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IYI"fif1.tfdh
of Biomolecular Chemistry, National Research Council , Via Campi Flegrei, 34, orio Olivetti, 80078, Pozzuoli (NA) of Protein Biochemistry, National Research Council, Pozzuoli (NA), Italy
ndence: Angelo A Izzo Department of Experimental Pharmacology, University of Naples II, Via D. Montesano 49, 80131 Naples Italy, fax number +39.081.678403, e-mail: nina.it and Vincenzo Di Marzo, Endocannabinoid Research Group, Institute of
has been accepted for publication and undergone full scientific peer review but has not been through the ,typesetting, pagination and proofreading process which may lead to differences between this version and sion of Record. Please cite this article as an 'Accepted Article', doi: 10.111lIj.1476-538 1.2012.01 879.x
In
Biomolecular Chemistry, National Research Council, Via Campi Flegrei, 34, Comprensorio 0078, Pozzuoli (NA), Italy. e-mail: vdimarzo@icmib.na.cnr.it
!'~IIII'hromene
Inflamm tion was induced in the small intestine by croton oil. Endocannabinoid (anandamide and onoyl glycerol), palmitoylethanolamide and oleoylethanolamide levels were measured by
"!flfUJfj!i3Kj~~IJfi!&f!Jj311fffft'&i'
omatography-mass spectrometry; TRPAl and cannabinoid receptors were analysed by ive reverse transcription-PCR; upper gastrointestinal transit, colonic propulsion and whole t were evaluated in vivo; contractility was evaluated in vitro by stimulating the isolated
motility in control mice, but normalized croton oil-induced hypermotility. In vitro, romene reduced preferentially EFS- vs. acetylcholine -induced contractions. Both in vitro vi
0,
the inhibitory effect of cannabichromene was not modified by cannabinoid and TRPAl
'hromene selectively reduces inflammation-induced hypermotility in vivo in a cannabinoid and TRPAl-independent manner.
ds: 2-arachydonoylglycerol, anandamide, cannabichromene, cannabinoids, cannabinoid gastrointestinal transit, ileum, intestinal motility, transient receptor potential (TRP)
ylyl cyclase; 2-AG, 2-arachydonoylglycerol; API8, 4-(4-Chlorophenyl)-3-methyl-3ne oxime; cAMP, cyclic AMP; CBC, cannabichromene; DAGLa, diacylglycerol lipase a; diacylglycerol lipase ~; CPA, cyclopiazonic acid; DMSO, dimethyl sulphoxide; EFS, field stimulation; EMT, endocannabinoid membrane transporter; GC, geometric centre; ycerophosphodiester phosphodiesterase 1; MAGL, monoacylglycerol lipase; HC-030031, ""qt,#~It.@.~ft!.::}I\nethyl-2,6-dioxo-l,2,3,6-tetrahydro-7H-purin-7-yl)-N-(4isopropylphenyl)acetamide; 3-isobutyl-l-methylxanthine; MET, mean expulsion time; NAPE-PLD, N-acyl-
thanolamine-selective phospholipase D, NAPE PLD; OEA, oleoylethanolamide; sphodiesterase; PEA, palmitoylethanolamide; TRP, transient receptor potential; TRPAI, receptor potential of ankyrin type-l
iehromene (CBC) is, together with /19 -tetrahydrocannabinol, cannabidiol, and cannabinol, abundant naturally occurring cannabinoid (Turner et al., 1980; Russo, 2011). It is
20l2 The Authors British Journal of Pharmacology 20l2 Society 3 The British Pharmacological
particularly abundant in freshly harvested dry-type Cannabis material and it is the second most cannabinoid in some strains of marijuana growing in the United States (Brown and 990). A report covering 46,211 Cannabis preparations confiscated in the USA during 8 period showed that CBC represented 0.7% and 0.9% of the constituents from hashish or espectively (Mehmedic et al., 2010). Despite the relative abundance of this compound in
!'~W"fi'ff!51. preparations,
very little is known about its pharmacology (Izzo et al., 2009a). Early
3; Wirth et al., 1980), while showing no "Cannabis like" activity in the Rheseus monkey
as been shown that CBC exerts antimicrobial (Appendino et at. 2008), antinfiammatory
rodents (El-Alfy et al., 2010). Pharmacodynamic studies have shown that CBC, like t natural products (Gertsch et al., 2010), is an inhibitor of endocannabinoid cellular Ligresti et al., 2006) and a weak inhibitor of MAGL (De Petrocellis et al. 2011b), but is
d possibly via potentiation of adenosine signalling, CBC was also recently found to pathway of antinociception in the ventrolateral periaqueductal grey
th endocannabinoids and TRPAl are known to be involved in the control of intestinal n brief, endocannabinoids (i.e. anandamide and 2-arachydonoylglycerol (2-AG)], are lipid synthesised' 'on demand" from membrane phospholipids by the concerted action of a of enzymes including N-acyl-phosphatidylethanolamine-selective
20l2 The Authors British Journal of Pharmacology 20l2 Society
phospholipase
D
4
phosphodiesterase
is) and diacylglycerol lipase a (DAGLa) and DAGL~ (involved in 2-AG biosynthesis). thesised, endocannabinoids, activate cannabinoid CB1 and CB2 receptors to elicit a response, after which they are inactivated through reuptake (facilitated by the putative abinoid membrane transporter (EMT)] and enzymatic degradation [anandamide is !f'~lI'~W~"d fatty acid amide hydrolase (FAAH), and 2-AG mostly by monoacylglycerol lipase by
. ion in vitro and gastrointestinal motility in vivo (Izzo and Coutts, 2005; Sanger, 2007; t et al., 2008; Izzo and Sharkey, 2010). TRPA1, a member of the TRP family, is expressed by vagal, splanchnic and pelvic) afferents (Brierley et al., 2009; Cattaruzza et al., 2010;
al., 2009; Yu et al., 2010; Brierly et al., 2009; Boesmans et al., 2011; Holzer, 2011) and
f the intestinal mucosal (Purhonen et al., 2008). TRPAl agonists have been shown to tractions of the isolated guinea pig ileum and mouse colon (Penuelas et al., 2007; Nozawa 9) and to affect motility in vivo (Doihara et al., 2009a; Doihara et al., 2009b)., although
t study we have evaluated the effect of CBC on intestinal motility in mice. CBC was d on upper gastrointestinal transit (both in physiological and inflammatory conditions), ropulsion and whole gut transit in vivo. In vitro, we evaluated the effect of CBC on y or acetylcholine-induced contractions in the ileum. A preliminary account of this work communicated to the omano et al., 2010).
