An endocannabinoid mechanism for stress-induced analgesia

Nature. 2005 Jun 23;435(7045):1108-12. doi: 10.1038/nature03658.

Abstract

Acute stress suppresses pain by activating brain pathways that engage opioid or non-opioid mechanisms. Here we show that an opioid-independent form of this phenomenon, termed stress-induced analgesia, is mediated by the release of endogenous marijuana-like (cannabinoid) compounds in the brain. Blockade of cannabinoid CB(1) receptors in the periaqueductal grey matter of the midbrain prevents non-opioid stress-induced analgesia. In this region, stress elicits the rapid formation of two endogenous cannabinoids, the lipids 2-arachidonoylglycerol (2-AG) and anandamide. A newly developed inhibitor of the 2-AG-deactivating enzyme, monoacylglycerol lipase, selectively increases 2-AG concentrations and, when injected into the periaqueductal grey matter, enhances stress-induced analgesia in a CB1-dependent manner. Inhibitors of the anandamide-deactivating enzyme fatty-acid amide hydrolase, which selectively elevate anandamide concentrations, exert similar effects. Our results indicate that the coordinated release of 2-AG and anandamide in the periaqueductal grey matter might mediate opioid-independent stress-induced analgesia. These studies also identify monoacylglycerol lipase as a previously unrecognized therapeutic target.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Analgesia*
  • Animals
  • Arachidonic Acids / biosynthesis
  • Arachidonic Acids / metabolism
  • Biological Transport / drug effects
  • Biphenyl Compounds / pharmacology
  • Cannabinoid Receptor Modulators / biosynthesis
  • Cannabinoid Receptor Modulators / metabolism*
  • Endocannabinoids*
  • Glycerides / biosynthesis
  • Glycerides / metabolism
  • Hydrolysis / drug effects
  • In Vitro Techniques
  • Male
  • Mesencephalon / drug effects
  • Mesencephalon / metabolism
  • Monoacylglycerol Lipases / antagonists & inhibitors
  • Monoacylglycerol Lipases / metabolism
  • Polyunsaturated Alkamides
  • Rats
  • Rats, Sprague-Dawley
  • Rats, Wistar
  • Receptor, Cannabinoid, CB1 / antagonists & inhibitors
  • Receptor, Cannabinoid, CB1 / metabolism
  • Stress, Physiological / physiopathology*

Substances

  • Arachidonic Acids
  • Biphenyl Compounds
  • Cannabinoid Receptor Modulators
  • Endocannabinoids
  • Glycerides
  • Polyunsaturated Alkamides
  • Receptor, Cannabinoid, CB1
  • URB602
  • glyceryl 2-arachidonate
  • Monoacylglycerol Lipases
  • anandamide