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1
CANNABINOID RECEPTOR SIGNALING IN HUMAN SH-SY5Y NEUROBLASTOMA
CELL VIABILITY, PROLIFERATION RATE, AND EXTENSION LENGTH
BY
ERICA LYNN LYONS (NEE WIESER)
A Dissertation Submitted to the Graduate Faculty of
WAKE FOREST UNIVERSITY GRADUATE SCHOOL OF ARTS AND SCIENCES
in Partial Fulfillment of the Requirements
for the Degree of
DOCTOR OF PHILOSOPHY
Molecular Medicine and Translational Science
May 2019
Winston-Salem, North Carolina
Approved by:
Allyn Howlett, Ph.D., Advisor
Graca Almeida-Porada, Ph.D., Chair
John Parks, Ph.D.
Rong Chen, Ph.D.
Brian Thomas, Ph.D.
2
ACKNOWLEDGEMENTS
I would like to begin by thanking my mentor, Dr. Allyn Howlett, for her years of
guidance and support. She was absolutely critical to the design and completion of my work. Her
experience and knowledge and ready availability to discuss everything from technical aspects of
experimental design to big picture ideas about the roles of cannabinoid systems in physiological
systems make her a fantastic teacher. The entire Howlett lab provided me with help and support
and I am so grateful for their constant encouragement. Sandra Kabler, Dr. Khalil Eldeeb, Dr.
Lawrence Blume, Alex Ilyasov, Carolina Burgos-Aguilar, and everyone contributed to a positive
lab environment that encouraged creative thinking and open discussion.
Thank you to my committee members, the people of Molecular and Cellular Biosciences,
Molecular Medicine and Translational Science, Molecular Pathology, Lipid Sciences, and
everyone at the Wake Forest School of Medicine. Your encouragement to advance my studies
has supported me to progress forward. I enjoyed learning from all of you not only in classes and
journal club, but also in a wonderful community of scientist friends who excitedly chat about
cutting edge techniques and experimental design as we pursue our work across multiple campuses.
Everyone was always so open to discuss technical details of protocols or how to best design an
experiment to address a hypothesis, and so willing to collaborate and share equipment. Thank
you to the FACS Core, the Diabetes Center, and the Lipids Sciences group for collaborating with
me on this project.
Finally, thank you to my family and friends for your constant love and encouragement
throughout this experience. I greatly appreciate everyone’s time and effort to support me for
these past years.
3
TABLE OF CONTENTS
PAGE
ACKNOWLEDGEMENTS…………………………………………………...…………………2
TABLE OF CONTENTS……………………………………………………...……………...….3
LIST OF ABBREVIATIONS………………………………………………………...………….4
LIST OF TABLES………………………………………………………….………...…………11
LIST OF FIGURES………………………………………………………...………....………...12
ABSTRACT………………………………………………………………………...……………15
CHAPTER
I. INTRODUCTION…………………………………………………………………...18
II. EXPERIMENTAL DESIGN AND METHODS……………...…………………..77
III. HUMAN NEUROBLASTOMA SH-SY5Y CELL LINES......………………….87
IV. CANNABINOID RECEPTORS, VIABILITY, AND PROLIFERATION …..109
V. CANNABINOID RECEPTORS AND NEURONAL EXTENSIONS……..…...121
VI. DISCUSSION AND FUTURE PERSPECTIVES…………...………………....136
REFERENCES………………………………………………………………………...157
CURRICULUM VITAE………………………………………………………………178
4
LIST OF ABBREVIATIONS
AG arachidonoyl glycerol
2-AG 2-arachidonoyl glycerol
12-HAEA 12-hydroxy-N-arachidonoylethanolamine
12-HETE 12- hydroxyeicosatetraenoic acid
15-HAEA 15-hydroxy-N-arachidonoylethanolamine
15-HETE 15- hydroxyeicosatetraenoic acid
ACEA arachidonyl-2'-chloroethylamide, selective CB1 agonist
ABHD6 alpha/beta-hydrolase domain containing 6
ABHD12 alpha/beta-hydrolase domain containing 12
AC adenylyl cyclase
ADP adenosine diphosphate
AEA anandamide or N-arachidonoylethanolamine
AKT protein kinase B
AM251 N-(Piperidin-1-yl)-5-(4-iodophenyl)-1-(2,4-dichlorophenyl)-4-methyl-
1H-pyrazole-3-carboxamide, a CB1 receptor selective antagonist
AM630 1-[2-(morpholin-4-yl)ethyl]-2-methyl-3-(4-methoxybenzoyl)-6-
iodoindole or 6-Iodopravadoline, CB2 receptor selective antagonist
AMPK 5' adenosine monophosphate-activated protein kinase
ANOVA analysis of variance
β3Tub beta 3 tubulin, also known as Tuj1
BDNF brain-derived neurotrophic factor
BRCA1 breast cancer type 1 susceptibility protein
BrdU bromodeoxyuridine
BSA bovine serum albumin
cAMP cyclic adenosine monophosphate
5
CB1R CB1 cannabinoid receptor
CB1XS CB1 cannabinoid receptor stably expressing SH-SY5Y clonal cell line
CB2R CB2 cannabinoid receptor
CB2XS CB2 cannabinoid receptor stably overexpressing SH-SY5Y cell line
cDNA complementary deoxyribonucleic acid
cfos Finkel-Biskis-Jinkins murine osteosarcoma viral oncogene homolog C
CNPase 2',3'-cyclic-nucleotide 3'-phosphodiesterase
CNS central nervous system
COX2 cyclooxygenase 2
CP 55,940 (-)-cis-3-[2-Hydroxy-4-(1,1-dimethylheptyl)phenyl]-trans-4-(3-
hydroxypropyl)cyclohexanol, a dual cannabinoid receptor agonist
CRE cre recombinase enzyme
CRAC cholesterol recognition/interaction amino acid consensus sequence
CRIP1a cannabinoid receptor interacting protein 1a
Ctip2 COUP TF1-interacting protein 2, also known as Bcl11b
DAGL diacylglycerol lipase
DAPI 4',6-diamidino-2-phenylindole
DIAPH1 diaphanous homolog, a rhoA effector molecule
DMEM Dulbecco’s modified Eagle medium
DNA deoxyribonucleic acid
EC50 half maximal (50%) effective concentration
ECS endogenous cannabinoid system
EDTA ethylenediaminetetraacetic acid
EGF epidermal growth factor
ERK extracellular signal regulated kinase
FAAH fatty acid amide hydrolase
6
FACS fluorescence activated cell sorting
FAK focal adhesion kinase
FDA Food and Drug Administration
FTY720 fingolimod
G protein guanine nucleotide binding protein
G418 geneticin
GABA gamma-aminobutyric acid
GAP GTPase activating protein
GAP1m Ras GTPase-activating protein 2 or 1m
GAP43 growth cone associated protein 43
GEF guanine nucleotide exchange factor
GIRK G protein-coupled inwardly-rectifying potassium channels
GDI guanosine nucleotide dissociation inhibitor
GDP guanosine diphosphate
GFAP glial fibrillary acidic protein
GPCR G protein coupled receptor
GPR55 G protein coupled receptor 55
GRK G protein coupled receptor kinase
GTP guanosine triphosphate
GTPase guanosine triphosphate hydrolase
H8 helix 8
HeLa human cervical cancer cell line derived from Henrietta Lacks in 1951
HEK293 293rd human embryonic kidney cell line made by Frank Graham in 1973
HEPES 4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid
HHT hydroxyheptadecatrienoic acid
HU210 Hebrew University compound 210, dual cannabinoid receptor agonist
7
HU308 Hebrew University compound 308, selective CB2 receptor agonist
ICL intracellular loop
ITGA1 integrin alpha 1, also known as CD49a
JNK c-Jun N-terminal kinase
JTE907 a quinolinecarboxamide compound, CB2 receptor specific antagonist
JWH015 John Huffman compound 015, selective CB2 receptor agonist
JWH056 John Huffman compound 056, selective CB2 receptor agonist
JWH133 John Huffman compound 133, selective CB2 receptor agonist
JZL184 4-nitrophenyl-4-[bis(1,3-benzodioxol-5-yl)(hydroxy)methyl]piperidine-
1-carboxylate, an irreversible inhibitor of MAGL
Ki67 antigen KI-67, from Kiel, Germany clone 67
Lox locus of X-over P1, flanks DNA to be cut with CRE
LPA lysophosphatidic acid
LPL-C lysophospholipase C
LY294002 2-morpholin-4-yl-8-phenylchromen-4-one
MAPK mitogen activated protein kinase
MGL monoacylglycerol lipase
MAGL monoacylglycerol lipase
mAEA methanandamide, a stable anandamide analog
Met-F-AEA 2-methyl-2'-F-anandamide, a stable anandamide analog
mRNA messenger ribonucleic acid
MTORC1 mammalian or mechanistic target of rapamycin complex 1
MTT 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide
N18TG2 mouse neuroblastoma cell line
NAPEPLD N-acyl phosphatidylethanolamine phospholipase D
NCBI National Center for Biotechnology Information
8
NCAM neural cell adhesion molecule
NGF nerve growth factor
NUCCORE NCBI nucleotide reference database
O2050 (6aR,10aR)-1-Hydroxy-3-(1-Methanesulfonylamino-4-hexyn-6-yl)-
6a,7,10,10a-tetrahydro-6,6,9-trimethyl-6H-dibenzo[b,d]pyran, a CB1
receptor specific antagonist
OxoM oxotremorine M
P115 RhoGEF 115 kDa guanine nucleotide exchange factor or rho GEF 1
PAGE polyacrylamide gel electrophoresis
PARP poly (ADP-ribose) polymerase
PBS phosphate buffered saline
PCR polymerase chain reaction
PD98059 2-(2-Amino-3-methoxyphenyl)-4H-1-benzopyran-4-one
PDZ-RhoGEF rho guanine nucleotide exchange factor 11
PGD2 prostaglandin D2
PGE2 prostaglandin E2
PGH2 prostaglandin hydroxy-endoperoxide
PLC phospholipase C
PPAR peroxisome proliferator-activated receptor
Pen/Strep penicillin/streptomycin
PTV piccolo-transport vesicles
PTX pertussis toxin
qPCR quantitative real-time polymerase chain reaction
RA all trans retinoic acid
Rac ras-related C3 botulinum toxin substrate 1
Ral ras related protein ral
9
Rap1 ras-proximate-1 or ras-related protein 1
Rap1GAPII RAP1 GTPase activating protein 2
REST relative expression software tool
RhoA ras homolog gene family member A, a small GTPase
RhoGEF rho guanine nucleotide exchange factor
ROCK1 rho-associated coiled-coil containing protein kinase1
RGS regulator of G-protein signaling
S1P sphingosine-1-phosphate
Satb2 special AT-rich sequence-binding protein 2
SCG10 neuron-specific isoform of stathmin 10
SDS sodium dodecyl sulfate
SH-SY5Y clonal human neuroblastoma cell line
siRNA small interfering or silencing ribonucleic acid
SRC proto-oncogene tyrosine-protein kinase
SR141716 5-(4-Chlorophenyl)-1-(2,4-dichloro-phenyl)-4-methyl-N-(piperidin-1-
yl)-1H-pyrazole-3-carboxamide, CB1 receptor selective antagonist
SR144528 5-(4-Chloro-3-methylphenyl)-1-[(4-methylphenyl)methyl]-N-
[(1S,2S,4R)-1,3,3-trimethylbicyclo[2.2.1]heptan-2-yl]-1H-pyrazole-3-
carboxamide, CB2 receptor selective antagonist
Stat3 signal transducer and activator of transcription 3
ST8SIA2 ST8 Alpha-N-Acetyl-Neuraminide Alpha-2,8-Sialyltransferase 2 or
Alpha-2,8-sialyltransferase 8B
SYT synaptotagmin 1
THC (−)-trans-Δ⁹-tetrahydrocannabinol
THL tetrahydrolipstatin
TRPV1 transient receptor potential cation channel subfamily V member 1
10
TR-WGA Texas red conjugated wheat germ agglutinin
URB597 [3-(3-Carbamoylphenyl)phenyl] N-cyclohexylcarbamate, inhibits fatty
acid amide hydrolase
VAChT vesicular acetylcholine transporter
WB Western blot
WIN 55,212-2 (11R)-2-methyl-11-[(morpholin-4-yl)methyl]-3-(naphthalene-1-
carbonyl)-9-oxa-1-azatricyclo[6.3.1.0⁴,¹²]dodeca-2,4(12),5,7-tetraene,
dual cannabinoid receptor agonist
ZIF 268 zinc finger protein 268 or 225, also known as early growth response
protein 1, nerve growth factor-induced protein A, Krox-24, TIS8, and
ZENK.