zo" Annual
5
The British Pharmacological
Methods
mice (Harlan Laboratories, S. Pietro al Natisone, Italy) weighing 20-25 g were used after climation period (temperature 232 C; humidity 60%, free access to water and standard animal procedures were in conformity with the principles of laboratory animal care (NIH
inflammation
al inflammation was induced as previously described (Pol and Puig, 1997; Capasso et al., riefly, two doses of croton oil (20 ).11 mouse") in two consecutive days were orally red to mice and four days after the first administration of croton oil, upper gastrointestinal
"!flfUJfj!i3Kj~~IJfi!&f!Jj311fffft'&i'
ice was measured. This time was selected on the basis of a previous work (Pol and Puig, hich reported that maximal inflammatory response occurred 4 days after the first treatment.
enum, jejunum and ileum from control and croton oil-treated mice (treated or not with
tion of croton oil), and tissue specimens were immediately weighed, immersed into liquid and stored at -80C until extraction of endocannabinoids. Tissues were extracted, nd analyzed as described in detail elsewhere (Di Marzo et al., 2008).
o enum, jejunum and ileum from control and croton oil-treated mice (treated or not with
LJ~"'"(~,,,."'dj
mg kg-I, i.p., 30 min before croton oil) were removed (four days after the first
6 The British Pharmacological
administration of croton oil) and collected in RNA later (Invitrogen) and homogenized by a rotorogenizer in 1.5 ml of Trizol (Invitrogen). Total RNA was extracted according to rer recommendations, dissolved in RNAase-free water, and further purified by spin by the Micro-to-Midi total RNA purification system (Invitrogen). Total RNA was in RNA storage solution (Ambion), UV-quantified by a Bio-Photometer (Eppendorf),
uated by the RNA-6000-Nano microchip assay using a 2100 Bioanalyzer equipped 2100 Expert Software (Agilent) following the manufacturer's instructions. For amples tested, the RNA integrity number was greater than 8 relative to a 0-10 microgramoftotalRNA, as evaluated by the 2100 Bioanalyzer, was reverse-transcribed in the SuperScript III SuperMix (Invitrogen). The reaction mixture was incubated in a er iCycler-iQ5 (BioRad) for a 5 min at 60C step, followed by a rapid chilling for 2 min e protocol was stopped at this step and the reverse transcriptase was added to the samples,
wed by 40 min at 50C. Finally, the reaction was terminated by heating at 95C for 10 tive real-time PCR was performed by an iCycler-iQ5 in a 20 u I reaction mixture 1x SsoFast EVAGreen supermix (BioRad), lOng of cDNA (calculated on the basis of -transcribed RNA), and 330 nMfor each primer. The amplification profile consisted of an
annealing temperature, see below), and elongation for 45 s at 68C. Fluorescence data
e by melt-curve data analysis. Assays were performed in quadruplicate (maximum ~Ct of amples <0.5), and a standard curve from consecutive fivefold dilutions (100 to 0.16 ng)
2012 The Authors British Journal of Pharmacology 2012 Society 7 The British Pharmacological
of a cDNA pool representative of all samples was included for PCR efficiency determination. primers for SYBR-green analysis and optimum annealing temperatures were designed llele-Id software version 7.0 (Biosoft International) and were synthesized (HPLCgrade) by MWG-Biotech (NAPE-PLD accession NM_178728, F:
NM_019580.4, GCAGAAGCCATATC;
F:
ATAACACAGTAGATAGGACAACA,
R:
'ACTCTCCGATGTCA)
gene
~-actin
(accession:
F:
R:
F:
GGTGGACAGTGAGG) CTGGTAAAACAATGC;
and
R: GCCTGTATCCAACACTTCG)
s measured by evaluating the intestinal location of rhodamine-B-labeled dextran (Izzo et b). Animals were given fluorescent-labeled dextran (100 ul. mL of 25 mg mL-1 stock via a gastric tube into the stomach. At 20 min after administration, the animals were killed iation with CO2 and the entire small intestine with its content was divided into 10 equal
te tinal contents of each bowel segment were vigorously mixed with 2mL of saline solution . a supernatant containing the rhodamine. The supernatant was centrifuged at 35 g to
20l2 The Authors British Journal of Pharmacology 20l2 Society 8 The British Pharmacological
precipitate the intestinal chyme. The fluorescence in duplicate aliquots of the cleared supernatant n a multi-well fluorescence plate reader (LS55 Luminescence spectrometer, Perkin Elmer ts, Waltham, MA, USA; excitation 5305 nm and emission 590IO nm) for tion of the fluorescent signal in each intestinal segment. From the distribution of the t marker along the intestine, we calculated the geometric centre (OC) of small intestinal .'''i'll'~follows: OClI4S(fraction of fluorescence per segment segment number") OC ranged from
t marker administration, both to control mice and to mice with intestinal inflammation d by croton oil. In croton oil-treated animals, the effect ofCBC (10 mg kg") was evaluated in retreated (i.p., 10 min before CBC) with the CBI receptor antagonist rimonabant (0.1 mg CB2 receptor antagonist SRI44528 (1 mg kg") or the selective TRPAI antagonists HC"!flflll!i3Kj~~IJfi!&f!Jj311fffft'&i'
n"ll If I, I jS; ..
