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Vol. 296, Issue 3, 1013-1022, March 2001
Department of Pharmacology and Toxicology, Virginia Commonwealth University, Medical College of Virginia Campus, Richmond, Virginia (J.L.W., R.G.J., B.R.M.); and Organix, Inc., Woburn, Massachusetts (M.C.G., A.M., R.K.R.)
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Abstract |
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Synthesis of an antagonist, SR141716A, that selectively binds to
brain cannabinoid (CB1) receptors without producing
cannabimimetic activity in vivo, suggests that recognition and
activation of cannabinoid receptors are separable events. In the
present study, a series of SR141716A analogs were synthesized and were
tested for CB1 binding affinity and in a battery of in vivo
tests, including hypomobility, antinociception, and hypothermia in
mice. These analogs retained the central pyrazole structure of
SR141716A with replacement of the 1-, 3-, 4-, and/or 5-substituents by
alkyl side chains or other substituents known to impart potent agonist activity in traditional tricyclic cannabinoid compounds. Although none
of the analogs alone produced the profile of cannabimimetic effects
seen with full agonists, several of the 3-substituent analogs with
higher binding affinities showed partial agonism for one or more
measures. Cannabimimetic activity was most noted when the 3-substituent
of SR141716A was replaced with an alkyl amide or ketone group. None of
the 3-substituted analogs produced antagonist effects when tested in
combination with 3 mg/kg
9-tetrahydrocannabinol
(
9-THC). In contrast, antagonism of
9-THC's effects without accompanying agonist or partial
agonist effects was observed with substitutions at positions 1, 4, and 5. These results suggest that the structural properties of 1- and
5-substituents are primarily responsible for the antagonist activity of
SR141716A.
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Introduction |
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Compounds
that bind to brain cannabinoid (CB1) receptors
show a large degree of diversity in chemical structure and include classical tricyclic and bicyclic cannabinoids, aminoalkylindoles, indoles, pyrroles, and anandamides. Each of these classes of compounds shares a similar profile of pharmacological activity in vivo with the
prototypic tricyclic cannabinoid,
9-tetrahydrocannabinol
(
9-THC), albeit they differ in potency and
there are some differences in efficacy in individual assays (Compton et
al., 1992
, 1993
; Adams et al., 1995
; Wiley et al., 1998
). These in vivo
cannabimimetic effects include hypoactivity, hypothermia,
antinociception, and catalepsy in mice (Martin et al., 1991
; Smith et
al., 1994
),
9-THC-like discriminative stimulus
effects in rats and monkeys (see Wiley, 1999
for review), and static
ataxia in dogs (Lichtman et al., 1998
).
With the synthesis of a CB1 cannabinoid
antagonist, SR141716A, a new class of cannabinoids was revealed
(Rinaldi-Carmona et al., 1994
). SR141716A selectively binds to
cannabinoid CB1 receptors without producing
cannabimimetic activity in vivo (Compton et al., 1996
), suggesting that
binding and activation of cannabinoid receptors are separable events.
Consequently, structure-activity relationship (SAR) studies with
analogs of this antagonist provide a unique opportunity to compare the
structural requirements for binding and antagonist activity to those
required for binding and agonist efficacy. To date, only a couple of
studies have been published, which systematically examined the SAR of
cannabinoid CB1 antagonists (Thomas et al., 1998
;
Lan et al., 1999
). Although both of these studies reported
CB1 binding values for SR141716A analogs, neither
involved measurement of in vivo activity of the compound alone
and in combination with an active cannabinoid.
The purpose of the present study was synthesis of a series of analogs
of SR141716A and subsequent in vitro and in vivo testing. These analogs
retained a central pyrazole structure with manipulation of one of four
other areas of the molecule: 1) substitution for carboxyamide and/or
piperidine substituent (3-substituent substitution); 2) substitution
for the 2,4-dichlorophenyl group (1-substituent substitution); 3)
substitution for chlorophenyl group (5-substituent substitution); or 4)
substitution for the methyl (4-substituent substitution) (Fig.
1). Cannabinoid receptor binding
affinities were determined then followed by in vivo testing in mice.
Selected compounds with binding affinity
(Ki) less than 100 nM were further tested in combination with active dose(s) of
9-THC to evaluate potential antagonist
effects.
