Monday, October 20, 2014

Chapter 5: How Altering the ECS Could be Affective in Patients with Psychological Disorders


How is this possible?


The endocannabinoid system (ECS) is defined as a network of lock-and-key chemical receptors that respond to the “signals” of cannabinoids. Specific receptors found in this system involve different stimuli within the body, which can further be directed towards various functions. Focusing on where exactly the ECS is located, the image projected below can be used to identify specific locations of these receptors on different body cells.


There are two endogenous cannabinoids, natural chemicals stimulating the endocannabinoid system: Anandamide and 2-Arachidonyl-glycerol. Cannabinoids, such as THC, CBD, CBN, CBG and CBC, present in marijuana are used to alter the function of the ECS through agonistic effects. An agonist is defined as a substance that initiates a physiological response when combined with a receptor. Most studies focus on the aspects of receptors located in the ECS, called CB1 and CB2. Each of these receptors signal specific means of regulation of hormones throughout the body. While doing research on these mechanisms, I found an article published on the OMICS Group website titled Modulation of the Endogenous Cannabinoid System as a Therapeutic Target in the Treatment of Mental Health Disorders. In 2013, Darien Allen, Michael Shafer, Harrison Stratton and Jie Wu published this article in the Journal of Biochemistry and Pharmacology. This article gives specific examples of therapeutic possibilities in affective disorders; “investigating the ECS could enhance our ability to treat mental health disorders in the future by providing alternative molecular routes for modulating serotonin and norepinephrine”. Serotonin is a neurotransmitter that is derived from tryptophan. It is specifically involved in sleep, depression, memory and other neurological processes. Norepinephrine is involved in the "fight or flight" response, which is defined as sudden energy resulting from stress. This leads us to believe that this type of pharmacotherapy inhibits the reuptake of serotonin and norepinephrine may be effective to treat affective disorders. Evidence of this phenomenon is explained through the reaction of CB1 receptors; “the ECS could be involved in regulating emotional memory and this may explain why we see antidepressant effects with THC administration”.

Figure caption: The left side of the figure below depicts the molecular structure of of Δ9 -THC, anandamide, and 2-arachadonylglycerol, which are all agonists at cannabinoid receptor binding sites. The complex interaction of many different partial agonists gives cannabinoid receptors their own unique pharmacological profile and makes them more difficult to profile. On the right, a simple depiction showing how CB receptors tend to be located pre synaptically in order to act as retrograde signaling elements with their own form of synaptic plasticity. When an action potential is received potassium is evacuated from the bouton and calcium enters, triggering neurotransmitter release. Neurotransmitter binding on the post synaptic surface then induces the creation of endogenous cannabinoids from precursors found within the plasma membrane. These precursors are enzymatically activated and released into the synaptic cleft.

The focus of this study is described to diagnose the functional uses of cannabinoid (CB) receptor psychopharmacology. The use of this therapy is significant in people suffering from affective mental disorders, including Bipolar Disorder, Major Depressive Disorder, Dysthymic Disorder and Cyclothymic Disorder. After further research, techniques for regulating the symptoms these psychological disorders can be applied in neural science and pharmacotherapy.

Why is this so interesting?


To start off, I’d like to say these findings are very interesting to me. THC is known to have psychoactive affects, yet seems to be the main ingredient to have pharmacological effects on mental disorders. However, other cannabinoids can play a key role in regulating mental health as well. In 1964, Raphael Mechoulam changed the world of psychology for his discovery of the ECS. Mechoulam founded this system by studying a specific extract of the marijuana flower, THC. Now we can use his advancements as well as new concepts and theories to test the effects of medical marijuana in treating psychological disorders. 



Resources:
http://bipolar.about.com/od/glossary/g/gl_norepinephri.htm