Protective role of neuronal and lymphoid cannabinoid CB<sub>2</sub> receptors in neuropathic pain.

Cabañero, David; Ramírez-López, Angela; Drews, Eva; Schmöle, Anne; Otte, David M; Wawrzczak-Bargiela, Agnieszka; Huerga Encabo, Hector; Kummer, Sami et al. · Elife · 2020

basic_science · Level V

Where this comes from

Abstract

Cannabinoid CB<sub>2</sub> receptor (CB<sub>2</sub>) agonists are potential analgesics void of psychotropic effects. Peripheral immune cells, neurons and glia express CB<sub>2</sub>; however, the involvement of CB<sub>2</sub> from these cells in neuropathic pain remains unresolved. We explored spontaneous neuropathic pain through on-demand self-administration of the selective CB<sub>2</sub> agonist JWH133 in wild-type and knockout mice lacking CB<sub>2</sub> in neurons, monocytes or constitutively. Operant self-administration reflected drug-taking to alleviate spontaneous pain, nociceptive and affective manifestations. While constitutive deletion of CB<sub>2</sub> disrupted JWH133-taking behavior, this behavior was not modified in monocyte-specific CB<sub>2</sub> knockouts and was increased in mice defective in neuronal CB<sub>2</sub> knockouts suggestive of increased spontaneous pain. Interestingly, CB<sub>2</sub>-positive lymphocytes infiltrated the injured nerve and possible CB<sub>2</sub>transfer from immune cells to neurons was found. Lymphocyte CB<sub>2</sub>depletion also exacerbated JWH133 self-administration and inhibited antinociception. This work identifies a simultaneous activity of neuronal and lymphoid CB<sub>2</sub>that protects against spontaneous and evoked neuropathic pain.

Medical subject headings