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Materials and Methods |
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Subjects. Male ICR mice (25-32 g), purchased from Harlan (Dublin, VA), were housed in groups of five. All animals were kept in a temperature-controlled (20-22°C) environment with a 12-h light/dark cycle (lights on at 7:00 AM). Separate mice were used for testing each drug dose in the in vivo behavioral procedures. The mice were maintained on a 14:10-h light:dark cycle and received food and water ad libitum. Brain tissue for binding studies was obtained from male Sprague-Dawley rats (150-200 g) purchased from Harlan Laboratories (Dublin, VA).
Apparatus.
Measurement of spontaneous activity in mice
occurred in standard activity chambers interfaced with a Digiscan
Animal Activity Monitor (Omnitech Electronics, Inc., Columbus, OH). A
standard tail-flick apparatus [described by Dewey et al. (1970)
] and
a digital thermometer (Fisher Scientific, Pittsburgh, PA) were used to
measure antinociception and rectal temperature, respectively.
Drugs.
9-THC (National Institute on
Drug Abuse, Rockville, MD) and CP 55,940 (Pfizer, Groton, CT) were
suspended in a vehicle of absolute ethanol, Emulphor-620
(Rhone-Poulenc, Inc., Princeton, NJ), and saline in a ratio of 1:1:18.
SR141716A (National Institute on Drug Abuse) and novel pyrazole
cannabinoids (synthesized in our laboratories) were also mixed in
1:1:18 vehicle. All drugs were administered to the mice intravenously
in the tail vein at a volume of 0.1 ml/10 g.
Membrane Preparation and Binding.
The methods used for
tissue preparation and binding have been described previously (Compton
et al., 1993
) and are similar to those described by Devane et al.
(1988)
. All assays, as described briefly below, were performed in
triplicate, and the results represent the combined data from three to
six individual experiments.
80°C for no more than 2 weeks. Before performing a
binding assay an aliquot of frozen membrane was rapidly thawed and
protein values were determined by the method of Bradford (1976)Procedure.
Before testing in the behavioral procedures, mice
were acclimated to the experimental setting (ambient temperature
22-24°C) overnight. Preinjection control values were determined for
rectal temperature and tail-flick latency (in seconds). For agonism
tests, mice were injected intravenously with drug or vehicle and, 5 min later, were placed in individual activity chambers where spontaneous activity was measured for 10 min. Activity was measured as total number
of interruptions of 16 photocell beams per chamber during the 10-min
test and was expressed as percentage inhibition of activity of the
vehicle group. Tail-flick latency was measured at 20 min postinjection.
A maximum latency of 10 s was used. Antinociception was calculated
as percentage of maximum possible effect {%MPE = [(test
control latency)/(10
control)] × 100}. Control latencies typically ranged from 1.5 to 4.0 s. At 30 min postinjection,
rectal temperature was measured. This value was expressed as the
difference between control temperature (before injection) and
temperatures following drug administration (
°C). Different mice
(n = 5-6) were tested for each dose of each compound.
Each mouse was tested in each of the three procedures. Antagonism tests
were conducted using an identical procedure with the exception that the
antagonist analog was injected 10 min before the injection of 3 mg/kg
9-THC.
Data Analysis.
Based on data obtained from numerous previous
studies with cannabinoids, maximal cannabinoid effects in each
procedure were estimated as follows: 90% inhibition of spontaneous
activity, 100% MPE in the tail-flick procedure, and
6°C change in
rectal temperature. ED50 values were defined as
the dose at which half-maximal effect occurred. For drugs that produced
one or more cannabinoid effect, ED50 values were
calculated separately using least-squares linear regression on the
linear part of the dose-effect curve for each in vivo measure, plotted
against log10 transformation of the dose. For the
purposes of potency comparison, potencies were expressed as millimoles
per kilogram. Data collected during combination tests (analog dose + 3 mg/kg
9-THC) were converted to percentage
antagonism [(mean score of group that received vehicle and 3 mg/kg
9-THC
score obtained with analog dose
and 3 mg/kg
9-THC)/(mean score of group that
received vehicle and 3 mg/kg
9-THC) × 100]. When the resulting values showed dose-responsiveness, AD50 values were calculated separately using
least-squares linear regression on the linear part of the percentage
antagonism curve for each in vivo measure, plotted against
log10 transformation of the dose. For the
purposes of potency comparison, antagonist potencies were expressed as
millimoles per kilogram.
