内源性大麻素系统与胃肠道相关疾病的研究进展

内源性大麻素系统(endocannabinoid system, ECS)由大麻素受体、内源性大麻素以及涉及内源性大麻素合成、运输和降解的酶所构成,广泛参与胃肠道的各种生理和病理生理过程,并且通过大麻素基本调节作用来维持体内肠道的平衡。本文综述了近几年关于内源性大麻素系统在正常胃肠功能与肠易激综合征、炎症性肠病和结肠癌等疾病中作用的主要研究进展,可为临床治疗胃肠道疾病提供有效的理论指导。     

内源性大麻素系统在胃肠道的作用(英文)

植物大麻用于临床已有几千年的历史,在许多胃肠道疾病如呕吐、腹泻、炎症性肠病、肠源性疼痛治疗中发挥重要作用。本文旨在综述内源性大麻素系统的组成及其在胃肠道活动中的调节作用,为进一步研究提供相关信息,并为通过调节胃肠道内源性大麻素系统治疗胃肠道疾病提供新靶点。     

内源性大麻素系统在运动促进脑健康中的研究进展

近年来,中枢神经系统功能障碍所引发的阿尔茨海默病、帕金森病、抑郁症和肥胖症等众多脑健康问题受到广泛关注。内源性大麻素(endocannabinoid)是脑内一类重要的神经调质和调节能量稳态的关键活性因子,与多种神经退行性疾病及脑健康问题的发生发展密切相关,被视为众多中枢神经系统功能障碍的潜在干预靶点。大量研究显示,规律的运动锻炼可有效改善或缓解中枢神经系统功能障碍,降低阿尔茨海默病、帕金森病、抑郁症及肥胖的发生风险,对促进不同人群脑健康具有积极作用,而内源性大麻素系统可能参与其中。此外,内源性大麻素系统还可通过调节奖赏系统功能促进运动参与,与运动促进脑健康形成"良性循环"。该文主要从内源性大麻素系统的结构与生物学功能、运动与内源性大麻素系统的互动关系、内源性大麻素系统在运动防治中枢神经系统功能障碍及肥胖中的作用等方面进行系统论述,为运动促进脑健康理论提供新的视角与研究思路。     

内源性大麻素对心血管系统的作用

在心肌组织、血管平滑肌细胞、内皮细胞和血管壁周围的神经纤维末梢以及血液中某些细胞存在内源性大麻素和相应的大麻素（CB）受体。在不同的动物模型和器官,内源性大麻素发挥调节血压和扩张血管等效应。内源性大麻素还在减少休克和心肌梗死所致循环和心脏损伤方面发挥重要作用,在心肌预适应中亦发挥关键作用。目前对内源性大麻素在心血管系统中作用的研究还处于起步阶段,本文对内源性大麻素系统在心血管系统中的来源和分布,对血管和心脏的作用及其机制方面的研究进展作简要介绍。     

新型靶向化合物——植物大麻素的生物合成途径及 研究进展

植物大麻素是具有生物活性的一系列萜类化合物的总称,被认为是大麻的专有成分。具有主要药理活性的植物大麻素为Δ~9-四氢大麻酚(Δ~9-tetrahydrocannabinol,Δ~9-THC)和大麻二酚(Cannabidiol,CBD),均以内源性大麻素受体为靶点,通过激活内源性大麻素系统而参与人体许多生理病理过程,具有广泛的治疗潜力。目前,Δ~9-THC、CBD及其类似物或组合制剂,已用于治疗癫痫、癌症化疗患者的呕吐、多发性硬化症痉挛和缓解神经性疼痛以及晚期癌症患者的疼痛。随着对Δ~9-THC和CBD应用价值的深度发掘和药用标准化制剂需求量增加,Δ~9-THC和CBD在制药工业中实现规模化生产迫在眉睫。通过综述近年来植物大麻素的药理学研究进展,植物大麻素生物合成途径和关键酶的作用机制以及制药工业中植物大麻素的生产策略,旨在探索利用合成生物学技术解决植物大麻素药源问题的潜力,为合成大麻素的微生物工程研发提供理论基础,促进药用大麻素的规模化生产。     

大麻素在神经系统中的作用

自内源性大麻素系统发现以来,越来越多的研究表明大麻素对神经系统具有广泛的生理作用和临床应用价值.大麻素可以在脊髓、脊髓上及外周多个水平参与对痛觉的调制.同时,大麻素对运动功能、学习和记忆、神经内分泌等具有调制作用,也有研究表明大麻素对神经细胞具有保护作用.本文对大麻素在神经系统中的作用及其机制的研究进展作一简要介绍.     

