) via Gi/o signaling, which results in reduced levels of cyclic AMP (cAMP)99 Zou S, Kumar U. Cannabinoid receptors and the endocannabinoid system: signaling and function in the central nervous system. Int J Mol Sci. 2018;19(3):833.,3333 Amin MR, Ali DW. Pharmacology of medical cannabis. Adv Exp Med Biol. 2019;1162:151-65.,3535 Howlett AC, Barth F, Bonner TI, Cabral G, Casellas P, Devane WA, Felder CC, Herkenham M, Mackie K, Martin BR, Mechoulam R, Pertwee RG. International Union of Pharmacology. XXVII. Classification of cannabinoid receptors. Pharmacol Rev. 2002;54(2):161-202.,4747 Pertwee RG. The diverse CB1 and CB2 receptor pharmacology of three plant cannabinoids: delta9-tetrahydrocannabinol, cannabidiol and delta9-tetrahydrocannabivarin. Br J Pharmacol. 2008;153(2):199-215.. However, as recently shown by a study2525 Hua T, Li X, Wu L, Iliopoulos-Tsoutsouvas C, Wang Y, Wu M, Shen L, Brust CA, Nikas SP, Song F, Song X, Yuan S, Sun Q, Wu Y, Jiang S, Grim TW, Benchama O, Stahl EL, Zvonok N, Zhao S, Bohn LM, Makriyannis A, Liu ZJ. Activation and signaling mechanism revealed by cannabinoid receptor-Gi complex structures. Cell. 2020;180(4):655-65.e18., a difference in only one residue of the second intracellular loop (L222 in CB1 and P139 in CB2) may lead to coupling diversity between the cannabinoid receptor and the G protein family, with CB2 adopting a specificity only for Gi (conferred by the presence of the P138-P139 pattern in ICL2, unique to CB2)2424 Xing C, Zhuang Y, Xu TH, Feng Z, Zhou XE, Chen M, Wang L, Meng X, Xue Y, Wang J, Liu H, McGuire TF, Zhao G, Melcher K, Zhang C, Xu HE, Xie XQ. Cryo-EM structure of the human cannabinoid receptor CB2-Gi signaling complex. Cell. 2020 Feb 20;180(4):645-54.e13., while CB1 can vary between Gi, Gs, and Gq. Thus, an explanation arises for certain experimental findings, in which, under certain circumstances (for example, when there is concomitant dopaminergic activation in striatal neuron cultures), there was AC stimulation by Gs subunit after CB1 activation, leading to an increase in cAMP4848 Glass M, Felder CC. Concurrent stimulation of cannabinoid CB1 and dopamine D2 receptors augments cAMP accumulation in striatal neurons: evidence for a Gs linkage to the CB1 receptor. J Neurosci Off J Soc Neurosci. 1997;17(14):5327-33.. Added to this already complex scenario is the fact that there are also multiple possibilities of association between CB1 (through the Gβγ subunit) and AC isoforms, generating predominance of stimulation (isoforms 2, 4, and 7) versus inhibition (1, 3, 5, 6, and 8)99 Zou S, Kumar U. Cannabinoid receptors and the endocannabinoid system: signaling and function in the central nervous system. Int J Mol Sci. 2018;19(3):833.,4949 Rhee MH, Bayewitch M, Avidor-Reiss T, Levy R, Vogel Z. Cannabinoid receptor activation differentially regulates the various adenylyl cyclase isozymes. J Neurochem. 1998;71(4):1525-34..

In addition to the orthosteric ligands, there is among the GPCR family receptors a modulation characteristic that allows them to broaden the spectrum of possibilities of conformational states and, therefore, of activation of intracellular signaling pathways: the interaction with allosteric ligands. Allosteric binding sites are those present in the receptor macromolecule, spatially distinct and not overlapping the so-called orthosteric site, but conformationally linked to it5050 Neubig RR, Spedding M, Kenakin T, Christopoulos A. International Union of Pharmacology Committee on Receptor Nomenclature and Drug Classification. International Union of Pharmacology Committee on Receptor Nomenclature and Drug Classification. XXXVIII. Update on terms and symbols in quantitative pharmacology. Pharmacol Rev. 2003;55(4):597-606.. Allosteric modulators, when binding to the receptor in the absence of orthosteric ligand, can stimulate or inhibit the basal activity of this receptor, which was called allo-agonism and allo-antagonism, respectively. On the other hand, in the presence of the orthosteric ligand, allosteric modulation can alter the binding affinity of the former, as well as its efficiency in intracellular signaling5151 May LT, Leach K, Sexton PM, Christopoulos A. Allosteric modulation of G Protein-coupled receptors. Annu Rev Pharmacol Toxicol. 2007;47(1):1-51..

Three features make these modulators especially interesting and potentially more effective than orthosteric binding: specificity, selectivity, and saturability3030 Hryhorowicz S, Kaczmarek-Ryś M, Andrzejewska A, Staszak K, Hryhorowicz M, Korcz A, Słomski R. Allosteric modulation of cannabinoid receptor 1-current challenges and future opportunities. Int J Mol Sci. 2019;20(23):5874.,5252 Dopart R, Lu D, Lichtman AH, Kendall DA. Allosteric modulators of cannabinoid receptor 1: developing compounds for improved specificity. Drug Metab Rev. 2018;50(1):3-13.

