Raphael Mechoulam

2020
F. Piscitelli, Guida, F. , Luongo, L. , Iannotti, F.A. , Boccella, S. , Verde, R. , Lauritano, A. , Imperatore, R. , Smoum, R. , Cristino, L. , Lichtman, A.H. , Parker, L.A. , Mechoulam, R. , Maione, S. , and Di Marzo, V. . 2020. Protective Effects Of N-Oleoylglycine In A Mouse Model Of Mild Traumatic Brain Injury. Acs Chemical Neuroscience, 11, 8, Pp. 1117-1128. doi:10.1021/acschemneuro.9b00633.
Traumatic brain injury (TBI) is one of the main causes of death in young people for which currently no efficacious treatment exists. Recently, we have reported that mice with mild-TBI with a specific injury in the insula showed elevated levels of a little investigated N-acyl amino acid, N-oleoylglycine (OlGly). N-acyl amino acids have recently experienced an increased interest because of their important biological activities. They belong to the endocannabinoidome family of lipids with structural similarities with the endocannabinoids (eCBs). The aim of this study was to test the neuroprotective and antihyperalgesic actions of OlGly in a model of mouse mild-TBI (mTBI) and its effect on levels of eCBs and N-acylethanolamines at the end of treatment. Following mTBI, mice were administered a daily injection of OlGly (10-50-100 mg/kg i.p.) for 14 days. Treatment with OlGly normalized motor impairment and behavior in the light/dark box test, ameliorated TBI-induced thermal hyperalgesia and mechanical allodynia, and normalized aggressiveness and depression. Moreover, levels of eCBs and some N-acylethanolamines underwent significant changes 60 days after TBI, especially in the prefrontal cortex and hypothalamus, and OlGly reversed some of these changes. In conclusion, our findings reveal that OlGly ameliorates the behavioral alterations associated with mTBI in mice, while concomitantly modulating eCB and eCB-like mediator tone. © 2020 American Chemical Society.
E. Murillo-Rodríguez, Arankowsky-Sandoval, G. , Pertwee, R.G. , Parker, L. , and Mechoulam, R.. 2020. Sleep And Neurochemical Modulation By Cannabidiolic Acid Methyl Ester In Rats. Brain Research Bulletin, 155, Pp. 166-173. doi:10.1016/j.brainresbull.2019.12.006.
Cannabidiolic acid methyl ester (HU-580) is a more stable compound than cannabidiolic acid (CBDA) which has been shown to be effective in reducing nausea, anxiety, depression behaviors in animal models. Here we extend the investigation of this compound to determine its effect on the sleep-wake cycle in male Wistar rats. HU-580 dose-dependently (0.1, 1.0 or 100 μg/Kg, i.p.) prolonged wakefulness (W) and decreased slow wave sleep (SWS) duration whereas rapid eye movement sleep (REMS) showed no statistical change. In addition, the brain microdialysis probes either placed at nucleus accumbens (NAc) or into the basal forebrain in freely moving animals were used to evaluate the effects of HU-580 treatment on neurotransmitters related to the sleep-wake cycle modulation. HU-580 enhanced extracellular levels of dopamine, serotonin collected from NAc while adenosine and acetylcholine were increased in basal forebrain. In summary, HU-580 seems to possess wake-promoting pharmacological properties and enhances the levels of wake-related neurochemicals. This is the first report of effects of HU-580 on sleep modulation expanding the very limited existent data on the neurobiological effects of HU-580 on rats. © 2019 Elsevier Inc.
2019
E. Murillo-Rodríguez, Millán-Aldaco, D. , Palomero-Rivero, M. , Morales-Lara, D. , Mechoulam, R. , and Drucker-Colín, R. . 2019. Cannabidiol Partially Blocks The Excessive Sleepiness In Hypocretin-Deficient Rats: Preliminary Data. Cns And Neurological Disorders - Drug Targets, 18, 9, Pp. 705-712. doi:10.2174/1871527318666191021143300.
