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British Journal of Pharmacology logoLink to British Journal of Pharmacology
. 2010 Jun;160(3):530–543. doi: 10.1111/j.1476-5381.2010.00790.x

Endocannabinoid signalling: has it got rhythm?

Linda K Vaughn 1,*, Gerene Denning 2,*, Kara L Stuhr 3, Harriet de Wit 4, Matthew N Hill 5, Cecilia J Hillard 3
PMCID: PMC2931554  PMID: 20590563

Abstract

Endogenous cannabinoid signalling is widespread throughout the body, and considerable evidence supports its modulatory role in many fundamental physiological processes. The daily and seasonal cycles of the relationship of the earth and sun profoundly affect the terrestrial environment. Terrestrial species have adapted to these cycles in many ways, most well studied are circadian rhythms and hibernation. The purpose of this review was to examine literature support for three hypotheses: (i) endocannabinoid signalling exhibits brain region-specific circadian rhythms; (ii) endocannabinoid signalling modulates the rhythm of circadian processes in mammals; and (iii) changes in endocannabinoid signalling contribute to the state of hibernation. The results of two novel studies are presented. First, we report the results of a study of healthy humans demonstrating that plasma concentrations of the endocannabinoid, N-arachidonylethanolamine (anandamide), exhibit a circadian rhythm. Concentrations of anandamide are threefold higher at wakening than immediately before sleep, a relationship that is dysregulated by sleep deprivation. Second, we investigated differences in endocannabinoids and congeners in plasma from Marmota monax obtained in the summer and during the torpor state of hibernation. We report that 2-arachidonoylglycerol is below detection in M. monax plasma and that concentrations of anandamide are not different. However, plasma concentrations of the anorexigenic lipid oleoylethanolamide were significantly lower in hibernation, while the concentrations of palmitoylethanolamide and 2-oleoylglycerol were significantly greater in hibernation. We conclude that available data support a bidirectional relationship between endocannabinoid signalling and circadian processes, and investigation of the contribution of endocannabinoid signalling to the dramatic physiological changes that occur during hibernation is warranted.

This article is part of a themed issue on Cannabinoids. To view the editorial for this themed issue visit http://dx.doi.org/10.1111/j.1476-5381.2010.00831.x

Keywords: N-arachidonylethanolamine, anandamide, 2-arachidonoylglycerol, oleoylethanolamide, palmitoylethanolamide, 2-oleoylglycerol, cannabinoid, CB1 receptor, diurnal, circadian, hibernation, circannual, sleep deprivation

Introduction

We live in a world in which periodic environmental change, driven by geophysical cycles, dominates the activity of life (Foster and Roenneberg, 2008). The most obvious cyclical change is the circadian/diurnal light–dark cycle, driven by the 24 h rotational period of the earth around its axis, which influences patterns of sleep and arousal. Because the metabolic and behavioral requirements of an organism are different between sleep and arousal states, many other physiological processes are also circadian (Lemmer, 2009). For example, the drive to eat is most efficiently expressed during the active period of the light–dark cycle. Similarly, metabolic rate and core body temperature exhibit clear circadian rhythms.

Temperate and polar regions experience yearly cycles in the intensity and duration of sunlight reaching the earth. To survive, plant and animal species that live in these regions must cope with circannual changes in the availability of food and water, and in external temperature (Foster and Roenneberg, 2008). One remarkable example of such adaptation is hibernation, a set of highly coordinated, physiological, biochemical and behavioral processes that occur during the season of winter (Carey et al., 2003a).

Endogenous cannabinoid signalling (ECS) is broadly utilized throughout the body as a mechanism to regulate intercellular communication. There is evidence that pharmacological manipulation of cannabinoid (CB) receptor signalling affects sleep/wake cycles (Murillo-Rodriguez, 2008b), temperature regulation (Maccarrone and Wenger, 2005), food consumption and fat storage (de Kloet and Woods, 2009), CNS regulation of autonomic (Pacher et al., 2005) and endocrine functions (Maccarrone and Wenger, 2005), reward-driven behaviour (Solinas et al., 2008), gastrointestinal function (Aviello et al., 2008), mood (Hill and Gorzalka, 2009) and sensory perception (Biro et al., 2009). All of these processes are altered in a cyclical manner.

The goal of this review was to present the hypotheses that ECS is influenced by circadian and circannual cycles, and that circadian and circannual cycles influence biology via changes in ECS. The interactions between ECS and circadian cycles have been the subject of several studies, and these are reviewed herein. However, there are no data regarding either the roles of the ECS in hibernation or the effects of hibernation on ECS; therefore, our goal in that section was to provide food for thought and ideas for future experiments.

Essentials of ECS

ECS consists of two arachidonate ligands, N-arachidonylethanolamine (AEA; anandamide) (Devane et al., 1992) and 2-arachidonoylglycerol (2-AG) (Mechoulam et al., 1995; Sugiura et al., 1995), and at least two G-protein-coupled receptors, CB receptor types 1 (CB1) (Matsuda et al., 1990) and 2 (CB2) (Munro et al., 1993). In addition, intracellular AEA also targets the vanilloid receptor (TRPV1), which has led to the hypothesis that it could be a second messenger that regulates calcium signalling through this receptor (De Petrocellis and Di Marzo, 2009). Both AEA and 2-AG are the arachidonate members of larger lipid families: the N-acylethanolamines (NAEs) and the 2-monoacylglycerols (2-MAGs). While these other family members have overlapping synthetic and catabolic processes, with few exceptions (Hillard and Campbell, 1997), they do not act via the CB receptors.

Available data indicate that 2-AG is produced by post-synaptic neurons in response to metabotropic receptor activation and/or depolarization, and targets CB1 receptors present on pre-synaptic terminals (Pan et al., 2009). Thus, 2-AG mediates activity-dependent retrograde inhibition of synaptic activity in many brain regions (Patel and Hillard, 2009). In all but one reported case (Azad et al., 2004), AEA is not involved in this process. Neither the mechanisms involved in the regulation nor in the function of AEA–CB1 receptor signalling are well understood. Interestingly, AEA is a partial agonist of the CB1 receptor (Kearn et al., 1999), and its extracellular concentration is lower than 2-AG (Caille et al., 2007). It is possible that AEA provides low intensity tonic activation of CB1 receptor signalling, while 2-AG functions as a phasic high-intensity signal.

It is generally accepted that endogenous activation of the CB1 and CB2 receptors is regulated by processes that govern the biosynthesis and catabolism of the endocannabinoids AEA and 2-AG. AEA concentrations are regulated by the conversion of a minor phosphoglyceride, N-arachidonyl-phosphatidylethanolamine (N-arachPE), via either a phospholipase D (NAPE-PLD) (Okamoto et al., 2009) or a two-enzyme pathway that involves an alpha, beta hydrolase (ABH4) and a glycerophosphodiesterase (GDE1) (Simon and Cravatt, 2008). The mechanisms that regulate the activities of these enzymes and the specifics of their involvement in the synthesis of AEA are currently not well understood. At least three enzymes are involved in the catabolism of AEA: fatty acid amide hydrolase (FAAH) (Cravatt et al., 1996), a lysosome-localized fatty acyl amide hydrolase with an acid optimum (NAAA) (Tsuboi et al., 2005) and a recently identified FAAH-2 localized in lipid droplets (Kaczocha et al., 2009).

2-AG is synthesized via a two-enzyme cascade of phospholipase C (PLC) and diacylglycerol lipase (DGL). Recent evidence suggests that in neurons, the rate-limiting step for the synthesis of CB1 receptor-targeted 2-AG is DGL (Bisogno et al., 2003; Yoshida et al., 2006; Gao et al., 2010). 2-AG is hydrolysed by several enzymes; in brain, 85% of the hydrolysis occurs via monoacylglycerol lipase (MGL), the remaining is hydrolysed by ABHD6 and ABHD12 (Blankman et al., 2007), enzymes about which far less are known. AEA and 2-AG are also substrates for some arachidonate oxygenases, including lipoxygenases (Edgemond et al., 1998) and COX 2 (Kozak et al., 2002).

Several generalities about ECS are supported by considerable experimental evidence. First, ECS is widespread. In addition to very prominent expression within the brain, ECS has been identified in the spinal cord (Hohmann, 2002), sympathetic nervous system (Ralevic and Kendall, 2009), enteric nervous system (Massa and Monory, 2006), liver (Mallat and Lotersztajn, 2008), adipose tissue (Nogueiras et al., 2009), immune system (Munro et al., 1993) and pancreas (Juan-Pico et al., 2006).

Second, ECS is modulatory. Within the CNS, the CB1 receptor is located on pre-synaptic terminals, and functions to inhibit neurotransmitter release (Patel and Hillard, 2009). CB1 receptors also regulate transmitter release from sympathetic terminals (Pakdeechote et al., 2007), enteric nerves (Tyler et al., 2000; Massa and Monory, 2006) and peripheral sensory nerves (Agarwal et al., 2007).

Third, ECS is plastic; in fact, multiple mechanisms have been identified for the regulation of ECS. As was outlined above, enzymatic mechanisms regulate the biosynthesis and catabolism of the endocannabinoids. In addition, conditions have been identified that regulate CB receptor expression. For example, hippocampal CB1 receptors are down-regulated by chronic stress (Hill et al., 2005) and macrophage CB2 receptor expression changes with alterations in cellular activation (Carlisle et al., 2002). At the systems level, the plasticity of ECS allows for context-dependent signalling.

Fourth, ECS serves a homeostatic role. At the synaptic level, this is seen in its function as an activity-dependent retrograde mediator of synaptic transmission (Freund et al., 2003). At glutamatergic synapses, endocannabinoids are mobilized in response to glutamate activation of metabotropic receptors and/or depolarization, and serve to reduce excitatory drive. At a systems level, activation of the ECS contributes to recovery from activation of the hypothalamic–pituitary–adrenal (HPA) axis, for example (Di et al., 2003).

ECS and the circadian cycle

ECS is intertwined with the circadian rhythm in several respects. Amounts of the endocannabinoids, their degradative and synthetic enzymes and their receptors all show tissue-specific diurnal changes, indicating that ECS is ‘downstream’ of circadian regulators. On the other hand, exogenous and endogenous CBs affect many important physiological processes that exhibit a circadian rhythm: sleep–wakefulness, body temperature, HPA endocrine secretions, food intake, learning and memory and locomotor activity. These findings indicate that ECS is ‘upstream’ of circadian processes. Therefore, a central thesis of this review is that ECS serves as a link between circadian regulators, such as the intrinsic clock of the suprachiasmatic nucleus (SCN) and the physiological processes that they affect.

The circadian rhythm of ECS components

There is evidence that ECS exhibits a circadian rhythm with variations reported in endocannabinoid tissue contents (Valenti et al., 2004; Murillo-Rodriguez et al., 2006), CB1 receptor number (Martinez-Vargas et al., 2003; Rueda-Orozco et al., 2008) and in the enzymes controlling the synthesis and degradation of endocannabinoids (Valenti et al., 2004).

Because endocannabinoids are mobilized ‘on-demand’, their concentrations in lipid extracts of isolated brain regions are hypothesized to be proportional to their concentrations in the synapse. In Sprague-Dawley rats, significant diurnal variations in AEA and 2-AG contents have been demonstrated in CSF, hypothalamus, hippocampus, pons, nucleus accumbens, prefrontal cortex and striatum (Valenti et al., 2004; Murillo-Rodriguez et al., 2006). With respect to AEA concentrations, two patterns have been reported. In the pons (Valenti et al., 2004; Murillo-Rodriguez et al., 2006), nucleus accumbens, prefrontal cortex, hippocampus and striatum (Valenti et al., 2004), AEA content is higher in tissues harvested during the active phase of the rats (i.e. when the lights are off) than during the inactive phase. An opposite pattern is seen in CSF and hypothalamus, where AEA concentrations are higher in the inactive than in the active phase (Murillo-Rodriguez et al., 2006). These studies suggest that AEA-mediated signalling varies with time of day and that multiple mechanisms link the circadian rhythms with changes in AEA biosynthesis and/or clearance. In a few cases, the mechanism could involve changes in the activity of FAAH. One study found that FAAH activity was negatively correlated with AEA content in the hippocampus and striatum, suggesting that circadian changes in FAAH activity could underlie the changes in AEA content in those regions (Valenti et al., 2004). However, a recent study comparing FAAH activity at the midpoint of the light and dark phases did not find differences in either striatum or hippocampus, but did report small but significant differences in FAAH activity in the cerebellum and periaqueductal gray at these time-points (Glaser and Kaczocha, 2009).