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-5454 Janero DR, Thakur GA. Leveraging allostery to improve G protein-coupled receptor (GPCR)-directed therapeutics: cannabinoid receptor 1 as discovery target. Expert Opin Drug Discov. 2016;11(12):1223-37.. Specificity is conferred by the greater frequency of variation in the aminoacid sequence making up the allosteric binding site (compared to the relative conservation in orthosteric domain sequence) and is thought to be the most important feature5252 Dopart R, Lu D, Lichtman AH, Kendall DA. Allosteric modulators of cannabinoid receptor 1: developing compounds for improved specificity. Drug Metab Rev. 2018;50(1):3-13..

Selectivity in the target organ action is another relevant aspect. While the orthosteric ligand mostly affects receptor’s signaling cascades in all tissues where it occurs, the allosteric modulation occurs mostly only in the tissue where the endogenous ligand was expressed in response to a particular stimulus5353 Preedy VR, organizador. Handbook of Cannabis and Related Pathologies: Biology, Pharmacology, Diagnosis, and Treatment. 1st ed. London: Academic Press; 2017. 1170p.. Finally, saturation confers a ceiling effect, with no additional modulation expected apart from a certain threshold concentration of allosteric ligand, protecting against overdose5555 Roth BL, Irwin JJ, Shoichet BK. Discovery of new GPCR ligands to illuminate new biology. Nat Chem Biol. 2017;13(11):1143-51.. Such characteristics, combined with the fact that drugs in clinical use, acting in ECs and based primarily on the orthosteric action of ligands, such as Dronabinol® and Cesamet®, generate considerable adverse effects (especially of psychoaffective order), have made the study on cannabinoid receptors’ allosteric modulators an alternative for therapeutic application5252 Dopart R, Lu D, Lichtman AH, Kendall DA. Allosteric modulators of cannabinoid receptor 1: developing compounds for improved specificity. Drug Metab Rev. 2018;50(1):3-13..

Inside the ECs, some ligands have been described as possessing allosteric modulatory activity. Lipoxin-4 (LXA4), an oxygenated derivative of AA, appears to act as a positive modulator of the CB1 receptor by strengthening anandamide affinity and activity5656 Pamplona FA, Ferreira J, Menezes de Lima O Jr, Duarte FS, Bento AF, Forner S, Villarinho JG, Bellocchio L, Wotjak CT, Lerner R, Monory K, Lutz B, Canetti C, Matias I, Calixto JB, Marsicano G, Guimarães MZ, Takahashi RN. Anti-inflammatory lipoxin A4 is an endogenous allosteric enhancer of CB1 cannabinoid receptor. Proc Natl Acad Sci U S A. 2012;109(51):21134-9. Erratum in: Proc Natl Acad Sci U S A. 2013;22;110(4):1561.. Similarly, cholesterol and possibly other endogenous steroid derivatives such as pregnenolone have been verified in experimental models as possessing modulatory activity2525 Hua T, Li X, Wu L, Iliopoulos-Tsoutsouvas C, Wang Y, Wu M, Shen L, Brust CA, Nikas SP, Song F, Song X, Yuan S, Sun Q, Wu Y, Jiang S, Grim TW, Benchama O, Stahl EL, Zvonok N, Zhao S, Bohn LM, Makriyannis A, Liu ZJ. Activation and signaling mechanism revealed by cannabinoid receptor-Gi complex structures. Cell. 2020;180(4):655-65.e18.,5757 Vallée M, Vitiello S, Bellocchio L, Hébert-Chatelain E, Monlezun S, Martin-Garcia E, Kasanetz F, Baillie GL, Panin F, Cathala A, Roullot-Lacarrière V, Fabre S, Hurst DP, Lynch DL, Shore DM, Deroche-Gamonet V, Spampinato U, Revest JM, Maldonado R, Reggio PH, Ross RA, Marsicano G, Piazza PV. Pregnenolone can protect the brain from cannabis intoxication. Science. 2014;343(6166):94-8.. Some other endogenous allosteric modulators appear to exhibit positive function (PAM) for CB2 receptor and negative function (NAM) for CB1 receptor. Such is the case of pepcans (formerly hemopressins, endogenous cannabinoid peptides)5858 Petrucci V, Chicca A, Glasmacher S, Paloczi J, Cao Z, Pacher P, Gertsch J. Pepcan-12 (RVD-hemopressin) is a CB2 receptor positive allosteric modulator constitutively secreted by adrenals and in liver upon tissue damage. Sci Rep. 2017;7(1):9560.,5959 Gomes I, Grushko JS, Golebiewska U, Hoogendoorn S, Gupta A, Heimann AS, Ferro ES, Scarlata S, Fricker LD, Devi LA. Novel endogenous peptide agonists of cannabinoid receptors. FASEB J. 2009;23(9):3020-9..

The ECs, however, appears to have a much greater complexity than that dichotomized by these two receptors. Some authors have divided the receptors that bind to endogenous cannabinoids into three categories6060 Maccarrone M. Missing pieces to the endocannabinoid puzzle. Trends Mol Med. 2020;26(3):263-72.: 1) receptors with extracellular binding site, represented mostly by GPCRs (such as the aforementioned CB1 and CB2); 2) receptors with intracellular EC binding site, such as those of transient receptor potential (TRP) family and 3) transcription factors, such as peroxisome proliferator-activated receptor (PPAR).