11
LIST OF TABLES
PAGE
CHAPTER I
CHAPTER II
Table 2.4.1 Primers Designed For This Investigation……………………………...…...…...81
CHAPTER III
CHAPTER IV
CHAPTER V
CHAPTER VI
12
LIST OF FIGURES
PAGE
CHAPTER I
Figure 1.3.1 Chemical Structures during Synthesis of Endogenous Cannabinoids…….…….34
Figure 1.3.2 Concept Map of Endogenous Cannabinoid Ligand Production....……………...35
Figure 1.3.3 Literature Values of the Endogenous Cannabinoids 2-AG, AEA in Brain.….....39
Figure 1.6.3 Concept Map of Gα12/13 and Gαi/o Mediated Cannabinoid Signaling ….……63
Figure 1.6.4 Concept Map of Gβγ Mediated Cannabinoid Signaling ….………………....….67
CHAPTER II
CHAPTER III
Figure 3.1 Characterization of CB1 or CB2 Receptor-Expressing Human SH-SY5Y
Neuroblastoma Cell Lines……………………………………………...…...…..92
Figure 3.2 Quantification of Endogenous Cannabinoid Ligands 2-AG and AEA in Parental
SH-SY5Y Cells…………………...………………………..…………........……93
Figure 3.3 Identification of mRNA Targets Responding to Retinoic Acid or Cannabinoid
Receptor Expression.………..……………………………..…………........……94
Figure 3.4 Effect of Cannabinoid Receptor Overexpression on mRNA of Endogenous
Cannabinoid System Component Enzymes…...…………..…………........……95
Figure 3.5 Effect of Cannabinoid Receptor Overexpression on mRNA of Transcription
Factors……….……………………………………………..…………........……96
Figure 3.6 Effect of 7 Day of 20 μM Retinoic Acid (RA) Every Other Day on mRNA of
Endogenous Cannabinoid System Component Enzymes….…………........……97
Figure 3.7 Effect of 7 Days of 20 μM Retinoic Acid (RA) Every Other Day on mRNA of
Proteins Involved in Neurotransmitter Regulation……..…………….......…….98
Figure 3.8 Effect of 7 Days of 20 μM Retinoic Acid (RA) Every Other Day on mRNA of
Proteins Involved in Cytoskeletal Regulation……..……….………........……..99
13
Figure 3.9 Effect of 7 Days of 20 μM Retinoic Acid (RA) Every Other Day on mRNA of
Proteins Involved in Cellular Adhesion…………..……….………........…...…100
Figure 3.10 Effect of 7 Days of 20 μM Retinoic Acid (RA) Every Other Day on mRNA of
Transcription Factors……………………………..……….………........…...…101
Figure 3.11 mRNA Targets Not Altered by CB1 Receptor Stable Expression….….........…102
Figure 3.12 mRNA Targets Not Altered by CB2 Receptor Stable Expression….….........…103
Figure 3.13 Feedback Inhibition and Desensitization is Evidence of a Functional Signaling
Pathway……….……………………………………………..…………........…104
Figure 3.14 mRNA Abundance in CB1XS and CB2XS Cell Lines Treated for 7 Days with 10
nM of Dual Cannabinoid Agonist CP-55,940….……………..………….....…106
Figure 3.15 Representative Western Blot of CB1 Receptor Abundance….……………...…107
Figure 3.16 Representative Western Blot of CB2 Receptor Abundance….……………...…108
CHAPTER IV
Figure 4.1 Stable Expression of Cannabinoid Receptors Does not Alter SH-SY5Y Viability
or Promote Apoptosis………………………..………….……………....……..113
Figure 4.2 Stable Expression of Cannabinoid Receptors Does not Alter the Proliferation
Rate of Human SH-SY5Y Neuroblastoma Cells…..…………………………..114
Figure 4.3 Stable Expression of Cannabinoid Receptors Does Not Alter Apoptosis in
Human SH-SY5Y Neuroblastoma Cells……………….…..…………………..116
Figure 4.4 Application of mAEA onto Cells Stably Expressing Cannabinoid Receptors Does
Not Alter Apoptosis in Human SH-SY5Y Neuroblastoma Cells....…………..118
Figure 4.5 Application of mAEA onto Cells Stably Expressing Cannabinoid Receptors Does
Not Alter Cell Number of Human SH-SY5Y Neuroblastoma Cells…………..119
Figure 4.6 Application of 2-AG Ether onto Cells Stably Expressing Cannabinoid Receptors
Does Not Alter Cell Number of Human SH-SY5Y Neuroblastoma Cells...…..120
14
CHAPTER V
Figure 5.1 Stable Expression of Cannabinoid Receptors Is Associated With Neurite
Development in SH-SY5Y Cells…….……………...…………………………126
Figure 5.2 Histochemistry of SH-SY5Y Stably Transfected Cell Lines...………………...127
Figure 5.3 Endocannabinoid System Factors Affecting Neurite Extension in CB1XS SH-
SY5Y Cells.……………………...............………………………………….....128
Figure 5.4 Histochemistry of CB1XS SH-SY5Y Stably Transfected Cell Lines.………...129
Figure 5.5 Intracellular Signaling Targets of CB1 Receptor Activation…………...……...130
Figure 5.6 Histochemistry of CB1XS SH-SY5Y Stably Transfected Cell Lines.………...131
Figure 5.7 Histochemistry of CB1XS SH-SY5Y Stably Transfected Cell Lines ………...132
Figure 5.8 Effect of Cannabinoid Receptor Expression on mRNA of Proteins Involved in
Cytoskeletal Regulation………………………………………………...……...133
Figure 5.9 Effect of Cannabinoid Receptor Expression on mRNA of Proteins Involved in
Neurotransmitter Regulation.…………………………………………...……...134
Figure 5.10 Effect of Cannabinoid Receptor Expression on mRNA of Proteins Involved in
Cellular Adhesion…….………………………………………………...……...135
CHAPTER VI
Figure 6.1 Cannabinoid Signaling Pathways Affecting Neuronal Extension Length……..152
Figure 6.2 Effect of CB1 and CB2 Cannabinoid Receptors Extension Length, Apoptosis,
Proliferation Rate, and Gene Expression. …………………...……...….……..156
15
ABSTRACT
Erica L. Lyons
CANNABINOID RECEPTOR OVEREXPRESSION IN HUMAN SH-SY5Y
NEUROBLASTOMA CELLS
Dissertation under the guidance of Allyn C. Howlett, PhD
Professor, Department of Physiology and Pharmacology, and Asst Dean, WFU Graduate School
16
We created clonal cell lines that stably overexpress either CB1 (CB1XS) or CB2 receptor
(CB2XS) in human neuroblastoma SH-SY5Y as a model to investigate the role of cannabinoid
signaling in neurite extension, proliferation, apoptosis, and cell viability. The mRNA of the
enzymatic components of the endogenous cannabinoid system diacylglycerol lipase,
monoacylglycerol lipase, alpha/beta-hydrolase domain containing 6, alpha/beta-hydrolase domain
containing 12, N-acyl phosphatidylethanolamine phospholipase D, and fatty acid amide hydrolase
are present in SH-SY5Y cells. Activity of these enzymes produced endocannabinoid ligands,
resulting in a steady state concentration of 2-arachidonoylglycerol of 135 pmol per gram of
protein and anandamide of 0.82 pmol per gram protein. Application of tetrahydrolipstatin, an
inhibitor of diacylglycerol lipase activity, decreased 2-arachidonoylglycerol concentration to 15
pmol per gram of protein while anandamide remained at 0.79 pmol per gram of protein.
Oxotremorine M, an agonist of Gq coupled muscarinic acetylcholine receptors, mobilized
calcium from intracellular stores to stimulate diacylglycerol lipase, increasing 2-
arachidonoylglycerol concentration to 564 pmol per gram of protein. A 2-arachidonoylglycerol
hydrolysis enzyme inhibitor cocktail increased 2-arachidonoylglycerol to 2,140 pmol per gram
protein. Transfection resulted in a stable increase of CB1 receptor mRNA by 11 fold increase in
abundance in the CB1XS cell line and of CB2 receptor mRNA by 14 fold increase in abundance in
the CB2XS cell line. Cannabinoid receptor overexpression did not alter the mRNA abundance of
the enzyme components of the endogenous cannabinoid system in SH-SY5Y cells. Parental SH-
SY5Y cells had an average neurite length per nuclei of 0.7 μm per nuclei. Stable increased
expression of CB2 receptor in three clonal cell lines did not consistently change extension length,
and resulted in a maximal neurite length per nuclei increase to 1.69 μm. Stable increased
expression of CB1 receptor increased the abundance of one soma long neuritic extensions from
0.7 to 6.0 micrometers per nuclei per field. This CB1 stimulated increase in neurite length was not
constitutive receptor activity as it was halved by tetrahydrolipstatin inhibition of diacylglycerol
lipase enzymatic production of the endogenous cannabinoid ligand 2-arachidonoylglycerol.
17
Neurite extension length was halved with a p of 0.07 by gallein inhibition of G protein beta
gamma dependent signaling. Stable increased expression of CB1 receptor increased the mRNA
abundance of growth cone associated protein 43 and ST8 Alpha-N-Acetyl-Neuraminide Alpha-
2,8-Sialyltransferase 2 mRNA and decreased integrin alpha 1 mRNA. Stable increased
expression of CB2 receptor increased neural cell adhesion molecule and synaptotagmin 1 mRNA.
We identified the endogenous cannabinoid enzyme monoacylglycerol lipase as a novel target of
retinoic acid mRNA transcription in the SH-SY5Y neuroblastoma model of neuron differentiation
and neurite extension. Overexpression of cannabinoid receptors did not alter the viability,
apoptosis rate, or proliferation rate of cells relative to parental or empty vector SH-SY5Y.
This research investigated the gaps in knowledge of cannabinoid signaling in neuronal
functional development. There had never been a direct side by side comparison of the impact of
CB1 versus CB2 cannabinoid receptors on extension length. We have addressed the role of ligand
stimulated CB1 and CB2 cannabinoid receptor signaling in human β-3-tubulin positive neuronal
cells. We identified novel mRNA targets of cannabinoid receptor signaling and provided
evidence that CB1 and CB2 cannabinoid receptors play different roles in neurite extension during
synapse development. We demonstrate cannabinoid system mediated changes to neuronal
extensions independent of cell viability, apoptosis rate, or proliferation rate. We demonstrated
that CB1 receptor, more than CB2 receptor, stimulates a 2-arachidonoylglycerol dependent
increase in human neurite length without altering cell viability, apoptosis, or proliferation rate.
18
CHAPTER I
INTRODUCTION
19
1.1 DISCOVERY OF AND PHSYICAL AND TEMPORAL LOCALIZATION OF THE
ENDOGENOUS CANNABINOID SYSTEM
1.1.1: The history of cannabis sativa, marijuana, or hashish
Cannabis sativa is a plant which originated in Asia (Li 1974). Cannabis was used in
China for thousands of years as a textile fiber, consumable grain, and for production of paper
until it was replaced in the past five hundred years by cotton, rice, and other crops (Li 1974).