Interestingly, the tissue contents of 2-AG were opposite to those of AEA in tissues where both were measured. 2-AG contents were higher during the inactive phase (day) in nucleus accumbens, prefrontal cortex, striatum and hippocampus (Valenti et al., 2004). In the striatum, the activities of both MGL and DGL are higher during the inactive than active phase (Valenti et al., 2004); increased DGL activity in particular is consistent with higher turn-over of 2-AG during the inactive phase in the striatum. On the other hand, no changes in MGL or DGL were seen in the hippocampus (Valenti et al., 2004), suggesting divergent mechanisms for the regulation of 2-AG between striatum and hippocampus.

There is evidence that CB1 receptor density in rat brain is regulated in a circadian manner. In both pons (Martinez-Vargas et al., 2003) and hippocampus (Rueda-Orozco et al., 2008), the density of CB1 receptor protein is approximately 5% higher during the inactive than the active phase. The pattern of protein expression is similar in both regions, with peaks at the midpoint in the light period and troughs 12 h later. CB1 receptor mRNA expression exhibits a more substantial diurnal variation, with increases of 11% in the pons (Martinez-Vargas et al., 2003) and 50% in the hippocampus (Rueda-Orozco et al., 2008). In both regions, mRNA concentrations are out of phase with the changes of CB1 receptor protein over a 24 h period, but the patterns are slightly different. Neither protein nor mRNA for CB1 receptors varies significantly in the striatum (Rueda-Orozco et al., 2008).

The changes in endocannabinoid content and CB1 receptor density with time of day in the pons and hippocampus display interesting relationships. In both brain regions, AEA content and CB1 receptor protein concentration are nearly perfectly out of phase with each other (Figure 1A,B). For the majority of the inactive phase, CB1 receptor density is high and AEA content is low in the hippocampus. We hypothesize that CB1 receptor signalling is in a state of low basal tone (due to low AEA concentrations) and high sensitivity to 2-AG activation (Figure 1C). The finding that hippocampal 2-AG content is higher in the inactive phase suggests that its synthesis is greater or clearance is reduced during this phase, which could also contribute to a situation in which CB1 receptor activation by 2-AG is potentiated. When the animals are awake and active, AEA tone is high, while CB1 receptor density is slightly lower. We hypothesize that this results in higher basal tone, but reduced efficacy of 2-AG activation (Figure 1C). We propose a similar mechanism is operative in the pons; however, the period of time during which AEA content is high, and thus CB1 receptor signalling is less sensitive to 2-AG, is confined to the first half of the active phase. Previous studies demonstrating that CB1 receptor agonists increase neuronal activity in the locus coeruleus (Muntoni et al., 2006) and that neuronal activity in the locus coeruleus neurons is greater in the active period than the inactive period (Aston-Jones et al., 2001) suggest the intriguing hypothesis that high AEA concentrations in the active phase contribute to the awake state supported by high locus coeruleus output. Interestingly, AEA content in the hypothalamus exhibits the opposite relationship to time which, if the hypothesis presented above is correct, would result in high basal CB1 receptor signalling during the inactive phase.

Figure 1.

Figure 1

Schematic of the relationship between time and changes in AEA content and CB1 receptor protein expression in hippocampus (A) and pons (B). The data plotted were taken from Martinez-Vargas et al. (2003), Valenti et al. (2004), Murillo-Rodriguez et al. (2006) and Rueda-Orozco et al. (2008); changes are displayed relative to the high and low values reported. (C) Hypothesis of the dual regulation of the effectiveness of 2-AG to activate CB1 receptor-mediated signalling by AEA concentrations and the CB1 receptor density. In both of these brain regions, AEA content is low in the inactive phase of the day, while CB1 receptor protein is at its highest concentration. We hypothesize that this allows for high efficacy of 2-AG activation of CB1 receptor signalling. In the active phase of the day, CB1 receptor protein is lower, while AEA content is high; we hypothesize that this results in higher basal receptor tone and lower maximal efficacy for 2-AG than in the inactive phase.

Time of day and sleep deprivation affect plasma endocannabinoids in humans

The endocannabinoids are also present in the circulation, although their source and targets are not well understood. In a small pilot study, we explored the circadian rhythms of circulating endocannabinoids in humans. Plasma was obtained in the late evening, early morning and early evening from five healthy humans who had consistent sleep/wake cycles for at least 5 days prior to sampling. Lipid extracts from plasma were obtained and concentrations of AEA and 2-AG were determined using liquid chromatography–mass spectrometry (LC–MS) as outlined in Hill et al. (2008). Blood samples were obtained during a 24 h stay at the clinical research centre at the University of Chicago; the subjects remained in bed with lights out from 2230 at day 1 until 0700 at day 2. AEA and 2-AG contents were determined in plasma obtained at 2200 at day 1, and at 0730 and 1730 at day 2 (Figure 2A). No significant relationship between 2-AG concentrations and time of day was found; however, there was a highly significant effect of time on AEA concentration (F2,14= 114; P < 0.0001). Tukey's multiple comparison test revealed a significant difference between the concentration in blood obtained at 2200 at day 1 and at 0730 at day 2 (q= 20; P < 0.001), and between blood obtained at 0730 and 1730 at day 2 (q= 15; P < 0.001). The difference in AEA concentrations between blood obtained at 2200 at day 1 and at 1730 at day 2 was not significant (q= 3.5; P > 0.05). These data suggest that circulating AEA concentrations rise during sleep, although the exact pattern of change remains to be determined.

Figure 2.

Figure 2

Blood was obtained from five (three male) subjects during two 24 h sessions in the clinical research centre of the University of Chicago. The two sessions were 1 week apart. During one of the sessions, the subjects were in bed with the lights out from 2230 (day 1) until 0700 (day 2) (A; normal sleep session); during the other session, the subjects did not sleep at all (B; sleep deprivation session). The two sessions were randomized with respect to deprivation. A study staff monitored the subjects during both visits to ensure compliance with the sleep or deprivation conditions. Plasma was obtained in Chicago, frozen within 2 h of collection and shipped to Milwaukee for analysis on dry ice. Endocannabinoids were extracted and measured as reported previously (Hill et al., 2008). Lines connect data points obtained from the same subject. This study was approved by the Institutional Review Boards of the University of Chicago and the Medical College of Wisconsin. Please see text for the statistical comparisons.

In a second phase of the pilot study, we explored the effects of sleep deprivation on plasma endocannabinoids. The same five individuals spent a second night in the clinical research centre during which they were not allowed to sleep. The session (first or second) at which sleep deprivation was imposed was randomized. Plasma endocannabinoids were determined in blood drawn at 2200 at day 1 and at both 0730 and 1730 at day 2 (Figure 2B). As evidence of the stability of circulating AEA concentrations, there was no difference in AEA concentrations in blood drawn at 2200 between the two clinic visits, which were 1 week apart (paired t= 1.46; P= 0.22). One-way anova of the AEA concentrations by time of blood draw in the sleep deprivation arm also indicated a significant effect of time (F2,14= 8.9, P < 0.01); however, the only comparison that reached significance in the Tukey's post hoc tests was between 2200 at day 1 and 1730 at day 2 (q= 5.8; P < 0.01), a comparison that was not significant in the same subjects allowed to sleep normally. The q value for the comparison between 2200 at day 1 and 0730 at day 2 was 3.9, and between 0730 and 1730 at day 2 was 1.9; both P > 0.05. Therefore, these data indicate that lack of normal sleep produces a significant dysregulation of circulating AEA. Intriguing as these data are, it is difficult to interpret their functional significance because we know little about the regulation of AEA concentrations in the circulation and the target of this mediator. These data are at odds with a previous report that sleep deprivation did not significantly alter plasma AEA concentrations in blood drawn between 1000 and 1200 the day following sleep deprivation (Koethe et al., 2009). However, close inspection of data reported in that paper indicates that sleep deprivation increased the variance in plasma AEA concentrations in accord with the present results.

ECS and circadian rhythms

The primary circadian clock in mammals is located in the SCN, a distinct group of cells located in the hypothalamus. Destruction of the SCN results in the complete absence of a regular sleep/wake rhythm (Weaver, 1998). The clock can be entrained or tuned by environmental factors, called zeitgebers (Roenneberg and Merrow, 2007). The most well-studied zeitgeber is light; other zeitgebers are environmental temperature, availability of food and social interactions (Roenneberg and Merrow, 2007). The SCN receives information about environmental illumination through photoresponsive retinal ganglion cells. These cells project to the SCN via the retinohypothalamic tract (RHT) (Okamura, 2003). Other important inputs to the SCN are afferents from the intergeniculate leaflet (IGL) of the thalamus, which integrates photic and non-photic information (Hastings et al., 1997), and the serotonergic projections of the raphe nuclei, which entrain the clock in a non-photic manner and affect light input as well (Challet, 2007).

The widespread distribution of the CB1 receptor in the brain offers support for multiple possibilities by which ligands of this receptor could alter the response of the SCN to light input and could modulate clock outputs (Figure 3). CB1 receptors are present in the hamster (Sanford et al., 2008) and mouse SCN (Wittmann et al., 2007). Therefore, CB agonists could directly influence glutamate and/or GABA neurotransmission within the SCN. In support of this possibility, Sanford et al. (2008) have recently reported that CB1 receptor activation inhibits the phase advance in activity patterns produced by a light pulse administered to hamsters held in total darkness. CB1 receptor antagonists had no effect alone on the light-induced phase advance, but completely blocked the agonist effect. Because CB1 receptors are present in the hamster SCN, these data are consistent with a role for CBs to inhibit input to the SCN from the RHT. However, these data could also reflect CB1 receptor inhibition of SCN outputs (Figure 3).

Figure 3.

Figure 3

Possible mechanisms by which endocannabinoid/CB1 receptor signalling can alter inputs to the SCN and projections from the SCN. See the text for details and references.

CB1 receptors are found in the dorsal and median raphe nuclei of the hamster (Sanford et al., 2008), and in the raphe nuclei of rats and mice (Moldrich and Wenger, 2000; Haring et al., 2007). Serotonergic agents are capable of inhibiting light-induced phase shifts in a manner similar to the effect of CB1 receptor agonists discussed above (Weber et al., 1998; Gannon and Millan, 2006). There is evidence that the raphe–hypothalamic projection is affected by ECS. Treatment of rats with the CB1 receptor agonist CP55940 increases hypothalamic levels of serotonin (5HT) (Arevalo et al., 2001). Pharmacological inhibition of FAAH increases brain AEA concentrations and the firing rate of serotonergic dorsal raphe neurons via CB1 receptor activation (Gobbi et al., 2005). The ECS could interact with the serotonergic system in the dorsal raphe nucleus (DRN) in part through mediating the orexin modulation of glutamatergic synaptic transmission to DRN 5HT neurons (Haj-Dahmane and Shen, 2005). The orexins are neuropeptides involved in sleep–wakefulness, feeding and reward (Matsuki and Sakurai, 2008; Shioda et al., 2008; Mieda and Sakurai, 2009). Orexin B acts on DRN serotonergic neurons to stimulate the synthesis and release of 2-AG (Haj-Dahmane and Shen, 2005). In addition, the CB1 and orexin receptors can form dimers that influence the localization and signalling of both receptors (Ellis et al., 2006).

Neuropeptide Y (NPY) is released in the SCN from projections originating in the IGL (Harrington et al., 1985; Harrington, 1997), and is thought to convey non-photic cues to the SCN and inhibit light-induced adjustments of the circadian rhythm (Biello, 1995; Maywood et al., 2002). Like the CB1 receptor agonist, NPY agonists inhibit light-induced phase shifts (Huhman and Albers, 1994; Weber and Rea, 1997; Yannielli and Harrington, 2000; 2001;). CB1 receptor agonists increase while antagonists decrease resting and evoked NPY release in rat hypothalamic explants (Gamber et al., 2005). This mechanism is consistent with the effect of CB1 receptor agonists to inhibit the light-induced phase shift. The presence of CB1 immunoreactivity in the hamster IGL (Sanford et al., 2008) supports the possibility that CB1 agonists inhibit light-induced phase shifts through increasing IGL–SCN afferent activity.