Besides the already studied GPCR, CB1 and CB2, it is worth mentioning that other receptors have been shown to have activation after binding with cannabinoids. It has been postulated that the orphan receptor GPR55 is a cannabinoid receptor, with authors already proposing its denomination as “CB3”3333 Amin MR, Ali DW. Pharmacology of medical cannabis. Adv Exp Med Biol. 2019;1162:151-65.,6161 Yang H, Zhou J, Lehmann C. GPR55 - a putative “type 3” cannabinoid receptor in inflammation. J Basic Clin Physiol Pharmacol. 2016;27(3):297-302.,6262 Ryberg E, Larsson N, Sjögren S, Hjorth S, Hermansson NO, Leonova J, Elebring T, Nilsson K, Drmota T, Greasley PJ. The orphan receptor GPR55 is a novel cannabinoid receptor. Br J Pharmacol. 2007;152(7):1092-101.. The signaling pathway of this receptor involves multiple second messengers, which ultimately lead to increased intracellular Ca2+. Interestingly, 2-AG exerts up to 200-fold greater potency as an agonist of GPR55 compared to its binding with the prototypical receptors (CB1 and CB2)3333 Amin MR, Ali DW. Pharmacology of medical cannabis. Adv Exp Med Biol. 2019;1162:151-65.,6262 Ryberg E, Larsson N, Sjögren S, Hjorth S, Hermansson NO, Leonova J, Elebring T, Nilsson K, Drmota T, Greasley PJ. The orphan receptor GPR55 is a novel cannabinoid receptor. Br J Pharmacol. 2007;152(7):1092-101.. However, these findings are not unanimous, with some authors not reproducing what has been found previously, failing to demonstrate ECs as activators of GPR556161 Yang H, Zhou J, Lehmann C. GPR55 - a putative “type 3” cannabinoid receptor in inflammation. J Basic Clin Physiol Pharmacol. 2016;27(3):297-302.,6363 Sharir H, Abood ME. Pharmacological characterization of GPR55, a putative cannabinoid receptor. Pharmacol Ther. 2010;126(3):301-13.. Thus, a more complete characterization of this receptor, with respect to its tissue distribution, subcellular localization, temporal pattern of expression, and the intracellular signaling pathways, is needed to lead to a greater comprehension of the ECs. Another orphan receptor that has also been listed as a possible cannabinoid receptor in the gastrointestinal tract is GPR1196464 Izzo AA, Sharkey KA. Cannabinoids and the gut: new developments and emerging concepts. Pharmacol Ther. 2010;126(1):21-38..

Robust evidence has been accumulated on the interaction between cannabinoids and transient receptor potential ion channels3333 Amin MR, Ali DW. Pharmacology of medical cannabis. Adv Exp Med Biol. 2019;1162:151-65.,6060 Maccarrone M. Missing pieces to the endocannabinoid puzzle. Trends Mol Med. 2020;26(3):263-72.,6565 Muller C, Morales P, Reggio PH. Cannabinoid ligands targeting TRP channels. Front Mol Neurosci. 2018;11:487.. TRP receptors superfamily currently contains 28 known channels in mammals, subdivided into six subfamilies6666 Winter Z, Buhala A, Ötvös F, Jósvay K, Vizler C, Dombi G, Szakonyi G, Oláh Z. Functionally important amino acid residues in the transient receptor potential vanilloid 1 (TRPV1) ion channel - an overview of the current mutational data. Mol Pain. 2013;9-30.. Among them, six channels (TRPV1-4, TRPA1 and TRPM8) have been shown to bind to cannabinoid substances (synthetic, vegetal and endocannabinoids), and they have been called ionotropic cannabinoid receptors6565 Muller C, Morales P, Reggio PH. Cannabinoid ligands targeting TRP channels. Front Mol Neurosci. 2018;11:487.. These receptors are nothing more than true transmembrane pores, formed by tetramers (homoor heteromerized). Each tetrameric subunit contains six transmembrane helices (S1-S6) that, when united, form an ion channel capable of regulating the entry of various cations in response to a stimulus6767 Levine JD, Alessandri-Haber N. TRP channels: Targets for the relief of pain. Biochim Biophys Acta. 2007;1772(8):989-1003.. When the action of ECs on these receptors was refined, so far only TRPV1, TRPV4, and TRPA1 showed consistent activation by endogenous ligands6565 Muller C, Morales P, Reggio PH. Cannabinoid ligands targeting TRP channels. Front Mol Neurosci. 2018;11:487.. Anandamide has similar affinity to capsaicin in binding to TRPV1, but with less potent effect6868 Maksim VS, Alexander VZ. TRP Channels as novel targets for endogenous ligands: focus on endocannabinoids and nociceptive signalling. Curr Neuropharmacol. 2018;16(2):137-50..