内源性大麻素及其受体在肝硬化领域的研究进展

肝硬化时,内源性大麻素在血液、肝脏、心肌及大脑中表达量增加,通过其受体和其他途径促进肝硬化的发生发展,提示内源性大麻素系统在肝硬化及其并发症中发挥着重要的作用,成为近年来肝硬化药物作用的新靶点,为肝硬化的治疗拓展新的视野,本文就内源性大麻索及其受体在该领域的研究进行综述.     

大麻素受体系统对视网膜细胞离子通道和突触传递的调控

内源性大麻素系统在脊椎动物视网膜中广泛分布。大麻素受体(cannbinoid receptor)主要有CB1和CB2两个亚型,与内源性配体N-花生四烯酸氨基乙醇(N-arachidonoylethanolamide,anandamine,AEA)和2-花生四烯酸甘油(2-arachidonyl glycerol,2-AG)结合调控视网膜神经元和胶质细胞的功能,从而参与调控视网膜视觉信息的处理。本文结合我们研究组近年在视网膜大麻素受体系统的研究结果,综述了有关大麻素CB1和CB2受体对视网膜细胞离子通道和突触传递调控及其机制的研究进展。     

神经递质和调质参与导水管周围灰质痛觉调控的研究进展

导水管周围灰质(periaqueductal gray,PAG)在疼痛的调控过程中处于一个不可或缺的位置.其不仅是痛觉信息上行传递的重要部位,还是疼痛抑制系统的重要组成部分.在PAG,包括γ-氨基丁酸(γ-aminobutyric acid,GABA)、5-羟色胺(5-hydroxytryptamine,5-HT)和谷氨酸(glutamate,Glu)在内的神经递质以及内源性阿片肽(endogenous opioid peptides,EOP)和内源性大麻素(endocannabinoid,e CB)为代表的神经调质都参与了PAG对疼痛的信息传递以及调节.本文重点综述GABA、5-HT、Glu、EOP和eCB在PAG参与疼痛生理调控机制的研究进展,以期为中枢神经系统的镇痛研究提供一定的理论基础.     

内源性大麻素系统对皮层下运动中枢的调控作用

以往研究已证明,内源性大麻素系统广泛存在于中枢和外周神经组织中,并作为逆向信号分子在突触信号传递中发挥重要调节作用。本文就内源性大麻素系统对皮层下运动中枢的调控作用及相关机制进行综述,以期系统地论述皮层下运动中枢在躯体运动、动作选择和运动技能学习等高级神经活动过程中的突触和神经环路机制,并为相关疾病的治疗和靶向药物开发提供理论依据。     

Enhancement of endocannabinoid signaling by fatty acid amide hydrolase inhibition: A neuroprotective therapeutic modality

AimsThis review posits that fatty acid amide hydrolase (FAAH) inhibition has therapeutic potential against neuropathological states including traumatic brain injury; Alzheimer's, Huntington's, and Parkinson's diseases; and stroke.Main methodsThis proposition is supported by data from numerous in vitro and in vivo experiments establishing metabolic and pharmacological contexts for the neuroprotective role of the endogenous cannabinoid (“endocannabinoid”) system and selective FAAH inhibitors.Key findingsThe systems biology of endocannabinoid signaling involves two main cannabinoid receptors, the principal endocannabinoid lipid mediators N-arachidonoylethanolamine (“anandamide”) (AEA) and 2-arachidonoyl glycerol (2-AG), related metabolites, and the proteins involved in endocannabinoid biosynthesis, biotransformation, and transit. The endocannabinoid system is capable of activating distinct signaling pathways on-demand in response to pathogenic events or stimuli, thereby enhancing cell survival and promoting tissue repair. Accumulating data suggest that endocannabinoid system modulation at discrete targets is a promising pharmacotherapeutic strategy for treating various medical conditions. In particular, neuronal injury activates cannabinoid signaling in the central nervous system as an intrinsic neuroprotective response. Indirect potentiation of this salutary response through pharmacological inhibition of FAAH, an endocannabinoid-deactivating enzyme, and consequent activation of signaling pathways downstream from cannabinoid receptors have been shown to promote neuronal maintenance and function.SignificanceThis therapeutic modality has the potential to offer site- and event-specific neuroprotection under conditions where endocannabinoids are being produced as part of a physiological protective mechanism. In contrast, direct application of cannabinoid receptor agonists to the central nervous system may activate CB receptors indiscriminately and invite unwanted psychotrophic effects.     

