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Signaling Pathways:

        A symposium at the 2001 annual meeting of the Research Society on Alcoholism included,
(1) Role of endocannabinoids in ethanol tolerance, by Appa Hungund;
(2) Modulation of cannabinoid receptor and its signal transduction in chronic alcoholism, by
B. S. Basavarajappa;
(3) Endocannabinoid involvement in the control of appetitive behavior, by George Kunos;
(4) Regulation of voluntary ethanol intake by cannabinoid receptor agonists and antagonists in alcohol-preferring sP rats, by Giancarlo Colombo; (5) Role of endogenous cannabinoid system in alcoholism, by Fernado Rodriguez de Fonseca; and (6) Endocannabinoids and dopamine interactions in vivo, by Loren Parsons and George Koob. Hungund BL, Basavarajappa BS, Vadasz C, Kunos G, Rodriguez de Fonseca F, Colombo G, Serra S, Parsons L, Koob GF. Ethanol, endocannabinoids, and the cannabinoidergic signaling system. Alcohol Clin Exp Res 2002 Apr;26(4):565-74
          Studies using CB1 knockout mice support a role for endocannabinoids in retrograde synaptic inhibition in the hippocampus, in long-term potentiation and memory, in the development of opiate dependence, and in the control of appetite and food intake. The use of CB2 receptor knockout mice suggested a role for this receptor in macrophage-mediated helper T cell activation. Kunos G, Batkai S. Novel physiologic functions of endocannabinoids as revealed through the use of mutant mice. Neurochem Res 2001 Sep;26(8-9):1015-21. 

Endocannabinoids are retrograde messengers released by neurons, which modulate the strength of synaptic inputs. Endocannabinoids may mediate suppression of GABA release after depolarization of a hippocampal CA1 pyramidal neuron-termed "depolarization-induced suppression of inhibition" (DSI). DSI is absent in mice which lack cannabinoid receptor-1 (CB1). Endocannabinoids selectively inhibit a subclass of synapses distinguished by fast kinetics and large unitary conductance. Endocannabinoids are highly selective, rapid modulators of hippocampal inhibition. Wilson RI, Kunos G, Nicoll RA. Presynaptic specificity of endocannabinoid signaling in the hippocampus. Neuron 2001 Aug 16;31(3):453-62

       Cardiovascular - - Cannabinoids are strong vasodilators, and endocannabinoids act in hypotension in hemorrhagic and septic shock. Endocannabinoids generated in monocytes and platelets contribute to hypotension in acute MI. Cannabinoid(1) receptor blockade restores MAP but increases 2-h mortality, possibly by impairing endothelial function. Wagner JA, Hu K, Bauersachs J, Karcher J, Wiesler M, Goparaju SK, Kunos G, Ertl G.  Endogenous cannabinoids mediate hypotension after experimental myocardial infarction. J Am Coll Cardiol 2001 Dec;38(7):2048-54

      Advanced cirrhosis is associated with generalized vasodilation of unknown origin, which contributes to mortality. Rats with biliary cirrhosis have low blood pressure, which is elevated by the CB1 receptor antagonist SR141716A. The low blood pressure of rats with CCl4-induced cirrhosis was similarly reversed by SR141716A, which also reduced the elevated mesenteric blood flow and portal pressure. Monocytes from cirrhotic but not control patients or rats elicited SR141716A-sensitive hypotension in normal recipient rats and showed significantly elevated levels of anandamide. Compared with non-cirrhotic controls, in cirrhotic human livers there was a three-fold increase in CB1 receptors on isolated vascular endothelial cells. These results implicate anandamide and vascular CB1 receptors in the vasodilated state in advanced cirrhosis and indicate a novel approach for its management. Batkai S, Jarai Z, Wagner JA, Goparaju SK, Varga K, Liu J, Wang L, Mirshahi F, Khanolkar AD, Makriyannis A, Urbaschek R, Garcia N Jr, Sanyal AJ, Kunos G. Endocannabinoids acting at vascular CB1 receptors mediate the vasodilated state in advanced liver cirrhosis. Nat Med 2001 Jul; 7(7):827-32