Background: Excessive daytime sleepiness and cataplexy are among the symptoms of narcolepsy, a sleep disorder caused by the loss of hypocretin/orexin (HCRT/OX) neurons placed into the Hypothalamus (LH). Several treatments for managing narcolepsy include diverse drugs to induce alertness, such as antidepressants, amphetamine, or modafinil, etc. Recent evidence has shown that cannabidiol (CBD), a non-psychotropic derived from Cannabis sativa, shows positive therapeutic effects in neurodegenerative disorders, including Parkinson´s disease. Furthermore, CBD provokes alertness and enhances wake-related neurochemicals in laboratory animals. Thus, it is plausible to hypothesize that excessive somnolence observed in narcolepsy might be blocked by CBD. Objective: Here, we determined whether the systemic injection of CBD (5mg/kg, i.p.) would block the excessive sleepiness in a narcoleptic model. Methods: To test this idea, the neurotoxin hypocretin-2-saporin (HCRT2/SAP) was bilaterally injected into the LH of rats to eliminate HCRT leading to the establishment of narcoleptic-like behavior. Since excessive somnolence in HCRT2/SAP lesioned rats has been observed during the lights-off period, CBD was administered at the beginning of the dark phase. Results: Hourly analysis of sleep data showed that CBD blocked the sleepiness during the lights-off period across 7h post-injection in lesioned rats. Conclusion: Taking together, these preliminary findings suggest that CBD might prevent sleepiness in narcolepsy. © 2019 Bentham Science Publishers.
I.M. Linares, Zuardi, A.W. , Pereira, L.C. , Queiroz, R.H. , Mechoulam, R. , Guimarães, F.S. , and Crippa, J.A.. 2019. Cannabidiol Presents An Inverted U-Shaped Dose-Response Curve In A Simulated Public Speaking Test. Revista Brasileira De Psiquiatria, 41, 1, Pp. 9-14. doi:10.1590/1516-4446-2017-0015.
Objective: Cannabidiol (CBD), one of the non-psychotomimetic compounds of Cannabis sativa, causes anxiolytic-like effects in animals, with typical bell-shaped dose-response curves. No study, however, has investigated whether increasing doses of this drug would also cause similar curves in humans. The objective of this study was to compare the acute effects of different doses of CBD and placebo in healthy volunteers performing a simulated public speaking test (SPST), a well-tested anxiety-inducing method. Method: A total of 57 healthy male subjects were allocated to receive oral CBD at doses of 150 mg (n=15), 300 mg (n=15), 600 mg (n=12) or placebo (n=15) in a double-blind procedure. During the SPST, subjective ratings on the Visual Analogue Mood Scale (VAMS) and physiological measures (systolic and diastolic blood pressure, heart rate) were obtained at six different time points. Results: Compared to placebo, pretreatment with 300 mg of CBD significantly reduced anxiety during the speech. No significant differences in VAMS scores were observed between groups receiving CBD 150 mg, 600 mg and placebo. Conclusion: Our findings confirm the anxiolytic-like properties of CBD and are consonant with results of animal studies describing bell-shaped dose-response curves. Optimal therapeutic doses of CBD should be rigorously determined so that research findings can be adequately translated into clinical practice. © 2019, Associacao Brasileira de Psiquiatria. All rights reserved.
L. Shbiro, Hen-Shoval, D. , Hazut, N. , Rapps, K. , Dar, S. , Zalsman, G. , Mechoulam, R. , Weller, A. , and Shoval, G. . 2019. Effects Of Cannabidiol In Males And Females In Two Different Rat Models Of Depression. Physiology And Behavior, 201, Pp. 59-63. doi:10.1016/j.physbeh.2018.12.019.
The current study explores the therapeutic potential of Cannabidiol (CBD), a compound in the Cannabis plant, using both sexes of 2 “depressive-like” genetic models, Wistar Kyoto (WKY) and Flinders Sensitive Line (FSL) rats. Rats ingested CBD (30 mg/kg) orally. In the saccharin preference test, following a previous report of a pro-hedonic effect of CBD in male WKY, we now found similar results in female WKY. CBD also decreased immobility in the forced swim test in males (both strains) and in female WKY. These findings suggest a role for CBD in treating mental disorders with prominent symptoms of helplessness and anhedonia. © 2018 Elsevier Inc.