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Results |
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Binding Affinities.
Table 1
shows binding affinities for pyrazole analogs in which the
carboxyamide group of the 3-substituent of SR141716A was replaced with
an alkylether group. Substitution of an alkylether group for the
carboxyamide group with retention of the terminal piperidine group, as
in O-848, greatly decreased binding affinity for
CB1 receptors. Although affinity was improved
(compared with O-848) by substitution of various cyclic, bicyclic, or
tricyclic structures for the piperidine ring of O-848, most compounds
listed in Table 1 still had relatively little affinity for the
CB1 receptor (Ki > 100 nM). Notable exceptions were O-852, O-889, and O-1043, each of
which had CB1 affinity <100 nM. In addition
to substitution of an alkylether for the carboxyamide at
position 3 on the pyrazole core (as with all compounds in this series),
these compounds had substitutions of naphthalene (O-852),
4-fluorophenyl (O-889), and 2,4-difluorophenyl (O-1043) groups for the
piperidine of the parent compound, SR141716A. Nevertheless, the
CB1 affinities of these three compounds were
substantially less than that of SR141716A.
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9-THC. Some of
these compounds retained the amide group at position 3 on the pyrazole
core (O-1269, O-1270, O-1398, and O-1399), whereas others had a ketone
substitution at this position (O-1271 and O-1272). Still others had
substitutions of a heptyl chain without branching (O-1877) or with an
attached 1'-hydroxyl group (O-1876). In all cases, binding affinities
were greatly enhanced compared with 3-substituent substitution with an
alkylether group, as in O-848, but still were 5- to 137-fold less than
SR141716A. Of the compounds retaining the amide group, the
n-pentyl compound, O-1269, had the greatest affinity.
Affinity was only slightly decreased by substituting
n-heptyl (O-1270) but was decreased 5-fold through n-propyl substitution (O-1399). Fluoroethyl substitution
(O-1398) produced a further 5-fold reduction in affinity. Replacement
of the amide group with a ketone (O-1271 and O-1272) also resulted in
decreased affinity compared with compounds with identical side chain
lengths that retained the amide group (O-1269 and O-1270, respectively). In each of the pairs, the compound with
n-pentyl substitution (O-1269 and O-1271) had the best
affinity, suggesting that substituent length affected
CB1 receptor binding of both series.
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9-THC, it was 8-fold less
than that of SR141716A.
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Structure-Activity Relationship for Agonist Activity in Mice.
3-Substituent substitution of an alkylether group for the amide and
various cyclic structures for the piperidine of SR141716A resulted in
analogs that engendered slight in vivo cannabimimetic effects. Minor
activity (30-70% of maximum effect) was observed with several
compounds (Table 1). The most potent cannabimimetic activity in this
series was produced by a compound (O-889) with a 3-substituent
substitution of a p-fluorophenyl methoxy group. O-889 had
full or partial activity in all three assays and also had one of the
highest CB1 receptor affinities in the series
(Table 1). In addition, O-889 stimulated locomotor activity by about 30% at a dose lower than those that produced suppression of locomotor activity (Table 5). O-852 also stimulated
locomotion by 52%, but unlike O-889, this compound did not inhibit
locomotor activity at higher doses, nor was it active in the
antinociceptive or hypothermia assays.
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9-THC tended to increase the degree of
stimulation. As a group, these stimulatory analogs had diverse
structural substitutions. Furthermore, their binding affinities ranged
from 2.2 to 233 nM (O-1704 and O-1559, respectively), suggesting little
correlation between CB1 receptor affinity and
potency for this effect.
In summary, with the exception of analogs with carbon side chain
substitution at position 3 of the pyrazole core, strong agonist activity was not observed for any of the compounds synthesized, at
least at doses below 30 mg/kg (highest dose tested for any analog). A
correlation between binding affinity and agonist potency was not
calculated because too few analogs were active for such a correlation
to be meaningful; however, visual inspection reveals that any
correlation is likely to be low. For example, although O-1269 and
O-1398 have similar ED50 values in vivo, they
have drastically different Ki values.
In addition, analogs presented in Table 4 have excellent binding
affinities; yet, they are not agonists in any of the in vivo assays.
The influence of possible differences in pharmacokinetics among the
analogs has not been evaluated.
Structure-Activity Relationship for Antagonist Activity in
Mice.
