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3. Umbruch 4.4..2005 - Online Pot

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92 J. Fernández-Ruiz et al.<br />

rats with striatal atrophy caused by injection of mitochondrial toxins exhibited<br />

profound changes in G-protein activation by CB 1 receptor agonists, several<br />

days before overt striatal degeneration and appearance of severe motor symptoms,<br />

and in the absence of significant modifications of binding sites and<br />

mRNA levels for this receptor [65]. All these observations, collectively, support<br />

the notion that early functional changes in CB 1 receptors might be involved in<br />

the pathogenesis of HD but, more importantly, they might play an instrumental<br />

role in striatal neurodegeneration [65]. In other words, (1) these defects in<br />

CB 1 receptor signaling [65] could render neurons more vulnerable to the<br />

degenerative process associated with HD and (2) the stimulation of these receptors<br />

might reduce/delay the progression of striatal degeneration. This hypothesis<br />

has been also considered by van der Stelt et al. [9], who, considering the<br />

data obtained in HD and also in other pathologies, proposed that the malfunctioning<br />

of the endocannabinoid system (i.e. AEA or 2-AG synthesis is inhibited,<br />

CB 1 receptors are inactive or their expression is lost) might be a signal to<br />

trigger an unbalance in glutamate homeostasis and initiate excitotoxicity.<br />

The neuroprotective potential of cannabinoids in HD would be based on one<br />

or more of the above-described mechanisms by which cannabinoids may<br />

reduce neuronal injury (i.e. acting as chemical antioxidants, inhibiting glutamate<br />

release, reducing Ca 2+ influx and/or producing anti-inflammatory effects;<br />

for review, see [4, 5]). This is possible in HD because it is a neurodegenerative<br />

disorder where mitochondrial dysfunction, excitotoxicity, inflammation and<br />

oxidative stress have been proposed as cooperative events in the pathogenesis<br />

[116]. In a recent study [65] we have found a promising action of the<br />

non-selective plant-derived cannabinoid, ∆ 9 -THC, by protecting striatal neurons<br />

against the in vivo toxicity of 3-nitropropionic acid, a mitochondrial toxin<br />

that replicates the complex II deficiency characteristic of HD patients [146].<br />

Striatal injury in this animal model progresses by mechanisms that mainly<br />

involve non-apoptotic death, since it is caspase 3-independent and produced<br />

via the Ca 2+ -regulated protein calpain and activation of non-NMDA receptors<br />

[147, 148]. However, it remains to be demonstrated whether the neuroprotective<br />

effect of ∆ 9 -THC in this animal model of HD is caused by the activation<br />

of CB 1,CB 2 or the combined action of both receptors, as well as through other<br />

mechanisms available to ∆ 9 -THC. The involvement of CB 2 receptors, but not<br />

CB 1 receptors, has been demonstrated in other rat models of striatal injury generated<br />

by unilateral injections of malonate, another complex II inhibitor.<br />

Malonate produces cell death that progresses mainly through the activation of<br />

apoptotic machinery (it activates NMDA receptors and caspase 3 [149]). Thus,<br />

we found that activation of CB 2 (using HU-308) but not CB 1 (using ACEA)<br />

receptors provided neuroprotection, and that this effect was reversed by<br />

SR-144528, a selective CB 2 receptor antagonist [19]. This indicates a crucial<br />

role for this receptor subtype in neuroprotective effects of cannabinoids in this<br />

model. An important aspect of these observations is that CB 2 receptors are<br />

induced in response to malonate application in glial cells, possibly in reactive<br />

microglia [19]. As this receptor subtype is usually absent in the brain in

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