Omg kg") and AP18 (100 mg kg"]. The dose of the cannabinoid receptor antagonists has previously shown in our laboratory to counteract the effect of selective cannabinoid gonists on croton-oil induced hypermotility in mice (Capasso et al. 2008b). The dose of
that this antagonist, given i.p., attenuated TRPAI-mediated pain in mice. Higher doses
ta not shown). On the other hand, AP18, even at the high dose of 100 mg kg", given . not affect transit.
onic propulsion was measured as previously described (Broccardo et al., 1998; Borrelli et 6 . A single 3-mm glass bead was inserted 2 em into the distal colon of each mouse with the atheter and the time to expulsion of the glass bead was determined for each animal. CBC
20l2 The Authors British Journal of Pharmacology 20l2 Society 9 The British Pharmacological
t transit time in vivo e housed in individual cages 72 h prior to the experiment. On the day of the experiment,
ment was measured in min and constituted the whole gut transit time (Storr et al., 2010).
contractions in the isolated ileum with carbon dioxide and the ileum was removed, NaCl flushed of
e killed by asphyxiation
ontents, and placed in Krebs' solution (composition: 1.2 mM, NaHC03 25 mM, MgS04
(37C)
organ bath containing Krebs' solution gassed with 95% O2 and 5% CO2. The to an isometric transducer (tension: 5 mN) in such a way to record
connected
axis. Mechanical
and analysed
on a personal
. ns were obtained with electrical field stimulation (EFS, 8Hz for 10 s, 400 rnA, Ims pulse by a pair of electrodes placed around the ileal tissue derived from both control and croton animals; the interval between each contraction was 20 min. EFS-induced 20l2 The Authors British Journal of Pharmacology 20l2 Society contractions 10 The British Pharmacological
were performed
in the presence
of the acetylcholinesterase
inhibitor
neostigmine
(1 u.M), to
cholinergic neurotransmission
(Baldassano et al., 2009). After stable control contractions responses were observed in the presence of
ofCBC (10-8_10-4 M). The contact time for each concentration showed that this contact time was sufficient for CBC to
experiments
ntagonist rimonabant (3x10-8 M), the CB2 receptor antagonist SR144528 (10-7 M), and L(3x10-4 M) plus apamin (10-7 M) (alone or in combination),
C) forskolin
of rimonabant
t the inhibitory effect of the cannabinoid receptor agonist WIN55,212-2 ns (data not shown). The concentrations
1 antagonists (McNamara
of
work (Borrelli et al., 2011; Coutts and Pertwee, 1998; Nocerino et al., 2002; Capasso et
In some experiments, the effect of CBC (10-8_10-4 M) was also evaluated (contact time 20 min) on ctions produced by exogenous acetylcholine (10-6 M) or KCl (10-2 M). Acetylcholine or left in contact with the tissue for 60 sand 90 s, respectively, and then washed out In one eriments, the effect of CBC on acetylcholine-induced contractions was evaluated in the (contact time ~30 min) of cyclopiazonic acid (CPA 10-5 M, a sarcoplasmic reticulum !'Il~MJt"~tbitor),verapamil (10-6 M) (a L-type Ca2+ blocker) or ai-conotoxin (10-8 M). In this set of
ns were expressed as % of contractions produced by 10-3 M acetylcholine; this tration of acetylcholine produced a maximal contractile response (100% contraction).
expressed as the means.e.mean of experiments in n mice. To determine statistical ce, Student's t test was used for comparing a single treatment mean with a control mean, -way analysis of variance followed by a Tukey-Kramer multiple comparisons test was
by HPLC: 97.3) was kindly supplied by OW Pharmaceuticals (Porton Down, , UK). ACh hydrochloride, atropine sulphate, NG-nitro-L-arginine methyl ester (L-NAME) ride, apamin, ruthenium red, tetrodotoxin, 3-isobutyl-methylxanthine (IBMX), rolipram,
eugenol, cyclopiazonic acid (CPA), verapamil hydrochloride were purchased from ilan, Italy). WIN 55,212-2 mesylate, ai-conotoxin GVIA, AP18 and HC-030031 were ased from Tocris Cookson (Bristol, UK). Rimonabant and SR144528 (N-[-lS-endo-1,3,3-
12
The British Pharmacological
trimethyl bicyclo[2.2.1] heptan-2-yl]-5-( 4-chloro-3-methylphenyl)-I-( 4-methylbenzyl)-pyrazole-3ide) were a kind gift from (Sanofi-Aventis, Montpellier, France). nt, SR144528, WIN55,212-2, HC-030031, AP18, IBMX, rolipram, forskolin, eugenol were dissolved in dimethyl sulphoxide (DMSO), CBC in ethanol (stock solution at 10-2 uent dilutions in distilled water), while the other drugs were dissolved in saline.
retal.,2011)
PEA and OEA levels in control and croton oil-treated mice: effect of romene ere performed in the duodenum, jejunum and ileum, both in control and in croton oilimals. Compared to control mice, croton oil administration caused a significant reduction
, although a conventional statistical significance was not fully achieved, PEA levels were y croton oil in the ileum (P<0.06), but not in the duodenum or jejunum (Figure 2). No t differences between control and croton oil-treated animals were observed in OEA levels odenum, jejunum and ileum (Figure 2). CBC (15 mg kg") did not modify significantly abinoid (anandamide and 2-AG), PEA and OEA levels both in control (data not shown) ton oil-treated mice (Figure 1 and Figure 2).
or ileum) of croton oil-treated mice, we measured in this tissue the mRNA expression s involved in anandamide biosynthesis (i.e. NAPE-PLD, GDEl) and degradation (i.e.
-induced GDEl hyper-expression and reduced FAAH expression further in croton oil
er RNA expression of cannabinoid receptors in control and croton oil-treated mice: effect
"!flfUJfj!i3Kj~~IJfi!&f!Jj311fffft'&i'
ichromene 1 animals (i.e. not given croton oil), CBC (15 mg kg") up-regulated CBI receptors in the only (Figure 4A) (mRNA fold expression: control 1.000.32, eBe 2.09O.S3, P<O.OS, down-regulated CB2 receptors in the duodenum (mRNA fold expression: control , eBe 0.34O.07, P<O.Ol, n=4) and ileum (mRNA fold expression: control1.00O.23,
, eBe l.ll0.34).
(in the duodenum, jejunum and ileum) (Figures 4A and 4B). In croton oil-treated mice, 5;mg kg") reduced the expression of both CBI and CB2 receptors mRNA (in the jejunum, the ileum) (Figure 4A and Figure 4B). No data are available for the effect of CBC in the of croton oil treated mice (mRNA in the samples of the duodenum was degraded).