G. Donvito, Piscitelli, F. , Muldoon, P. , Jackson, A. , Vitale, R.M. , D'Aniello, E. , Giordano, C. , Ignatowska-Jankowska, B.M. , Mustafa, M.A. , Guida, F. , Petrie, G.N. , Parker, L. , Smoum, R. , Sim-Selley, L. , Maione, S. , Lichtman, A.H. , Damaj, M.I. , Di Marzo, V. , and Mechoulam, R. . 2019. N-Oleoyl-Glycine Reduces Nicotine Reward And Withdrawal In Mice. Neuropharmacology, 148, Pp. 320-331. doi:10.1016/j.neuropharm.2018.03.020.
Cigarette smokers with brain damage involving the insular cortex display cessation of tobacco smoking, suggesting that this region may contribute to nicotine addiction. In the present study, we speculated that molecules in the insular cortex that are sensitive to experimental traumatic brain injury (TBI) in mice might provide leads to ameliorate nicotine addiction. Using targeted lipidomics, we found that TBI elicited substantial increases of a largely uncharacterized lipid, N-acyl-glycine, N-oleoyl-glycine (OlGly), in the insular cortex of mice. We then evaluated whether intraperitoneal administration of OlGly would alter withdrawal responses in nicotine-dependent mice as well as the rewarding effects of nicotine, as assessed in the conditioned place preference paradigm (CPP). Systemic administration of OlGly reduced mecamylamine-precipitated withdrawal responses in nicotine-dependent mice and prevented nicotine CPP. However, OlGly did not affect morphine CPP, demonstrating a degree of selectivity. Our respective in vitro and in vivo observations that OlGly activated peroxisome proliferator-activated receptor alpha (PPAR-α) and the PPAR-α antagonist GW6471 prevented the OlGly-induced reduction of nicotine CPP in mice suggests that this lipid acts as a functional PPAR-α agonist to attenuate nicotine reward. These findings raise the possibility that the long chain fatty acid amide OlGly may possess efficacy in treating nicotine addiction. © 2018
G.N. Petrie, Wills, K.L. , Piscitelli, F. , Smoum, R. , Limebeer, C.L. , Rock, E.M. , Humphrey, A.E. , Sheppard-Perkins, M. , Lichtman, A.H. , Mechoulam, R. , Di Marzo, V. , and Parker, L.A. . 2019. Oleoyl Glycine: Interference With The Aversive Effects Of Acute Naloxone-Precipitated Mwd, But Not Morphine Reward, In Male Sprague–Dawley Rats. Psychopharmacology, 236, 9, Pp. 2623-2633. doi:10.1007/s00213-019-05237-9.
Rationale: Oleoyl glycine (OlGly), a recently discovered fatty acid amide that is structurally similar to N- acylethanolamines, which include the endocannabinoid, anandamide (AEA), as well as endogenous peroxisome proliferator-activated receptor alpha (PPARα) agonists oleoylethanolamide (OEA) and palmitoylethanolamide (PEA), has been shown to interfere with nicotine reward and dependence in mice. Objectives and methods: Behavioral and molecular techniques were used to investigate the ability of OlGly to interfere with the affective properties of morphine and morphine withdrawal (MWD) in male Sprague–Dawley rats. Results: Synthetic OlGly (1–30 mg/kg, intraperitoneal [ip]) produced neither a place preference nor aversion on its own; however, at doses of 1 and 5 mg/kg, ip, it blocked the aversive effects of MWD in a place aversion paradigm. This effect was reversed by the cannabinoid 1 (CB1) receptor antagonist, AM251 (1 mg/kg, ip), but not the PPARα antagonist, MK886 (1 mg/kg, ip). OlGly (5 or 30 mg/kg, ip) did not interfere with a morphine-induced place preference or reinstatement of a previously extinguished morphine-induced place preference. Ex vivo analysis of tissue (nucleus accumbens, amygdala, prefrontal cortex, and interoceptive insular cortex) collected from rats experiencing naloxone-precipitated MWD revealed that OlGly was selectively elevated in the nucleus accumbens. MWD did not modify levels of the endocannabinoids 2-AG and AEA, nor those of the PPARα ligands, OEA and PEA, in any region evaluated. Conclusion: Here, we show that OlGly interferes with the aversive properties of acute naloxone-precipitated morphine withdrawal in rats. These results suggest that OlGly may reduce the impact of MWD and may possess efficacy in treating opiate withdrawal. © 2019, Springer-Verlag GmbH Germany, part of Springer Nature.