ECS components are present in the pineal (Koch et al., 2008), a brain region that receives multi-synaptic relays originating in the SCN, and synthesizes and releases melatonin. Within the pineal gland, CB1 receptors are present in both pinealocytes and on the terminals of sympathetic afferents to the gland. Both FAAH and NAPE-PLD are also expressed in pinealocytes. Interestingly, NAPE-PLD is also present in sympathetic terminals, which leads to the possibility that an NAE could be synthesized and released as a co-transmitter with norepinephrine. The function of ECS within the pineal has not been studied; however, Δ9-tetrahydrocannabinol (THC) and other plant-derived CBs reduce melatonin synthesis in the pineal via a non-CB1 receptor-dependent mechanism (Koch et al., 2006).

ECS and sleep patterns

There is considerable evidence that ECS affects the organization of sleep. Acute administration of THC causes a decrease in rapid eye movement sleep (REMS) in rabbits (Fujimori and Himwich, 1973), cats (Wallach and Gershon, 1973) and humans (Pivik et al., 1972; Freemon et al., 1974), and increases slow wave sleep (SWS) in rabbits (Fujimori and Himwich, 1973), humans (Pivik et al., 1972) and rats (Moreton and Davis, 1973). However, chronic administration has been found to decrease SWS with inconsistent effects on REMS in humans, cats and squirrel monkeys (Barratt and Adams, 1973; Pranikoff et al., 1973; Barratt et al., 1974; Adams and Barratt, 1975). These findings suggest that tolerance or some other form of adaptation occurs when THC is administered chronically.

More recent studies have explored the involvement of ECS in the control of the sleep/wake cycle. Available data indicate that ECS maintains and/or promotes the sleep state (Murillo-Rodriguez, 2008a). In particular, treatment of rats with a CB1 receptor antagonist 4 h after lights on increases the time spent in wakefulness and decreases time spent in both SWS and REMS during the subsequent 4 h (Santucci et al., 1996). Conversely, injection of AEA i.c.v. or into the pedunculopontine tegmental nucleus at onset of light caused a decrease in wakefulness and an increase in SWS and REMS (Murillo-Rodriguez et al., 1998). The effect of AEA was blocked by both rimonabant and a PLC inhibitor (Murillo-Rodriguez et al., 2001). Inhibition of AEA clearance with AM404 also decreased wakefulness and increased sleep, although these effects were only partially sensitive to rimonabant (Murillo-Rodriguez et al., 2008). Further evidence in support of a role for the ECS in the regulation of sleep comes from studies demonstrating that CB1 receptor density is significantly increased in the rat pons during the rebound phase following sleep deprivation (Martinez-Vargas et al., 2003). These data suggest that increased ECS, at the level of the receptor, could be involved in the homeostatic recovery of sleep following deprivation.

CBs and the circadian rhythm of temperature

There is considerable evidence that exogenously administered CB1 receptor agonists affect body temperature regulation. At ‘normal’ ambient temperatures, THC produces a very significant hypothermia (in the range of 5°C reduction in rectal temperature) (Martin et al., 1991) that is completely abolished by co-administration of a CB1 receptor antagonist (Hillard et al., 1999). However, studies in which ambient temperature is a variable indicate that mice become poikilothermic when treated with THC (Bloom and Kiernan, 1980). More recently, investigators have utilized intra-hypothalamic injection of direct and indirect agonists of the CB1 receptor to study the effects of ECS on thermoregulation. The available results are contradictory, demonstrating that agonists both increase (Fraga et al., 2009) and decrease core body temperature (Benamar et al., 2009) in a CB1 receptor-dependent manner.

Most mammals exhibit a daily circadian rhythm in body temperature, which is higher during the active phase than the inactive phase (Kelly, 2006). This rhythm is regulated by cyclical release of melatonin by the pineal gland; a higher melatonin release during the inactive phase correlates with and likely drives lower body temperature (Cagnacci et al., 1997). The hypothermic effect of THC is greatest in the second half of the inactive phase, less in the first half of the inactive phase and least in the active phase (Abel, 1973). This suggests that THC could function to potentiate the secretion of melatonin. Interestingly, there is some functional evidence that THC inhibits noradrenergic increases in melatonin synthesis, perhaps via inhibition of norepinephrine release from sympathetic terminals in the pineal (Koch et al., 2006; 2008;), a result opposite of the outlined expectation.

Brain temperature also exhibits a circadian rhythm (Aschoff et al., 1973). Exogenous administration of CBs disrupts the circadian rhythm of brain temperature. Daily injection of rats with THC for 1 week caused the circadian variation in brain temperature to be diminished (Perron et al., 2001). Further, there was a gradual lengthening of cycle duration such that by the end of the treatment period, the brain temperature rhythm of THC-injected animals was 12 h out of phase relative to vehicle-injected controls. The out-of-phase cycling continued without change during a recovery week. In contrast to the marked effect on brain temperature, the circadian rhythm of abdominal temperature was not significantly affected by THC. The finding that the presence of exogenous CB1 receptor agonist administered at a consistent time of day entrains brain temperature suggests that ECS is an important regulator of this process. Whether the ECS is involved in entrainment of the rhythms of other physiological processes is not known, but is an important question.

ECS and circadian regulation of the HPA axis

There is a pronounced circadian rhythm to the secretions of corticotropin-releasing hormone, corticotropin (ACTH) and glucocorticoids that is controlled by the SCN (Moore and Eichler, 1972). There is also considerable evidence that ECS regulates the activation of the HPA axis by stress (Patel et al., 2004), and is required for normal glucocorticoid-mediated feedback on the HPA axis (Di et al., 2003; Cota et al., 2007). Studies using CB1 receptor null mice indicate that the fundamental rhythm of circulating glucocorticoids is intact in the global absence of ECS (Cota et al., 2007). However, relative to wild-type mice, CB1 receptor null mice exhibit significantly higher circulating glucocorticoid concentrations at the onset of the active phase (Cota et al., 2007). These data are consistent with a role for the ECS to negatively regulate HPA axis activation, likely as a downstream mediator of glucocorticoid receptor activation (Di et al., 2003).

Hibernation is an extreme example of seasonal rhythm

Hibernation includes regulated decreases in body temperature (Tb), heart rate, respiration and metabolic rate (Zucker, 2001; Carey et al., 2003b; Geiser, 2004). However, hibernation is not just a winter phenomenon as it also requires ‘preparation’ for the winter food shortages through excess caloric intake during the summer months. Thus, hibernating species exhibit dramatic shifts in feeding behaviour and fat storage, resulting in significant changes in body weight through the year (Boswell et al., 1994; Dark, 2005). Moreover, hibernators do not exhibit a continual state of torpor, but rather hibernation consists of cycles of torpor (minimal Tb) and arousal (euthermia). These minimal and maximal states of body temperature are separated by distinct transition periods called entry into torpor and arousal, respectively (see figure 4 in Carey et al., 2003a).

Figure 4.

Figure 4

Possible mechanisms by which endocannabinoid signalling (ECS) could contribute to the feeding and metabolic changes that occur during the late-summer hyperphagic period and during the period of hibernation. See the text for details and references.

The duration of day-time sunlight (photoperiod) synchronizes the circannual rhythms of hibernation, but torpor induction requires both a short photoperiod and low environmental temperature (Heldmaier et al., 1989). This combined need could relate to the animal's thermogenic capacity, as short photoperiod and cold together maximally increase brown adipose tissue mass, expression of mitochondrial uncoupling protein and lipolytic enzymes and sympathetic innervation (Cannon and Nedergaard, 1985).

The body mass cycle is regulated by a circannual clock (Lee and Zucker, 1991; Zucker, 2001). Like circadian rhythms, the seasonal rhythm will ‘free run’ with a period of 100 days in the absence of natural changes in the duration of sunlight and temperature. Return to natural conditions resets the period to nearly a year, suggesting that, like the circadian clock, the circannual clock is entrained by environmental light and temperature.

Circannual cycle and feeding behaviour

The circannual hibernation cycle is characterized by shifts from normal feeding to hyperphagia to hypophagia. A key mediator of the circannual cycle of feeding behaviour is the anorexigenic hormone, leptin (Scarpace and Zhang, 2009). In black bears, circulating leptin increases in late summer, remains high during hibernation and decreases in spring (Donahue et al., 2006). Increased concentrations of leptin during hibernation are consistent with the profound hypophagia that occurs during hibernation, and decreased concentrations of leptin in spring likely allow for spring feeding. Leptin infusion in arctic ground squirrels following emergence from hibernation prevents hyperphagia (Boyer et al., 1997). The occurrence of hyperphagia in late summer despite high leptin concentrations in black bears (Donahue et al., 2006) could reflect resistance to the effects of leptin. Consistent with this hypothesis, brown bats become leptin resistant during the period of maximal fat deposition (Kronfeld-Schor et al., 2000).

ECS and feeding behaviour

ECS regulates orexigenic drive in reward-related brain regions and in the primary orexigenic nuclei of the hypothalamus. Recent evidence demonstrates that food consumption is characterized by learned habits and can be motivated by reinforcers (Volkow and Wise, 2005). There is clear evidence that ECS modulates the rewarding properties of food (Kirkham et al., 2002). CB1 receptors are present in several primary relay nuclei of the reward pathway, including the prefrontal cortex (Eggan and Lewis, 2006) and the nucleus accumbens (Lupica and Riegel, 2005). Injection of 2-AG into the shell of the nucleus accumbens results in increased food intake (Kirkham et al., 2002).

The drive to eat is also regulated by the hypothalamus, and ECS occurs at multiple sites within the hypothalamic circuits involved in metabolic regulation (Cota et al., 2006). 2-AG levels in the hypothalamus are increased during fasting, and decreased as the animals are re-fed (Hanus et al., 2003), indicating that ECS in this region is recruited by changes in feeding status. Furthermore, injection of AEA into the ventromedial hypothalamus of satiated rats results in CB1 receptor-mediated hyperphagia (Jamshidi and Taylor, 2001), suggesting that increased ECS over-rides normal satiety signals to induce inappropriate food consumption. In the context of the cycle of hibernation, this mechanism could be beneficial during the late-summer hyperphagic period (Figure 4).

A milestone in our understanding of the role of ECS in the regulation of satiety came from studies of Di Marzo and Kunos demonstrating that ECS is an important effector of leptin in the hypothalamus. In particular, leptin reduces hypothalamic contents of AEA and 2-AG in normal mice, and mice deficient in leptin signalling are obese and hyperphagic, and have elevated hypothalamic endocannabinoid contents (Di Marzo et al., 2001). Blockade of the CB1 receptor in these mice results in decreased food intake, indicating that at least part of the anorexigenic effect of leptin is due to decreased ECS. Recent evidence also suggests that increased CB1 receptor activity is involved in the orexigenic effects of NPY (Gamber et al., 2005) and ghrelin (Tucci et al., 2004). There is evidence that loss of leptin-induced inhibition of ECS could contribute to some forms of leptin resistance (Osei-Hyiaman et al., 2008), an observation that is interesting in light of the hypothesis presented above that late-summer hyperphagia in bears could be an example of leptin resistance. Overall, the tight relationship between leptin and ECS in the hypothalamus, together with the data discussed above that leptin is a critical mediator of the transitions between late summer and hibernation, and between hibernation and spring feeding, suggests the hypothesis that ECS is involved in the regulation of feeding in animals with a circannual cycle.

Circannual cycles of lipid and carbohydrate metabolism

Increased body mass in hibernators is largely due to increased lipid storage in white adipose tissues (WATs), and it is hypothesized that this process has a set point that varies circannually (Davis, 1976; Mrosovsky and Faust, 1985; Dark, 2005). Consistent with this hypothesis, limiting the foraging time of ground squirrels leads to decreased lean body mass, but WAT fat stores are conserved (Bachman, 1994).

Hibernators also exhibit dramatic shifts in cellular sources of metabolic fuel. During active periods, both carbohydrates and lipids are used (Buck and Barnes, 2000; Squire et al., 2003). Conversely, during torpor, metabolic needs are met exclusively by oxidation of fatty acids (FAs). Key molecular switches in cellular metabolism include the kinase Akt (Miyamoto et al., 2009). Activation of Akt by insulin receptor signalling increases utilization of carbohydrates as cellular energy sources. Consistent with a shift to lipolysis during hibernation, torpor is associated with significant decreases in Akt activity (Cai et al., 2004; Abnous et al., 2008). Recent data in human skeletal muscle suggest that CB1 receptor activation, perhaps in response to AEA released from adipocytes, negatively regulates insulin stimulation of Akt activation (Eckardt et al., 2009). These data lead to the notion that adipose-derived endocannabinoids could modulate the switch between carbohydrate and lipid utilization during torpor (Figure 4).