2012 The Authors British Journal of Pharmacology 2012 Society 14 The British Pharmacological
A expression in control and croton oil-treated mice: effect of cannabichromene mice (i.e. not given croton oil), CBC (15 mg kg-I, i.p.) significantly n in ileum, (mRNA fold expression: control1.000.34, the duodenum or jejunum (Figure 4C) (data not shown). increased TRPAI
the ileum (Figure 4C). No data are available for the effect of CBC in the duodenum of oil treated mice (mRNA in the samples of the duodenum was degraded).
e reported in Figure 5. CBC (10 and 20 mg kg") did not affect upper gastrointestinal igure SA), colonic propulsion (Figure 5B) or whole gut transit (Figure 5C). By contrast, otropic cannabinoid receptor agonist WIN 55,212-2 (1 mg kg"), used as a reference drug,
and
trointestinal transit in the inflamed intestine inistration of croton oil produced a significant increase in intestinal transit, shown as an value of the GC (Figure 6). Intraperitoneal administration of CBC caused a reduction in
motility in croton oil-treated animals, which was statistically significant at doses of 10 and
-1
(Figure 6). The inhibitory effect of CBC 10 mg kg-1 was not significantly modified by 15 The British Pharmacological
the cannabinoid
(0.1 mg kg'),
(1 mg kg") or the TRPA1 antagonists HC-030031 (30 mg kg") and AP18 (100 mg kg"]
ice and in croton oil-treated mice, EFS of the mouse ileum evoked contractions that were
8 6 ed by tetrodotoxin (3x10- M) or atropine (10- M) and strongly reduced (634% inhibition,
-conotoxin (10-8 M), thus indicating that these contractions were due to the release of
line from enteric
"!flfUJfj!i3Kj~~IJfi!&f!Jj311fffft'&i'
nerves
contractions were
reduced by verapamil (10-6 M, 533% inhibition, n=8) and CPA (10-5 M, 594% , n=9), but left unchanged by ai-conotoxin (10-8 M).
-8
_10-4 M)
significantly
and
in a concentration-dependent
manner,
inhibited
the
ns induced by acetylcholine or by EFS, both in control mice and in croton oil-treated mice . CBC was significantly (P<O.OOl) more potent and effective at inhibiting the contractions Y EFS than those induced by acetylcholine. 2012 The Authors British Journal of Pharmacology 2012 Society Both in control and in croton oil-treated 16 The British Pharmacological
animals (Figure 9), the inhibitory effect of CBC on EFS was not significantly modified by the CB1 ntagonist rimonabant (3x10-8 M) or the CB2 receptor antagonist SR144528 (10-7 M)
amin (10-7 M) (alone or in combination) were also ineffective at antagonizing the effects
significantly
response to WIN55,212-2
on
locker verapamil (l0-6 M), but not by CPA (l0-5 M, an inhibitor of the sarcoplasmatic
2 Ca +ATPase) or by to-conotoxin),
In the presence
of verapamil,
tions tested (lff8M, 10-7 M and 10-6 M) slightly (less than 10%) increased acetylcholine-
-8M CBC 2.4%; 10-7 M CBC 54; 10-6 M CBC 8.02.1; 10-5 M CBC 15. 83. 9; 10-4
r RNA expression
of cannabinoid
involved in endocannabinoid
n in control and croton oil-treated mice: effect of cannabichromene xperiments we measured the mRNA CB1 and CB2 expression as well as the transcriptional xpression of enzymes involved in endocannabinoid biosynthesis (NAPE-PLD, GDE1,
and ileum) (Figures 7B and 7C). In addition, croton oil biosynthetic enzymes NAPE-PLD (an effect
!f'@~'~'f~.
of the anandamide
m and up-regulation
in the ileum (Figure 8C) and no effect on DAGL~ mRNA expression reduced the expression of the degrading enzymes
d MAGL in the duodenum and jejunum, but not in the ileum (Figure 8E and 8F).
mRNA (in the jejunum, but not in the ileum) (Figure 7B and Figure 7C). CBC had no NAPE-PLD in jejunum or ileum croton oil-treated animals (Figure 8A), significantly
e expression of GDEI mRNA in the jejunum (but not in the ileum) (Figure 8B), had a
icantly reduced DAGL~ mRNA expression in the jejunum (but not in the ileum) (Figure
in croton oil-treated animals (Figure 8E and 8F). No data are available for the effect of the duodenum of croton oil treated mice (mRNA in the samples of the duodenum was
animals (i.e. not given croton oil), CBC (15 mg kg") up-regulated
nly (mRNA fold expression: control 1.00O.32, CBC 2.09O.53, P<O.05, n=4) and downCB2 receptors in the duodenum (mRNA fold expression: control 1.000.26, CBC
, P<O.OI, n=4) and ileum (mRNA fold expression: control 1.000.23, CBC: 0.43O.08, 20l2 The Authors British Journal of Pharmacology 20l2 Society 18 The British Pharmacological
P<O.Ol), but not in the jejunum (mRNA fold expression: control 1.00O.38, CBC 1.11O.34). In BC significantly up-regulated GDE1 in the ileum (mRNA fold expression: control , CBC 1.60O.16,P<O.05, n=4 , no significant changes in the duodenum or jejunum, data ) and had mixed effects on DAGLa since CBC down-regulated DAGLa in the duodenum ld expression: control1.000.19, CBC O.670.10, P<O.05, n=4) and up-regulated it in the
it the ileum (mRNA fold expression: control 1.000.15, CBC 1.410.29, P<O.05, n=4). significantly reduced DAGL~ in the duodenum (mRNA fold expression: control 1.00O.09, O.06, P<O.Ol, n=4) and in the jejunum (mRNA fold expression: control 1.00O.09,CBC 7, P<O.Ol, n=4), while it had no significant effect in the ileum (data not shown). No
"!flfUJfj!i3Kj~~IJfi!&f!Jj311fffft'&i'
t changes were observed for MAGL and NAPE- PLD in the duodenum, jejunum and ta not shown).