In 2003, a study showed activation of TRPV4 by prototypical ECs anandamide and 2-AG, being followed by other studies on the action of endogenous lipids such as N-acyl tryptophan and N-acyl tyrosine6969 Raboune S, Stuart JM, Leishman E, Takacs SM, Rhodes B, Basnet A, Jameyfield E, McHugh D, Widlanski T, Bradshaw HB. Novel endogenous N-acyl amides activate TRPV1-4 receptors, BV-2 microglia, and are regulated in brain in an acute model of inflammation. Front Cell Neurosci. 2014;8:195.,7070 Watanabe H, Vriens J, Prenen J, Droogmans G, Voets T, Nilius B. Anandamide and arachidonic acid use epoxyeicosatrienoic acids to activate TRPV4 channels. Nature. 2003;424(6947):434-8.. As for TRPA1, anandamide obtained a highly effective agonist action, about 59% higher than its prototypical agonist, mustard oil; TRPA1 was also activated by 2-AG7171 Redmond WJ, Gu L, Camo M, McIntyre P, Connor M. Ligand determinants of fatty acid activation of the pronociceptive ion channel TRPA1. Peer J. 2014;2:e248.. In turn, TRPM8 seems to undergo antagonist action by anandamide7272 De Petrocellis L, Starowicz K, Moriello AS, Vivese M, Orlando P, Di Marzo V. Regulation of transient receptor potential channels of melastatin type 8 (TRPM8): Effect of cAMP, cannabinoid CB1 receptors and endovanilloids. Exp Cell Res. 2007;313(9):1911-20.. It is due to the strong presence of these receptors (such as TRPV1 and TRPA1) in dorsal root nociceptor ganglia, the functional and clinical knowledge of their activation and the analgesic effect generated (such as application of topical capsaicin, for example) that the development of cannabinoid drugs for application in the treatment of chronic pain has been sought.

As a mechanism of action, it has been proposed that the modulation of these receptors by cannabinoids leads to immediate neuronal depolarization, followed subsequently by desensitization of these ion channels, which will remain in a silenced state, insensitive to the action of their ligands or thermal stimulation, which would precipitate a nociceptive stimulus3333 Amin MR, Ali DW. Pharmacology of medical cannabis. Adv Exp Med Biol. 2019;1162:151-65.. Finally, PPARs are a family of heterodimeric nuclear hormone receptors, with three isoforms currently described (α, γ, and δ), which, when activated, bind to a DNA sequence (regions called PPAR response elements), leading to changes in the transcription of certain genes7373 Alexander SP, Cidlowski JA, Kelly E, Marrion N, Peters JA, Benson HE, Faccenda E, Pawson AJ, Sharman JL, Southan C, Davies JA; CGTP Collaborators. The Concise Guide to pharmacology 2015/16: nuclear hormone receptors. Br J Pharmacol. 2015;172(24):5956-78.. These target genes are listed in the regulation of metabolism, homeostasis, cell differentiation, and inflammation7474 Friedland SN, Leong A, Filion KB, Genest J, Lega IC, Mottillo S, Poirier P, Reoch J, Eisenberg MJ. The cardiovascular effects of peroxisome proliferator-activated receptor agonists. Am J Med. 2012;125(2):126-33.

75 Menendez-Gutierrez MP, Roszer T, Ricote M. Biology and therapeutic applications of peroxisome proliferatoractivated receptors. Curr Top Med Chem. 2012;12(6):548-84.
-7676 Neher MD, Weckbach S, Huber-Lang MS, Stahel PF. New insights into the role of peroxisome proliferator-activated receptors in regulating the inflammatory response after tissue injury. PPAR Res. 2012;2012:728461..

Since the 2000s, studies have shown that cannabinoid substances, among them ECs, bind to and activate such receptors7777 O’Sullivan SE. Cannabinoids go nuclear: evidence for activation of peroxisome proliferator-activated receptors. Br J Pharmacol. 2007;152(5):576-82.. Oleoylethanolamide (OEA) and palmitoylethanolamide (PEA) activate PPARα, while anandamide and 2-AG also seem to show activity, although with less evidence, on α isoform and, more consistently, on γ isoform7878 O’Sullivan SE. An update on PPAR activation by cannabinoids. Br J Pharmacol. 2016;173(12):1899-910.. The activation of these receptors by PEA seems to exert an analgesic function in vivo, as has been observed in animal models of nociceptive behavior, either by testing PPARα inhibition through an antagonist or in knockout models7979 LoVerme J, La Rana G, Russo R, Calignano A, Piomelli D. The search for the palmitoylethanolamide receptor. Life Sci. 2005;77(14):1685-98.

80 de Novellis V, Luongo L, Guida F, Cristino L, Palazzo E, Russo R, Marabese I, D’Agostino G, Calignano A, Rossi F, Di Marzo V, Maione S. Effects of intra-ventrolateral periaqueductal grey palmitoylethanolamide on thermoceptive threshold and rostral ventromedial medulla cell activity. Eur J Pharmacol. 2012;676(1-3):41-50.
-8181 Sasso O, Russo R, Vitiello S, Raso GM, D’Agostino G, Iacono A, La Rana G, Vallée M, Cuzzocrea S, Piazza PV, Meli R, Calignano A. Implication of allopregnanolone in the antinociceptive effect of N-palmitoylethanolamide in acute or persistent pain. Pain. 2012;153(1):33-41.. However, the individual participation of these receptors in analgesia remains to be elucidated, as some authors find effects involving multiple receptors. One study, for example, identified that the analgesic effects of PEA on neuropathic pain involved CB1, TRPV1, and PPARγ receptors, but not its α isoform or CB2R8282 Costa B, Comelli F, Bettoni I, Colleoni M, Giagnoni G. The endogenous fatty acid amide, palmitoylethanolamide, has anti-allodynic and anti-hyperalgesic effects in a murine model of neuropathic pain: involvement of CB(1), TRPV1 and PPARgamma receptors and neurotrophic factors. Pain. 2008;139(3):541-50..

