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Targeting corticostriatal transmission for the treatment of cannabinoid use disorder

Trends in Pharmacological Sciences Volume 44, Number 8Reviews To Read – July 2023.

Published in Trends in Pharmacological Sciences by lead author Sergi Ferré of the NIDA IRP Integrative Neurobiology Section.

It is generally assumed that the reinforcing effects of cannabinoids are related to their capacity to induce striatal dopamine release by targeting cannabinoid receptors in the mesencephalic origin of the dopaminergic cells. In this TiPS issue, Ferré and colleagues discuss the evidence for an alternative mechanism that depends on a significant activation of frontal cortical neurons that project to the striatum. They highlight that this mechanism can provide new targets for the treatment of cannabinoid use disorder. The cover was conceptualized and designed by Daniel Guix and symbolizes the main role of the cortex in the pharmacological effects of marijuana.


Sergi Ferré; Attila Köfalvi; Francisco Ciruela; Zuzana Justinova; Marco Pistis

Targeting corticostriatal transmission for the treatment of cannabinoid use disorder Journal Article

In: Trends in Pharmacological Sciences, vol. 44, no. 8, pp. 495-506, 2023, ISSN: 0165-6147.

Abstract | Links

@article{FERRE2023495,
title = {Targeting corticostriatal transmission for the treatment of cannabinoid use disorder},
author = {Sergi Ferré and Attila Köfalvi and Francisco Ciruela and Zuzana Justinova and Marco Pistis},
url = {https://pubmed.ncbi.nlm.nih.gov/37331914/},
doi = {https://doi.org/10.1016/j.tips.2023.05.003},
issn = {0165-6147},
year = {2023},
date = {2023-01-01},
urldate = {2023-01-01},
journal = {Trends in Pharmacological Sciences},
volume = {44},
number = {8},
pages = {495-506},
abstract = {It is generally assumed that the rewarding effects of cannabinoids are mediated by cannabinoid CB1 receptors (CB1Rs) the activation of which disinhibits dopaminergic neurons in the ventral tegmental area (VTA). However, this mechanism cannot fully explain novel results indicating that dopaminergic neurons also mediate the aversive effects of cannabinoids in rodents, and previous results showing that preferentially presynaptic adenosine A2A receptor (A2AR) antagonists counteract self-administration of Δ-9-tetrahydrocannabinol (THC) in nonhuman primates (NHPs). Based on recent experiments in rodents and imaging studies in humans, we propose that the activation of frontal corticostriatal glutamatergic transmission constitutes an additional and necessary mechanism. Here, we review evidence supporting the involvement of cortical astrocytic CB1Rs in the activation of corticostriatal neurons and that A2AR receptor heteromers localized in striatal glutamatergic terminals mediate the counteracting effects of the presynaptic A2AR antagonists, constituting potential targets for the treatment of cannabinoid use disorder (CUD).},
keywords = {},
pubstate = {published},
tppubtype = {article}
}

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It is generally assumed that the rewarding effects of cannabinoids are mediated by cannabinoid CB1 receptors (CB1Rs) the activation of which disinhibits dopaminergic neurons in the ventral tegmental area (VTA). However, this mechanism cannot fully explain novel results indicating that dopaminergic neurons also mediate the aversive effects of cannabinoids in rodents, and previous results showing that preferentially presynaptic adenosine A2A receptor (A2AR) antagonists counteract self-administration of Δ-9-tetrahydrocannabinol (THC) in nonhuman primates (NHPs). Based on recent experiments in rodents and imaging studies in humans, we propose that the activation of frontal corticostriatal glutamatergic transmission constitutes an additional and necessary mechanism. Here, we review evidence supporting the involvement of cortical astrocytic CB1Rs in the activation of corticostriatal neurons and that A2AR receptor heteromers localized in striatal glutamatergic terminals mediate the counteracting effects of the presynaptic A2AR antagonists, constituting potential targets for the treatment of cannabinoid use disorder (CUD).

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  • https://pubmed.ncbi.nlm.nih.gov/37331914/
  • doi:https://doi.org/10.1016/j.tips.2023.05.003

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