sent study we have evaluated the effect of CBC, a major non-psychotropic ingredient of plant Cannabis sativa, on intestinal motility, both in physiological states and in a intestinal ileitis induced by croton oil. Intestinal inflammation induced by croton oil is ized by disruption of the mucosa and an infiltration of lymphocytes into the submucosa d Pol, 1997), with increased activity of myeloperoxidase (an index of neutrophil n) (Pol et al., 2005) and vascular permeability (Jimenez et al., 2006). Such changes are to induction of iNOS (Pol et al., 2005) and up-regulation cannabinoid CB b opioid d DOR) and a2-adrenergic receptors (Izzo et al., 2001; Pol et al., 1996, Puig and Pol,
19
The British Pharmacological
Although
drugs on is
system in
potentially
involved
abinoid biosynthesis
abinoid inactivation
we first
analysed
inflammation rally accepted that the endogenous to inflammatory stimuli cannabinoid system undergoes adaptive changes in
ofCBI
and CB2 receptors in the inflamed gut changes in FAAH (Izzo et al.,
rr et al., 2008; Borrelli et al., 2009), while changes in NAPE-PLD es involved in the biosynthesis of anandamide), and MAGL
DA GLa and DA GLp (the enzymes that (i.e. the enzyme responsible are largely observed of 2-AG
of intestinal
and MA GL expression
20
The British Pharmacological
A second The first step of the present study was the measurement of endocannabinoid levels in the , jejunum and ileum of control and croton oil-treated animals. In a previous paper, we t the levels of anandamide slightly decreased in the whole small intestine of croton oilice, although the difference did not reach a statistical significance (Izzo et al., 2001). By here endocannabinoid levels in the different portions of the small intestine, we detected a !1I1~ffff"~lt ecrease in anandamide levels in the jejunum (but not in the duodenum or ileum) of d
ding changes in the mRNA expression of anandamide metabolic enzymes (i.e. NAPEnd GDE1, involved in anandamide synthesis, as well as FAAH, involved in anandamide degrada on). It is possible that other enzymes or the availability of phospholipid biosynthetic
oil-inflamed mouse small intestine. We also measured the levels of PEA and OEA, two olamides chemically related to anandamide, which reduce gastric and intestinal motility et al., 2001;Capasso et al., 2005;Aviello et al., 2008; Cluny et al., 2009) and the levels of
nsen and Diep, 2009). We found that PEA, but not OEA, decreased in the intestine of ted animals (although a full statistical difference was not achieved, being the P value .06), a finding which is in line with our previous work (Capasso et al., 2001). e analysed the expression of cannabinoid receptors, we found that croton oil
ation was associated to up-regulation of CB1 mRNA receptor expression in the mouse This result is in line with our previous data showing an increase of CB1 protein expression del of intestinal inflammation (Izzo et al., 2001) as well as with other studies showing CB1 receptor expression in the inflamed intestine (Massa et al., 2004; Wright et al., 2008; Camilleri, 2009). However, we also found, perhaps quite surprisingly, a down-regulation
20l2 The Authors British Journal of Pharmacology 20l2 Society
21
The British Pharmacological
of CB2 mRNA receptor expression in the duodenum, jejunum and ileum of mice treated with croton esult is at odds with previous immunohistochemical studies showing a more intense CB2
m in the mustard oil-model of inflammatory bowel disease (Kimball et al. 2006) as well as
s with ulcerative colitis or Crohn's disease (Wright et al. 2005). On the other hand, others n no changes of CB2 receptor mRNA, both experimentally (Duncan et al., 2008) and in
n, we found an increase in the mRNA expression of the enzymes involved in anandamide thesis (i.e. NAPE-PLD and GDEI), and a down-regulation ofDAGLa (which is involved in 2-AG bI synthesis) as well as a down-regulation of the enzymes involved in endocannabinoid
. A decrease in FAAH mRNA expression has been previous documented in experimental of inflammatory bowel disease (Storr et al., 2008, Borrelli et al., 2009). Previously, we n increase in FAAH activity in the croton oil model of intestinal inflammation (Izzo et al.,
of the mRNA
expression
of TRPA1,
ain (Kimball et al. 2006, Yang et al., 2008; Brierley et al., 2009; Cattaruzza et al., 2010
I\/t.trr\u.f'
e found TRPAl mRNA to be expressed in the mouse small intestine of healthy mice. However we have found, for the first time in the gut wall, that the mRNA encoding for this channel lated in the experimental model of intestinal inflammation used here. The TRPAl upwas observed in all the small intestine (i.e. duodenum, jejunum and ileum). During the
20l2 The Authors British Journal of Pharmacology 20l2 Society
22
The British Pharmacological
review process of this manuscript, others have found that the TRPAl mediates colitis in mice al., 2011).
CBC on endocannabinoid levels and on the mRNA expression of cannabinoid receptors, nd anandamide metabolizing enzymes in the intestine of control and croton oil-treated
roton oil-treated animals whereas, in these animals, but not in control mice,
eRe down-
ted the mRNA expression of both GDEI and FAAH, which are involved in the biosynthesis and de adation of anandamide, respectively. These findings leave open the possibility that,
r lack thereof, in the mouse small intestine might underlie the lack of effect of ide levels in this tissue. On the other hand, CBC down-regulated
es involved in both the biosynthesis (e.g. ODE!,
eRe on
treated animals, decreased the expression of the mRNA encoding for both CB1 and CB2 in the jejunum, whilst exerting no effect in the ileum. In summary, the inhibitory effect
on motility observed here (see below) are unlikely to be due to changes in abinoid signaling since treatment with the phytocannabinoid caused a decrease of
receptor expression and no changes in endocannabinoid levels, which, taken anything should have resulted in increased motility. Accordingly,
id receptor antagonists failed to modify CBC-induced changes selective (see 23 The British Pharmacological
on motility
eRe changed
inoid receptors also in control mice, making it unlikely that these effects of r intestinal inflammation.
eRe are
en recently demonstrated that CBC can alter the intestinal transient receptor potential annels of vanilloid type 1-4 mRNA expression already after a pharmacological in vivo
'~I'~ff~'t as 30 min (as in the present study), thus providing another potential mechanismas short
TRPAI expression in the jejunum of croton oil-treated animals, it elevated the expression channel in the ileum, thus pointing to a possible overall null net effect on TRPAI-mediated modulat n of intestinal motility. It could be of interest to see in future studies, if changes in oid receptor and TRPAl mRNA expression caused by CBC both in the healthy and in the
"!flfUJfj!i3Kj~~IJfi!&f!Jj311fffft'&i'
intestine could be important for the potential - and yet to be demonstrated - antitory and/or analgesic effect of CBC in the gut.
