Targeting 2-arachidonoylglycerol signalling in the neurobiology and treatment of depression

Basic Clin Pharmacol Toxicol. 2021 Jul;129(1):3-14. doi: 10.1111/bcpt.13595. Epub 2021 May 17.

Abstract

The endocannabinoid 2-arachidonoylglycerol (2-AG) is an atypical neurotransmitter synthesized on demand in response to a wide range of stimuli, including exposure to stress. Through the activation of cannabinoid receptors, 2-AG can interfere with excitatory and inhibitory neurotransmission in different brain regions and modulate behavioural, endocrine and emotional components of the stress response. Exposure to chronic or intense unpredictable stress predisposes to maladaptive behaviour and is one of the main risk factors involved in developing mood disorders, such as major depressive disorder (MDD). In this review, we describe the molecular mechanisms involved in 2-AG signalling in the brain of healthy and stressed animals and discuss how such mechanisms could modulate stress adaptation and susceptibility to depression. Furthermore, we review preclinical evidence indicating that the pharmacological modulation of 2-AG signalling stands as a potential new therapeutic target in treating MDD. Particular emphasis is given to the pharmacological augmentation of 2-AG levels by monoacylglycerol lipase (MAGL) inhibitors and the modulation of CB2 receptors.

Keywords: 2-AG; antidepressant effect; depression; monoacylglycerol lipase; stress.

Publication types

  • Review

MeSH terms

  • Animals
  • Antidepressive Agents / pharmacology*
  • Antidepressive Agents / therapeutic use
  • Arachidonic Acids / metabolism*
  • Brain / drug effects
  • Brain / metabolism
  • Brain / pathology
  • Depressive Disorder, Major / drug therapy*
  • Depressive Disorder, Major / metabolism
  • Depressive Disorder, Major / pathology
  • Depressive Disorder, Major / psychology
  • Disease Models, Animal
  • Endocannabinoids / metabolism*
  • Glycerides / metabolism*
  • Humans
  • Monoacylglycerol Lipases / antagonists & inhibitors
  • Monoacylglycerol Lipases / metabolism
  • Receptor, Cannabinoid, CB2 / agonists
  • Receptor, Cannabinoid, CB2 / antagonists & inhibitors
  • Receptor, Cannabinoid, CB2 / metabolism
  • Signal Transduction / drug effects*
  • Stress, Psychological / complications
  • Stress, Psychological / drug therapy*
  • Stress, Psychological / metabolism
  • Stress, Psychological / psychology
  • Synaptic Transmission / drug effects

Substances

  • Antidepressive Agents
  • Arachidonic Acids
  • Endocannabinoids
  • Glycerides
  • Receptor, Cannabinoid, CB2
  • glyceryl 2-arachidonate
  • Monoacylglycerol Lipases