Another key determinant of the cellular energy source is pyruvate dehydrogenase kinase 4 (PDK4) (Roche and Hiromasa, 2007). PDK4 inactivates pyruvate dehydrogenase, which leads to decreased glycolysis and increased FA oxidation. PDK4 expression is increased during hibernation (Andrews et al., 1998; Buck et al., 2002), and likely contributes to decreased pyruvate dehydrogenase activity observed in heart and kidney of hibernating animals (Brooks and Storey, 1992). Interestingly, PDK4 expression appears to be tonically maintained by CB1 receptor activation in skeletal muscle cells from both lean and obese humans (Cavuoto et al., 2007).

ECS and lipid storage

There is clear evidence that ECS signalling occurs in adipose tissue and functions to regulate energy homeostasis. In particular, CB1 receptor blockade results in enhanced lipolysis in WAT through stimulation of enzymes involved in beta-oxidation and the tricarboxylic acid cycle; increases energy expenditure in adipose tissue via futile cycle induction; and up-regulates expression of glucose transporter type 4, resulting in improved glucose utilization (Jbilo et al., 2005). Furthermore, CB1 receptor blockade results in a restoration of ‘lean’ adipocyte morphology in cells taken from obese animals. Adipocytes also function as endocrine cells, releasing the adipokines adiponectin and visfatin. Adiponectin is an insulin-sensitizing hormone with anti-inflammatory properties (Kadowaki and Yamauchi, 2005). Visfatin is a recently discovered adipokine capable of activating the insulin receptor and thought to promote obesity (Marra and Bertolani, 2009). CB1 receptor activation in WAT inhibits the secretion of adiponectin and increases the secretion of visfatin, an effect that will favour insulin resistance and weight gain (Perwitz et al., 2006). Taken together, these data suggest that high ECS in WAT is associated with lipid storage, and more significantly, could be required for lipid storage to occur. In the context of hibernation, these findings suggest the hypothesis that adipocyte ECS would be high during the late summer and very low during the hibernation phase (Figure 4).

ECS in the liver is also emerging as an important player in metabolic regulation. Hepatic FA synthesis requires intact ECS as a CB1 receptor antagonist inhibited both basal hepatic FA synthesis, as well as high-fat diet-induced hepatic steatosis (Osei-Hyiaman et al., 2005). Activation of the CB1 receptor in hepatocytes results in increased expression of several genes involved in de novo synthesis of FAs, including the lipogenic transcription factor, SREBP-1c (Osei-Hyiaman et al., 2005). Hepatocyte CB1 receptor activation also results in inhibition of AMP kinase (Kola et al., 2005). Recent studies utilizing mice with cell-specific deletions of the CB1 receptor in hepatocytes strongly suggest that many of the effects of ECS on metabolism are mediated by the liver (Osei-Hyiaman et al., 2008). In particular, these mice became obese when fed a high-fat diet, but did not develop hepatic steatosis, insulin resistance or leptin resistance to the degree of wild-type controls. As in the WAT, high ECS tone in the liver is consistent with the pre-hibernation phase in which metabolic fuel is preserved and stored for later use (Figure 4).

Changes in cellular lipid composition during hibernation

WAT and cellular phospholipids from hibernating animals are relatively rich in polyunsaturated FAs (PUFAs), and the increased lipid fluidity that results is thought to benefit the animal at lower Tb. Evidence suggests that the FA composition of lipids in hibernating animals has a profound effect on torpor bouts, with significantly longer bouts in animals on PUFA-rich diets (Florant et al., 1993; Geiser et al., 1994; Dark, 2005). Hibernating animals also appear to have regulatory mechanisms to retain PUFAs (Cochet et al., 1999). These regulatory mechanisms include preferential oxidation of saturated FA and scavenging of MAGs that contain PUFA. Central to the latter process is the enzyme monoacylglycerol acetyltransferase (MGAT). MGAT is highly expressed during hibernation (Mostafa et al., 1993; Xia et al., 1993). By preferentially acylating monoacylglycerols that contain PUFAs, MGAT facilitates their continued storage in triacylglycerides (TAGs). Ground squirrels also exhibit significantly lower activity of cytosolic phospholipase A2 activity during hibernation (Woods and Storey, 2007), a change that would both reduce the generation of oxidation products of arachidonic acid and preserve phospholipid arachidonate.

The endocannabinoids are arachidonate derivatives that target the CB receptors. In addition, several studies suggest that they could function as arachidonate donors, in particular under conditions in which arachidonic acid is shuttled from cell to cell (Pratt et al., 1998; Gauthier et al., 2005). Therefore, the concept that PUFAs such as arachidonic acid are handled differently during hibernation could have interesting implications for ECS. Among many other possibilities, perhaps a reduction in the availability of arachidonic acid for signalling purposes results in reduced ECS, which in turn contributes to the switch from fat storage to fat mobilization during hibernation.

Changes in circulating concentrations of N-acylethanolamines during hibernation

Despite the intriguing overlaps between ECS function and hibernation, to our knowledge, there are no published reports on the role or regulation of the ECS in hibernators. As a first step in addressing this question, plasma lipids from summer-active (SA) and torpid (T) Marmota monax (common names are groundhog and woodchuck) were analysed using LC–MS for the two endocannabinoids and several related lipids (Figure 5). Interestingly, concentrations of 2-AG could not be detected in plasma from any of the M. monax. This is remarkable in light of the nM concentrations of 2-AG measured in plasma and/or serum from humans (Hill et al., 2008; 2009;). In contrast, AEA was detectable in M. monax plasma at concentrations of 2–7 nM, which is approximately threefold greater than its concentration in human serum. The concentration of AEA was not different in plasma from M. monax in the SA (3.67 ± 0.98 pmol·mL−1) and T (4.00 ± 0.98 pmol·mL−1). In contrast, plasma concentrations of palmitoylethanolamide (PEA) and 2-oleoylglycerol (2-OG) increased during torpor, whereas concentrations of oleoylethanolamide (OEA) decreased. PEA has prominent anti-inflammatory properties and could contribute to suppression of immune function during hibernation. OEA activates the nuclear receptor PPARα, which plays important roles in lipid metabolism and thermoregulation in hibernation (Carey et al., 2003a; Ishida, 2009). OEA has been hypothesized to enter the circulation from metabolism of dietary fat and to function as a satiety factor (Fu et al., 2008). Its reduced concentration in the plasma of hibernating (thus, not feeding) M. monax is consistent with this notion. The function of 2-OG has not yet been elucidated.

Figure 5.

Figure 5

Endocannabinoid and family members were determined in plasma from Marmota monax during the summer active period (active) and during a torpor bout in the hibernation period (hibernating). Plasma samples were purchased from Northeastern Wildlife (Harrison, ID, USA); the samples were from both male and female animals, and similar proportions of each sex were represented in each time period. Each bar is the mean of three to five plasma samples; vertical bars represent SEM. Statistical comparisons between summer and hibernating groups for each lipid were made using unpaired t-tests; *P < 0.05; **P < 0.01.

Could the pattern of NAEs reflect hibernation-associated needs for maintaining high PUFA levels in hibernators discussed above? We speculate that 2-AG concentrations could be very low because high activity of MGAT preferentially promotes conversion of 2-AG to TAG. Additionally, perhaps increased concentrations of PEA, a saturated FA-containing NAE, and decreased concentrations of OEA, a mono-unsaturated FA-containing NAE, indicate preferential metabolism of N-acylPEs containing unsaturated FA. Thus, the pattern of plasma NAEs could be both the result of, as well as the modulator of, unique hibernation-associated biological processes. The roles of the endocannabinoids and their structural cousins in hibernation remain a rich area for future research.

Summary and concluding remarks

Many physiological functions are regulated by circadian rhythms, and data are accumulating that dysregulation of circadian rhythms or a mismatch between circadian rhythmicity as occurs in modern human society contribute to human diseases (Takahashi et al., 2008). Bipolar disorder and depression are serious human psychiatric disorders for which circadian dysregulation is a contributing or causative factor. For example, Clock mutant mice exhibit a behavioural phenotype that includes many components of mania: hyperactivity in a novel environment, decreased sleep, risk taking behaviour and reduced anxiety (Roybal et al., 2007). Epidemiological studies demonstrate that bipolar patients have a 20–40% lifetime likelihood for abusing Cannabis sativa, compared to 6% in the general US population (Regier et al., 1990). Cannabis use increases the number or duration of manic episodes, and chronic exposure of humans to Cannabis correlates with an increased incidence of bipolar disorder (Strakowski and DelBello, 2000). Cannabis consumption in humans is associated with increased likelihood of developing bipolar disorder; perhaps interactions of THC with circadian rhythms contribute to this mechanism.

Although the study of hibernation seems distant from human biology, there are several likely sites of interaction. For example, enhanced understanding of the processes that protect organs during hibernation could increase organ preservation strategies for transplantation, or during organ failure in diseased humans. On the other hand, understanding the molecular mechanisms involved in hyperphagia and nutrient storage that occur in the period preceding hibernation could shed light on the mechanisms of human obesity.

Acknowledgments

The studies reported herein were funded by NIH grants DA09155 (C.J.H.); DA09133 (H.dW.); M01RR000555 (H.dW.) Research for a Healthier Tomorrow, a component of the Advancing a Healthier Wisconsin endowment at the Medical College of Wisconsin (C.J.H.); and a postdoctoral fellowship from the Canadian Institute of Health Research (M.N.H.).

Glossary

Abbreviations:

2-AG

2-arachidonoylglycerol

ABH

alpha, beta hydrolase

AEA

N-arachidonylethanolamine

CB

cannabinoid

DGL

diacylglycerol lipase

DRN

dorsal raphe nuclei

ECS

endogenous cannabinoid signalling

FA

fatty acid

FAAH

fatty acid amide hydrolase

GDE

glycerophosphodiesterase

IGL

intergeniculate nucleus of the thalamus

LC–MS

liquid chromatography–mass spectrometry

MAG

monoacylglycerol

MGAT

monoacylglycerol acetyltransferase

MGL

monoacylglycerol lipase

NAAA

fatty acyl amide hydrolase with an acid optimum

NAE

N-acylethanolamine

NAPE

N-acyl-phosphatidylethanolamine

N-arach-PE

N-arachidonyl-phosphatidylethanolamine

PLC

phospholipase C

PLD

phospholipase D

PPAR

peroxisome proliferator-activated receptor

PUFA

polyunsaturated fatty acid

REMS

rapid eye movement sleep

RHT

retinal hypothalamic tract

SCN

superchiasmatic nucleus

SWS

slow wave sleep

TAG

triacylglyceride

Tb

core body temperature

THC

Δ9-tetrahydrocannabinol

TRPV1

transient receptor potential vanilloid type 1

WAT

white adipose tissue

Conflicts of interest

The authors declare no conflicts of interest.