T. Stark, Ruda-Kucerova, J. , Iannotti, F.A. , D'Addario, C. , Di Marco, R. , Pekarik, V. , Drazanova, E. , Piscitelli, F. , Bari, M. , Babinska, Z. , Giurdanella, G. , Di Bartolomeo, M. , Salomone, S. , Sulcova, A. , Maccarrone, M. , Wotjak, C.T. , Starcuk, Z., Jr. , Drago, F. , Mechoulam, R. , Di Marzo, V. , and Micale, V. . 2019. Peripubertal Cannabidiol Treatment Rescues Behavioral And Neurochemical Abnormalities In The Mam Model Of Schizophrenia. Neuropharmacology, 146, Pp. 212-221. doi:10.1016/j.neuropharm.2018.11.035.
In agreement with the neurodevelopmental hypothesis of schizophrenia, prenatal exposure of rats to the antimitotic agent methylazoxymethanol acetate (MAM) at gestational day 17 produced long-lasting behavioral alterations such as social withdrawal and cognitive impairment in the social interaction test and in the novel object recognition test, respectively. At the molecular level, an increased cannabinoid receptor type-1 (CB1) mRNA and protein expression, which might be due to reduction in DNA methylation at the gene promoter in the prefrontal cortex (PFC), coincided with deficits in the social interaction test and in the novel object recognition test in MAM rats. Both the schizophrenia-like phenotype and altered transcriptional regulation of CB1 receptors were reversed by peripubertal treatment (from PND 19 to PND 39) with the non-psychotropic phytocannabinoid cannabidiol (30 mg/kg/day), or, in part, by treatment with the cannabinoid CB1 receptor antagonist/inverse agonist AM251 (0.5 mg/kg/day), but not with haloperidol (0.6 mg/kg/day). These results suggest that early treatment with cannabidiol may prevent both the appearance of schizophrenia-like deficits as well as CB1 alterations in the PFC at adulthood, supporting that peripubertal cannabidiol treatment might be protective against MAM insult. © 2018 Elsevier Ltd
L. Bar-Lev Schleider, Mechoulam, R. , Saban, N. , Meiri, G. , and Novack, V. . 2019. Real Life Experience Of Medical Cannabis Treatment In Autism: Analysis Of Safety And Efficacy. Scientific Reports, 9, 1. doi:10.1038/s41598-018-37570-y.
There has been a dramatic increase in the number of children diagnosed with autism spectrum disorders (ASD) worldwide. Recently anecdotal evidence of possible therapeutic effects of cannabis products has emerged. The aim of this study is to characterize the epidemiology of ASD patients receiving medical cannabis treatment and to describe its safety and efficacy. We analysed the data prospectively collected as part of the treatment program of 188 ASD patients treated with medical cannabis between 2015 and 2017. The treatment in majority of the patients was based on cannabis oil containing 30% CBD and 1.5% THC. Symptoms inventory, patient global assessment and side effects at 6 months were primary outcomes of interest and were assessed by structured questionnaires. After six months of treatment 82.4% of patients (155) were in active treatment and 60.0% (93) have been assessed; 28 patients (30.1%) reported a significant improvement, 50 (53.7%) moderate, 6 (6.4%) slight and 8 (8.6%) had no change in their condition. Twenty-three patients (25.2%) experienced at least one side effect; the most common was restlessness (6.6%). Cannabis in ASD patients appears to be well tolerated, safe and effective option to relieve symptoms associated with ASD. © 2019, The Author(s).

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