The Endocannabinoid System and Alzheimer’s Disease

The importance of the role of the endocannabinoid system (ECS) in neurodegenerative diseases has grown during the past few years. Mostly because of the high density and wide distribution of cannabinoid receptors of the CB₁ type in the central nervous system (CNS), much research focused on the function(s) that these receptors might play in pathophysiological conditions. Our current understanding, however, points to much diverse roles for this system. In particular, other elements of the ECS, such as the fatty acid amide hydrolase (FAAH) or the CB₂ cannabinoid receptor are now considered as promising pharmacological targets for some diseases and new cannabinoids have been incorporated as therapeutic tools. Although still preliminary, recent reports suggest that the modulation of the ECS may constitute a novel approach for the treatment of Alzheimer’s disease (AD). Data obtained in vitro, as well as in animal models for this disease and in human samples seem to corroborate the notion that the activation of the ECS, through the use of agonists or by enhancing the endogenous cannabinoid tone, may induce beneficial effects on the evolution of this disease.     

线粒体融合与分裂在中枢神经系统疾病中的研究进展

线粒体是一种高度动态的细胞器,通过不断的融合和分裂维持其动态平衡,参与生理病理功能调节。线粒体融合与分裂主要由融合分裂相关蛋白调控,如Drp1、Fis1、Mfn1、Mfn2、OPA1等,多种诱导因子通过调节线粒体融合分裂相关蛋白表达及活化进而调节线粒体形态和生理功能。现有研究表明线粒体融合分裂的异常可能是许多中枢神经系统疾病的发病机制之一。本文从线粒体融合分裂的分子调控机制及其在缺血性脑中风、帕金森综合征和阿尔兹海默症等中枢神经系统疾病中的研究进展方面进行综述,为相关疾病的防治提供一定参考和线索。     

Generation of a neuro-specific microarray reveals novel differentially expressed noncoding RNAs in mouse models for neurodegenerative diseases

We have generated a novel, neuro-specific ncRNA microarray, covering 1472 ncRNA species, to investigate their expression in different mouse models for central nervous system diseases. Thereby, we analyzed ncRNA expression in two mouse models with impaired calcium channel activity, implicated in Epilepsy or Parkinson''s disease, respectively, as well as in a mouse model mimicking pathophysiological aspects of Alzheimer''s disease. We identified well over a hundred differentially expressed ncRNAs, either from known classes of ncRNAs, such as miRNAs or snoRNAs or which represented entirely novel ncRNA species. Several differentially expressed ncRNAs in the calcium channel mouse models were assigned as miRNAs and target genes involved in calcium signaling, thus suggesting feedback regulation of miRNAs by calcium signaling. In the Alzheimer mouse model, we identified two snoRNAs, whose expression was deregulated prior to amyloid plaque formation. Interestingly, the presence of snoRNAs could be detected in cerebral spine fluid samples in humans, thus potentially serving as early diagnostic markers for Alzheimer''s disease. In addition to known ncRNAs species, we also identified 63 differentially expressed, entirely novel ncRNA candidates, located in intronic or intergenic regions of the mouse genome, genomic locations, which previously have been shown to harbor the majority of functional ncRNAs.     