References

  1. Abel EL. Chronopharmacology of delta9-tetrahydrocannabinol hypothermia in mice. Experientia. 1973;29:1528–1529. doi: 10.1007/BF01943897. [DOI] [PubMed] [Google Scholar]
  2. Abnous K, Dieni CA, Storey KB. Regulation of Akt during hibernation in Richardson's ground squirrels. Biochim Biophys Acta. 2008;1780:185–193. doi: 10.1016/j.bbagen.2007.10.009. [DOI] [PubMed] [Google Scholar]
  3. Adams PM, Barratt ES. Effect of chronic marijuana administration of stages of primate sleep–wakefulness. Biol Psychiatry. 1975;10:315–322. [PubMed] [Google Scholar]
  4. Agarwal N, Pacher P, Tegeder I, Amaya F, Constantin CE, Brenner GJ, et al. Cannabinoids mediate analgesia largely via peripheral type 1 cannabinoid receptors in nociceptors. Nat Neurosci. 2007;10:870–879. doi: 10.1038/nn1916. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Andrews MT, Squire TL, Bowen CM, Rollins MB. Low-temperature carbon utilization is regulated by novel gene activity in the heart of a hibernating mammal. Proc Natl Acad Sci USA. 1998;95:8392–8397. doi: 10.1073/pnas.95.14.8392. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Arevalo C, de Miguel R, Hernandez-Tristan R. Cannabinoid effects on anxiety-related behaviours and hypothalamic neurotransmitters. Pharmacol Biochem Behav. 2001;70:123–131. doi: 10.1016/s0091-3057(01)00578-0. [DOI] [PubMed] [Google Scholar]
  7. Aschoff C, Aschoff J, von Saint Paul U. Circadian rhythms of chicken brain temperatures. J Physiol. 1973;230:103–113. doi: 10.1113/jphysiol.1973.sp010177. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Aston-Jones G, Chen S, Zhu Y, Oshinsky ML. A neural circuit for circadian regulation of arousal. Nat Neurosci. 2001;4:732–738. doi: 10.1038/89522. [DOI] [PubMed] [Google Scholar]
  9. Aviello G, Romano B, Izzo AA. Cannabinoids and gastrointestinal motility: animal and human studies. Eur Rev Med Pharmacol Sci. 2008;12(Suppl. 1):81–93. [PubMed] [Google Scholar]
  10. Azad SC, Monory K, Marsicano G, Cravatt BF, Lutz B, Zieglgansberger W, et al. Circuitry for associative plasticity in the amygdala involves endocannabinoid signaling. J Neurosci. 2004;24:9953–9961. doi: 10.1523/JNEUROSCI.2134-04.2004. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Bachman G. Food restriction effects on the body composition of free-living ground squirrels Spermophilus beldingi. Physiol Zool. 1994;67:756–770. [Google Scholar]
  12. Barratt ES, Adams PM. Chronic marijuana usage and sleep–wakefulness cycles in cats. Biol Psychiatry. 1973;6:207–214. [PubMed] [Google Scholar]
  13. Barratt ES, Beaver W, White R. The effects of marijuana on human sleep patterns. Biol Psychiatry. 1974;8:47–54. [PubMed] [Google Scholar]
  14. Benamar K, Yondorf M, Geller EB, Eisenstein TK, Adler MW. Physiological evidence for interaction between the HIV-1 co-receptor CXCR4 and the cannabinoid system in the brain. Br J Pharmacol. 2009;157:1225–1231. doi: 10.1111/j.1476-5381.2009.00285.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Biello SM. Enhanced photic phase shifting after treatment with antiserum to neuropeptide Y. Brain Res. 1995;673:25–29. doi: 10.1016/0006-8993(94)01345-i. [DOI] [PubMed] [Google Scholar]
  16. Biro T, Toth BI, Hasko G, Paus R, Pacher P. The endocannabinoid system of the skin in health and disease: novel perspectives and therapeutic opportunities. Trends Pharmacol Sci. 2009;30:411–420. doi: 10.1016/j.tips.2009.05.004. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Bisogno T, Howell F, Williams G, Minassi A, Cascio MG, Ligresti A, et al. Cloning of the first sn1-DAG lipases points to the spatial and temporal regulation of endocannabinoid signaling in the brain. J Cell Biol. 2003;163:463–468. doi: 10.1083/jcb.200305129. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Blankman JL, Simon GM, Cravatt BF. A comprehensive profile of brain enzymes that hydrolyze the endocannabinoid 2-arachidonoylglycerol. Chem Biol. 2007;14:1347–1356. doi: 10.1016/j.chembiol.2007.11.006. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Bloom AS, Kiernan CJ. Interaction of ambient temperature with the effects of delta 9-tetrahydrocannabinol on brain catecholamine synthesis and plasma corticosterone levels. Psychopharmacology (Berl) 1980;67:215–219. doi: 10.1007/BF00431259. [DOI] [PubMed] [Google Scholar]
  20. Boswell T, Woods SC, Kenagy GJ. Seasonal changes in body mass, insulin, and glucocorticoids of free-living golden-mantled ground squirrels. Gen Comp Endocrinol. 1994;96:339–346. doi: 10.1006/gcen.1994.1189. [DOI] [PubMed] [Google Scholar]
  21. Boyer BB, Ormseth OA, Buck L, Nicolson M, Pelleymounter MA, Barnes BM. Leptin prevents posthibernation weight gain but does not reduce energy expenditure in arctic ground squirrels. Comp Biochem Physiol C Pharmacol Toxicol Endocrinol. 1997;118:405–412. doi: 10.1016/s0742-8413(97)00172-2. [DOI] [PubMed] [Google Scholar]
  22. Brooks S, Storey KB. Mechanisms of glycolytic control during hibernation in the ground squirrel Spermophilus lateralis. J Comp Physiol B. 1992;162:23–28. [Google Scholar]
  23. Buck CL, Barnes BM. Effects of ambient temperature on metabolic rate, respiratory quotient, and torpor in an arctic hibernator. Am J Physiol Regul Integr Comp Physiol. 2000;279:R255–R262. doi: 10.1152/ajpregu.2000.279.1.R255. [DOI] [PubMed] [Google Scholar]
  24. Buck MJ, Squire TL, Andrews MT. Coordinate expression of the PDK4 gene: a means of regulating fuel selection in a hibernating mammal. Physiol Genomics. 2002;8:5–13. doi: 10.1152/physiolgenomics.00076.2001. [DOI] [PubMed] [Google Scholar]
  25. Cagnacci A, Krauchi K, Wirz-Justice A, Volpe A. Homeostatic versus circadian effects of melatonin on core body temperature in humans. J Biol Rhythms. 1997;12:509–517. doi: 10.1177/074873049701200604. [DOI] [PubMed] [Google Scholar]
  26. Cai D, McCarron RM, Yu EZ, Li Y, Hallenbeck J. Akt phosphorylation and kinase activity are down-regulated during hibernation in the 13-lined ground squirrel. Brain Res. 2004;1014:14–21. doi: 10.1016/j.brainres.2004.04.008. [DOI] [PubMed] [Google Scholar]
  27. Caille S, Alvarez-Jaimes L, Polis I, Stouffer DG, Parsons LH. Specific alterations of extracellular endocannabinoid levels in the nucleus accumbens by ethanol, heroin, and cocaine self-administration. J Neurosci. 2007;27:3695–3702. doi: 10.1523/JNEUROSCI.4403-06.2007. [DOI] [PMC free article] [PubMed] [Google Scholar]
  28. Cannon B, Nedergaard J. The biochemistry of an inefficient tissue: brown adipose tissue. Essays Biochem. 1985;20:110–164. [PubMed] [Google Scholar]
  29. Carey HV, Andrews MT, Martin SL. Mammalian hibernation: cellular and molecular responses to depressed metabolism and low temperature. Physiol Rev. 2003a;83:1153–1181. doi: 10.1152/physrev.00008.2003. [DOI] [PubMed] [Google Scholar]
  30. Carey HV, Rhoads CA, Aw TY. Hibernation induces glutathione redox imbalance in ground squirrel intestine. J Comp Physiol B. 2003b;173:269–276. doi: 10.1007/s00360-003-0330-3. [DOI] [PubMed] [Google Scholar]
  31. Carlisle SJ, Marciano-Cabral F, Staab A, Ludwick C, Cabral GA. Differential expression of the CB2 cannabinoid receptor by rodent macrophages and macrophage-like cells in relation to cell activation. Int Immunopharmacol. 2002;2:69–82. doi: 10.1016/s1567-5769(01)00147-3. [DOI] [PubMed] [Google Scholar]
  32. Cavuoto P, McAinch AJ, Hatzinikolas G, Cameron-Smith D, Wittert GA. Effects of cannabinoid receptors on skeletal muscle oxidative pathways. Mol Cell Endocrinol. 2007;267:63–69. doi: 10.1016/j.mce.2006.12.038. [DOI] [PubMed] [Google Scholar]
  33. Challet E. Minireview: entrainment of the suprachiasmatic clockwork in diurnal and nocturnal mammals. Endocrinology. 2007;148:5648–5655. doi: 10.1210/en.2007-0804. [DOI] [PubMed] [Google Scholar]
  34. Cochet N, Meister R, Florant GL, Barre H. Regional variation of white adipocyte lipolysis during the annual cycle of the alpine marmot. Comp Biochem Physiol C Pharmacol Toxicol Endocrinol. 1999;123:225–232. doi: 10.1016/s0742-8413(99)00027-4. [DOI] [PubMed] [Google Scholar]
  35. Cota D, Tschop MH, Horvath TL, Levine AS. Cannabinoids, opioids and eating behavior: the molecular face of hedonism? Brain Res Rev. 2006;51:85–107. doi: 10.1016/j.brainresrev.2005.10.004. [DOI] [PubMed] [Google Scholar]
  36. Cota D, Steiner MA, Marsicano G, Cervino C, Herman JP, Grubler Y, et al. Requirement of cannabinoid receptor type 1 for the basal modulation of hypothalamic–pituitary–adrenal axis function. Endocrinology. 2007;148:1574–1581. doi: 10.1210/en.2005-1649. [DOI] [PubMed] [Google Scholar]
  37. Cravatt BF, Giang DK, Mayfield SP, Boger DL, Lerner RA, Gilula NB. Molecular characterization of an enzyme that degrades neuromodulatory fatty-acid amides. Nature. 1996;384:83–87. doi: 10.1038/384083a0. [DOI] [PubMed] [Google Scholar]
  38. Dark J. Annual lipid cycles in hibernators: integration of physiology and behavior. Annu Rev Nutr. 2005;25:469–497. doi: 10.1146/annurev.nutr.25.050304.092514. [DOI] [PubMed] [Google Scholar]
  39. Davis DE. Hibernation and circannual rhythms of food consumption in marmots and ground squirrels. Q Rev Biol. 1976;51:477–514. doi: 10.1086/409594. [DOI] [PubMed] [Google Scholar]
  40. De Petrocellis L, Di Marzo V. Role of endocannabinoids and endovanilloids in Ca2+ signalling. Cell Calcium. 2009;45:611–624. doi: 10.1016/j.ceca.2009.03.003. [DOI] [PubMed] [Google Scholar]
  41. Devane WA, Hanus L, Breuer A, Pertwee RG, Stevenson LA, Griffin G, et al. Isolation and structure of a brain constituent that binds to the cannabinoid receptor. Science. 1992;258:1946–1949. doi: 10.1126/science.1470919. [DOI] [PubMed] [Google Scholar]
  42. Di S, Malcher-Lopes R, Halmos KC, Tasker JG. Nongenomic glucocorticoid inhibition via endocannabinoid release in the hypothalamus: a fast feedback mechanism. J Neurosci. 2003;23:4850–4857. doi: 10.1523/JNEUROSCI.23-12-04850.2003. [DOI] [PMC free article] [PubMed] [Google Scholar]
  43. Di Marzo V, Goparaju SK, Wang L, Liu J, Batkai S, Jarai Z, et al. Leptin-regulated endocannabinoids are involved in maintaining food intake. Nature. 2001;410:822–825. doi: 10.1038/35071088. [DOI] [PubMed] [Google Scholar]
  44. Donahue SW, Galley SA, Vaughan MR, Patterson-Buckendahl P, Demers LM, Vance JL, et al. Parathyroid hormone may maintain bone formation in hibernating black bears (Ursus americanus) to prevent disuse osteoporosis. J Exp Biol. 2006;209:1630–1638. doi: 10.1242/jeb.02185. [DOI] [PubMed] [Google Scholar]