tract. In this study, we have found that this phytocannabinoid did not affect upper
(upper gastrointestinal
transit). In order of
24
gastric emptying and small intestinal transit; even if our results do not establish a distinctive site r intestinal) of action for CRC, but a combination of both, they clearly show that CRC that this compound is pharmacologically active in vivo only when intestinal
tasis is perturbed by an inflammatory stimulus. The observation that CBC administration is iated with constipating effects under physiological conditions is relevant as one of the .~'f8j[i&ff~1.e effects associated with opiate administration (the most known agents able to reduce
astric emptying in the rat (Doihara et al., 2009b), reduced upper gastrointestinal transit Ionic propulsion in mice (Capasso et al., 2011 unpublished), stimulated gastric antrum um motility in the dog (Doihara et al. 2009a) and induced the occurrence of giant
'gate the mechanism of action ofCBC-induced delay in motility in vivo, we considered the involvement of cannabinoid receptors as well as TRPAI channels. Indeed CRC has been ') to inhibit endocannabinoid re-uptake, and thus to potentially activate indirectly - via
'RPAI channels (De Petrocellis et al., 2008; De Petrocellis et al., 20lla). We found that effect of CBC on croton oil-induced intestinal hypermotility was not modified by the rimonabant, nor by the CB2 receptor antagonist SRI44528. These
ists, at the doses used in the present paper, were previously shown to counteract the
effect of selective CB1 and CB2 receptor agonists on croton oil-induced intestinal
ility (Capasso et al., 2008b). Furthermore, the inhibitory effect of CBC on motility was
a route of administration (i.p.) previously shown to attenuate TRPAI-mediated pain in Namara et al., 2007) nor by AP18 (100 mg kg"], another selective TRPAI antagonist.
20l2 The Authors British Journal of Pharmacology 20l2 Society
25
The British Pharmacological
logical experiments in vitro provide insights on the site of action of CBC, we have performed in vitro experiments on ed ileum from control and croton oil-treated mice. Our data show that CBC preferentially e contractile response elicited by EFS (which is mediated by the release of acetylcholine
ereas a direct inhibitory effect on smooth muscle was observed only at greater trations of CBC. It is unlikely that the inhibitory effect of CBC was due to antimuscarinic actions,ecause the phytocannabinoid also inhibited the contractions induced by KCl. In contrast to
inflamed intestine (with no significant differences in potency or efficacy being observed). es between in vitro and in vivo actions of cannabinoids have been previously documented estive tract (Coruzzi et al., 2006; Capasso et al., 2008a; Sanger, 2007).
nd HC-03003I (a selective TRPAI antagonist)]. We have used concentrations ofTRPAI s which were approximately two-three fold higher than the IC50 values of these previously reported (McNamara et al., 2007; Alexander et al., 2009). Higher tions of the two TRPAl antagonists were not used because they inhibited per se the EFS- duced contractions. Importantly, in a recent study, we have shown that also the effect of
20l2 The Authors British Journal of Pharmacology 20l2 Society
26
The British Pharmacological
on intestinal motility, both in vitro and in vivo, TRP Al antagonists, including HC-
that genetic ablation of the TRPA1 does not affect upper activation inhibits spontaneous neurogenic
smitter(s) release from myenteric rongly reduced in the presence unchan d by drugs which
nerves. We found
2 +
of the N-type Ca
channel cAMP
are expected
to increase
levels either
reported for the guinea pig ileum (Coutts and significantly reduce the inhibitory effect
odify the inhibitory effect of CRC on acetylcholine-induced ai-conotoxin reduces the inhibitory effect
contractions,
making it very
e also excluded
enteric inhibitory nerves (at least, the inhibitory component mediated by NO and ATP) s combination of apamin [a blocker of Ca2+ activated K+ channels which blocks the enteric component mediated by ATP or related purine] (Crist et al., 1992) and L-NAME (an 2012 The Authors British Journal of Pharmacology 2012 Society 27 The British Pharmacological
inhibitor of NO synthase), the combination which is known to block enteric inhibitory nerves n and Costa, 1994), did not modify the inhibitory effect of CBC on twitch response. e also evaluated the effect of CRC on acetylcholine-induced contraction (i.e. the small the inhibitory effect of CRC which is exerted at postjunctionallevel) in the presence of
t influence Ca2+ levels in smooth muscles. We found that the inhibitory effect of CRC
IC
for CRC as this E-type Ca2+ channel antagonist did not did not modify the inhibitory
inhibits,
exert antispasmodic actions via a mechanism independent of extracellular Ca2+ influx reviously documented in the rat small intestine (Leal-Cardoso et al., 2002).