Cannabis also has a long history of use for its psychoactive properties. There is evidence that
cannabis was used medicinally in India in 1,000 B.C. to facilitate meditation by the Tantric
Buddhists of the Himalayas, as incense by the Assyrians in the ninth century B.C, and for
euphoric purposes at a Scythian funeral in 450 B.C. (Zuardi 2006). Cannabis was introduced to
Africa in the 15th century, to South American in the 16
th century, and to Europe in the 19
th century
(Zuardi 2006). Recreational use of cannabis was practiced in Northeast Brazil in the 16th century
and by the early 20th century had expanded north to Mexico and the United States (Zuardi 2006).
1.1.2: The discovery of the cannabinoid receptors
Many decades of chemical investigation were required to first identify Δ9-THC as the
constituent of cannabis responsible for central nervous system action, and then identify
cannabinoid receptors as the mechanism of action. In the 1800’s, T. and H. Smith first
determined that the alkali-insoluble, high boiling fraction of hemp resin contained the active
constituents, and that it was not an alkaloid (Todd 1946). In 1896, Wood, Spivey, and Easterfield
isolated a red oil from Indian charas (Wood et al., 1899). Acetylated purified crystallines from
this time period did not have the activity of hashish in rabbits and the active component of the
resin remained unknown (Todd 1946). By 1960, the status of the field was that isolates named
cannabidiol, cannabinol and tetrahydrocannabinol (Korte et al., 1960) had been separated
chromatographically, but the exact structure of the euphorically active isolate
tetrahydrocannabinol had not yet been described. In 1964, Mechoulam and Gaoni reported the
20
isolation, structure, and partial synthesis of what they termed Δ1-3,4-trans-tetrahydrocannabinol
(Gaoni et al., 1964), later called Δ9-THC, and showed using the ataxia test in dogs that this was
the active component of marijuana.
There was some uncertainty over whether or not a receptor was required as the lipid
soluble Δ9-THC can pass freely through the plasma membrane and might take effect on any
number of intracellular components. It was speculated that perhaps like ether and other lipophilic
general anaesthetics, the lipophilic Δ9-THC might also exert its analgesic effect by acting upon
the plasma membrane of neurons.
The structural determination of the phytocannabinoid Δ9-THC sparked investigation into
the creation of architecturally related compounds that were hoped to have a similar analgesic
effect. It was clear that Δ9-THC was not an opiate because its analgesic action was not
antagonized by naloxone (Razdan 1986). Pharmacologists were interested in cannabinoids as
analgesics because unlike opiates, cannabinoids did not induce respiratory depression (Razdan
1986). By 1986, hundreds of synthetic cannabinoids had been generated based on Δ9-THC
(Razdan 1986), although design was hampered by a lack of understanding of the cellular
mechanism of action of these compounds.
In 1984 it was discovered that Δ9-THC inhibited adenylate cyclase in neuroblastoma cells
(Howlett 1984) and membranes (Howlett et al., 1984; Howlett 1985) in a concentration
dependent manner and in the nanomolar range. In 1988, tritium-labelling of the synthetic
cannabinoid CP-55,940 allowed measurement of cannabinoid binding to rat brain membranes
(Devane et al., 1988). Binding was found to be rapid, reversible, and specific. The tritiated CP-
55,940 could be displaced by 1 μM Δ9-THC, and this specific binding could be eradicated by
heating the membrane to 60°C. Tritiated CP-55,940 showed for the first time that cannabinoid
binding was saturable (Devane et al., 1988). Saturation of radioligand binding upon a finite
number of binding sites rules out passive diffusion into the cell and indicates the presence of a
receptor. In 1990 an orphan receptor which bound CP-55,940 was cloned from rat cerebral
21
cortex cDNA, the CB1 receptor (Matsuda et al., 1990), and in 1993 a second CP-55,940 binding
receptor was cloned from a human promyelocytic leukemic line (Munro et al., 1993), the CB2
receptor.
1.1.3: The structure of the cannabinoid receptors
Receptor theory is the idea that the binding of a extracellular ligand to a receptor in the
plasma membrane leads to manyfold amplification and a signaling cascade that changes the
behavior of the cell. The receptor is assumed to exist in an inactive state that, when activated by
the binding of the extracellular ligand, either changes receptor conformation to activate an already
coupled signaling complex of proteins or moves the receptor laterally in the cell membrane to
couple to and activate a signaling complex of proteins. Alternatively, a receptor may achieve its
active state spontaneously without a ligand, which is known as constitutive activity. In this case,
the binding of a molecule that inhibits spontaneous activity is called inverse agonism. Finally, it
is possible that a receptor might have multiple different potential active conformation states. In
this case, the identity of either the ligand or the tissue specific auxiliary coupling proteins are
what determines the receptor’s active state and its resulting multi unit signaling complex
(Kenakin 2004).
There are many different types of receptors including ligand gated ion channels, voltage
gated ion channels, enzyme linked receptors such as receptor tyrosine kinases, and G protein
coupled receptors (GPCRs) to name only a few. GPCRs are the most pharmacologically relevant
receptor class. From the more than 20,000 FDA approved products as of 2006, the most common
drug target was Class A rhodopsin-like GPCRs, accounting for 27% of all drug targets
(Overington et al., 2006). The GPCR superfamily consists of more than 800 unique sequences in
the human genome, of which more than 300 are nonolfactory (Fredriksson et al., 2003). GPCRs
are integral membrane proteins with seven transmembrane alpha helices, three intracellular loops
(ICL), a generally extracellular N terminus and a generally intracellular C terminus. Conserved
22
GPCR structure generally has a six amino acid long alpha helical region that is called ICL1, a one
or two turn alpha helical or unstructured ICL2, and a large amount of variation in ICL3 and the C
terminal tail (Venkatakrishnan et al., 2013). Many GPCRs have alpha helicity in the C terminal
region named helix 8 (H8), which because of its amphipathic nature leads to physical proximity
to the plasma membrane and creates a pseudo ICL4, a region implicated in contact with a G
protein (Venkatakrishnan et al., 2013). Unlike other Class A rhodopsin-like GPCRs, the sub
group of receptors that binds lipid-derived endogenous ligands do not have readily water soluble
ligands and are unlikely to share the same ligand binding pocket on the extracellular side of the
transmembrane bundle (Hurst et al., 2013; Venkatakrishnan et al., 2013). Instead, lipid binding
GPCRs such as cannabinoid CB1 and CB2 receptors, S1P1-5 receptors, and rhodopsin itself which
binds the lipophilic 11-cis-retinal, likely experience ligand approach via the plasma membrane
through an opening between transmembrane helices (Hurst et al., 2013).
There are two cannabinoid receptors, CB1 anad CB2, which share many structural
similarities but also some differences. Both receptors bind Δ9-THC with nanomolar affinities.
The affinity of Δ9-THC to displace [
3H]CP-55,940 from its binding site was a Ki of 41 +/- 2 nM
from CB1 receptor in rat brain membranes and a Ki of 36 +/- 10 nM from membranes of CHO
cells transfected to express CB2 receptor (Huffman et al., 2006). The crystal structure of CB1
receptor has been solved (Hua et al., 2016; Shao et al., 2016). The receptors share an overall
sequence homology of 44% (Munro et al., 1993), with important differences occuring in the N-
terminal, extracellular loop 2, the C-terminal of transmembrane helix VII, and the C-terminal
(Montero et al., 2005). The CB1 receptor is the only Class A GPCR with a 70 residue long N-
terminal (Montero et al., 2005), more than twice as long as the N-terminal of CB2 receptor. CB1
receptor’s gene sequence is found on human chromosome 6 (Hoehe et al., 1991) while the
sequence for CB2 receptor is found on chromosome 1 (Valk et al., 1997). As of May 2018, the
NCBI nucleotide reference database NUCCORE lists five confirmed human mRNA transcript
variants for CB1 receptor. Variants of the CB1 receptor may impact its function; for example the
23
TAG haplotype of CB1 receptor was significantly associated with the polysubstance abuse
compared with the non-substance-abuse patients in three difference ancestry populations of a
human study (Zhang et al., 2004). The NUCCORE lists one mRNA splicing possibility for CB2
receptor. Although CB1 receptor possesses a CRAC domain in transmembrane helix 7 and its
adenylyl cyclase (AC) signaling is acutely affected by methyl-β-cyclodextrin depletion of plasma
membrane cholestrol, CB2 receptor was completely insensitive to cholesterol depletion by
methyl-β-cyclodextrin of DAUDI cells (Bari et al., 2006), likely due to the lack of a completely
consensus CRAC domain. CB2 receptor appears to not reside in lipid rafts due to the 304th
residue of the otherwise consensus CRAC domain being G instead of K, which when point
mutated as K402G in the CB1 receptor reduced residence in cholesterol-rich membrane regions
and induced insensitivity to changes in membrane cholesterol (Oddi et al., 2011). In rat C6
glioma cells, CB1 receptor colocalizes with caveolin-1 and resides in caveolae, a specialized type
of lipid raft, in the plasma membrane (Bari et al., 2008).
The N-terminus of the CB1 receptor contains three distinct consensus sequences for N-
linked glycosylation, (N-X-S/T), and two of the sites are glycosylated in the rat brain (Song et al.,
1995). After translation of mRNA to protein, palmitoylation of Cys415
of CB1 receptor is required
for recruitment to plasma membrane and lipid rafts (Oddi et al., 2012).
1.1.4: Physical location of expression of the cannabinoid receptors
Cannabinoid receptor mRNA and protein are expressed at distinct phases and tissues in
development and throughout life. Cannabinoid receptor signaling is involved in implantation of
the early blastocyst. Knocking out either CB1 or CB2 receptor induces asynchronicity in
implantation of the blastocyst in the uterus of mice (Paria et al., 2001).
The tissue that expresses the most CB1 receptor is the brain (Onaivi et al., 2006). In-situ
hybridization mRNA probes for CB1 receptor in chicken brains found it to increase from
relatively low abundance at midgestation stage 10 to great abundance by embryonic stage 15
24
(Begbie et al., 2004). CB1 receptor then remains one of the most abundant GPCRs in the brain
from birth throughout adulthood. Autoradiography for dual CB1 and CB2 receptor agonist CP-
55,940 binding in rats shows strong specific staining in brain regions in embryonic day 21 which
is shortly before birth (Fernandez-Ruiz et al., 2000; Romero et al., 1997) and in the adult brain
(Herkenham et al., 1990). In-situ hybridization using an antisense riboprobe for CB1 receptor
mRNA on a whole brain slice from a 20 week (approximately embryonic stage 10) human fetal
brain and an adult human both resulted in regions of high specific staining (Wang et al., 2003).
The CB2 receptor is not as abundant as CB1 in the midgestate or adult brain, and initially
was thought to be entirely absent from the brain (Munro et al., 1993). An antisense probe for CB2
receptor yields only diffuse nonspecific staining in both 20 week and adult human brain (Wang et
al., 2003). Although much lower abundance than CB1, CB2 receptor is present in certain brain
regions and on specific cell types. CB2 receptor is present in the adult mouse brain subventricular
zone (Goncalves et al., 2008). Onaivi et al. were able to detect CB2 receptor mRNA in adult rat
brainstem and hypothalamus at 100x lower abundance than its presence in the spleen, and more
than 100x lower abundant than hypothalamic and brainstem CB1 receptor (Onaivi et al., 2006).
CB2 receptor mRNA is also present in the adult rat spinal cord and dorsal root ganglia (Hsieh et
al., 2011). Mouse postnatal day 7 retinal ganglion nerve cells express both CB1 and CB2
receptors on growth cones (Duff et al., 2013).