小胶质细胞在帕金森病病理进展中的作用

帕金森病是中老年人常见的中枢神经系统退行性疾病,研究表明小胶质细胞的活化及其介导的神经炎症在帕金森病的病程进展中发挥重要作用,适度干预小胶质细胞的活化有望延缓帕金森病的进程。小胶质细胞是中枢神经系统固有的巨噬细胞,Notch信号途径可以调控小鼠外周巨噬细胞的分化及功能。Notch通路也参与调控小胶质细胞的激活、细胞因子的表达、吞噬活性的变化等,而这与活化的小胶质细胞介导的帕金森病等神经退行性疾病的病情进展相关。因此,本文将综述Notch信号途径与小胶质细胞介导的相关疾病的研究进展。     

Central and peripheral interactions between endocannabinoids and steroids, and implications for drug dependence

Endocannabinoids are biologically active amides, esters and ether of long chain polyunsaturated fatty acids. They interact with several neurotransmitters in the central nervous system (CNS), and with various signaling molecules (including cytokines) in the periphery. Critical interactions have emerged also with steroids, another group of well-known bioactive lipids, both centrally and peripherally. Here, I briefly review the targets of the combined action of endocannabinoids and steroids, and the available evidence concerning the direct regulation by the latter compounds of the proteins of the endocannabinoid system (ES). In addition, I discuss recent examples of endocannabinoids and steroids working together in the central nervous system and in the periphery, which allowed to disclose some molecular details of the interactions between these two groups of lipids. Taken together, available data suggest that steroids can modulate the endocannabinoid tone, through genomic or nongenomic regulation, and that endocannabinoids can complement the biological activity of steroids. In this line, the issues concerning the tissue- and species-specificity of the endocannabinoid-steroid interface, and the possibility that also endocannabinoids may modulate steroid metabolism, are addressed. Finally, I present the hypothesis that retrograde endocannabinoid signaling, by reducing striatal glutamate release, may be part of the molecular events responsible for the influence of steroids on drug abuse.     

The hypothalamic-pituitary-adrenal axis and sex hormones in chronic stress and obesity: pathophysiological and clinical aspects

Obesity, particularly the abdominal phenotype, has been ascribed to an individual maladaptation to chronic environmental stress exposure mediated by a dysregulation of related neuroendocrine axes. Alterations in the control and action of the hypothalamic-pituitary-adrenal axis play a major role in this context, with the participation of the sympathetic nervous system. The ability to adapt to chronic stress may differ according to sex, with specific pathophysiological events leading to the development of stress-related chronic diseases. This seems to be influenced by the regulatory effects of sex hormones, particularly androgens. Stress may also disrupt the control of feeding, with some differences according to sex. Finally, the amount of experimental data in both animals and humans may help to shed more light on specific phenotypes of obesity, strictly related to the chronic exposure to stress. This challenge may potentially imply a different pathophysiological perspective and, possibly, a specific treatment.     

The Regulation of GluN2A by Endogenous and Exogenous Regulators in the Central Nervous System

The NMDA receptor is the most widely studied ionotropic glutamate receptor, and it is central to many physiological and pathophysiological processes in the central nervous system. GluN2A is one of the two main types of GluN2 NMDA receptor subunits in the forebrain. The proper activity of GluN2A is important to brain function, as the abnormal regulation of GluN2A may induce some neuropsychiatric disorders. This review will examine the regulation of GluN2A by endogenous and exogenous regulators in the central nervous system.     

Crosstalk Between Insulin and Toll-like Receptor Signaling Pathways in the Central Nervous system

Neuroinflammation is known as a key player in a variety of neurodegenerative and/or neurological diseases. Brain Toll-like receptors (TLRs) are leading elements in the initiation and progression of neuroinflammation and the development of different neuronal diseases. Furthermore, TLR activation is one of the most important elements in the induction of insulin resistance in different organs such as the central nervous system. Involvement of insulin signaling dysregulation and insulin resistance are also shown to contribute to the pathology of neurological diseases. Considering the important roles of TLRs in neuroinflammation and central insulin resistance and the effects of these processes in the initiation and progression of neurodegenerative and neurological diseases, here we are going to review current knowledge about the potential crosstalk between TLRs and insulin signaling pathways in neuroinflammatory disorders of the central nervous system.