THE ENDOCANNABINOID PROCESSING MACHINERY AND ITS RELATIONSHIPS INSIDE THE ENDOGENOUS CANNABINOID SYSTEM

ECs are signaling lipid molecules comprised of two major groups: N-acylethanolamines (NAE) and monoacylglycerols (MAG)1111 Woodhams SG, Sagar DR, Burston JJ, Chapman V. The role of the endocannabinoid system in pain. Handb Exp Pharmacol. 2015;227:119-43.. As mentioned, the two most studied ECs so far are anandamide and 2-AG, presenting different pharmacological characteristics. While anandamide seems to behave as a high-affinity partial agonist of the CB1 receptor, being almost inactive in CB2, 2-AG acts as a full agonist in both, but with low to moderate affinity99 Zou S, Kumar U. Cannabinoid receptors and the endocannabinoid system: signaling and function in the central nervous system. Int J Mol Sci. 2018;19(3):833.,1010 Di Marzo V, De Petrocellis L. Why do cannabinoid receptors have more than one endogenous ligand? Philos Trans R Soc Lond B Biol Sci. 2012;367(1607):3216-28.,8383 Pertwee RG, Howlett AC, Abood ME, Alexander SP, Di Marzo V, Elphick MR, Greasley PJ, Hansen HS, Kunos G, Mackie K, Mechoulam R, Ross RA. International Union of Basic and Clinical Pharmacology. LXXIX. Cannabinoid receptors and their ligands: beyond CB₁ and CB₂. Pharmacol Rev. 2010;62(4):588-631.. Both are produced on demand, but synthesis, transport and inactivation occur differently according to the target tissue99 Zou S, Kumar U. Cannabinoid receptors and the endocannabinoid system: signaling and function in the central nervous system. Int J Mol Sci. 2018;19(3):833.. The basal levels of 2-AG are up to a thousand times higher than those of anandamide in the brain. Experimental studies that manipulated 2-AG metabolism (but not anandamide) had marked effects on endocannabinoid retrograde signaling. Thus, a consensus has been reached that 2-AG is the primary endogenous ligand of cannabinoid receptors in CNS99 Zou S, Kumar U. Cannabinoid receptors and the endocannabinoid system: signaling and function in the central nervous system. Int J Mol Sci. 2018;19(3):833.

10 Di Marzo V, De Petrocellis L. Why do cannabinoid receptors have more than one endogenous ligand? Philos Trans R Soc Lond B Biol Sci. 2012;367(1607):3216-28.
-1111 Woodhams SG, Sagar DR, Burston JJ, Chapman V. The role of the endocannabinoid system in pain. Handb Exp Pharmacol. 2015;227:119-43.,8484 Katona I, Freund TF. Endocannabinoid signaling as a synaptic circuit breaker in neurological disease. Nat Med. 2008;14(9):923-30.,8585 Murataeva N, Straiker A, Mackie K. Parsing the players: 2-arachidonoylglycerol synthesis and degradation in the CNS. Br J Pharmacol. 2014;171(6):1379-91..

As stated, ECs are produced on demand, and it should be kept in mind that they have a short half-life (approximately 15 minutes) and that metabolic enzymes and carrier molecules are responsible for their delivery to the target receptor in the exact and precise concentration6060 Maccarrone M. Missing pieces to the endocannabinoid puzzle. Trends Mol Med. 2020;26(3):263-72.. Redundancy is a hallmark of the endocannabinoid biosynthesis and degradation system, with several pathways -including those that are responsible for the synthesis of other NAE and MAG - resulting in anandamide and 2-AG production8686 Di Marzo V. New approaches and challenges to targeting the endocannabinoid system. Nat Rev Drug Discov. 2018;17(9):623-39.,8787 Cristino L, Bisogno T, Di Marzo V. Cannabinoids and the expanded endocannabinoid system in neurological disorders. Nat Rev Neurol. 2020;16(1):9-29.. Two enzymes, however, stand out: anandamide has N-acyl-phosphatidylethanolamine (NAPE) as its precursor form, synthesized by the enzyme NAPE-specific phospholipase D (NAPE-PLD)99 Zou S, Kumar U. Cannabinoid receptors and the endocannabinoid system: signaling and function in the central nervous system. Int J Mol Sci. 2018;19(3):833.,8888 Pacher P, Bátkai S, Kunos G. The endocannabinoid system as an emerging target of pharmacotherapy. Pharmacol Rev. 2006;58(3):389-462.; in turn, 2-AG is produced from diacylglycerol (DAG), by DAG lipases (DAGL) α or β - with studies evidencing that virtually all 2-AG involved in adult brain’s synaptic transmission is formed by DAGL α99 Zou S, Kumar U. Cannabinoid receptors and the endocannabinoid system: signaling and function in the central nervous system. Int J Mol Sci. 2018;19(3):833.,8585 Murataeva N, Straiker A, Mackie K. Parsing the players: 2-arachidonoylglycerol synthesis and degradation in the CNS. Br J Pharmacol. 2014;171(6):1379-91.. However, the limiting step in production of both is the formation of NAPE and DAG, which are converted from phosphatidylethanolamine by N-acyltransferase, and from phosphoinositides by phospholipase C, respectively99 Zou S, Kumar U. Cannabinoid receptors and the endocannabinoid system: signaling and function in the central nervous system. Int J Mol Sci. 2018;19(3):833.,8585 Murataeva N, Straiker A, Mackie K. Parsing the players: 2-arachidonoylglycerol synthesis and degradation in the CNS. Br J Pharmacol. 2014;171(6):1379-91.,8888 Pacher P, Bátkai S, Kunos G. The endocannabinoid system as an emerging target of pharmacotherapy. Pharmacol Rev. 2006;58(3):389-462..