Cannabinoid receptors are also present outside of the central nervous system. Liver
hepatocytes express CB1 receptor (Osei-Hyiaman et al., 2005) and CB2 receptor (Gertsch et al.,
2008). CB1 receptor abundance in the liver is increased after chronic alcohol (Jeong et al., 2008))
and high fat diet (Mukhopadhyay et al., 2010). Visceral and subcutaneous mouse adipose tissue
stain positive for CB1 and CB2 receptor proteins (Starowicz et al., 2008). CB1 receptor is found in
rat brown adipose tissue but not white adipose tissue, and has been proposed as a protein marker
of brown adipose tissue (Eriksson et al., 2015). Brown adipose tissue can be found in both
visceral and subcutaneous depots (Sacks et al., 2013). When human visceral and subcutaneous
25
adipose tissue were examined for CB1 receptor, the abundance of CB1 receptor mRNA and
protein was lower in subcutaneous abdominal adipose tissue from obese subjects and higher in
lean subjects (Bennetzen et al., 2010). There is very low or unmeasurable CB1 or CB2 mRNA in
mouse intestine, lung, or muscle (Onaivi et al., 2006). There are functional CB1 receptors in
human vascular endothelial cells that are capable of activating p42/44 MAP kinase (Liu et al.,
2000).
The tissue that expresses the most CB2 receptor is the spleen (Munro et al., 1993; Onaivi
et al., 2006), and the spleen is regarded as the best tissue from which to make a positive control
that contains abundant CB2 receptor (Marchalant et al., 2014). The mRNA abundance of CB2
receptor in tonsils and spleen is as abundant as the mRNA of CB1 receptor in the brain (Galiegue
et al., 1995). The abundance of CB2 receptor mRNA in the spleen is due to its immune cell
content. CB2 receptor mRNA abundance in leukocytes can be ranked as followed: B-cells >
natural killer cells S monocytes > polymorphonuclear neutrophil cells > T8 cells > T4 cells
(Galiegue et al., 1995). CB2 receptor mRNA in the spleen is 10 to 100 times more abundant that
CB1 receptor (Galiegue et al., 1995).
1.2 CANNABINOID RECEPTOR SIGNALING PARTNERS, TARGETS, AND
RECYCLING
1.2.1: Cannabinoid Receptor Coupled G Proteins
A receptor’s resting state may be solitary, with the receptor only coupling to effector
molecules after binding to an agonist (Kenakin 2004). For GPCRs, the agonist receptor
complexes are a larger molecular weight than antagonist receptor complexes (Limbird et al.,
1978). This can be interpreted to mean that the receptor requires a coupling partner in order to
signal when bound by the ligand, and that it does not couple to this partner until also bound to a
ligand. Binding data from the β-adrenergic receptor, a GPCR, supports the ternary complex
model more than the unimolecular reaction model (De Lean et al., 1980). Receptor activation
26
requires not only the ligand and the receptor, but also an additional component(s) in the
membrane that upon ligand binding must then join together to form a ternary complex in order to
activate effector molecules.
GPCRs may couple with a variety of different partners. This includes, among others, 21
different Gα, 6 unique Gβ, and 12 distinct Gγ subunits (Moreira 2014) which can lead to a large
number of possible αβγ heterotrimer combinations. Binding of the agonist to the receptor leads to
a physical exchange of GDP for GTP in the Gα and a dissociation of Gα and Gβγ from the
receptor. This frees the Gα and Gβγ to perform a number of activities in the cell. The Gα family
has inherent GTPase activity that is increased by the regulator of G-protein signaling (RGS)
protein family (Kach et al., 2012). The Gβγ can inhibit ACI, activate AC II, IV, and VII, activate
phospholipase-C-β, activate GIRK1-4, activate phosphatidylinositol-3-kinase-β, and inhibit
voltage dependent calcium channels (Wettschureck et al., 2005). Gallein is a compound which
can inhibit Gβγ activity (Lehmann et al., 2008).
There are four families of Gα: Gα s which stimulate AC, Gα i/o which inhibit AC, Gα
q/11 which stimulate phospholipase-C-β 1-4, and Gα 12/13 which affect PDZ-RhoGEF, Bruton
tyrosine kinase, GAP1m, cadherin, p115RHOGEF, radixin, etc (Wettschureck et al., 2005).
Cannabinoid receptors signal through the Gα i/o family which inhibit AC to decrease the
accumulation of cAMP (Eldeeb et al., 2017). The Gα i/o family members include Gαi1, Gαi2,
Gαi3, Gαo, Gαz, Gαgust, Gαt-r, and Gαt-c (Wettschureck et al., 2005). The members that may be
expected to be found in the central nervous system are Gαi1, Gαi2, Gαi3, Gαo, and Gαz (Casey et
al., 1990; Wettschureck et al., 2005). Pertussis toxin (PTX) is often used as a tool to study the
Gαi/o family because it ADP ribosylates most of the Gαi/o family near the carboxylic acid
termini and prevents the G protein from interacting with the receptor (Wettschureck et al., 2005).
There are exceptions to this generalization; three Gα i/o are insensitive to PTX . Gαo mediates
most of its effects through its Gβγ complex (Wettschureck et al., 2005). Gαz and G16 are PTX
insensitive (Chan et al., 1998; Wettschureck et al., 2005). The SH-SY5Y human neuroblastoma
27
cell line used in the following study is known to express Gαz (Chan et al., 1998). Also, although
there are some situations in which CB1 receptor and Gαz interaction has not been observed (data
not shown in (Mukhopadhyay et al., 2000)), CB1 receptor can interact with Gαz (Garzon et al.,
2009) and mediates long lasting CB1 desensitization in the mouse brain . The presence of Gαz can
make receptors that are PTX sensitive in other tissues that lack Gαz become PTX insensitive in
tissues that have Gαz. Gαz abundance can direct receptor signaling to new targets such as ion
channels (Jeong et al., 1998). A yeast two hybrid screen found that Gαz interacts with Rap1GAP,
a protein involved in GTP hydrolysis of Rap1 and possible cytoskeletal regulator (Meng et al.,
1999). Gαz also reduced levels of Rock2, RhoA, and RhoGAP and increases expression of Rnd3
in C2C12 myoblasts, suppressing myotubule formation (Mei et al., 2011).
1.2.2: Cannabinoid Receptor Activated Intracellular Signaling Pathways
The cannabinoid receptors can act upon a variety of different intracellular signaling
pathways. Which signaling pathway occurs depends upon the abundance of a variety of signaling
molecules present in the cell of a given type responding to the environmental cues around it; for
example COX2 is not normally expressed in neurons or glia but can be induced by
lipopolysaccharide in microglia cells (Schlachetzki et al., 2010). The first cannabinoid signaling
discovered was Δ9-THC inhibition of adenylate cyclase in neuroblastoma cells (Howlett 1984) by
receptor coupling to the Gα i/o family of G proteins. CB1 receptors activate inwardly rectifying
potassium channels and inhibit voltage dependent calcium channels (Mackie et al., 1995). CB1
receptors also inhibit acid sensing ion channels in rat dorsal ganglion (Liu et al., 2012). CB1
receptor activation can also lead to focal adhesion kinase (FAK) phosphorylation (Dalton et al.,
2013; Derkinderen et al., 1996). Activation of CB1 receptors can stimulate MAPK (Bouaboula et
al., 1995). Intracellular ceramide levels can be elevated after CB1 receptor activation (Sanchez et
al., 1998). The c-Jun N-Terminal Kinase (JNK) can be activated by CB1 receptors (Rueda et al.,
2000). Stimulation of CHO-CB1 cells with 1 μM THC induced JNK activity that is maximal at
28
10 minutes and returns near basal after 30 minutes. The JNK activation was also duplicated with
15 μM 2-AG and 15 μM anandamide. The stimulation of JNK was prevented by coapplication of
1 μM of CB1 receptor antagonist SR141716 with the 1 μM THC (Rueda et al., 2000).
Stimulation of CB1 receptor caused release of nitric oxide (Prevot et al., 1998). There is great
diversity of signaling pathways cannabinoid receptors can activate.
Cannabinoid signaling has an important role in preventing excitotoxicity and seizures.
The most abundant excitatory neurotransmitter is L-glutamate. There are two major types of
glutamatergic receptors: ionotropic and metabotropic glutamate receptors. The ionotropic
glutamate receptors are ligand gated cation channels which when bound by glutamte affect the
concentration of Ca2+
and/or Na+, while the metabotropic glutamate receptors affect Gq/G11
(groups 1 and 2) or Gi/Go (group 3) (Kew et al., 2005). Kainic acid is an excitotoxin that causes
seizures by binding to an ionotropic glutamatic receptor. In 2003, Marsicano et al. hypothesized
that it might be possible to identify the signaling molecules that dampen excitotoxicity by
inducing excitotoxic seizures in mice and then measuring the molecules whose abundance
increases in response. Twenty minutes after dosing with kainic acid, the endogenous cannabinoid
agonist anandamide had tripled relative to basal concentration. Whole body knockout mice
lacking CB1 receptor had significantly more intense seizures than wild type mice after both were
dosed with kainic acid. Heterozygote whole body CB1 receptor knockouts could be induced to
the full magnitude of homozygote mouse seizure intensity by the application of SR141716, a CB1
receptor antagonist (Marsicano et al., 2003). A tissue specific knockout model of CB1 receptor
was created by using mice whose CB1 receptor genetic sequence was fragmented by a cre-lox
system targeting all but a 2.5 kilobase region of the CB1 receptor and whose Cre was promoted
with the Ca2+
/calmodulin-dependent kinase IIα gene. The resultant CB1f/f;CaMKIIαCre
knockout
mouse lacked CB1 receptor solely in principal neurons of the forebrain but not any other cell type.
Expression of CB1 receptor was maintained in cortical and hippocampal GABAergic interneurons
and in cerebellar neurons. These principal forebrain neuron specific knockout mice experienced
29
the full magnitude of seizure intensity experienced by whole body CB1 receptor knockout mice.
Seizures were not further exacerbated by application of SR141716, demonstrating that CB1
receptors located in places other than principal forebrain neurons were not contributing to the
effect. Dark field micrographs of protein markers of neuronal activity including c-fos, zif268,
and BDNF showed that the CB1f/f;CaMKIIαCre
knockout mice that experienced significantly less
neuronal activation after being dosed with kainic acid than their floxed controls. Interruption of
the signaling pathway of anandamide activating CB1 receptors in principal forebrain neurons
dramatically reduced recovery from excitation and increased excitotoxic seizure intensity
(Marsicano et al., 2003). This work showed that CB1 receptor activation of principal forebrain
neurons is critical for regulating excitatory neuron activation and decreasing susceptibility for
seizures. The CB1 receptor’s ability to inhibit glutamate receptor induced excitotoxicity is likely
via Giβγ signaling. Postsynaptic cannabinoid ligand binds to presynaptic CB1 receptor,
stimulating Giβγ to inhibit voltage-gated calcium channels which suppresses neurotransmitter
release (Katona et al., 2008).
1.2.3: Cannabinoid Receptor Endocytosis, Desensitization, Trafficking, and Recycling
Within seconds of ligand binding, GPCRs are phosphorylated by a G protein receptor
kinase (GRK), bound by arrestin, and uncoupled from G proteins. Within minutes of ligand
binding, GPCRs are internalized in an endosome. Arrestin dissociates during receptor
internalization (Wolfe et al., 2007). The endocytosed GPCR is then either dephosphorylated and
returned to the plasma membrane in preparation for future activation or trafficked to a lysosome
for degradation (Wolfe et al., 2007).