shown that CBC, a major non-psychotropic component of the marijuana plant, normalizes al motility in an experimental model of intestinal inflammation, without slowing the nsit in control animals. These protective effects of CBC were accompanied by intestinal .n cannabinoid and TRPAl expression, but not of endocannabinoid levels. In vitro results al ileal segments showed that this phytocannabinoid preferentially reduces EFS-induced ns - rather than acetylcholine-induced contractions - with a mechanism involving N-type nels. Both in vitro and in vivo, the inhibitory effect of CBC does not involve cannabinoid or TRPAl channels. Although the precise mechanism of the inhibitory effect of CBC rther studies, the present results are of potential clinical interest because intestinal
2012 The Authors British Journal of Pharmacology 2012 Society
28
The British Pharmacological
[ng effects (Jafri and Pasricha, 2001). In addition, by disclosing the effect of CBC on oid and TRPAl mRNA expression, the present results open the way to investigate the his safe plant compound in other pathophysiological conditions (e.g. intestinal secretion, .f"15"f~fnflammation, visceral pain and intestinal cancer) in which such receptors are potentially
edgments
SP, Mathie A, Peters JA (2011). Guide to Receptors and Channels (GRAC), 5th edition. acoI164:S1-S324. ni A, Wright KL, Larvin M, O'Sullivan SE (2011). Cannabinoids mediate opposing inflammation-induced intestinal permeability. Br J Pharmacol. 2011 Jul 11. [Epub ahead
29
The British Pharmacological
Aviello G, Matias I, Capasso R, Petrosino S, Borrelli F, Orlando P, et al. (2008). Inhibitory effect of xic compound oleoylethanolamide on gastric emptying in control and overweight mice. J 86:413-422. o G, Gibbons S, Giana A, Pagani A, Grassi G, Stavri M, et al. (2008). Antibacterial ids from Cannabis sativa: a structure-activity study. J Nat Prod 71:1427-1430. o S, Zizzo MG, Serio R, Mule F (2009). Interaction between cannabinoid CB1 receptors genous ATP in the control of spontaneous mechanical activity in mouse ileum. Br J 1158:243-251. ~~~~tiM, Storr MA, Nikas SP, Wood JT, Godlewski G, Liu Jet al. (2011) Inhibiting fatty acid ;~'il~drolase normalizes endotoxin-induced enhanced gastrointestinal motility in the mouse. Br rmacol. 2011 Aug 30 [Epub ahead of print] W, Owsianik G, Tack J, Voets T, Berghe PV (2011). TRP channels m roenterology: opportunities for therapeutic intervention. Br J Pharmacol 162:18-37. lli F, Izzo AA (2009). Role of acylethanolamides in the gastrointestinal tract with special to food intake and energy balance. Best Pract Res Clin Endocrinol Metab 23:33-49. Borrelli F, Aviello G, Romano B, Orlando P, Capasso R, Maiello F, et al. (2009). Cannabidiol, a safe an non-psychotropic ingredient of the marijuana plant Cannabis sativa, is protective in a "!flfU~ifi3"lli~I'jf'odel of colitis. J Mol Med 87:1111-1121. , Capasso F, Capasso R, Ascione V, Aviello G, Longo R, et al. (2006). Effect of serrata on intestinal motility in rodents: inhibition of diarrhoea without constipation. Br J 1148:553-560. , Capasso R, Severino B, Fiorino F, Aviello G, De Rosa G, et al (2011). Inhibitory effects lain, a cysteine protease derived from pineapple stem (Ananas comosus), on intestinal in mice. Neurogastroenterol Moti123:745-e331. Hughes PA, Page AJ, Kwan KY, Martin CM, O'Donnell TA, et al. (2009). The ion 1 is required for normal mechanosensation and is modulated by algesic stimuli. rology 137:2084-2095. oM, Improta G, Tabacco A (1998). Central effect ofSNC 80, a selective and systemically lta-opioid receptor agonist, on gastrointestinal propulsion in the mouse. Eur J Pharmacol 51. K, Harvey DJ (1990). In vitro metabolism of cannabichromene m seven common animals. Drug Metab Dispos 18:1065-1070. , Aviello G, Romano B, Borrelli F, De Petrocellis L, Di Marzo V, Izzo AA (2011). n of mouse gastrointestinal motility by allyl isothiocyanate, a constituent of cruciferous 1 s: evidence for TRPA1-independent effects. Br J Pharmaco12011 Sep 28.[Epub ahead of
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f;IISt!/j!ffffJDEWfflf;lf.J
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m R, Shani A, Edery H, Grunfeld Y (1970). Chemical basis of hashish activity. Science 12. edic Z, Chandra S, Slade D, Denham H, Foster S, Patel AS, et al. (2010). Potency Trends of THC and Other Cannabinoids in Confiscated Cannabis Preparations from 1993 to 2008. J Forensic ci 55:1209-1217 M, Shahbazian A, Bock E, Pabst MA, Holzer P (2010). Chemo-nociceptive signalling olon is enhanced by mild colitis and blocked by inhibition of transient receptor potential channels. Br J Pharmacol 160: 1430-1442. E, Izzo AA, Borrelli F, Capasso F, Capasso R, Pinto A, et al. (2002). Relaxant effect of e in the isolated rat ileum. Naunyn Schmiedebergs Arch Pharmaco1365:187-192. K, Kawabata-Shoda E, Doihara H, Kojima R, Okada H, Mochizuki S, et al. (2009). gulates gastrointestinal motility through serotonin release from enterochromaffin cells. Acad Sci USA 106:3408-3413.
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Legends to figure Anandamide (AEA) and 2-arachydonoylglycerol (2-AG) levels in the duodenum (A,D),
},ejullllm,ltB,E) and ileum (C,F) of mice treated or not with croton oil. Some mice treated with croton
of
"'''i!t,#0Ifii~.t'lfft't. Palmitoylethanolamide
r~I!A'!~i~~~',unum and ileum (C,F) of mice treated or not with croton oil. Some mice treated with (B,E) e e also treated with cannabichromene (CBC 15 mg kg-I, i.p.). Data are means.e.mean
. Relative
expression
of N-acyl-phosphatidylethanolamine-selective phosphodiesterase
phospholipase
and ileum of animals treated or not with croton oil. (CBC 15 mg kg-I, i.p.).
that the effect of CBC was evaluated in the jejunum and ileum only (mRNA in the samples of ftI;,~~~numwas degraded). Total RNA extracted from the intestine of control and croton-oil20l2 The Authors British Journal of Pharmacology 20l2 Society 36 The British Pharmacological
treated mice was subjected to quantitative (real-time) RT-PCR analysis as described in "Materials ds." Data were analyzed by OENEX software for groupwise comparisons and statistical The expression \!fI!JfftJffj$tml!~u~t~.'das 1. Results 001
vs
and ileum) for each target was *P<0.05, **P<O.OI and vs control and
of four experiments.
vs croton oil.
