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Cannabinoids suppress inflammatory and neuropathic pain by targeting α3 glycine receptors.

Wei Xiong | Tanxing Cui | Kejun Cheng | Fei Yang | Shao-Rui Chen | Dan Willenbring | Yun Guan | Hui-Lin Pan | Ke Ren | Yan Xu | Li Zhang
The Journal of experimental medicine | 2012

Certain types of nonpsychoactive cannabinoids can potentiate glycine receptors (GlyRs), an important target for nociceptive regulation at the spinal level. However, little is known about the potential and mechanism of glycinergic cannabinoids for chronic pain treatment. We report that systemic and intrathecal administration of cannabidiol (CBD), a major nonpsychoactive component of marijuana, and its modified derivatives significantly suppress chronic inflammatory and neuropathic pain without causing apparent analgesic tolerance in rodents. The cannabinoids significantly potentiate glycine currents in dorsal horn neurons in rat spinal cord slices. The analgesic potency of 11 structurally similar cannabinoids is positively correlated with cannabinoid potentiation of the α3 GlyRs. In contrast, the cannabinoid analgesia is neither correlated with their binding affinity for CB1 and CB2 receptors nor with their psychoactive side effects. NMR analysis reveals a direct interaction between CBD and S296 in the third transmembrane domain of purified α3 GlyR. The cannabinoid-induced analgesic effect is absent in mice lacking the α3 GlyRs. Our findings suggest that the α3 GlyRs mediate glycinergic cannabinoid-induced suppression of chronic pain. These cannabinoids may represent a novel class of therapeutic agents for the treatment of chronic pain and other diseases involving GlyR dysfunction.

Pubmed ID: 22585736

Research resources used in this publication

None found

Antibodies used in this publication

None found

Associated grants

  • Agency: NINDS NIH HHS, United States
    Id: R01-NS070814-01
  • Agency: NINDS NIH HHS, United States
    Id: NS073935
  • Agency: NIGMS NIH HHS, United States
    Id: R37GM049202
  • Agency: NIGMS NIH HHS, United States
    Id: T32 GM075770
  • Agency: NINDS NIH HHS, United States
    Id: R01 NS070814
  • Agency: NINDS NIH HHS, United States
    Id: R01 NS073935
  • Agency: NIGMS NIH HHS, United States
    Id: R37 GM049202
  • Agency: Intramural NIH HHS, United States
  • Agency: NIGMS NIH HHS, United States
    Id: T32GM075770

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