There are multiple different endocytosis mechanisms. Clathrin coated pits bud within 20
to 90 seconds and may endocytose a large quantity of diverse cargo (Wolfe et al., 2007). The
GTPase dynamin and the actin cytoskeleton regulate clathrin-coated pit dissociation from the
plasma membrane (Wolfe et al., 2007). Caveolae are a type of pit that do not have clathrin but
30
have the protein caveolin (Silva et al., 1999) that both spatially organizes proteins in lipid rafts on
the plasma membrane (Song et al., 1996; Xiang et al., 2002b) and endocytoses them to form
internal caveolae vesicles (Corrotte et al., 2013).
Endocytosis of the receptor to intracellular vesicles was first identified in connection with
agonist induced desensitization (Waldo et al., 1983) that decreased the number of receptors
present at the plasma membrane and reduced specific binding of the receptor to its ligand and G
proteins. Internalization was viewed for years only as a means of silencing the receptor. A small
fraction of endocytosed receptors would receive a phosphorylation status reset and, their ligand
receptivity restored, return to the plasma membrane. Endocytosed receptors might also be sent to
a lysosome for degradation (Wolfe et al., 2007). However, the traditional view that the only
roles of endocytosis are to reset or degrade a receptor has recently been challenged. It is possible
for endocytosis to prolong a receptor’s G protein mediated signaling intracellularly (Irannejad et
al., 2014). One example of endocytosis not leading to receptor silencing is the mechanism of
action of FTY720, a clinically approved treatment for multiple sclerosis. One of the cell-level
effects of FTY720 is to tighten the endothelial barrier to prevent lymphocytes from
transmigrating through and attacking myelin sheaths. FTY720 leads to S1P receptor
internalization and does eventually lead to ubiquitination and degradation. The compound was
therefore interpreted to act as a functional antagonist that achieved efficacy by decreasing the
receptor’s plasma membrane abundance. However, when other S1P receptor selective antagonist
compounds were designed and tested they not only failed to reduce lymphocyte transmigration,
but even enhanced vascular leakage, worsening symptoms. This is because the mechanism of
action of FTY720 was to serve not as an antagonist of the S1P receptor but as a long term agonist.
Endocytosis of FTY720 induces long-lasting S1P receptor initiated Gαi signaling. This long term
Gαi signaling inhibits AC and phosphorylates ERK for hours, increasing endothelial cell
migration and barrier function (Mullershausen et al., 2009). This was some of the first evidence
that endocytosis may not always terminate receptor initiated G protein signaling. The lipid
31
signaling S1P receptors can still signal through G proteins from inside the endosome.
Furthermore, sequestration and protection of the ligand bound receptor in the endosomal pocket
promoted a novel time scale of hours-long G protein signaling that was distinct from the minutes
time scale of plasma membrane localized G protein activation. Further investigation of endocytic
regulation of cAMP has found endocytosed G protein coupled receptors to be capable of acute
and rapidly reversible Gαs signaling (Tsvetanova et al., 2015). Interaction with the retromer
complex, perhaps via the retromer subunit VPS26, has been proposed as a mechanism of
termination of sustained endocytic receptor signaling (Tsvetanova et al., 2015).
Cannabinoid receptors are capable of responding differently to the binding of different
agonists. Δ9-THC, a partial agonist, does not cause internalization even at 3 μM, while full
agonists CP-55,940, WIN 55,212-2, and HU 210 cause rapid internalization (Hsieh et al., 1999).
Cannabinoid agonist WIN 55,212-2 reduced cell surface CB1 receptor immunoreactivity by up to
84% (Coutts et al., 2001). The last 14 residues of the C terminus were required for CB1 receptor
internalization (Hsieh et al., 1999), a region later discovered to be the interaction site of
cannabinoid receptor interacting protein1a (CRIP1a) (Blume et al., 2017). This protein competes
with β-arrestins for interaction with the CB1 receptor C terminus and affects agonist initiated
receptor internalization (Blume et al., 2017). It was thought that CB1 receptor internalization was
via clathrin coated pits based upon internalization being inhibited by hypertonic sucrose (Hsieh et
al., 1999), however hypertonic sucrose also inhibits caveolae as well (Page et al., 1998). In C6
glioma cells which endogenously express the protein, CB1 receptor colocalizes almost entirely
with caveolin-1(Bari et al., 2008). In HeLa cells transfected to express the receptor, CB1 binds to
β-arrestin2 but not β-arrestin1 and its internalization is decreased by 30% by siRNA knockdown
of clathrin (Gyombolai et al., 2013). Approximately 85% of CB1 receptor is located in
intracellular vesicles in CB1 receptor transfected HEK-293 cells (Leterrier et al., 2004).
32
1.3 STIMULATED SYNTHESIS AND BIOTRANSFORMATION OF ENDOGENOUS
LIGANDS
1.3.1: Discovery of the Enzymes that Produce and Hydrolyze Endogenous Ligands of the
Cannabinoid Receptors
In 1992, screens for compounds that activate a cannabinoid receptor revealed the first
endogenous agonist: anandamide also known as arachidonylethanolamide (AEA) (Devane et al.,
1992). In 1994, Di Marzo et al proposed a pathway by which neural membrane depolarization
leads to increased intracellular calcium concentration, which activates the enzyme NAPE-PLD
(Di Marzo et al., 1994). NAPE-PLD is located in adult presynaptic membranes, postsynaptic
membranes, in dendrites, and in smooth endoplasmic reticulum (Reguero et al., 2014). This
enzyme converts N-arachidonoyl phosphatidylethanolamine (NAPE) in the plasma membrane to
anandamide, which is then released extracellularly (Di Marzo et al., 1994). In the adult brain,
anandamide travels across the synapse to bind presynaptic CB1 receptor and decrease
neurotransmitter release (Howlett et al., 2004). Fatty acid amide hydrolase (FAAH) is a
membrane bound serine hydrolase that has a high activity with oleamide, arachidonamide, and
other lipid signaling molecules. In 1996, Cravatt et al proposed that anandamide was a substrate
for FAAH (Cravatt et al., 1996). FAAH converts anandamide into arachidonic acid and
ethanolamine (Cravatt et al., 1996). FAAH is highly expressed in liver, small intestine, brain, and
other organs, and is associated with mitochondrial and microsomal membrane fractions (Deutsch
et al., 2002). Although a transporter has not yet been identified (Chicca et al., 2012), anandamide
is also localized in intracellular membranes, with 85% of anandamide localized to the
endoplasmic reticulum and 15% in the plasma membrane (Dainese et al., 2014). Lipoxygenases
have also been proposed to oxidize anandamide. In human platelets, 12-lipoxygenase and 15-
lipoxygenase convert anandamide to 12(S)- and 15(S)-hydroxy-arachidonylethanolamide,
respectively (Edgemond et al., 1998). The enzyme cyclooxygenase 2 also acts on anandamide,
33
converting it to prostaglandin E2 ethanolamide (Yu et al., 1997) in a biologically relevant amount
in the brain (Glaser et al., 2010).
A lipid signaling molecule, 2-arachidonoylglycerol (2-AG), was identified to be a second
endogenous cannabinoid agonist in the late 1990’s (Stella et al., 1997; Sugiura et al., 1995). 2-
AG is present in the brain at approximately one thousand times higher concentration than
anandamide (Zoerner et al., 2011). It is also present in plasma, adipose tissue, and liver (Zoerner
et al., 2011). The mechanism for the synthesis of 2-AG was proposed to initiated by an increase
in intracellular calcium leading to the activation of the synthetic enzyme, in this case
diacylglycerol lipase-α (DAGLα) (Sugiura et al., 1995). DAGLα and β catalyze the hydrolysis of
membrane diacylglycerol into 2-AG (Bisogno et al., 2003). DALGα is localized around the
postsynaptic spine, placing it in a good position for interacting with presynaptic cannabinoid
receptors (Yoshida et al., 2006). Alternatively, lysophospholipase-C is present in the brain and
could synthesize 2-AG as well (Lambert et al., 2005; Sugiura et al., 1995). The biotransformation
of 2-AG into arachidonic acid and glycerol can be mediated by a number of different enzymes.
In 2007, Blankman et al. found that in the adult mouse brain, the majority of hydrolytic activity
can be attributed to monoacyl glycerol lipase (MAGL, 85%), ABHD12 (9%), ABHD6 (4%), and
FAAH (2%) (Blankman et al., 2007). Alpar et al. showed with an ex-vivo activity based protein
profile of brain derived serine hydrolases that in the embryonic 18.5 day mouse cortex, ABHD6
is more active than MAGL (Alpar et al., 2014). As with anandamide, COX2 can also convert 2-
AG to prostaglandins. The conversion products 12-hydroxyeicosatetraenoic acid glycerol ester,
15- hydroxyeicosatetraenoic acid glycerol ester, and prostaglandin H2 glycerol ester can be
measured using mass spectrometry (Kozak et al., 2000). This enzyme activity is shown in Figure
1.3.2 below (Ueda 2002), (Lambert et al., 2005), (Di Marzo et al., 1994), (Yu et al., 1997),
(Cravatt et al., 1996), (Edgemond et al., 1998), (Kozak et al., 2000), (Stella et al., 1997),
(Blankman et al., 2007).
34
Figure 1.3.1: Chemical structures during the steps to synthesize endogenous cannabinoids
anandamide and 2-AG from plasma membrane components. The endogenous cannabinoids are
rapidly hydrolyzed into arachidonic acid and either ethanolamine or glycerol.
35
Fig
ure
1.3
.2:
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36
1.3.2: Subcellular Localization of the Endogenous Cannabinoid System Enzymes
The endogenous cannabinoid ligand anandamide can be synthesized by NAPE-PLD and
hydrolyzed to arachidonic acid and ethanolamine by the enzyme FAAH. Analysis of enzyme
activity and abundance show that NAPE-PLD is present in the mouse brain as a membrane, not
cytosolic, protein (Morishita et al., 2005). FAAH is an integral membrane protein (Patricelli et al.,
1998). Both NAPEPLD and FAAH are present in the mouse at birth and triple in abundance
during the first postnatal month (Morishita et al., 2005). In the mouse hypothalamus, NAPE-PLD
protein can be detected in both pre and post-synaptic membranes, with a significantly greater
abundance in dendrites than synaptic terminals (Reguero et al., 2014). FAAH is primarily located
on intracellular membranes. In the mouse hippocampus, 50% of FAAH is in smooth endoplasmic
reticulum (primarily on the cytoplasmic surface), 24% is present in the cytoplasm, 16% is in
mitochondrial membrane (primarily on the cytoplasmic side of the outer membrane), and 11% of
FAAH is in surface membrane (Gulyas et al., 2004). In the mouse cerebellum, 47% of FAAH is
in smooth endoplasmic reticulum, 37% is in mitochondrial membrane (primarily on the
cytoplasmic side of the outer membrane), 12% is in the cytoplasm, 2% is in the stacked lamellae
of endoplasmic reticulum, and 2% is in surface membrane (Gulyas et al., 2004). FAAH protein
was detected in hippocampal pyramidal cell dendritic shafts and spines, but not in axon terminals
or on glial processes (Gulyas et al., 2004).
The ability of FAAH to hydrolyze 2-AG is only 2% of the 2-AG hydrolysis occuring in
the adult mouse brain (Blankman et al., 2007) and FAAH knockout mice do not have an
increased abundance of 2-AG in the brain (Lichtman et al., 2002), while the same FAAH
knockout mice had a 15 fold increase in anandamide abundance (Lichtman et al., 2002).