. Relative expression of cannabinoid (CBI and CB2) receptors (A, B) and transient receptor '<'Vff~tlll'l'ifl'ifofankyrin type-l (TRPAl) 'r not with croton cannaoicnromene (C) mRNA in the duodenum, jejunum and ileum of animals with croton oil were also treated with
(CBC 15 mg kg-I, i.p.). Note that the effect of CBC was evaluated in the jejunum
only (mRNA in the samples of the duodenum was degraded). Total RNA extracted from estine of control and croton-oil-treated mice was subjected to quantitative (real-time) RT-
ysis as described in "Materials and methods." Data were analyzed by OENEX software for groupwise comparisons and statistical analysis. The expression in control tissues (duodenum, as 1. Results are means s.e.mean of four
nd ileum) for each target was considered ts. *P<0.05 and **P<O.OI
vs
. Effect
of i.p. injected
cannabichromene
(CBC,
""qt,JI~~!I!t~l~pic cannabinoid
receptor agonist WIN 55,212-2 (1 mg kg") on upper gastrointestinal (B) and whole gut transit in mice (C) (see methods for details of 6-11 mice for each
control. Note that a decreased transit is indicated by a decreased (min)" (B) or by an increased time
e (A),
. Inhibitory
effect of i.p.-injected
cannabichromene
on intestinal
roton oil-treated mice in vivo. Transit was expressed as the geometric centre (OC) of the on of a fluorescent marker along the small intestine. OC ranged from 1 (minimal motility) ximal motility) (see Methods section). Bars represent the means.e.mean of 10-12 mice
h experimental group. #P<0.05 vs control and *P<0.05 vs croton oil. Note that eBe (10 and '~1) id not affect transit in control mice (see figure 5). d 20l2 The Authors British Journal of Pharmacology 20l2 Society 37 The British Pharmacological
Croton oil-treated mice: effect of cannabichromene (CBC, 10 mg kg-I, i.p.) alone or in the of the cannabinoid CBI receptor antagonist rimonabant (0.1 mg kg-I , i.p.), the CB2 \!fI!Jfftffi1j$t)~~.ilt~!I!'ntagonist SR144528 (1 mg kg-I, i.p.) or the TRPAI antagonists HC-030031 (30 mg kg-I,
P18 (100 mg kg", i.p.) on upper gastrointestinal transit in vivo. Transit was expressed as
tric centre (OC) of the distribution of a fluorescent marker along the small intestine. OC ~'S!~ljifflilirm (minimal motility) to 10 (maximal motility) (see Methods section). Bars represent 1 mice for each experimental group. #P<0.05 vs control, *P<0.05 vs
Inhibitory effect of cannabichromene (CBC, 10-8_10-4 M ) on the contractions induced by line (Ach, 10-6 M) or electrical field stimulation (EFS) in the isolated mouse ileum of 1and croton-oil-treated mice. Each point represents means.e.mean of 7-8 experiments. Both mice and in croton oil-treated mice the curve representing the inhibitory effect of CBC on acetylcholine- induced contractions was statistically different (P<O.001) from the curve representing
"!~'f$Mi!i3k~'tEJ&lj~~ . tory effect of CBC on EFS-induced contractions. .
Electrically-induced contractions in the isolated mouse ileum of control (A,C,E) and (B,D,F) treated mice: inhibitory effect of cannabichromene (CBC, 10-8_10-4 M) alone or in the presence of rimonabant (3xl0-8 M) and SR144528 (10-7 M) (A,B) (Figure 5A),
",,'Wt,wi
f#;IIJ.jl (10-5 M) and ruthenium red (3xl0-6 M) (C,D) (Figure 5B) or L-NAME (3xl0-4 M) and ~~Ejlt~i,!10-7 (alone or in combination, Figure 5C) (E,F). Each point represents means.e.mean M) ents. No significant differences among the curves were observed.
Electrically-induced contractions in the isolated mouse ileum of croton oil-treated mice nhibitory effect of cannabichromene (CBC, 10-8_10-4M) alone (vehicle) or in the presence of t (3xl0-8 M) and SR144528 (10-7 M) (Figure 6A), HC-030031 (10-5 M) and ruthenium
-6
). Each point represents means.e.mean of 7-8 experiments. No significant differences e curves were observed.
e 10. Electrically-induced contractions in the isolated mouse ileum of control (A,C) and
38
The British Pharmacological
(vehicle) or in the presence of ai-conotoxin (10-8 M) (A,B), IBMX (10-7M), rolipram (10-6 M) or (10-7 M) (C,D). Each point represents means.e.mean of 7-8 experiments. Both in ice (A) and in croton oil-treated mice (B), ai-conotoxin (but not IBMX, rolipram or
\!'Jfftffit,J$.t1f.tifl~~f'; significantly (P<0.01) reduced the inhibitory effect of CBC (significance between
'he insert tofigure 1OCshows that IBMX (1ff7 M), rolipram (10-6 M) and forskolin (10-7
Icantly
' ' ' VU,llfl ,fffBfl. Acetylcholine (Ach, 1a' M)-induced contractions in the isolated mouse ileum of
) and croton oil (B) treated mice: inhibitory effect of cannabichromene (CBC, 10-8_10-4 (vehicle) or in the presence of ai-conotoxin (10-8 M), verapamil (10-6 M) or nic acid (CPA, 10-5 M). Each point represents means.e.mean of 8-9 experiments. in control mice (A) and in croton oil-treated mice (B), Verapamil (but not CPA or w-
Iz) significantly
curves).
ileum
<6 w
<
Icontrol
..
~CBC
esc
ileum
Figure 1
0.5
Ol
~
o E
U_L::J'1t"''-l
U.'I.II"t1
.!?; o.
tn 0.10
0... 0.05 0.00
I . ,control
oleoy/ethanolamlde (OEA)
jejunum
<C
o control mcac
_croton 011
mmCBC
+ croton oil
igure 5
Fig
croton oil
csc
croton oil
EFS
D ACh
-7
Fig
-6 C.BC [LflgM]
... 5
.. 4
Figu
81l A vehicle
ill
B
vehicle
a c:onotoxin
II)
o .c:onoto)Q1'I
II)
21:1
.6
.5
S
CBC!logMI
.5
CBClleg,.,
81l C
Btl Il
vehicle
61l .IBMX a roliprl!lm
'f
vehicle tBMI
60
a rolipram
forskolin
,. fOfllikoli1'!
Figu
1
.6
.5
CBC[logMj
CBCtlogMj
40
A 30
(J
a CPA
vehitle
verapamil V (I}-conotoxin
10
esc
e
[LogM]
40
B 30
vehicle
CPA
verapamil v (I}-conotoxin
.,. 10
Figu
1
esc
[LogM]