eLife (Jul 2020)

Protective role of neuronal and lymphoid cannabinoid CB2 receptors in neuropathic pain

  • David Cabañero,
  • Angela Ramírez-López,
  • Eva Drews,
  • Anne Schmöle,
  • David M Otte,
  • Agnieszka Wawrzczak-Bargiela,
  • Hector Huerga Encabo,
  • Sami Kummer,
  • Antonio Ferrer-Montiel,
  • Ryszard Przewlocki,
  • Andreas Zimmer,
  • Rafael Maldonado

DOI
https://doi.org/10.7554/eLife.55582
Journal volume & issue
Vol. 9

Abstract

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Cannabinoid CB2 receptor (CB2) agonists are potential analgesics void of psychotropic effects. Peripheral immune cells, neurons and glia express CB2; however, the involvement of CB2 from these cells in neuropathic pain remains unresolved. We explored spontaneous neuropathic pain through on-demand self-administration of the selective CB2 agonist JWH133 in wild-type and knockout mice lacking CB2 in neurons, monocytes or constitutively. Operant self-administration reflected drug-taking to alleviate spontaneous pain, nociceptive and affective manifestations. While constitutive deletion of CB2 disrupted JWH133-taking behavior, this behavior was not modified in monocyte-specific CB2 knockouts and was increased in mice defective in neuronal CB2 knockouts suggestive of increased spontaneous pain. Interestingly, CB2-positive lymphocytes infiltrated the injured nerve and possible CB2transfer from immune cells to neurons was found. Lymphocyte CB2depletion also exacerbated JWH133 self-administration and inhibited antinociception. This work identifies a simultaneous activity of neuronal and lymphoid CB2that protects against spontaneous and evoked neuropathic pain.

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