The endogenous cannabinoid ligand 2-AG can be synthesized from DAG by DAGL or
from 2-AG lysophospholipid by lysophospholipase C, and hydrolyzed to arachidonic acid and
glycerol by MAGL, ABHD12, and ABDH6. This is shown in detail in Figure 1.3.2. DAGLα,
DAGLβ, and MAGL mRNA are present in the mouse embryo from the earliest time point
37
measured, embryonic day 7, and with increasing abundance as gestation progresses and near birth
(Psychoyos et al., 2012). In humans, DAGLα is more abundant in the human brain than it is in
any other tissue except for the pancreas (Bisogno et al., 2003). DAGLα is enriched in the tips of
mouse hippocampal CA1 pyramidal cell dendritic spines (Katona et al., 2006). In mouse
prelimbic prefrontal cortical sections, 56% of postsynaptic dendritic spines had DAGLα
immunoreactivity, and 64% of presynaptic terminals had DAGLα immunoreactivity (Lafourcade
et al., 2007). In the dorsomedial region of the ventromedial nucleus of the hypothalamus, there is
no difference in DAGLα protein abundance between dendrites and dendritic spines (Reguero et
al., 2014). In mouse Purkinje cells, there was far more DAGLα in extensions than in the soma;
14 DAGLα metal particles per micrometer in spiny branchlets, 6 in spines, 3 in proximal
dendrites, yet only 0.5 in soma (Yoshida et al., 2006). Yoshida also like Katona found that
DAGLα is enriched in the hippocampal CA1 pyramidal dendritic spine tip and base, relative to
the region in between (Yoshida et al., 2006). Both DAGL α and β are present in the adult mouse
brain, and in neurofilament positive axonal tracts (Bisogno et al., 2003). Both DAGL α and β are
present in the embryonic day 14 rodent cortical pyramidal cell axonal growth cone (Mulder et al.,
2008). Comparing DAGL α and β, they are both very abundant in the mouse brain, but DAGLα
has approximately as much abundance in the thalamus, cortex, hippocampus, and cerebellum,
while DAGLβ is less abundant in the the thalamus than it is in the cortex, hippocampus, or
cerebellum (Yoshida et al., 2006). DAGLα and MAGL have a visually indistinguishable mRNA
in situ hybridization expression pattern in the mouse and rat hippocampus (Dinh et al., 2002;
Katona et al., 2006). There is abundant MAGL mRNA in the rat cortex, hippocampus,
cerebellum, and thalamus (Dinh et al., 2002). In the mouse prefrontal cortex, electron
micrographs of ABHD6 antibodies exhibit an 8-fold increased abundance in postsynaptic rather
than presynaptic side of the synapse (16 postsynaptic gold particles per square micrometer
compared with 2 presynaptically) (Marrs et al., 2010). Alpar et al. showed with an ex-vivo
38
activity based protein profile of brain derived serine hydrolases that in the embryonic 18.5 day
mouse cortex, ABHD6 is more active than MAGL (Alpar et al., 2014).
39
Fig
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40
1.4 ROLE OF ENDOGENOUS CANNABINOID SIGNALING IN REGULATION OF
CELLULAR PROLIFERATION
Both CB1 and CB2 cannabinoid receptors have been implicated in altering proliferation
rate of neuronal and neuronal precursor cells. These observations have been made in a variety of
models, ranging from neurospheres to two dimensional cell culture to animal models.
Cellular proliferation rate may be measured using several different types of assays. In
general these assays can be divided into two types: identifying a protein that is present only
during certain phases of the cell cycle, or applying a tag to the cell that is only incorporated
during certain phases of the cell cycle. The advantage to the first strategy is that immunolabeling
of proteins present only during certain stages of the cell cycle can easily be performed both in
vitro and in vivo, while the advantage to the second strategy is that pulse labeling an incorporated
tag for a brief amount of time can quantify the difference in proliferation rates between two
proliferating populations. The proteins known to be present only during certain phases of the cell
cycle are as follows: the 57 kDa protein statin is present only in G0, while proliferating cell
nuclear antigen, Ki67, p53, p105, and DNA polymerase are only present during G1, S, G2, and M
phases (Dolbeare 1995). Histone H3 is phosphorylated during mitosis (Hans et al., 2001). The
labeling of these proteins only identifies the phase of the cell cycle and not the rate at which it is
progressing. In contrast, pulse labeling of a tagged DNA base analog can compare the speed of
two different proliferating populations. A short pulse of a tagged DNA base analog labels only
the cells that were incorporating free bases into polymerized DNA in their S phase during the
time of the pulse. Examples of tagged DNA base analogs include radiodetection of thymidine
([3H]dThd), or immunohistochemical detection of bromodeoxyuridine (BrdU) (Dolbeare 1995).
These thymidine-like molecules which are incorporated into the DNA of the S phase cell can be
used to compare two proliferating populations or a change in the rate of proliferation after a
treatment, as the percentage of cells that incorporated the tagged thymidine analog may increase
or decrease during the same pulse time period.
41
1.4.1 Proliferation in Cortical Brain Derived Neurosphere Cell Models
The neurosphere model was first established in 1992 by Reynolds et al. (Reynolds et al.,
1992). Cells harvested from prenatal day 14 mouse striatal primordia and grown at low density in
serum free DMEM/F12 with epidermal growth factor (EGF) formed spheres that were positive
for nestin (Reynolds et al., 1992). Nestin is an intermediate filament that is expressed in
proliferating central nervous system progenitor cells and whose mRNA expression rapidly
decreases as the cell transitions from a proliferating to a post-mitotic state (Dahlstrand et al.,
1995). The neurosphere is therefore regarded as an example of proliferating mixed progenitor
cells that model the cells that would in vivo differentiate into central nervous system tissue.
However, the heterogeneous cell population with its differences in survival and proliferation rate
between cell types yields neurospheres in a range of compositions based upon methodological
procedure (Jensen et al., 2006).
Molina-Holgado et al. investigated the effect of cannabinoid receptor signaling on mouse
neural stem cell proliferation (Molina-Holgado et al., 2007). Cultures of neural cells were
prepared as neurospheres from the cortex of NIH Swiss White mouse embryos at embryonic day
15-16 (75% of the 20 day gestation). The neurospheres were plated at 20 cells per microliter and
fixed after seven days. Stains for CB1 and CB2 receptors showed that the neurospheres were
positive for both cannabinoid receptors in a highly overlapping manner. The cells that expressed
one receptor tended to also express the other. Molina-Holgado et al. (Molina-Holgado et al.,
2007) then investigated the requirement of functional cannabinoid signaling for proliferation of
the neurosphere. The percentage of cells that were positive for BrdU out of total DAPI stained
cell significantly increased from 50% to 75% after application of HU210 dual receptor agonist.
Co-application with the HU210 of either the CB1 receptor antagonist SR141716 or CB2 receptor
antagonist SR144528 abrogated the effect of HU210 alone (Molina-Holgado et al., 2007).
Antagonism of either cannabinoid receptor was enough to fully prevent the increase in
42
proliferation caused by the HU210 dual cannabinoid receptor agonist. This can be interpreted to
mean that both cannabinoid receptors were important for the proliferation of the cells in the
neurosphere derived from the embryonic day 15-16 Swiss White mouse cortices.
Palazuelos et al. investigated the effect of CB2 cannabinoid receptor signaling on
neurosphere proliferation rate (Palazuelos et al., 2006). Neurospheres were derived from
embryonic day 17.5 (90% of the 20 day gestation) mouse cortex. Application for seven days of
nanomolar concentrations of selective CB2 agonists HU308 or JWH133 significantly increased
the percentage of BrdU positive cells from 40% in control neurospheres to 70% and 50%,
respectively. This CB2 agonist-induced increase in BrdU positive proliferating cells was receptor
specific because application of CB2 receptor specific antagonist SR144528 thirty minutes before
the injection of CB2 agonist did not result in an increase of BrdU positive proliferating cells
relative to control. The injection of SR144528 alone did not change the percentage of BrdU
positive proliferating cells relative to control (Palazuelos et al., 2006). The downstream signaling
pathway after HU308 CB2 receptor stimulation that resulted in an increase in proliferation rate
was found to be dependent upon phosphoinositide 3-kinase and MEK/ERK because
phosphoinositide 3-kinase inhibitor LY294002 and MEK/ERK inhibitor PD98059 each had the
same effect as CB2 antagonist SR144528; preventing a significant increase above basal when
coapplied with HU308 and not altering basal proliferation rate when applied alone (Palazuelos et
al., 2006).
Aguado et al. investigated the effect of CB1 cannabinoid receptor signaling on
proliferation rate of rat-derived neurospheres (Aguado et al., 2005). Neurospheres derived from
embryonic day 17 (80% of 22 day gestation) rat cortices were positive for immunostaining of
CB1 receptor. The application of nanomolar concentrations of dual receptor agonist WIN 55,212-
2 increased the percent of BrdU positive cells 50% above basal (Aguado et al., 2005). The
individual applications of endogenous agonists anandamide and 2-AG both each increased the
BrdU positive proliferating population compared with control by 50%. This increase in
43
proliferation rate was CB1 receptor specific because coapplication of SR141716 selective CB1
receptor antagonist with WIN 55,212-2 did not significantly alter the percentage of BrdU positive
cells when compared with basal. The application of CB1 receptor antagonist SR141716 alone did
not alter proliferation rate when compared with control (Aguado et al., 2005). To summarize the
results of Molina-Holgado et al., 2007, Palazuelos et al. 2006, and Aguado et al. 2005, exogenous
stimulation of both CB1 and CB2 cannabinoid receptors increase the proliferation rate of
neurospheres derived from embryonic mouse and rat cortex in, for at least CB2 receptor, a
phosphoinositide 3-kinase and MEK/ERK dependent manner. However, the application of
cannabinoid receptor antagonists did not decrease proliferation rate relative to control treated
cells.
1.4.2 Proliferation in Subventricular Zone Rodent Brain Models
Mulder et al. employed CB1 receptor and FAAH knockout mice to investigate the role of
cannabinoid receptor signaling on proliferation rate in the embryonic rodent brain subventricular
zone (Mulder et al., 2008). Pregnant female mice were injected with BrdU when their embryos
were 14.5 days developed using a timed mating strategy. Two hours after injection, the embryos
were harvested and assessed. In CB1 receptor knockout mice, the percentage of BrdU
incorporating proliferating cells in the ventricular and subventricular brain regions was
significantly decreased from 40 to 30 percent of total Hoechst stained cells. In the FAAH
knockout mice, which would be anticipated to have 15-fold more anandamide than wild type
mice (Lichtman et al., 2002), the percentage of BrdU incorporating proliferating cells was
significantly increased from to 60% compared with 40% in the wild type mice (Mulder et al.,
2008). The FAAH mice data can be interpreted to mean that overabundance of anandamide can
at embryonic day 14.5 stimulate proliferation in the subventricular and ventricular zone brain
tissue. The CB1 receptor knockout mice data can be interpreted to mean that CB1 receptor is
contributing to the proliferation rate of embryonic day 14.5 day ventricular and subventricular
44
zone brain cells because decreased cannabinoid receptor activation impaired their proliferation
rate. However, Mulder et al. did not identify the specific type of cell that was proliferating at this
gestation stage, and it is not known whether or not the population of cells utilizing this
cannabinoid receptor-dependent proliferation pathway at embryonic day 14 was neurons,
astrocytes, or oligodendroglia.
Arevalo-Martin et al. investigated what cell types were affected in proliferation rate by
CB1 and CB2 cannabinoid receptor signaling in the postnatal day 15 Wistar rat subventricular
zone brain region (Arevalo-Martin et al., 2007). Postnatal day 15 Wistar rats were injected
subcutaneously in the neck every day from postnatal day 0 to 14 with either CB1 receptor specific
agonist ACEA or vehicle (1% bovine serum albumin and 0.2% ethanol in saline). On postnatal
day 15, the population of proliferating cells in the subventricular zone was identified by staining
for phospho-histone 3, which is phosphorylated during mitosis (Hans et al., 2001). The
monoclonal antibody 4A4 was used to label mitotic glia because it recognizes vimentin which has
been phosphorylated by a mitosis specific kinase, Cdc2 kinase, (Kamei et al., 1998). ACEA
injection did not change the overall number of proliferating cells as stained by phospho-histone
H3, but the 4A4 positive proliferating glia were increased in abundance by 50% above control
(Arevalo-Martin et al., 2007). This can be interpreted to mean that during the time window of
postnatal days 0 to 15, glial cells are proliferating in the rat subventricular zone, and their
proliferation rate or percentage that enter proliferation can be increased by selective agonist
stimulation of the CB1 cannabinoid receptor. It is interesting to note that the significant increase
in the proliferation rate of the mitotic glial population was not a large enough contributor to the
pool to change the total number of proliferating cells. This finding that total number of
proliferating cells in the postnatal days 0 to 15 subventricular zone was not increased by ACEA, a
selective CB1 receptor agonist, is similar to and agrees with the results found by Goncalves et al.
