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Publication : Cannabinoids suppress inflammatory and neuropathic pain by targeting α3 glycine receptors.

First Author  Xiong W Year  2012
Journal  J Exp Med Volume  209
Issue  6 Pages  1121-34
PubMed ID  22585736 Mgi Jnum  J:189039
Mgi Id  MGI:5444090 Doi  10.1084/jem.20120242
Citation  Xiong W, et al. (2012) Cannabinoids suppress inflammatory and neuropathic pain by targeting alpha3 glycine receptors. J Exp Med 209(6):1121-34
abstractText  Certain types of nonpsychoactive cannabinoids can potentiate glycine receptors (GlyRs), an important target for nociceptive regulation at the spinal level. However, little is known about the potential and mechanism of glycinergic cannabinoids for chronic pain treatment. We report that systemic and intrathecal administration of cannabidiol (CBD), a major nonpsychoactive component of marijuana, and its modified derivatives significantly suppress chronic inflammatory and neuropathic pain without causing apparent analgesic tolerance in rodents. The cannabinoids significantly potentiate glycine currents in dorsal horn neurons in rat spinal cord slices. The analgesic potency of 11 structurally similar cannabinoids is positively correlated with cannabinoid potentiation of the alpha3 GlyRs. In contrast, the cannabinoid analgesia is neither correlated with their binding affinity for CB1 and CB2 receptors nor with their psychoactive side effects. NMR analysis reveals a direct interaction between CBD and S296 in the third transmembrane domain of purified alpha3 GlyR. The cannabinoid-induced analgesic effect is absent in mice lacking the alpha3 GlyRs. Our findings suggest that the alpha3 GlyRs mediate glycinergic cannabinoid-induced suppression of chronic pain. These cannabinoids may represent a novel class of therapeutic agents for the treatment of chronic pain and other diseases involving GlyR dysfunction.
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