  45. Eckardt K, Sell H, Taube A, Koenen M, Platzbecker B, Cramer A, et al. Cannabinoid type 1 receptors in human skeletal muscle cells participate in the negative crosstalk between fat and muscle. Diabetologia. 2009;52:664–674. doi: 10.1007/s00125-008-1240-4. [DOI] [PubMed] [Google Scholar]
  46. Edgemond WS, Hillard CJ, Falck JR, Kearn CS, Campbell WB. Human platelets and polymorphonuclear leukocytes synthesize oxygenated derivatives of arachidonylethanolamide (anandamide): their affinities for cannabinoid receptors and pathways of inactivation. Mol Pharmacol. 1998;54:180–188. doi: 10.1124/mol.54.1.180. [DOI] [PubMed] [Google Scholar]
  47. Eggan SM, Lewis DA. Immunocytochemical distribution of the cannabinoid CB1 receptor in the primate neocortex: a regional and laminar analysis. Cereb Cortex. 2006;17:175–191. doi: 10.1093/cercor/bhj136. [DOI] [PubMed] [Google Scholar]
  48. Ellis J, Pediani JD, Canals M, Milasta S, Milligan G. Orexin-1 receptor-cannabinoid CB1 receptor heterodimerization results in both ligand-dependent and -independent coordinated alterations of receptor localization and function. J Biol Chem. 2006;281:38812–38824. doi: 10.1074/jbc.M602494200. [DOI] [PubMed] [Google Scholar]
  49. Florant GL, Hester L, Ameenuddin S, Rintoul DA. The effect of a low essential fatty acid diet on hibernation in marmots. Am J Physiol. 1993;264:R747–R753. doi: 10.1152/ajpregu.1993.264.4.R747. [DOI] [PubMed] [Google Scholar]
  50. Foster RG, Roenneberg T. Human responses to the geophysical daily, annual and lunar cycles. Curr Biol. 2008;18:R784–R794. doi: 10.1016/j.cub.2008.07.003. [DOI] [PubMed] [Google Scholar]
  51. Fraga D, Zanoni CI, Rae GA, Parada CA, Souza GE. Endogenous cannabinoids induce fever through the activation of CB1 receptors. Br J Pharmacol. 2009;157:1494–1501. doi: 10.1111/j.1476-5381.2009.00312.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  52. Freemon FR, Salinas-Garcia RF, Ward JW. Sleep patterns in a patient with a brain stem infarction involving the raphe nucleus. Electroencephalogr Clin Neurophysiol. 1974;36:657–660. doi: 10.1016/0013-4694(74)90232-6. [DOI] [PubMed] [Google Scholar]
  53. Freund TF, Katona I, Piomelli D. Role of endogenous cannabinoids in synaptic signaling. Physiol Rev. 2003;83:1017–1066. doi: 10.1152/physrev.00004.2003. [DOI] [PubMed] [Google Scholar]
  54. Fu J, Kim J, Oveisi F, Astarita G, Piomelli D. Targeted enhancement of oleoylethanolamide production in proximal small intestine induces across-meal satiety in rats. Am J Physiol Regul Integr Comp Physiol. 2008;295:R45–R50. doi: 10.1152/ajpregu.00126.2008. [DOI] [PMC free article] [PubMed] [Google Scholar]
  55. Fujimori M, Himwich HE. Delta 9-tetrahydrocannabinol and the sleep–wakefulness cycle in rabbits. Physiol Behav. 1973;11:291–295. doi: 10.1016/0031-9384(73)90003-6. [DOI] [PubMed] [Google Scholar]
  56. Gamber KM, Macarthur H, Westfall TC. Cannabinoids augment the release of neuropeptide Y in the rat hypothalamus. Neuropharmacology. 2005;49:646–652. doi: 10.1016/j.neuropharm.2005.04.017. [DOI] [PubMed] [Google Scholar]
  57. Gannon RL, Millan MJ. Serotonin1A autoreceptor activation by S 15535 enhances circadian activity rhythms in hamsters: evaluation of potential interactions with serotonin2A and serotonin2C receptors. Neuroscience. 2006;137:287–299. doi: 10.1016/j.neuroscience.2005.04.059. [DOI] [PubMed] [Google Scholar]
  58. Gao Y, Vasilyev DV, Goncalves MB, Howell FV, Hobbs C, Reisenberg M, et al. Loss of retrograde endocannabinoid signaling and reduced adult neurogenesis in diacylglycerol lipase knock-out mice. J Neurosci. 2010;30:2017–2024. doi: 10.1523/JNEUROSCI.5693-09.2010. [DOI] [PMC free article] [PubMed] [Google Scholar]
  59. Gauthier KM, Baewer DV, Hittner S, Hillard CJ, Nithipatikom K, Reddy DS, et al. Endothelium-derived 2-arachidonylglycerol: an intermediate in vasodilatory eicosanoid release in bovine coronary arteries. Am J Physiol Heart Circ Physiol. 2005;288:H1344–H1351. doi: 10.1152/ajpheart.00537.2004. [DOI] [PubMed] [Google Scholar]
  60. Geiser F. Metabolic rate and body temperature reduction during hibernation and daily torpor. Annu Rev Physiol. 2004;66:239–274. doi: 10.1146/annurev.physiol.66.032102.115105. [DOI] [PubMed] [Google Scholar]
  61. Geiser F, McAllan BM, Kenagy GJ. The degree of dietary fatty acid unsaturation affects torpor patterns and lipid composition of a hibernator. J Comp Physiol B. 1994;164:299–305. doi: 10.1007/BF00346446. [DOI] [PubMed] [Google Scholar]
  62. Glaser ST, Kaczocha M. Temporal changes in mouse brain fatty acid amide hydrolase activity. Neuroscience. 2009;163:594–600. doi: 10.1016/j.neuroscience.2009.06.043. [DOI] [PMC free article] [PubMed] [Google Scholar]
  63. Gobbi G, Bambico FR, Mangieri R, Bortolato M, Campolongo P, Solinas M, et al. Antidepressant-like activity and modulation of brain monoaminergic transmission by blockade of anandamide hydrolysis. Proc Natl Acad Sci USA. 2005;102:18620–18625. doi: 10.1073/pnas.0509591102. [DOI] [PMC free article] [PubMed] [Google Scholar]
  64. Haj-Dahmane S, Shen RY. The wake-promoting peptide orexin-B inhibits glutamatergic transmission to dorsal raphe nucleus serotonin neurons through retrograde endocannabinoid signaling. J Neurosci. 2005;25:896–905. doi: 10.1523/JNEUROSCI.3258-04.2005. [DOI] [PMC free article] [PubMed] [Google Scholar]
  65. Hanus L, Avraham Y, Ben-Shushan D, Zolotarev O, Berry EM, Mechoulam R. Short-term fasting and prolonged semistarvation have opposite effects on 2-AG levels in mouse brain. Brain Res. 2003;983:144–151. doi: 10.1016/s0006-8993(03)03046-4. [DOI] [PubMed] [Google Scholar]
  66. Haring M, Marsicano G, Lutz B, Monory K. Identification of the cannabinoid receptor type 1 in serotonergic cells of raphe nuclei in mice. Neuroscience. 2007;146:1212–1219. doi: 10.1016/j.neuroscience.2007.02.021. [DOI] [PubMed] [Google Scholar]
  67. Harrington ME. The ventral lateral geniculate nucleus and the intergeniculate leaflet: interrelated structures in the visual and circadian systems. Neurosci Biobehav Rev. 1997;21:705–727. doi: 10.1016/s0149-7634(96)00019-x. [DOI] [PubMed] [Google Scholar]
  68. Harrington ME, Nance DM, Rusak B. Neuropeptide Y immunoreactivity in the hamster geniculo-suprachiasmatic tract. Brain Res Bull. 1985;15:465–472. doi: 10.1016/0361-9230(85)90037-1. [DOI] [PubMed] [Google Scholar]
  69. Hastings MH, Duffield GE, Ebling FJ, Kidd A, Maywood ES, Schurov I. Non-photic signalling in the suprachiasmatic nucleus. Biol Cell. 1997;89:495–503. doi: 10.1016/s0248-4900(98)80005-1. [DOI] [PubMed] [Google Scholar]
  70. Heldmaier G, Steinlechner S, Ruf T, Wiesinger H, Klingenspor M. Photoperiod and thermoregulation in vertebrates: body temperature rhythms and thermogenic acclimation. J Biol Rhythms. 1989;4:251–265. [PubMed] [Google Scholar]
  71. Hill MN, Gorzalka BB. The endocannabinoid system and the treatment of mood and anxiety disorders. CNS Neurol Disord Drug Targets. 2009;8:451–458. doi: 10.2174/187152709789824624. [DOI] [PubMed] [Google Scholar]
  72. Hill MN, Patel S, Carrier EJ, Rademacher DJ, Ormerod BK, Hillard CJ, et al. Downregulation of endocannabinoid signaling in the hippocampus following chronic unpredictable stress. Neuropsychopharmacology. 2005;30:508–515. doi: 10.1038/sj.npp.1300601. [DOI] [PubMed] [Google Scholar]
  73. Hill MN, Miller GE, Ho WS, Gorzalka BB, Hillard CJ. Serum endocannabinoid content is altered in females with depressive disorders: a preliminary report. Pharmacopsychiatry. 2008;41:48–53. doi: 10.1055/s-2007-993211. [DOI] [PMC free article] [PubMed] [Google Scholar]
  74. Hill MN, Miller GE, Carrier EJ, Gorzalka BB, Hillard CJ. Circulating endocannabinoids and N-acyl ethanolamines are differentially regulated in major depression and following exposure to social stress. Psychoneuroendocrinology. 2009;34:1257–1262. doi: 10.1016/j.psyneuen.2009.03.013. [DOI] [PMC free article] [PubMed] [Google Scholar]
  75. Hillard CJ, Campbell WB. Biochemistry and pharmacology of arachidonylethanolamide, a putative endogenous cannabinoid. J Lipid Res. 1997;38:2383–2398. [PubMed] [Google Scholar]
  76. Hillard CJ, Manna S, Greenberg MJ, DiCamelli R, Ross RA, Stevenson LA, et al. Synthesis and characterization of potent and selective agonists of the neuronal cannabinoid receptor (CB1) J Pharmacol Exp Ther. 1999;289:1427–1433. [PubMed] [Google Scholar]
  77. Hohmann AG. Spinal and peripheral mechanisms of cannabinoid antinociception: behavioral, neurophysiological and neuroanatomical perspectives. Chem Phys Lipids. 2002;121:173–190. doi: 10.1016/s0009-3084(02)00154-8. [DOI] [PubMed] [Google Scholar]
  78. Huhman KL, Albers HE. Neuropeptide Y microinjected into the suprachiasmatic region phase shifts circadian rhythms in constant darkness. Peptides. 1994;15:1475–1478. doi: 10.1016/0196-9781(94)90126-0. [DOI] [PubMed] [Google Scholar]
  79. Ishida N. Role of PPARalpha in the control of torpor through FGF21-NPY pathway: from circadian clock to seasonal change in mammals. PPAR Res. 2009;2009:412949. doi: 10.1155/2009/412949. [DOI] [PMC free article] [PubMed] [Google Scholar]
  80. Jamshidi N, Taylor DA. Anandamide administration into the ventromedial hypothalamus stimulates appetite in rats. Br J Pharmacol. 2001;134:1151–1154. doi: 10.1038/sj.bjp.0704379. [DOI] [PMC free article] [PubMed] [Google Scholar]
  81. Jbilo O, Ravinet-Trillou C, Arnone M, Buisson I, Bribes E, Peleraux A, et al. The CB1 receptor antagonist rimonabant reverses the diet-induced obesity phenotype through the regulation of lipolysis and energy balance. FASEB J. 2005;19:1567–1569. doi: 10.1096/fj.04-3177fje. [DOI] [PubMed] [Google Scholar]
  82. Juan-Pico P, Fuentes E, Javier Bermudez-Silva F, Javier Diaz-Molina F, Ripoll C, Rodriguez de Fonseca F, et al. Cannabinoid receptors regulate Ca(2+) signals and insulin secretion in pancreatic beta-cell. Cell Calcium. 2006;39:155–162. doi: 10.1016/j.ceca.2005.10.005. [DOI] [PubMed] [Google Scholar]
  83. Kaczocha M, Glaser ST, Chae J, Brown DA, Deutsch DG. Lipid droplets are novel sites of N-acylethanolamine inactivation by fatty acid amide hydrolase-2. J Biol Chem. 2009;285:2796–2806. doi: 10.1074/jbc.M109.058461. [DOI] [PMC free article] [PubMed] [Google Scholar]
  84. Kadowaki T, Yamauchi T. Adiponectin and adiponectin receptors. Endocr Rev. 2005;26:439–451. doi: 10.1210/er.2005-0005. [DOI] [PubMed] [Google Scholar]