(Goncalves et al., 2008), who found that CB1 receptor antagonists did not decrease the Ki67
45
positive proliferation rate of total proliferating cells in the postnatal week 6 rodent subventricular
zone.
Goncalves et al. investigated the effect of CB1 and CB2 cannabinoid receptor signaling on
proliferation rate in the adult rodent brain subventricular zone (Goncalves et al., 2008). Young
adult six week old mice were intraperitoneal injected every day for ten days with a compound.
One day after drug cessation, viral vectors containing green fluorescent protein were injected
directly into the subventricular zone. The purpose of this labeling was to identify the neuronal
precursors that are known to migrate from their origin in the subventricular zone to their
destination in the olfactory bulb, which would appear as the only green fluorescent cells present
in the olfactory bulb. Injection of DAGL inhibitors RHC-80267 or tetrahydrolipstatin, which
decrease the abundance of cannabinoid ligand 2-AG, significantly decreased the green fluorescent
protein in the olfactory bulb from 1.0 to 0.4 area units (Goncalves et al., 2008). This can be
interpreted to mean that 2-AG is involved in a signaling process in the six week old mouse,
perhaps proliferation or migration, that increases the abundance of subventricular zone neurons in
the olfactory bulb. The ligand 2-AG can stimulate both cannabinoid receptors. In order to
investigate whether the activity of CB1 or CB2 receptors were responsible, antagonists of both
receptors were injected and the Ki67 positive proliferating cell population was assessed.
Injection of CB2 receptor specific antagonists JTE907 and AM630 significantly decreased the
Ki67 positive cell count in the subventricular zone from 60 to 20, while application of CB1
receptor specific antagonists SR141716 and LY320135 did not alter the subventricular zone Ki67
positive cell count (Goncalves et al., 2008). In the AM630 injected mouse olfactory bulb, the
green fluorescent protein area of migrated neurons compared with control was significantly
decreased from 30 to 20 area units. This can be interpreted to mean that activity of CB2 receptor
but not CB1 receptor is required for proliferation of the cells, including but possibly not limited to
neurons, in the subventricular zone of the six week mouse brain subventricular zone.
46
Goncalves et al. (Goncalves et al., 2008) also investigated the effect of CB2 receptor
signaling on proliferation of subventricular zone neuronal precursors in mouse models of aging.
Mice that were twenty months old and were treated with synthetic dual cannabinoid receptor
agonist WIN55,212-2 had 7 times more Ki67 positive proliferating cells in their subventricular
zones. Also, six month old mice were intraperitoneal injected every day for ten days with
selective CB2 agonist JWH133. One day after drug cessation, viral vectors containing green
fluorescent protein were injected directly into the subventricular zone. This labeling identifies the
neuronal precursors which migrate from their origin in the subventricular zone to their destination
in the olfactory bulb, appearing as the only green fluorescent cells in the olfactory bulb. Two
weeks later, the animals were sacrificed and the olfactory bulb was sagittally sectioned. The
JWH133 CB2-receptor stimulated six month old animals had a significantly increased green
fluorescent protein area, from 0.1 to 0.3 area units, and a significant increase in neuron count
from 100 to 300 neurons per 40 micrometer saggital section area (Goncalves et al., 2008).
Taken together, these results mean that stimulation of CB2 but not CB1 receptors in six
week old young adult and six month old and twenty month old aged adult subventricular zone
neuronal precursors increases the number of neurons that become present weeks later in the
olfactory bulb by a mechanism contributed to by increased proliferation in the subventricular
zone.
1.5 ROLE OF ENDOGENOUS CANNABINOID SIGNALING IN REGULATION OF
CELLULAR DEATH MECHANISMS
There are two major mechanisms of cell death: necrosis and apoptosis (Nikoletopoulou
et al., 2013). Necrosis involves the swelling of organelles and rupture of the plasma membrane,
while leaving the nucleus relatively intact. Necrosis involves inflammasome activation and a
strong inflammatory response. Apoptosis, or programmed cell death, involves the activation of
cysteine aspartyl proteases, or caspases. Apoptosis results in membrane permeabilization,
47
chromatin condensation, DNA fragmentation, and a relatively lower inflammatory response
(Nikoletopoulou et al., 2013). After commitment to apoptosis, the end result of caspase activity
is poly ADP ribose polymerase (PARP) cleavage. Cleaved PARP fragments are not present
unless a cell has become committed to and is currently undergoing apoptosis (Chaitanya et al.,
2010).
Cannabinoid receptor signaling has been shown to affect cell viability by triggering cell
death. Application of 24 to 48 hrs of 20 to 50 μg/mL of Δ9-THC (0.06 to 0.15 μM) in DMEM
triggered cell death in human U87-MG glioblastoma cells (Galanti et al., 2008). Cellular
abundance as measured by the MTT absorbance assay was below the absorbance seen at time
zero before application of the drug (Galanti et al., 2008). In human neuroblastoma cell lines, the
application of endogenous cannabinoid anandamide induced apoptosis in LAN-5 cells which
endogenously express CB1 receptor but not in SKNBE cells which do not endogenously express
CB1 receptor (Pasquariello et al., 2009). Co-application of SR141716 completely reversed the
anandamide induced apoptosis in LAN-5 cells (Pasquariello et al., 2009). Application of Δ9-THC
and CB2 receptor specific agonist JWH015 induced cell death in the human HCC hepatocellular
carcinoma cell line in an AMPK dependent manner (Vara et al., 2011). These studies
demonstrate that both cannabinoid receptors are capable of triggering cell death. It is therefore
important when working with cannabinoid receptor signaling to measure cell viability and
determine whether the effects witnessed are a side effect of cell death.
1.5.1 Cannabinoid Receptor, BDNF, and Recovery from Excitotoxicity
Brain Derived Neurotrophic Factor (BDNF) is an abundant secreted growth factor in the
central nervous system. The brain appears to require BDNF for synaptic plasticity, and
dysfunction in BDNF is present in many diseases including major depressive disorder,
schizophrenia, addiction, and more (Autry et al., 2012). The binding of mature BDNF to the
tropomyosin-related kinase B (TrkB) receptor can activate a variety of pathways including
48
stimulation of the mitogen-activated protein kinase (MAPK) or ERK pathway, phospholipase C γ
(PLCγ) activation of inositol trisphosphate (IP3) leading to release of intracellular calcium stores
and activation of calmodulin kinase and protein kinase C (PKC), and phosphatidylinositol 3-
kinase (PI3K) activation of AKT leading to increased survival (Autry et al., 2012). BDNF is
essential for axon growth and synaptic plasticity (Autry et al., 2012). BDNF knockout mice die
shortly after birth, likely due to respiratory suppression (Balkowiec et al., 1998).
Intrastriatal injection of quinolic acid is often employed as a model of induced
excitotoxicity. Quinolic acid injection decreases glutamate uptake and increases calcium uptake,
leading to astrogliosis after seven days and progressing to neuronal death after fourteen days
(Pierozan et al., 2014). The injected animals exhibit cognitive and motor deficits (Pierozan et al.,
2014).
De March et al. (De March et al., 2008) investigated the relationship between CB1
cannabinoid receptor and BDNF. Male Wistar rats were anesthetized and injected with 1 μL of
100 mM quinolic acid into the right striatum. One week later, the cortical BDNF immunostaining
intensity was significantly decreased and the CB1 receptor immunostaining intensity was
unchanged when compared with control. After six weeks, the BDNF remained significantly
decreased and the CB1 receptor immunofluorescent intensity was significantly increased when
compared with control (De March et al., 2008). The six week finding was found to be paralleled
using the ELISA assay to quantify BDNF protein abundance and [3H]CP-55,940 binding to
approximate CB1 receptor abundance (De March et al., 2008). De March et al. interpreted this to
mean that BDNF and CB1 receptor cortical protein abundance change after a lesion. They
investigated further with the goal of determining whether the early time point decrease in BDNF
protein abundance was the cause of the increased CB1 receptor abundance at later time points. In
a second publication by the group (De Chiara et al., 2010), male 8-10 week old C57/Bl6 mice
were sacrificed and coronal corticostriatal slices were patch clamped to measure postsynaptic
electrical current. In a control situation, the application of dual agonist HU210 decreased the
49
spontaneous inhibitory postsynaptic electrical current (sIPSC) from 100% at time zero down to a
maximal inhibition to 80% at 15 to 20 minutes, and returning to the basal 100% by 30 minutes
(De Chiara et al., 2010). The application of HU210 did not alter the sIPSC in slices taken from
mice that had been inject with BDNF 24 hours before sacrifice. Preapplication of BDNF also
prevented HU210-induced changes in the sIPSC frequency. The ability of BDNF to block the
drug induced decrease in sIPSC was specific to HU210; the response of the sIPSC to baclofen to
decrease from 100% to 40% of predrug frequency was not altered by pretreatment with BDNF
(De Chiara et al., 2010). The actions of HU210 and BDNF were likely CB1 receptor and Trk
receptor specific, respectively, because the effects were abrogated by CB1 receptor antagonist
AM251 and the broad spectrum tyrosine kinase receptor inhibitor lavendustin A. Because the
preapplication of BDNF did not affect the HU210-induced decrease in spontaneous excitatory
postsynaptic electrical current (sEPSC) frequency (De Chiara et al., 2010), we can interpret this
to mean that the BDNF is not affecting glutamate release itself and the BDNF inhibition of CB1
receptor is limited to CB1 receptors controlling GABA-mediated IPSCs. De Chiara et al. applied
methyl-β-cyclodextrin in order to investigate whether the decrease in sIPSC by HU210 was
cholesterol dependent, and found no different in HU210 response before or after application of
methyl-β-cyclodextrin, meaning that this particular CB1 cannabinoid receptor affect is cholesterol
independent (De Chiara et al., 2010), although the action of BDNF does depend on cholesterol
abundance. Taken together, these data can be interpreted to mean that striatal CB1 receptor
control of GABA-mediated IPSCs is inhibited by BDNF, without BDNF affecting glutamate
transmission or GABAB receptors.
Marsicano et al. (Marsicano et al., 2003) also investigated the roles of CB1 receptor and
BDNF in excitotoxicity. Their hypothesis was as follows. Abnormally high spiking activity can
damage neurons. A signaling system to protect neurons from the consequences of abnormal
discharge may exist. This signaling system that protects neurons might be identified by
triggering toxic levels of excitation and measuring whether or not suspected excitoprotectants had
50
increased. Kainic acid can be used to model excitotoxicity in neurons. Kainic acid stimulates
kainate receptors and mimics glutamate excitotoxicity (Zheng et al., 2011). Twenty minutes after
kainic acid injection, the abundance of anandamide in the C57/Bl6 mouse brain significantly
increased from 0.5 to 1.5 pmol/mg extract (Marsicano et al., 2003). This increased anandamide
abundance after kainic acid stress lead Marsicano et al. to investigate CB1 receptor knockout mice
response to excitotoxicity. Wild type or CB1 receptor knockout mice were injected with 30
mg/kg of kainic acid and the result was that the CB1 receptor knockout mice had a much more
severe reaction than the wild type mice. The behavioral score at fifteen minutes was 2 in the wild
type mice and 4 in the CB1 receptor knockout mice. More than 75% of the CB1 receptor
knockout mice died within one hour of kainic acid injection (Marsicano et al., 2003). The
behavioral score of the partial knockout CB1 receptor heterozygote mice could be increased from
2 to above 4 by functional depletion of the heterozygote abundance CB1 receptor by application
of the CB1 receptor antagonist SR141716 (Marsicano et al., 2003). Marsicano et al. then
investigated which type of neuron was responsible for this CB1 receptor effect by using a
Ca2+
/calmodulin-dependent kinase IIα (CaMKIIα Cre) gene specific CB1 receptor knockout
mouse that knocked out CB1 receptor only in principal forebrain neurons but not adjacent
inhibitory interneurons. After 15 minutes of 30 mg/kg kainic acid injection the CaMKIIα
principal forebrain neuron specific knockout mice had a significantly increased behavioral score
of 4 compared with the floxed control mice with a behavioral score of 2 (Marsicano et al., 2003).
