In
recent years, researchers have discovered
that the body makes its own
marijuana-like molecules
Medical
marijuana proponents may have
suffered a setback from the Supreme Court this
month, but scientists continue to make progress
in understanding the brain system responsible
for marijuana's effects on the body.
New research shows that the brain's own
marijuana-like molecules might let brain cells
talk back to each other. This may be important
for forming new memories.
Someone under the influence of marijuana
might have trouble remembering things because
marijuana's active ingredient, THC, swamps the
natural system. Marijuana's other physiological
effects – including relieving pain, increasing
appetite and interfering with movement – may
occur because the brain's related chemicals
have some role in regulating all of these
functions.
A better understanding of how this natural
system works could help scientists develop
drugs that harness the medically beneficial
effects of marijuana.
"What you'd want is a designer drug that could
give you all the benefits of marijuana, but not
all of its side effects," says Rachel Wilson, a
graduate student at the University of California,
San Francisco.
Just 13 years ago, scientists discovered that
throughout the brain and central nervous
system, there are receptors, or docking
stations, that allow THC to stick to brain cells.
Four years later, researchers found that the
body makes its own marijuana-like molecules,
called cannabinoids. There are two known so
far.
These molecules act as neurotransmitters,
sending messages throughout the brain and
central nervous system. The question is, what
messages?
New research helps unravel part of the mystery.
Ms. Wilson's work shows how the brain's
cannabinoids may play a key role in memory.
Other new research helps explain why
marijuana gives pot smokers the "munchies";
this work may lead to better drugs for appetite
suppression.
Ms. Wilson studied neurons in the part of the
brain called the hippocampus, the area thought
to be responsible for memory. People who have
damage to the hippocampus lack the ability to
form new memories (like the main character in
the movie Memento).
What Ms. Wilson and her adviser, Roger Nicoll,
found is that cannabinoids in the hippocampus
seem to allow neurons to talk back to each
other. Communication between neurons in the
brain had long been thought to be one-way. But
two-way communication means that the
connections between neurons can be
strengthened or weakened based on "talking"
back and forth – with the cannabinoids as the
signal that talks back.
This "is what everyone in neurobiology has been
looking for for so long," says Scripps Research
Institute biochemist Benjamin Cravatt. This
back talk "has a feel of memory to it. ... One
neuron tells another neuron ... 'This is what I'm
telling you,' and that neuron talks back to it."
The research by the San Francisco scientists was
published this spring in the journal Nature, at
the same time two teams working
independently in Japan and Cambridge, Mass.,
published complementary findings in the journal
Neuron.
Of course, Ms. Wilson says, studying single
neurons is a long way from understanding what
cannabinoids do in the brains of animals. For
example, does blocking the docking stations
(called cannabinoid receptors) so the molecules
can't send their messages actually affect
memory?
"What we're developing are tools that ultimately
people who study behavior and psychology in
rats, for example, can then take in to their
laboratories and ... see how taking out this one
feature could change how rats learn in a maze,"
she said.
The part of the brain linked to memory, the
hippocampus, isn't the only place where
cannabinoid receptors are found. In fact, they're
widely distributed throughout the brain and the
spinal cord. But they probably serve different
functions in different areas.
It's the cannabinoids and their receptors in
another brain region, called the hypothalamus,
that appear to be involved in stimulating
appetite. New research by George Kunos, of the
National Institute on Alcohol Abuse and
Alcoholism, and his colleagues helps explain why
pot smokers get the munchies.
Using mice that had been genetically altered so
they no longer had cannabinoid receptors, Dr.
Kunos found that the mice ate less than normal
mice after being deprived of food for a short
time. The research was published last month in
Nature.
Dr. Kunos said the level of cannabinoids in the
hypothalamus is under the control of a
fat-regulating hormone, called leptin. This
hormone keeps tabs on the energy status of the
body and helps maintain body weight. When
leptin levels are low, cannabinoid levels appear
to rise, stimulating appetite. Marijuana
overwhelms the normal system and swamps the
receptors, making pot smokers want to eat
everything in sight.
The system that controls appetite is complex,
though, because the mice without cannabinoid
receptors ate normally and didn't lose weight if
food was around. It was only after being
deprived of food for a day that they were less
hungry than their normal counterparts.
The appetite-stimulating effects of marijuana
may be beneficial for patients with AIDS or
those undergoing chemotherapy for cancer.
Unfortunately, Dr. Kunos said, developing a
drug that could mimic marijuana's
munchie-inducing effects is problematic because
it might be difficult to eliminate the drug's
psychoactive effects.
However, says Dr. Kunos, "the opposite type of
treatment, the use of a drug that blocks the
receptor, which obviously has no abuse potential
– that's more realistic." Such a drug might be
used to reduce appetite.
To this end, Dr. Kunos and his colleagues
studied what happened when they blocked the
cannabinoid receptor in fat mice. Mice that are
genetically bred to lack leptin chronically
overeat and are obese. The researchers injected
these mice with a compound that blocks
cannabinoid receptors and found that it cut down
the amount of food the mice ate and slowed
their weight gain.
A French pharmaceutical company,
Sanofi-Synthelabo, is already looking into this
drug as a possible appetite suppressant for
obese people. Dr. Kunos said human trials are
still under way but initial reports are
encouraging.
The drug is also being considered as a potential
therapy for schizophrenia, because some
researchers speculate that overactivity of the
brain's cannabinoid system may contribute to
schizophrenic symptoms. Trials are under way,
says Dr. Kunos, "but the results are not known,
and it's too early to tell if it would be effective."
The Nature and Neuron studies are among the
first to demonstrate physiological effects of the
brain's own cannabinoids. This system has
proved hard to study because cannabinoids
don't hang around in the brain very long.
If an animal is injected with anandamide, one of
the brain's own cannabinoids, nothing much
happens. Researchers were puzzled by this until
they realized how fast anandamide breaks down
– half of it is gone within five minutes.
But scientists at the Scripps Research Institute
in San Diego are trying to make anandamide
linger longer by preventing it from being broken
down. Several years ago Dr. Cravatt, a
biochemist, discovered an enzyme that breaks
down anandamide, called FAAH.
Now he's bred mice that lack this enzyme, so
anandamide sticks around longer in their brains.
Dr. Cravatt couldn't discuss his findings because
he's trying to get the work published in a
scientific journal. But he hopes his mice will give
researchers a much better understanding about
what anandamide is really doing in the brain.
A colleague at Scripps, chemist Dale Boger, is
trying to develop a chemical compound that
would inhibit FAAH. Such a compound might be
given as a drug to increase levels of
anandamide in the brain. Dr. Cravatt says
subtly adjusting the levels of anandamide in the
body could increase appetite or reduce pain
without causing the psychoactive effects of THC.
But Dr. Cravatt adds that the social stigma of
marijuana may prevent any of these potential
drugs from ever showing up on a pharmacy
shelf.
"That's a hard pill to swallow," he says. "It's
hard enough to get a drug that works – you
don't want to worry about getting a drug that
works and still not be able to distribute it. So I
think we have to overcome that."