  85. Kearn CS, Greenberg MJ, DiCamelli R, Kurzawa K, Hillard CJ. Relationships between ligand affinities for the cerebellar cannabinoid receptor CB1 and the induction of GDP/GTP exchange. J Neurochem. 1999;72:2379–2387. doi: 10.1046/j.1471-4159.1999.0722379.x. [DOI] [PubMed] [Google Scholar]
  86. Kelly G. Body temperature variability (part 1): a review of the history of body temperature and its variability due to site selection, biological rhythms, fitness, and aging. Altern Med Rev. 2006;11:278–293. [PubMed] [Google Scholar]
  87. Kirkham TC, Williams CM, Fezza F, Di Marzo V. Endocannabinoid levels in rat limbic forebrain and hypothalamus in relation to fasting, feeding and satiation: stimulation of eating by 2-arachidonoyl glycerol. Br J Pharmacol. 2002;136:550–557. doi: 10.1038/sj.bjp.0704767. [DOI] [PMC free article] [PubMed] [Google Scholar]
  88. de Kloet AD, Woods SC. Minireview: endocannabinoids and their receptors as targets for obesity therapy. Endocrinology. 2009;150:2531–2536. doi: 10.1210/en.2009-0046. [DOI] [PubMed] [Google Scholar]
  89. Koch M, Dehghani F, Habazettl I, Schomerus C, Korf HW. Cannabinoids attenuate norepinephrine-induced melatonin biosynthesis in the rat pineal gland by reducing arylalkylamine N-acetyltransferase activity without involvement of cannabinoid receptors. J Neurochem. 2006;98:267–278. doi: 10.1111/j.1471-4159.2006.03873.x. [DOI] [PubMed] [Google Scholar]
  90. Koch M, Habazettl I, Dehghani F, Korf HW. The rat pineal gland comprises an endocannabinoid system. J Pineal Res. 2008;45:351–360. doi: 10.1111/j.1600-079X.2008.00597.x. [DOI] [PubMed] [Google Scholar]
  91. Koethe D, Schreiber D, Giuffrida A, Mauss C, Faulhaber J, Heydenreich B, et al. Sleep deprivation increases oleoylethanolamide in human cerebrospinal fluid. J Neural Transm. 2009;116:301–305. doi: 10.1007/s00702-008-0169-6. [DOI] [PMC free article] [PubMed] [Google Scholar]
  92. Kola B, Hubina E, Tucci SA, Kirkham TC, Garcia EA, Mitchell SE, et al. Cannabinoids and ghrelin have both central and peripheral metabolic and cardiac effects via AMP-activated protein kinase. J Biol Chem. 2005;280:25196–25201. doi: 10.1074/jbc.C500175200. [DOI] [PubMed] [Google Scholar]
  93. Kozak KR, Crews BC, Morrow JD, Wang LH, Ma YH, Weinander R, et al. Metabolism of the endocannabinoids, 2-arachidonylglycerol and anandamide, into prostaglandin, thromboxane, and prostacyclin glycerol esters and ethanolamides. J Biol Chem. 2002;277:44877–44885. doi: 10.1074/jbc.M206788200. [DOI] [PubMed] [Google Scholar]
  94. Kronfeld-Schor N, Richardson C, Silvia BA, Kunz TH, Widmaier EP. Dissociation of leptin secretion and adiposity during prehibernatory fattening in little brown bats. Am J Physiol Regul Integr Comp Physiol. 2000;279:R1277–R1281. doi: 10.1152/ajpregu.2000.279.4.R1277. [DOI] [PubMed] [Google Scholar]
  95. Lee TM, Zucker I. Suprachiasmatic nucleus and photic entrainment of circannual rhythms in ground squirrels. J Biol Rhythms. 1991;6:315–330. doi: 10.1177/074873049100600403. [DOI] [PubMed] [Google Scholar]
  96. Lemmer B. Discoveries of rhythms in human biological functions: a historical review. Chronobiol Int. 2009;26:1019–1068. doi: 10.3109/07420520903237984. [DOI] [PubMed] [Google Scholar]
  97. Lupica CR, Riegel AC. Endocannabinoid release from midbrain dopamine neurons: a potential substrate for cannabinoid receptor antagonist treatment of addiction. Neuropharmacology. 2005;48:1105–1116. doi: 10.1016/j.neuropharm.2005.03.016. [DOI] [PubMed] [Google Scholar]
  98. Maccarrone M, Wenger T. Effects of cannabinoids on hypothalamic and reproductive function. Handb Exp Pharmacol. 2005;168:555–571. doi: 10.1007/3-540-26573-2_18. [DOI] [PubMed] [Google Scholar]
  99. Mallat A, Lotersztajn S. Endocannabinoids and liver disease. I. Endocannabinoids and their receptors in the liver. Am J Physiol Gastrointest Liver Physiol. 2008;294:G9–G12. doi: 10.1152/ajpgi.00467.2007. [DOI] [PubMed] [Google Scholar]
  100. Marra F, Bertolani C. Adipokines in liver diseases. Hepatology. 2009;50:957–969. doi: 10.1002/hep.23046. [DOI] [PubMed] [Google Scholar]
  101. Martin BR, Compton DR, Thomas BF, Prescott WR, Little PJ, Razdan RK, et al. Behavioral, biochemical, and molecular modeling evaluations of cannabinoid analogs. Pharmacol Biochem Behav. 1991;40:471–478. doi: 10.1016/0091-3057(91)90349-7. [DOI] [PubMed] [Google Scholar]
  102. Martinez-Vargas M, Murillo-Rodriguez E, Gonzalez-Rivera R, Landa A, Mendez-Diaz M, Prospro-Garcia O, et al. Sleep modulates cannabinoid receptor 1 expression in the pons of rats. Neuroscience. 2003;117:197–201. doi: 10.1016/s0306-4522(02)00820-5. [DOI] [PubMed] [Google Scholar]
  103. Massa F, Monory K. Endocannabinoids and the gastrointestinal tract. J Endocrinol Invest. 2006;29:47–57. [PubMed] [Google Scholar]
  104. Matsuda LA, Lolait SJ, Brownstein MJ, Young AC, Bonner TI. Structure of a cannabinoid receptor and functional expression of the cloned cDNA. Nature. 1990;346:561–564. doi: 10.1038/346561a0. [DOI] [PubMed] [Google Scholar]
  105. Matsuki T, Sakurai T. Orexins and orexin receptors: from molecules to integrative physiology. Results Probl Cell Differ. 2008;46:27–55. doi: 10.1007/400_2007_047. [DOI] [PubMed] [Google Scholar]
  106. Maywood ES, Okamura H, Hastings MH. Opposing actions of neuropeptide Y and light on the expression of circadian clock genes in the mouse suprachiasmatic nuclei. Eur J Neurosci. 2002;15:216–220. doi: 10.1046/j.0953-816x.2001.01852.x. [DOI] [PubMed] [Google Scholar]
  107. Mechoulam R, Ben-Shabat S, Hanus L, Ligumsky M, Kaminski NE, Schatz AR, et al. Identification of an endogenous 2-monoglyceride, present in canine gut, that binds to cannabinoid receptors. Biochem Pharmacol. 1995;50:83–90. doi: 10.1016/0006-2952(95)00109-d. [DOI] [PubMed] [Google Scholar]
  108. Mieda M, Sakurai T. Integrative physiology of orexins and orexin receptors. CNS Neurol Disord Drug Targets. 2009;8:281–295. doi: 10.2174/187152709788921663. [DOI] [PubMed] [Google Scholar]
  109. Miyamoto S, Rubio M, Sussman MA. Nuclear and mitochondrial signalling Akts in cardiomyocytes. Cardiovasc Res. 2009;82:272–285. doi: 10.1093/cvr/cvp087. [DOI] [PMC free article] [PubMed] [Google Scholar]
  110. Moldrich G, Wenger T. Localization of the CB1 cannabinoid receptor in the rat brain. An immunohistochemical study. Peptides. 2000;21:1735–1742. doi: 10.1016/s0196-9781(00)00324-7. [DOI] [PubMed] [Google Scholar]
  111. Moore RY, Eichler VB. Loss of a circadian adrenal corticosterone rhythm following suprachiasmatic lesions in the rat. Brain Res. 1972;42:201–206. doi: 10.1016/0006-8993(72)90054-6. [DOI] [PubMed] [Google Scholar]
  112. Moreton JE, Davis WM. Electroencephalographic study of the effects of tetrahydrocannabinols on sleep in the rat. Neuropharmacology. 1973;12:897–907. doi: 10.1016/0028-3908(73)90042-7. [DOI] [PubMed] [Google Scholar]
  113. Mostafa N, Everett DC, Chou SC, Kong PA, Florant GL, Coleman RA. Seasonal changes in critical enzymes of lipogenesis and triacylglycerol synthesis in the marmot (Marmota flaviventris) J Comp Physiol B. 1993;163:463–469. doi: 10.1007/BF00346930. [DOI] [PubMed] [Google Scholar]
  114. Mrosovsky N, Faust IM. Cycles of body fat in hibernators. Int J Obes. 1985;9(Suppl. 1):93–98. [PubMed] [Google Scholar]
  115. Munro S, Thomas KL, Abu-Shaar M. Molecular characterization of a peripheral receptor for cannabinoids. Nature. 1993;365:61–65. doi: 10.1038/365061a0. [DOI] [PubMed] [Google Scholar]
  116. Muntoni AL, Pillolla G, Melis M, Perra S, Gessa GL, Pistis M. Cannabinoids modulate spontaneous neuronal activity and evoked inhibition of locus coeruleus noradrenergic neurons. Eur J Neurosci. 2006;23:2385–2394. doi: 10.1111/j.1460-9568.2006.04759.x. [DOI] [PubMed] [Google Scholar]
  117. Murillo-Rodriguez E. The role of the CB1 receptor in the regulation of sleep. Prog Neuropsychopharmacol Biol Psychiatry. 2008a;32:1420–1427. doi: 10.1016/j.pnpbp.2008.04.008. [DOI] [PubMed] [Google Scholar]
  118. Murillo-Rodriguez E. The role of the CB(1) receptor in the regulation of sleep. Prog Neuropsychopharmacol Biol Psychiatry. 2008b;32:1420–1427. doi: 10.1016/j.pnpbp.2008.04.008. [DOI] [PubMed] [Google Scholar]
  119. Murillo-Rodriguez E, Sanchez-Alavez M, Navarro L, Martinez-Gonzalez D, Drucker-Colin R, Prospero-Garcia O. Anandamide modulates sleep and memory in rats. Brain Res. 1998;812:270–274. doi: 10.1016/s0006-8993(98)00969-x. [DOI] [PubMed] [Google Scholar]
  120. Murillo-Rodriguez E, Cabeza R, Mendez-Diaz M, Navarro L, Prospero-Garcia O. Anandamide-induced sleep is blocked by SR141716A, a CB1 receptor antagonist and by U73122, a phospholipase C inhibitor. Neuroreport. 2001;12:2131–2136. doi: 10.1097/00001756-200107200-00018. [DOI] [PubMed] [Google Scholar]
  121. Murillo-Rodriguez E, Desarnaud F, Prospero-Garcia O. Diurnal variation of arachidonoylethanolamine, palmitoylethanolamide and oleoylethanolamide in the brain of the rat. Life Sci. 2006;79:30–37. doi: 10.1016/j.lfs.2005.12.028. [DOI] [PubMed] [Google Scholar]
  122. Murillo-Rodriguez E, Millan-Aldaco D, Di Marzo V, Drucker-Colin R. The anandamide membrane transporter inhibitor, VDM-11, modulates sleep and c-Fos expression in the rat brain. Neuroscience. 2008;157:1–11. doi: 10.1016/j.neuroscience.2008.08.056. [DOI] [PubMed] [Google Scholar]
  123. Nogueiras R, Diaz-Arteaga A, Lockie SH, Velasquez DA, Tschop J, Lopez M, et al. The endocannabinoid system: role in glucose and energy metabolism. Pharmacol Res. 2009;60:93–98. doi: 10.1016/j.phrs.2009.04.004. [DOI] [PubMed] [Google Scholar]
  124. Okamoto Y, Tsuboi K, Ueda N. Enzymatic formation of anandamide. Vitam Horm. 2009;81:1–24. doi: 10.1016/S0083-6729(09)81001-7. [DOI] [PubMed] [Google Scholar]
  125. Okamura H. Integration of mammalian circadian clock signals: from molecule to behavior. J Endocrinol. 2003;177:3–6. doi: 10.1677/joe.0.1770003. [DOI] [PubMed] [Google Scholar]
  126. Osei-Hyiaman D, Depetrillo M, Pacher P, Liu J, Radaeva S, Batkai S, et al. Endocannabinoid activation at hepatic CB(1) receptors stimulates fatty acid synthesis and contributes to diet-induced obesity. J Clin Invest. 2005;115:1298–1305. doi: 10.1172/JCI23057. [DOI] [PMC free article] [PubMed] [Google Scholar]
  127. Osei-Hyiaman D, Liu J, Zhou L, Godlewski G, Harvey-White J, Jeong WI, et al. Hepatic CB(1) receptor is required for development of diet-induced steatosis, dyslipidemia, and insulin and leptin resistance in mice. J Clin Invest. 2008;118:3160–3169. doi: 10.1172/JCI34827. [DOI] [PMC free article] [PubMed] [Google Scholar]
