Endocannabinoids control spasticity in a multiple sclerosis model

FASEB J. 2001 Feb;15(2):300-2. doi: 10.1096/fj.00-0399fje. Epub 2000 Dec 8.

Abstract

Spasticity is a complicating sign in multiple sclerosis that also develops in a model of chronic relapsing experimental autoimmune encephalomyelitis (CREAE) in mice. In areas associated with nerve damage, increased levels of the endocannabinoids, anandamide (arachidonoylethanolamide, AEA) and 2-arachidonoyl glycerol (2-AG), and of the AEA congener, palmitoylethanolamide (PEA), were detected here, whereas comparable levels of these compounds were found in normal and non-spastic CREAE mice. While exogenously administered endocannabinoids and PEA ameliorate spasticity, selective inhibitors of endocannabinoid re-uptake and hydrolysis-probably through the enhancement of endogenous levels of AEA, and, possibly, 2-arachidonoyl glycerol-significantly ameliorated spasticity to an extent comparable with that observed previously with potent cannabinoid receptor agonists. These studies provide definitive evidence for the tonic control of spasticity by the endocannabinoid system and open new horizons to therapy of multiple sclerosis, and other neuromuscular diseases, based on agents modulating endocannabinoid levels and action, which exhibit little psychotropic activity.

MeSH terms

  • Amides
  • Animals
  • Arachidonic Acids / metabolism
  • Arachidonic Acids / therapeutic use*
  • Brain / metabolism*
  • Cannabinoid Receptor Modulators
  • Cannabinoids / metabolism*
  • Cannabinoids / therapeutic use*
  • Disease Models, Animal
  • Encephalomyelitis, Autoimmune, Experimental / drug therapy
  • Encephalomyelitis, Autoimmune, Experimental / physiopathology*
  • Endocannabinoids
  • Ethanolamines
  • Glycerides / metabolism
  • Humans
  • Mice
  • Mice, Inbred Strains
  • Multiple Sclerosis / physiopathology*
  • Palmitic Acids / metabolism
  • Piperidines / therapeutic use*
  • Polyunsaturated Alkamides
  • Pyrazoles / therapeutic use*
  • Receptors, Cannabinoid
  • Receptors, Drug / antagonists & inhibitors
  • Receptors, Drug / physiology
  • Rimonabant
  • Spasm / physiopathology
  • Spasm / prevention & control*
  • Spinal Cord / metabolism*

Substances

  • Amides
  • Arachidonic Acids
  • Cannabinoid Receptor Modulators
  • Cannabinoids
  • Endocannabinoids
  • Ethanolamines
  • Glycerides
  • Palmitic Acids
  • Piperidines
  • Polyunsaturated Alkamides
  • Pyrazoles
  • Receptors, Cannabinoid
  • Receptors, Drug
  • palmidrol
  • glyceryl 2-arachidonate
  • Rimonabant
  • anandamide
  • N-(4-hydroxyphenyl)arachidonylamide