To assess antagonist activity, SR141716A and its analogs
from each series with good binding affinities (<100 nM) were tested in
combination with an active dose of
9-THC (3 mg/kg i.v.). The results of these tests are presented in Table
6. As expected, SR141716A fully
antagonized the suppression of locomotor activity, antinociceptive, and
hypothermic effects induced by 3 mg/kg
9-THC.
Analogs with 3-substituent substitutions produced partial antagonism at
best and often were ineffective. Maximum antagonist activity was
obtained with O-1271, which produced an average of 59% antagonism
across the three measures and did not have agonist properties at doses
up to 30 mg/kg. With the exception of O-1253, 1-substituent
substitution also did not result in marked antagonist activity.
Interestingly, O-1253 also had the highest CB1
binding affinity in this series of compounds. When tested in
combination with 3 mg/kg
9-THC, O-1253
produced full, dose-dependent antagonism of the antinociceptive and
hypothermic effects of this dose of
9-THC, but
antagonized its locomotor suppressant effects only at a single dose (1 mg/kg) with stimulation at higher doses and no antagonism at lower
doses.
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9-THC (Fig. 2).
The phenyl group at this position appeared to be a crucial structural
feature of the CB1 binding affinity of these compounds, because O-1559, which retained a pentyl chain but lacked the
phenyl group, did not have good affinity. Given its low affinity, O-1559 was not tested for antagonist activity. Within the group of
analogs that retained the phenyl group, differences in affinity and
antagonist potency emerged. Although branching of the pentyl by
addition of a 1'-methyl (O-1690) did not affect affinity compared with
the nonbranched pentyl substitution (O-1302), antagonist potency was
increased approximately 3-fold for antinociception and hypothermia. A
bromine or iodine substitution for the methyl at position 4 effected a
similar increase in potency for antagonizing
9-THC-induced antinociception and hypothermia
as did branching of the pentyl chain with no (iodine substitution,
O-1704) or minor (bromine substitution, O-1691) increase in
CB1 binding affinity. In contrast, a hydrogen
substitution at position 4 decreased affinity 10-fold and decreased
maximal antagonism to 50 to 62%. Evaluation of antagonism of the
locomotor suppressant effects of this series of analogs was problematic
due to their prominent locomotor stimulatory effects, particularly when
tested in combination with
9-THC (see Table
5).
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Discussion |
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SR141716A binds to CB1 receptors and
competitively antagonizes many of the CB1
receptor-mediated effects of cannabinoids; hence, its structure would
be expected to contain regions of overlap with those of cannabinoid
agonists. An area of receptor recognition that is crucial for all known
CB1 agonists is a lipophilic side chain (e.g.,
THC and anandamides) or comparable moiety (e.g., nitrogen substituent
of indole-derived cannabinoids) (Martin et al., 1991
; Huffman et al.,
1994
; Thomas et al., 1996
; Wiley et al., 1998
). Changes in the length,
branching, and flexibility of this side chain affects
CB1 receptor binding affinity and in vivo potency
of cannabinoid agonists (Compton et al., 1993
; Huffman et al., 1997
;
Martin et al., 1999
). A goal of this study was to determine whether any
of the pyrazole substituents of SR141716A might correspond to the C3
side chain of
9-THC.
Molecular modeling suggests a possible superpositioning of the
para-position of the 5-substituent in SR141716A with the
pentyl side chain in
9-THC (Thomas et al.,
1998
). Structure-activity relationships (SAR) of SR141716A analogs
presented here and elsewhere (Thomas et al., 1998
; Lan et al., 1999
)
are consistent with this proposed alignment. Retention of the phenyl
group is critical for receptor affinity and antagonism, as illustrated
with O-1559, which had an alkyl group at position 5 rather than a
phenyl. Substitution of the para-portion of the phenyl
substituent is also important. Deletion of the p-chloro
group (Lan et al., 1999
) greatly decreased affinity, whereas
substitution of an alkyl group or an iodo/bromo (Thomas et al., 1998
)
enhanced affinity. Interestingly, lengthening of the pentyl side chain
of
8-THC (Martin et al., 1999
), methylation at
the first or second carbon of the chain (Huffman et al., 1997
), and
halogenation at the terminal end of the chain (Charalambous et al.,
1991
) resulted in analogs that were agonists in vivo and that had
enhanced CB1 affinity compared with the parent compound.
