Cannabinoids and Anxiety
摘要
This chapter aims to provide an overview on the pharmacology of cannabinoids and compounds targeting the endocannabinoid (eCB) system in preclinical tests for studying anxiolytic drugs. Δ9-tetrahydrocannabinol (THC), the main active compound of Cannabis sativa, induces biphasic responses consisting of anxiolytic- or anxiogenic-like effects at low or high doses, respectively. In addition to THC, cannabinoid type-1 receptor (CB1R) synthetic agonists, with various degrees of affinity and efficacy also affect anxiety-like responses in complex ways, holding limited therapeutic potential. In contrast, the phytocannabinoid cannabidiol exerts consistent anxiolytic-like effects with a favorable side-effect profile; however, its precise mechanism of action remains uncertain. eCB hydrolysis inhibitors take advantage of the on-demand functioning of the eCB system to facilitate CB1R signaling without potential side effects associated with direct agonists. Finally, the interactions between anandamide and other non-canonical components of the eCB system, such as the transient receptor potential vanilloid type-1 channel (TRPV1) have also been investigated, suggesting compounds that simultaneously increase brain eCB levels and block TRPV1 as new pharmacological strategies to alleviate anxiety.