  128. Pacher P, Batkai S, Kunos G. Cardiovascular pharmacology of cannabinoids. Handb Exp Pharmacol. 2005;186:599–625. doi: 10.1007/3-540-26573-2_20. [DOI] [PMC free article] [PubMed] [Google Scholar]
  129. Pakdeechote P, Dunn WR, Ralevic V. Cannabinoids inhibit noradrenergic and purinergic sympathetic cotransmission in the rat isolated mesenteric arterial bed. Br J Pharmacol. 2007;152:725–733. doi: 10.1038/sj.bjp.0707397. [DOI] [PMC free article] [PubMed] [Google Scholar]
  130. Pan B, Wang W, Long JZ, Sun D, Hillard CJ, Cravatt BF, et al. Blockade of 2-arachidonoylglycerol hydrolysis by selective monoacylglycerol lipase inhibitor 4-nitrophenyl 4-(dibenzo[d][1,3]dioxol-5-yl(hydroxy)methyl)piperidine-1-carboxylate (JZL184) enhances retrograde endocannabinoid signaling. J Pharmacol Exp Ther. 2009;331:591–597. doi: 10.1124/jpet.109.158162. [DOI] [PMC free article] [PubMed] [Google Scholar]
  131. Patel S, Hillard CJ. Endocannabinoids as modulators of synaptic signaling. In: Reggio PH, editor. The Cannabinoid Receptors. New York: Humana Press; 2009. pp. 281–308. [Google Scholar]
  132. Patel S, Roelke CT, Rademacher DJ, Cullinan WE, Hillard CJ. Endocannabinoid signaling negatively modulates stress-induced activation of the hypothalamic–pituitary–adrenal axis. Endocrinology. 2004;145:5431–5438. doi: 10.1210/en.2004-0638. [DOI] [PubMed] [Google Scholar]
  133. Perron RR, Tyson RL, Sutherland GR. Delta9-tetrahydrocannabinol increases brain temperature and inverts circadian rhythms. Neuroreport. 2001;12:3791–3794. doi: 10.1097/00001756-200112040-00038. [DOI] [PubMed] [Google Scholar]
  134. Perwitz N, Fasshauer M, Klein J. Cannabinoid receptor signaling directly inhibits thermogenesis and alters expression of adiponectin and visfatin. Horm Metab Res. 2006;38:356–358. doi: 10.1055/s-2006-925401. [DOI] [PubMed] [Google Scholar]
  135. Pivik RT, Zarcone V, Dement WC, Hollister LE. Delta-9-tetrahydrocannabinol and synhexl: effects on human sleep patterns. Clin Pharmacol Ther. 1972;13:426–435. doi: 10.1002/cpt1972133426. [DOI] [PubMed] [Google Scholar]
  136. Pranikoff K, Karacan I, Larson EA, Williams RL, Thornby JI, Hursch CJ. Effects of marijuana smoking on the sleep EEG. Preliminary studies. JFMA. 1973;60:28–31. [PubMed] [Google Scholar]
  137. Pratt PF, Hillard CJ, Edgemond WS, Campbell WB. N-arachidonylethanolamide relaxation of bovine coronary artery is not mediated by CB1 cannabinoid receptor. Am J Physiol. 1998;274:H375–H381. doi: 10.1152/ajpheart.1998.274.1.H375. [DOI] [PubMed] [Google Scholar]
  138. Ralevic V, Kendall DA. Cannabinoid modulation of perivascular sympathetic and sensory neurotransmission. Curr Vasc Pharmacol. 2009;7:15–25. doi: 10.2174/157016109787354114. [DOI] [PubMed] [Google Scholar]
  139. Regier DA, Farmer ME, Rae DS, Locke BZ, Keith SJ, Judd LL, et al. Comorbidity of mental disorders with alcohol and other drug abuse. Results from the Epidemiologic Catchment Area (ECA) study. JAMA. 1990;264:2511–2518. [PubMed] [Google Scholar]
  140. Roche TE, Hiromasa Y. Pyruvate dehydrogenase kinase regulatory mechanisms and inhibition in treating diabetes, heart ischemia, and cancer. Cell Mol Life Sci. 2007;64:830–849. doi: 10.1007/s00018-007-6380-z. [DOI] [PMC free article] [PubMed] [Google Scholar]
  141. Roenneberg T, Merrow M. Entrainment of the human circadian clock. Cold Spring Harb Symp Quant Biol. 2007;72:293–299. doi: 10.1101/sqb.2007.72.043. [DOI] [PubMed] [Google Scholar]
  142. Roybal K, Theobold D, Graham A, DiNieri JA, Russo SJ, Krishnan V, et al. Mania-like behavior induced by disruption of CLOCK. Proc Natl Acad Sci USA. 2007;104:6406–6411. doi: 10.1073/pnas.0609625104. [DOI] [PMC free article] [PubMed] [Google Scholar]
  143. Rueda-Orozco PE, Soria-Gomez E, Montes-Rodriguez CJ, Martinez-Vargas M, Galicia O, Navarro L, et al. A potential function of endocannabinoids in the selection of a navigation strategy by rats. Psychopharmacology (Berl) 2008;198:565–576. doi: 10.1007/s00213-007-0911-z. [DOI] [PubMed] [Google Scholar]
  144. Sanford AE, Castillo E, Gannon RL. Cannabinoids and hamster circadian activity rhythms. Brain Res. 2008;1222:141–148. doi: 10.1016/j.brainres.2008.05.048. [DOI] [PubMed] [Google Scholar]
  145. Santucci V, Storme JJ, Soubrie P, Le Fur G. Arousal-enhancing properties of the CB1 cannabinoid receptor antagonist SR 141716A in rats as assessed by electroencephalographic spectral and sleep–waking cycle analysis. Life Sci. 1996;58:PL103–PL110. doi: 10.1016/0024-3205(95)02319-4. [DOI] [PubMed] [Google Scholar]
  146. Scarpace PJ, Zhang Y. Leptin resistance: a prediposing factor for diet-induced obesity. Am J Physiol Regul Integr Comp Physiol. 2009;296:R493–R500. doi: 10.1152/ajpregu.90669.2008. [DOI] [PMC free article] [PubMed] [Google Scholar]
  147. Shioda S, Takenoya F, Yagi M, Wang L, Hori Y, Kageyama H. Neural networks of several novel neuropeptides involved in feeding regulation. Nutrition. 2008;24:848–853. doi: 10.1016/j.nut.2008.06.016. [DOI] [PubMed] [Google Scholar]
  148. Simon GM, Cravatt BF. Anandamide biosynthesis catalyzed by the phosphodiesterase GDE1 and detection of glycerophospho-N-acyl ethanolamine precursors in mouse brain. J Biol Chem. 2008;283:9341–9349. doi: 10.1074/jbc.M707807200. [DOI] [PMC free article] [PubMed] [Google Scholar]
  149. Solinas M, Goldberg SR, Piomelli D. The endocannabinoid system in brain reward processes. Br J Pharmacol. 2008;154:369–383. doi: 10.1038/bjp.2008.130. [DOI] [PMC free article] [PubMed] [Google Scholar]
  150. Squire TL, Lowe ME, Bauer VW, Andrews MT. Pancreatic triacylglycerol lipase in a hibernating mammal. II. Cold-adapted function and differential expression. Physiol Genomics. 2003;16:131–140. doi: 10.1152/physiolgenomics.00168.2002. [DOI] [PubMed] [Google Scholar]
  151. Strakowski SM, DelBello MP. The co-occurrence of bipolar and substance use disorders. Clin Psychol Rev. 2000;20:191–206. doi: 10.1016/s0272-7358(99)00025-2. [DOI] [PubMed] [Google Scholar]
  152. Sugiura T, Kondo S, Sukagawa A, Nakane S, Shinoda A, Itoh K, et al. 2-Arachidonoylglycerol: a possible endogenous cannabinoid receptor ligand in brain. Biochem Biophys Res Commun. 1995;215:89–97. doi: 10.1006/bbrc.1995.2437. [DOI] [PubMed] [Google Scholar]
  153. Takahashi JS, Hong HK, Ko CH, McDearmon EL. The genetics of mammalian circadian order and disorder: implications for physiology and disease. Nat Rev Genet. 2008;9:764–775. doi: 10.1038/nrg2430. [DOI] [PMC free article] [PubMed] [Google Scholar]
  154. Tsuboi K, Sun YX, Okamoto Y, Araki N, Tonai T, Ueda N. Molecular characterization of N-acylethanolamine-hydrolyzing acid amidase, a novel member of the choloylglycine hydrolase family with structural and functional similarity to acid ceramidase. J Biol Chem. 2005;280:11082–11092. doi: 10.1074/jbc.M413473200. [DOI] [PubMed] [Google Scholar]
  155. Tucci SA, Rogers EK, Korbonits M, Kirkham TC. The cannabinoid CB1 receptor antagonist SR141716 blocks the orexigenic effects of intrahypothalamic ghrelin. Br J Pharmacol. 2004;143:520–523. doi: 10.1038/sj.bjp.0705968. [DOI] [PMC free article] [PubMed] [Google Scholar]
  156. Tyler K, Hillard CJ, Greenwood-Van Meerveld B. Inhibition of small intestinal secretion by cannabinoids is CB(1) receptor-mediated in rats. Eur J Pharmacol. 2000;409:207–211. doi: 10.1016/s0014-2999(00)00843-8. [DOI] [PubMed] [Google Scholar]
  157. Valenti M, Vigano D, Casico MG, Rubino T, Steardo L, Parolaro D, et al. Differential diurnal variations of anandamide and 2-arachidonoyl-glycerol levels in rat brain. Cell Mol Life Sci. 2004;61:945–950. doi: 10.1007/s00018-003-3453-5. [DOI] [PMC free article] [PubMed] [Google Scholar]
  158. Volkow ND, Wise RA. How can drug addiction help us understand obesity? Nat Neurosci. 2005;8:555–560. doi: 10.1038/nn1452. [DOI] [PubMed] [Google Scholar]
  159. Wallach MB, Gershon S. The effects of delta8-THC on the EEG, reticular multiple unit activity and sleep of cats. Eur J Pharmacol. 1973;24:172–178. doi: 10.1016/0014-2999(73)90068-x. [DOI] [PubMed] [Google Scholar]
  160. Weaver DR. The suprachiasmatic nucleus: a 25-year retrospective. J Biol Rhythms. 1998;13:100–112. doi: 10.1177/074873098128999952. [DOI] [PubMed] [Google Scholar]
  161. Weber ET, Rea MA. Neuropeptide Y blocks light-induced phase advances but not delays of the circadian activity rhythm in hamsters. Neurosci Lett. 1997;231:159–162. doi: 10.1016/s0304-3940(97)00559-4. [DOI] [PubMed] [Google Scholar]
  162. Weber ET, Gannon RL, Rea MA. Local administration of serotonin agonists blocks light-induced phase advances of the circadian activity rhythm in the hamster. J Biol Rhythms. 1998;13:209–218. doi: 10.1177/074873098129000057. [DOI] [PubMed] [Google Scholar]
  163. Wittmann G, Deli L, Kallo I, Hrabovszky E, Watanabe M, Liposits Z, et al. Distribution of type 1 cannabinoid receptor (CB1)-immunoreactive axons in the mouse hypothalamus. J Comp Neurol. 2007;503:270–279. doi: 10.1002/cne.21383. [DOI] [PubMed] [Google Scholar]
  164. Woods AK, Storey KB. Cytosolic phospholipase A2 regulation in the hibernating thirteen-lined ground squirrel. Cell Mol Biol Lett. 2007;12:621–632. doi: 10.2478/s11658-007-0036-8. [DOI] [PMC free article] [PubMed] [Google Scholar]
  165. Xia T, Mostafa N, Bhat BG, Florant GL, Coleman RA. Selective retention of essential fatty acids: the role of hepatic monoacylglycerol acyltransferase. Am J Physiol. 1993;265:R414–R419. doi: 10.1152/ajpregu.1993.265.2.R414. [DOI] [PubMed] [Google Scholar]
  166. Yannielli PC, Harrington ME. Neuropeptide Y applied in vitro can block the phase shifts induced by light in vivo. Neuroreport. 2000;11:1587–1591. [PubMed] [Google Scholar]
  167. Yannielli PC, Harrington ME. Neuropeptide Y in the mammalian circadian system: effects on light-induced circadian responses. Peptides. 2001;22:547–556. doi: 10.1016/s0196-9781(01)00356-4. [DOI] [PubMed] [Google Scholar]
  168. Yoshida T, Fukaya M, Uchigashima M, Miura E, Kamiya H, Kano M, et al. Localization of diacylglycerol lipase-alpha around postsynaptic spine suggests close proximity between production site of an endocannabinoid, 2-arachidonoyl-glycerol, and presynaptic cannabinoid CB1 receptor. J Neurosci. 2006;26:4740–4751. doi: 10.1523/JNEUROSCI.0054-06.2006. [DOI] [PMC free article] [PubMed] [Google Scholar]
  169. Zucker I. Cirannual Rhythms: Mammals. London: Kluwer Academic/Plenum; 2001. pp. 509–524. [Google Scholar]

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