Although all of the p-pentylphenyl analogs of SR141716A
(Table 4) have good affinity for CB1 receptors,
none of these analogs show cannabinoid activity in vivo. Indeed, with
the exception of O-1710 (the phenyl analog with the least affinity),
all are potent antagonists of the antinociceptive and hypothermic
effects of
9-THC. Presumably, they also will
block activation of CB1 receptors, although this
hypothesis has yet to be tested in functional assays. Hence, the
5-substituent of pyrazole cannabinoids appears to be involved both in
receptor recognition and in antagonism of receptor activation.
Consistent with the hypothesis that this position is important for
receptor recognition, Howlett et al. (2000)
have shown that covalent
binding of an azido or isothiocyano group to the p-position
of the 5-phenyl ring of SR141716A irreversibly displaces
[H3]CP 55,940 from its binding site.
Consistent with the proposed overlap of the C3 side chain of
9-THC and the 5-substituent of SR141716A,
position 4 of the pyrazole core would correspond with either C2 or C4
of
9-THC (see Fig. 1). Addition of an iodine
or bromine at this position of the p-pentylphenyl analog of
SR141716A did not substantially alter affinity, whereas hydrogen
substitution (O-1710) decreased it. By comparison, halogenation of C2
of
8-THC resulted in agonist analogs with
decreased CB1 affinity, and halogenation of C4
produced inactive analogs with little affinity (Martin et al., 1993
).
Based on these results, we suggest alignment of position 4 with C2 of
9-THC; however, given the paucity of
substitutions that have been made at these positions, this suggestion
is tentative, pending the results of further SAR studies.
Another area likely to be involved in the antagonist actions of
SR141716A is the 1-substituent. Thomas et al. (1998)
have suggested
that the 2,4-dichlorophenyl of SR141716A is its most unique area
compared with
9-THC, and that it may represent
the "antagonist-conferring" region. To date, results of SAR studies
support this hypothesis. Manipulation of this area by removal of one or
both of the chlorine atoms (present study; Lan et al., 1999
), addition
of a 3-chloro or 3- or 6-iodo group (Thomas et al., 1998
), or
substitution of an n-alkyl chain for the p-chloro
group (present study) resulted in substantial decreases in
CB1 affinity and decreased potency or loss of
antagonism. Of the analogs presented here, only the branched
p-1'-methylpropylphenyl analog (O-1253) had reasonable
binding affinity and antagonist activity, although this analog still
had less affinity than SR141716A and it was not as potent an
antagonist. Although the positioning of the two chlorine atoms is
important in determining the CB1 affinity of
these 1-substituent analogs, the presence of the 1-phenyl group is
crucial for their antagonist activity. Replacement of the phenyl with
an alkyl chain resulted in analogs that were partial agonists in a
[35S]GTP
S assay of G-protein activation
(Houston et al., 1997
). In contrast, analogs in which an alkyl chain
was added to the phenyl group at the p-position showed
decreased affinity and were inactive in vivo (present study). Together,
these findings demonstrate that small changes in the structure in the
1-substituent result in loss of antagonism, lending support to the
hypothesis that this area is important in conferring receptor
recognition and antagonist activity to pyrazole cannabinoids.
The 3-substituent of the pyrazole core, the fourth area of SR141716A
that was manipulated in the present study, appears to be involved in
receptor recognition, as analogs that were ethers, alkyl amides,
ketones, alcohol, or alkane showed greatly decreased CB1 binding affinity. These results are in
agreement with those of Lan et al. (1999)
. Only three of these analogs
showed CB1 binding affinity of less than 100 nM:
naphthalene, 4-fluorophenyl, and 2,4-difluorophenyl substitutions. The
other 3-substituent analogs that showed reasonable binding affinity
were some of the alkyl amides and ketones, with the best binding
affinity exhibited by the n-pentyl and n-heptyl
amides and the n-pentyl ketone. It is noteworthy that, in
each of the pairs of alkylamides and ketones, the analog with
n-pentyl substitution had the best affinity, suggesting that
substituent length affected CB1 receptor binding
in both series. Although none of the 3-substituent analogs that were
tested completely blocked
9-THC's effects in
all assays, several were agonists or partial agonists in vivo, although
most were not as efficacious as
9-THC in
producing the full profile of cannabimimetic effects. In addition, all
of the active 3-substituent analogs were less potent than
9-THC, even though some of them had
approximately the same affinity for the CB1
receptor. Together, these results suggest that the 3-substituent region
is involved in receptor recognition and agonist activity.