Once synthesized and released into cytosol, ECs are unable to diffuse freely like other neurotransmitters, due to their hydrophobic nature. Thus, several mechanisms such as binding to certain carrier proteins, as well as endocytosis through the use of lipid “rafts”/caveolae have been studied and proposed as a means to transport anandamide and 2-AG, the latter being less elucidated, but probably sharing the system used by the former99 Zou S, Kumar U. Cannabinoid receptors and the endocannabinoid system: signaling and function in the central nervous system. Int J Mol Sci. 2018;19(3):833.. Heat shock protein (HSP) 70, albumin, fatty acid-binding proteins (FABPs) 5 and 7, and albumin itself have been listed8989 Kano M, Ohno-Shosaku T, Hashimotodani Y, Uchigashima M, Watanabe M. Endocannabinoid-mediated control of synaptic transmission. Physiol Rev. 2009;89(1):309-80.

90 Kaczocha M, Glaser ST, Deutsch DG. Identification of intracellular carriers for the endocannabinoid anandamide. Proc Natl Acad Sci. 2009;106(15):6375-80.
-9191 Oddi S, Fezza F, Pasquariello N, D’Agostino A, Catanzaro G, De Simone C, Rapino C, Finazzi-Agrò A, Maccarrone M. Molecular Identification of Albumin and Hsp70 as Cytosolic Anandamide-Binding Proteins. Chem Biol. 2009;16(6):624-32.. As for the transport in extracellular medium, more specifically in the synaptic cleft, it seems to occur in microvesicles, instead of the transport occurring through a binding with transport proteins9292 Gabrielli M, Battista N, Riganti L, Prada I, Antonucci F, Cantone L, Matteoli M, Maccarrone M, Verderio C. Active endocannabinoids are secreted on extracellular membrane vesicles. EMBO Rep. 2015;16(2):213-20.,9393 Nakamura Y, Dryanovski DI, Kimura Y, Jackson SN, Woods AS, Yasui Y, Tsai SY, Patel S, Covey DP, Su TP, Lupica CR. Cocaine-induced endocannabinoid signaling mediated by sigma-1 receptors and extracellular vesicle secretion. Elife. 2019 Oct 9;8:e47209..

The ECs, as already pointed out, acts primarily as a suppressor of synaptic activity, regardless of the nature of the synapse or the transmission duration8989 Kano M, Ohno-Shosaku T, Hashimotodani Y, Uchigashima M, Watanabe M. Endocannabinoid-mediated control of synaptic transmission. Physiol Rev. 2009;89(1):309-80.,9494 Castillo PE, Younts TJ, Chávez AE, Hashimotodani Y. Endocannabinoid signaling and synaptic function. Neuron. 2012;76(1):70-81.. In most cases, endocannabinoid retrograde signaling starts with 2-AG production in postsynaptic neurons, in response to the increase of intracellular Ca22 Pertwee RG. Cannabinoid pharmacology: the first 66 years. Br J Pharmacol. 2006;147(Suppl 1):S163-71.+ or of receptors bound to Gq/11 unit. Transport across the synaptic cleft then occurs, and EC binds to CB1R located on the presynaptic membrane. In turn, the activated CB1R suppresses neurotransmitter release by two main mechanisms: 1) by inhibiting voltage-dependent Ca22 Pertwee RG. Cannabinoid pharmacology: the first 66 years. Br J Pharmacol. 2006;147(Suppl 1):S163-71.+ channels, thus decreasing the influx of presynaptic signaling cation; 2) by inhibiting AC and the subsequent cAMP/PKA pathway, which is involved in long-term depression (LTD)8989 Kano M, Ohno-Shosaku T, Hashimotodani Y, Uchigashima M, Watanabe M. Endocannabinoid-mediated control of synaptic transmission. Physiol Rev. 2009;89(1):309-80.,9494 Castillo PE, Younts TJ, Chávez AE, Hashimotodani Y. Endocannabinoid signaling and synaptic function. Neuron. 2012;76(1):70-81.,9595 Ohno-Shosaku T, Kano M. Endocannabinoid-mediated retrograde modulation of synaptic transmission. Curr Opin Neurobiol. 2014;29:1-8..

