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3. Umbruch 4.4..2005 - Online Pot

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80 J. Fernández-Ruiz et al.<br />

other authors did not find this response [10]. For instance, Hansen and coworkers<br />

described an increase in the levels of anandamide (N-arachidonoylethanolamine,<br />

AEA) and its phospholipid precursor, but not of 2-arachidonoyl<br />

glycerol (2-AG), during acute degeneration in the neonatal rat brain [11,<br />

12]. Similar results, increases in AEA with no changes in 2-AG, were found by<br />

Marsicano et al. [13] in a mouse model of kainate-induced excitotoxicity, and<br />

by Gubellini et al. [14] in a rat model of PD. However, Panikashvili et al. [15]<br />

showed that 2-AG is massively produced in the mouse brain after closed head<br />

injury. In addition, they found that this endocannabinoid has neuroprotective<br />

effects, as indicated by a reduction in edema and infarct volume and by<br />

improved clinical recovery after being administered to animals. This endogenous<br />

response has been also found in humans since elevated levels of AEA and<br />

other fatty acid amides have been also measured around the site of damage in a<br />

microdialysis study perfomed on a single stroke patient [16].<br />

That the increases reported in endocannabinoid production during neurodegeneration<br />

[11–16] are part of an endogenous response may be also concluded<br />

from the observation that blockade of the endocannabinoid uptake with<br />

UCM707 increased protection against kainate-induced seizures in mice,<br />

where AEA levels were reported to be elevated [13]. However, this point is<br />

also controversial since, although van der Stelt et al. [10] found protection<br />

after exogenous administration of AEA in a neonatal model of secondary excitotoxicity,<br />

they did not record any increases in AEA or 2-AG levels and, concomitantly,<br />

they did not find any effect of another uptake inhibitor, VDM11,<br />

on lesion volume [10].<br />

Cannabinoid receptor subtypes are also induced in nerve cells in response<br />

to injury and/or inflammation [12, 17–19]. Thus, Jin et al. [17] reported that<br />

CB 1 receptors are induced in neuronal cells after experimental stroke, whereas<br />

we described an increase of these receptors in response to excitotoxic stimuli<br />

in neonatal rats [12]. As regards CB 2 receptors, a receptor subtype that is mostly<br />

absent from the brain in healthy conditions (see below), recent reports have<br />

shown induction of this receptor subtype in several pathologies [18, 19]. This<br />

occurs in activated glial cells, mainly microglia surrounding senile plaques, in<br />

human AD brain samples [18], which might indicate that CB 2 receptors play a<br />

role in either reducing degenerative impact on neurons or, on the contrary, promoting<br />

cytotoxic events. Induction of CB 2 receptors at lesioned sites has been<br />

also documented in rat models of striatal degeneration replicating human HD<br />

pathology [19].<br />

In contrast with the protective properties of cannabinoids in non-transformed<br />

nervous cells, these compounds are also able to elicit apoptosis in<br />

transformed nerve cells (C6 glioma, human astrocytoma U373MG and mouse<br />

neuroblastoma N18TG12 cells) in vitro [1, 20], and to promote the regression<br />

of glioblastoma in vivo, through a mechanism that involves the activation of<br />

mitogen-activated protein kinase and ceramide accumulation [21]. In addition,<br />

cannabinoids have been recently reported to inhibit angiogenesis, which represents<br />

a key process in tumorigenesis [22]. These anti-proliferative effects of

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