A final issue examined in this study was the degree to which pyrazoles
produce their effects through inverse agonism. SR141716A produces
effects that have been considered possible indications of inverse
agonism, including stimulation of locomotor activity in mice (Compton
et al., 1996
), inhibition of G-protein-gated inwardly rectifying
potassium channels in Xenopus oocytes (McAllister et al.,
1999
), reduction in [35S]GTP
S binding
(Landsman et al., 1997
), and increased twitch response in guinea pig
ileum (Coutts et al., 2000
). In the present study, substantial
locomotor stimulation was observed with some analogs, particularly
those with 1- and 5-substituent substitutions. Because these analogs
also showed the most antagonist activity, it is tempting to speculate
that this antagonism may have resulted from inverse agonism; however,
several observations argue against this hypothesis. First,
9-THC produces a biphasic effect on locomotor
activity with stimulation at lower doses and suppression at higher
doses (Evans et al., 1976
). It is possible that any locomotor
stimulation may be related to the agonist or partial agonist activity
of some of these analogs. Second, the locomotor stimulation does not
appear to be correlated with the CB1 affinity of
these analogs nor with their potency for antagonizing the in vivo
effects of
9-THC. For example, the greatest
degree of stimulation was produced by O-1559; yet, this analog did not
have good CB1 affinity nor was it an antagonist
in vivo. These results suggest that the stimulatory effect that we
observed with some of these analogs is not strongly related to action
at the CB1 receptor.
In summary, this study was undertaken to examine the pharmacological profile of various SR141716A analogs in which the 1-, 3-, 4-, and 5-positions of the pyrazole core were replaced by substituents known to impart potent agonist activity in tetrahydrocannabinols. Our results suggest that, although all three positions are important for receptor recognition, the effects of the positions differ with respect to receptor activation. The 3-position appears to be involved in agonism and receptor activation. In contrast, the 1-, 4-, and 5-positions seem to be involved in antagonism. Furthermore, the present evaluation of locomotor stimulatory effects does not support the hypothesis that the antagonist activity of pyrazole cannabinoids is related to inverse agonism. In conclusion, the present results suggest that binding and activation of the cannabinoid CB1 receptor are separable events and that the structural properties of 1- and 5-substituents are primarily responsible for the antagonist activity of SR141716A.
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Acknowledgments |
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We thank Irina Beletskaya, Ramona Winckler, and Bin Yang for technical assistance in completion of this project.
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Footnotes |
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Accepted for publication November 16, 2000.
Received for publication September 26, 2000.
This research was supported by National Institute on Drug Abuse Grants DA-09789 and DA-03672.
Manuscript results were previously reported in abstract form (Wiley et
al., 2000
).
Send reprint requests to: Dr. Jenny L. Wiley, Department of Pharmacology and Toxicology, Virginia Commonwealth University, P. O. Box 980613, Richmond, VA 23298-0613. E-mail: jwiley{at}hsc.vcu.edu
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Abbreviations |
|---|
CB1 receptor, brain cannabinoid
receptor;
anandamide, arachidonylethanolamide;
CP 55,940, (
)-cis-3-[2-hydroxy-4-(1,1-dimethylheptyl)phenyl]-trans-4-(3-hydroxypropyl)cyclohexanol;
GTP
S, guanosine-5'-O-(3-[35S]thio)triphosphate;
MPE, maximal possible antinociceptive effect;
SAR, structure-activity
relationship;
SR141716A, N-(piperidin-1-yl)-5-(4-chlorophenyl)-1-(2,4-dichlorophenyl)-4-methyl-1H-pyrazole-3-carboxamide
hydrochloride;
9-THC,
9-tetrahydrocannabinol.
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8-THC and
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Pharmacol Biochem Behav
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295-301[Medline].This article has been cited by other articles:
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A. C. Howlett, F. Barth, T. I. Bonner, G. Cabral, P. Casellas, W. A. Devane, C. C. Felder, M. Herkenham, K. Mackie, B. R. Martin, et al. International Union of Pharmacology. XXVII. Classification of Cannabinoid Receptors Pharmacol. Rev., June 1, 2002; 54(2): 161 - 202. [Abstract] [Full Text] [PDF] |
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