Anandamide also acts in a retrograde manner, but via multiple mechanisms, the main one being through TRPV19696 Maccarrone M, Rossi S, Bari M, De Chiara V, Fezza F, Musella A, Gasperi V, Prosperetti C, Bernardi G, Finazzi-Agrò A, Cravatt BF, Centonze D. Anandamide inhibits metabolism and physiological actions of 2-arachidonoylglycerol in the striatum. Nat Neurosci. 2008 Feb;11(2):152-9. receptors. The localization of the enzymes that synthesize ECs plays a crucial role in this context and seems to be associated with lipid sites inside the plasma membrane, called “rafts”. The enzymatic machinery responsible for 2-AG production, for example, seems to concentrate in these microdomains9797 Placzek EA, Okamoto Y, Ueda N, Barker EL. Membrane microdomains and metabolic pathways that define anandamide and 2-arachidonyl glycerol biosynthesis and breakdown. Neuropharmacology. 2008;55(7):1095-104.. These rafts also act effectively in AEA reuptake, as well as in the recycling of its metabolites, AA and ethanolamine, which are found in concentrated form in these membrane portions.

Anandamide is metabolized primarily by fatty acid amide hydrolase (FAAH), located mainly in postsynaptic neuron endoplasmic reticulum9898 Cravatt BF, Giang DK, Mayfield SP, Boger DL, Lerner RA, Gilula NB. Molecular characterization of an enzyme that degrades neuromodulatory fatty-acid amides. Nature. 1996;384(6604):83-7.,9999 Di Marzo V. Endocannabinoids: synthesis and degradation. Rev Physiol Biochem Pharmacol. 2008;160:1-24.. This enzyme also catabolizes other N-acylethanolamines, such as PEA and OEA, which despite having little biological activity on CB1 and CB2 receptors, can raise AEA levels indirectly, by competing as substrate for FAAH100100 Jonsson KO, Vandevoorde S, Lambert DM, Tiger G, Fowler CJ. Effects of homologues and analogues of palmitoylethanolamide upon the inactivation of the endocannabinoid anandamide. Br J Pharmacol. 2001;133(8):1263-75.,101101 Finn DP, Haroutounian S, Hohmann AG, Krane E, Soliman N, Rice ASC. Cannabinoids, the endocannabinoid system, and pain: a review of preclinical studies. Pain. 2021;162(Suppl 1):S5-25.. As degradation metabolites of anandamide, the aforementioned AA and ethanolamine remain. In turn, 2-AG is catabolized into AA and glycerol by monoacylglycerol lipase (MGL or MAGL), present in the presynaptic neuron102102 Dinh TP, Carpenter D, Leslie FM, Freund TF, Katona I, Sensi SL, Kathuria S, Piomelli D. Brain monoglyceride lipase participating in endocannabinoid inactivation. Proc Natl Acad Sci U S A. 2002;99(16):10819-24.,103103 Ueda N, Tsuboi K, Uyama T, Ohnishi T. Biosynthesis and degradation of the endocannabinoid 2-arachidonoylglycerol. Bio Factors Oxf Engl. 2011;37(1):1-7.. Multiple other enzymes are also listed, such as FAAH itself104104 Goparaju SK, Ueda N, Yamaguchi H, Yamamoto S. Anandamide amidohydrolase reacting with 2-arachidonoylglycerol, another cannabinoid receptor ligand. FEBS Lett. 1998;422(1):69-73.,105105 Blankman JL, Simon GM, Cravatt BF. A comprehensive profile of brain enzymes that hydrolyze the endocannabinoid 2-arachidonoylglycerol. Chem Biol. 2007;14(12):1347-56. and enzymes in α/β hydrolases domain, such as ABHD2106106 Miller MR, Mannowetz N, Iavarone AT, Safavi R, Gracheva EO, Smith JF, Hill RZ, Bautista DM, Kirichok Y, Lishko PV. Unconventional endocannabinoid signaling governs sperm activation via the sex hormone progesterone. Science. 2016;352(6285):555-9., 46060 Maccarrone M. Missing pieces to the endocannabinoid puzzle. Trends Mol Med. 2020;26(3):263-72., 6107107 Marrs WR, Blankman JL, Horne EA, Thomazeau A, Lin YH, Coy J, Bodor AL, Muccioli GG, Hu SS, Woodruff G, Fung S, Lafourcade M, Alexander JP, Long JZ, Li W, Xu C, Möller T, Mackie K, Manzoni OJ, Cravatt BF, Stella N. The serine hydrolase ABHD6 controls the accumulation and efficacy of 2-AG at cannabinoid receptors. Nat Neurosci. 2010;13(8):951-7., and 12108108 Navia-Paldanius D, Savinainen JR, Laitinen JT. Biochemical and pharmacological characterization of human α/β-hydrolase domain containing 6 (ABHD6) and 12 (ABHD12). J Lipid Res. 2012;53(11):2413-24.. ECs can also undergo oxidation by AA cascade enzymes, such as cyclooxygenase 2 (COX-2) and by various lipoxygenases (LOXs)109109 Rouzer CA, Marnett LJ. Endocannabinoid oxygenation by cyclooxygenases, lipoxygenases, and cytochromes P450: cross-talk between the eicosanoid and endocannabinoid signaling pathways. Chem Rev. 2011;111(10):5899-921., with their oxidative by-products possessing their own biological activities in ECs, distinct from the ECs that generated them110110 Fezza F, Bari M, Florio R, Talamonti E, Feole M, Maccarrone M. Endocannabinoids, related compounds and their metabolic routes. Molecules. 2014;19(11):17078-106..

