Don't Get High….. Get Well

Alzheimer’s disease (AD) is characterized by enhanced -amyloid peptide deposition along with glial activation in senile plaques,
selective neuronal loss, and cognitive deficits. Cannabinoids are neuroprotective agents against excitotoxicity in vitro and acute brain
damage in vivo. This background prompted us to study the localization, expression, and function of cannabinoid receptors in AD and the
possible protective role of cannabinoids after A treatment, both in vivo and in vitro. Here, we show that senile plaques in AD patients
express cannabinoid receptors CB1 and CB2 , together with markers of microglial activation, and that CB1-positive neurons, present in
high numbers in control cases, are greatly reduced in areas of microglial activation. In pharmacological experiments, we found that
G-protein coupling and CB1 receptor protein expression are markedly decreased in AD brains. Additionally, in AD brains, protein
nitration is increased, and, more specifically, CB1 and CB2 proteins show enhanced nitration. Intracerebroventricular administration of
the synthetic cannabinoid WIN55,212-2 to rats prevent A-induced microglial activation, cognitive impairment, and loss of neuronal
markers. Cannabinoids (HU-210, WIN55,212-2, and JWH-133) block A-induced activation of cultured microglial cells, as judged by
mitochondrial activity, cell morphology, and tumor necrosis factor-release; these effects are independent of the antioxidant action of
cannabinoid compounds and are also exerted by a CB2-selective agonist. Moreover, cannabinoids abrogate microglia-mediated neuro-
toxicity afterA addition to rat cortical cocultures. Our results indicate that cannabinoid receptors are important in the pathology of AD
and that cannabinoids succeed in preventing the neurodegenerative process occurring in the disease.

Key words: Alzheimer’s disease; -amyloid; cannabinoids; microglia; neurotoxicity; neuroprotection