Based on the above it is clear that understanding lipid metabolism is fundamental to a complete ECs understanding. It is even more important to remember that there is a high diversity in the lipid membranes of eukaryotes111111 Harayama T, Riezman H. Understanding the diversity of membrane lipid composition. Nat Rev Mol Cell Biol. 2018;19(5):281-96. and that a large part of the enzymes belonging to ECs are membrane-bound proteins. Their activities and availability in the membrane can be affected by different lipids in the vicinity. In the case of FAAH, for example, it has been shown that cholesterol present in the membrane is responsible for stabilizing a dimeric form of the enzyme, as well as modulating its localization at subcellular level (i.e., in organelle membranes), and increasing its catalytic activity, which ultimately affects the extent to which EC signaling is propagated at the intracellular level and consequently its termination112112 Dainese E, De Fabritiis G, Sabatucci A, Oddi S, Angelucci CB, Di Pancrazio C, Giorgino T, Stanley N, Del Carlo M, Cravatt BF, Maccarrone M. Membrane lipids are key modulators of the endocannabinoid-hydrolase FAAH. Biochem J. 2014;457(3):463-72..

Similarly, the study of acyl chains composition in plasma membranes has gained relevance, demonstrating that the length and saturation degree of chains are crucial for intra and transmembrane trafficking and enzyme degradation processes113113 Vanni S, Riccardi L, Palermo G, De Vivo M. Structure and dynamics of the acyl chains in the membrane trafficking and enzymatic processing of lipids. Acc Chem Res. 2019;52(11):3087-96.. Thus, although MAGL can hydrolyze several monoacylglycerols - all containing the same glycerol pole as 2-AG, but with distinct acyl chains - it is the length and saturation of their chains that will define the speed of hydrolysis rate, being up to 2x faster for 2-AG (longer and polyunsaturated chain) compared to its congener 2-PG (2-palmitoylglycerol, shorter and saturated chain)113113 Vanni S, Riccardi L, Palermo G, De Vivo M. Structure and dynamics of the acyl chains in the membrane trafficking and enzymatic processing of lipids. Acc Chem Res. 2019;52(11):3087-96..

Interestingly, it has recently been shown that ABHD2 activity is progesterone-dependent in sperm, in which 2-AG acts as an endogenous inhibitor of a cation channel known as CatSper. In the presence of said hormone, this enzyme hydrolyzes 2-AG and leads to the CatSper channels opening, hyperactivating and ultimately making the sperm fertile106106 Miller MR, Mannowetz N, Iavarone AT, Safavi R, Gracheva EO, Smith JF, Hill RZ, Bautista DM, Kirichok Y, Lishko PV. Unconventional endocannabinoid signaling governs sperm activation via the sex hormone progesterone. Science. 2016;352(6285):555-9.. The finding that the level of 2-AG is controlled by the stimulation of its degradation is of great relevance, since it casts questions on the current dogma of “production on demand” of the ECs, i.e., that ECs are produced only by controlling their biosynthesis in a stimulus-dependent manner from phospholipid precursors. At least in semen, 2-AG is “hydrolyzed on demand” from a preexisting pool106106 Miller MR, Mannowetz N, Iavarone AT, Safavi R, Gracheva EO, Smith JF, Hill RZ, Bautista DM, Kirichok Y, Lishko PV. Unconventional endocannabinoid signaling governs sperm activation via the sex hormone progesterone. Science. 2016;352(6285):555-9. and finally adjusted by steroid hormones.

These examples show the ECs complexity, since the same cannabinoid receptor (e.g. CB1) or metabolic enzyme (e.g. FAAH), within the same cell, but under different lipid conditions, can culminate in different EC signaling and lead to different biological behaviors6060 Maccarrone M. Missing pieces to the endocannabinoid puzzle. Trends Mol Med. 2020;26(3):263-72..

CONCLUSION

The ECs components are widely expressed in different tissues and compose a lipid signaling system, playing a key role in the regulation of several physiological processes such as metabolism, mood, appetite, cardiovascular control, motor function, immune system, neurotransmission and nociception. The comprehension of its elements and a better understanding of receptors and enzymes ultrastructure will decisively contribute to the development of new pharmacological strategies that are not limited to CB1R direct action, for example. Of the six enzymes involved in 2-AG metabolization, for example, only the MAGL structure is known. From the detailed description of the machinery responsible for endocannabinoid lipid metabolization, it will be possible to unlock the potential for the development of new drugs (such as analgesics without the CB1-mediated adverse effects) and their translation into clinical practice.

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Publication Dates

  • Publication in this collection
    22 May 2023
  • Date of issue
    2023

History

  • Received
    15 June 2022
  • Accepted
    13 Feb 2023
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