Marsicano et al. also measured BDNF mRNA abundance in the kainic acid treated animals. In
the floxed control animals, kainic acid significantly increased the abundance of BDNF in the CA1,
CA2, and dentate gyrus regions of the hippocampus. However, in the principal forebrain neuron
specific CB1 receptor knockout CaMKIIα Cre mice, kainic acid failed to increase the mRNA
abundance of BDNF (Marsicano et al., 2003). Taken together, these data can be interpreted to
mean that ligand stimulated CB1 receptor activity in principal forebrain neurons protects the brain
51
from glutamate excitotoxicity, and that part of the mechanism of this protection from
excitotoxicity involves increasing the mRNA production of hippocampal BDNF.
1.6 ROLE OF ENDOGENOUS CANNABINOID SIGNALING IN NEURONAL
FUNCTIONAL DEVELOPMENT
The brain is composed of many connections between neuronal axons and dendrites called
synapses. For example, there are approximately 4 billion synapses per mm2 in the 5 week old rat
cortex (McAllister 2007). The formation of these synapses, or synaptogenesis, is only partially
understood and appears to be regulated by diverse mechanisms depending upon the specific type
of synapse, neuron, and brain region involved. In the hippocampus, accumulation of synaptic
vesicle precursors and piccolo-transport vesicles may lead to synapse formation in approximately
an hour (McAllister 2007). Also in the hippocampus, neuroligin scaffold complexes of the
proteins PSD-95, Shank, and guanylate kinase-associated protein may lead to synapse formation
in 2 hours (McAllister 2007). In cortical neurons, mobilization of synaptic vesicle precursors
and N-methyl-D-aspartate receptors can lead to synapse formation in 7 minutes (McAllister 2007).
Also in cortical neurons, filopodia from dendritic growth cones may define the site of synapse
stabilization and formation (McAllister 2007). The full variety of synapse formation mechanisms
has not yet been completely characterized and the proteins and signaling pathways involved are
still being discovered.
Both CB1 and CB2 cannabinoid receptors have been implicated in neuronal axon guidance
during synaptogenesis. CB1 receptors are located in the tip of Xenopus laevis spinal neuron
axonal growth cones, and bath application of the endogenous ligand anandamide was found to
disrupt the growth cone’s ability to turn in response to an electric field (Berghuis et al., 2007).
Both CB1 and CB2 receptors are present on the tip of the growth cone of mouse retinal ganglionic
neurons (Duff et al., 2013). Mouse retinal explant and primary neuron growth cone surface area
52
was decreased by CB2 receptor selective agonists JWH015 and JWH13, and increased by and
CB2 receptor selective antagonists AM630 and JTE907 (Duff et al., 2013).
In general, all studies of the effect of cannabinoid receptor stimulation on neurite length
performed in neuroblastoma cell lines has resulted in an increase in extension length. There are
two exception studies (Ishii et al., 2002; Zhou et al., 2001) in which cannabinoid receptor
stimulation did not increase extension length of neurites in neuroblastoma. The methods of these
two investigations (Ishii et al., 2002; Zhou et al., 2001) were unusual because both were
situations in which cell death was likely occurring. The cannabinoid receptors are known to
induce apoptosis through de novo synthesis of ceramide and activation of p38 MAPK (Fonseca et
al., 2013). One study (Zhou et al., 2001) involved pretreatment with 48 h of serum starvation,
enough time to cause cell death (Pasquariello et al., 2009), and one involved application of 1 μM
anandamide to virally infected cells grown on glass (Ishii et al., 2002).
Zhou et al. serum starved the murine N1E-115 neuroblastoma cells for 48 hours to induce
neurite outgrowth before then applying HU210 to measure the acute 15 minute change in pre-
formed neurite lengths (Zhou et al., 2001). Visually, after cannabinoid stimulation the cell nuclei
have gained punctae, a change that supports an apoptotic phenotype. As few as 24 hours of
serum starvation are capable of killing cultured cells (Braun et al., 2011). Both human and
murine neuroblastoma cells are generally cultured with 10% serum at all times to avoid growth
inhibition and cell death. The doubling time for N1E-115 is listed as 20 hours on the Swiss
Institute of Bioinformatics Expasy database (nearly three times faster than the 55 hour time listed
for the human SH-SY5Y cells used in our study). It is likely that 48 hours of serum starvation
was enough to introduce serum deprivation stress (Braun et al., 2011) on the 20 hour doubling
time N1E-115 murine neuroblastoma cells, predisposing the cells to a death response.
In the second study in which cannabinoid receptor stimulation induced neurite retraction,
Ishii et al. observed retraction of formed extensions after applying 1 μM anandamide to
retrovirally infected rat B103 cells (Ishii et al., 2002). This concentration of anandamide
53
approaches the concentration that is known activate cannabinoid receptor dependent apoptosis;
concentrations of 20 μM anandamide induced cannabinoid receptor antagonist-reversible
apoptosis in dendritic cells (Do et al., 2004) and 25 μM anandamide induced cannabinoid
receptor antagonist-reversible apoptosis in cytotrophoblasts (Costa et al., 2015).
In summary, these two reports in which HU210 or anandamide cannabinoid receptor
stimulation caused neurite retraction likely induced cell death which appeared similar to
retraction because dying cells can become more round, “balling up” in shape. Other than these
two studies, all other work with neuroblastoma cell lines has demonstrated that cannabinoid
receptor stimulation increased neurite length.
1.6.1 Cannabinoid Receptor Regulation of Oligodendrocyte Neuron Spatial Communication
Via Slit2/Robo1 Signaling
CB1 and CB2 cannabinoid receptors are expressed in multiple brain cell types including
neurons and oligodendrocytes. JZL184 causes an accumulation of 2-AG by inhibiting its
hydrolysis by MAGL. JZL184 significantly increased the abundance of 2-AG from 20 to 30
nanomol per gram of tissue in the cortex of embryonic mice whose mothers were intraperitoneal
injected with JZL184 from embryonic day 12.5-18.5. The abundance of anandamide, 2-linoleoyl
glycerol , or oleoylethanolamide was unaltered (Alpar et al., 2014). Alpar et al. showed that, in
pregnant mice intraperitoneal injected with JZL184 from embryonic day 12.5-18.5, the embryos
developed abnormal corticofugal axonal phenotypes and errors in axon fasciculation (Alpar et al.,
2014). The JZL184 had significantly increased the corpus callosum spread from 150 to 250
micrometers, and significantly increased the area of striatal fascicle from 200 to 500 micrometers
square when compared with control (Alpar et al., 2014). The altered morphology was very
similar to that seen in CB1 receptor knockout mice; the diameter of the individual fascicle was 5
micrometers in wild type animals, 15 micrometers in wild type animals treated with JZL184, and
15 micrometers in CB1 receptor knockout animals (Alpar et al., 2014). They interpreted this to
54
mean that in the time period from mouse embryonic days 12.5-18.5, either excessive
accumulation of cannabinoid ligand 2-AG by the application of JZL184 or knockout of CB1
receptor both alter neuron fasciculation to generate a similar morphology by altering how the
endogenous cannabinoid signaling pathway is guiding neuronal fasciculation and development in
a CB1 receptor and possibly also CB2 receptor dependent manner.
Slit 1, 2, and 3 are a family of secreted glycoproteins that bind Roundabout (Robo)
receptors (Hohenester 2008). Humans express three Slit family members, large homologously
structured glycoproteins that share a leucine rich repeat at the N terminus. This leucine rich
repeat, called D1-D4, is required for interaction with the extracellular domains of the Robo
receptors. Vertebrates express four Robo receptors in tissues including the brain, lung, kidney,
and mammary gland. Slit Robo signaling plays an important role in axon guidance during central
nervous system development (Hohenester 2008). Robo receptors span the plasma membrane and
exist both intracellularly and extracellularly. There are 500 intracellular Robo receptor amino
acid residues. The Robo receptor extracellular sequence contains multiple immunoglobulin like
domains and fibronectin type 3 repeats, which is similar to the structure of cell adhesion
molecules (Hohenester 2008). Slit activation of Robo is likely a result of a change in
oligomerization status, and may potentially be performed by one or both of two mechanisms.
First, Slit may bind to an inactive dimer and, with heparin sulfate stabilization, activate the Robo
as a monomer. Second, Slit binding to an inactive Robo monomer may induce dimerization, and
activation. Although it’s unclear which mechanisms is occuring in each situation of Slit Robo
signaling, the result of Slit glycoprotein binding to Robo receptors is generally chemorepulsion
for the cell (Hohenester 2008). It has recently been discovered that Robo2 inhibits the ability of
Slit to induce chemorepulsion via Robo1 (Evans et al., 2015), possibly by the extracellular
domain of Robo2 of one cell binding the extracellular domain of the Robo1 of another cell and
interfering with Slit binding to Robo1.
55
Alpar et al. observed that CB1 receptor and Robo1 colocalize in embryonic human and
mouse corticofugal axons (Alpar et al., 2014). In cultured embryonic day 16.5 C57/Bl6 mouse
cortical neurons, the application of the MAGL inhibitor JZL184 (which causes accumulation of
2-AG) led to a significant 50% increase in the ratio of Robo1 located in the growth cone tip
compared with the non-tip axon length (Alpar et al., 2014). This increased localization of Robo1
in the growth cone tip was CB1 receptor dependent because it was reversed upon coapplication of
CB1 receptor antagonist O2050. Robo1 accumulation in the growth cone tip also was not
observed in CB1 receptor knockout mouse derived neurons treated with JWL184. The ability of
CB1 receptor to enrich axonal growth cone localization was Robo1 specific as it was not observed
for Robo2 (Alpar et al., 2014).
CB1 receptor-induced Robo1 growth cone enrichment was dependent upon MEK1/MEK2
and cJun phosphorylation because the coapplication of U0126 or SP600125 prevented the
JZL184 effect (Alpar et al., 2014). Recalling that JZL184 and CB1 receptor knockout both
induced a significant increase in callosum spread in micrometers, it was found that JZL184 and
the environment of increased 2-AG and CB1 receptor signaling did not alter the corpus callosus
spread of Robo1 knockout mouse (Alpar et al., 2014). Based upon these data, Alpar et al.
concluded that in embryonic day 16.5 cortical neurons, stimulation of CB1 receptor leads
chemorepulsion via a MEK1/MEK2 and cJun phosphorylation mediated signaling pathway
leading to enrichment of Robo1 in the growth cone tip when compared with the axon length.
Because Robo1 is a chemorepulsive signaling receptor, this CB1 receptor stimulated enrichment
in Robo1 growth cone abundance increases chemorepulsion of the axon tip and steers the axon tip
away from Robo1 ligand stimuli. The Robo1 receptor stimuli was most likely to be its known
ligand Slit2, which Alpar et al. discovered is contained and excreted solely by oligodendrocytes,
but not astrocytes (Alpar et al., 2014).
Alpar et al. then investigated how increased cannabinoid signaling affects the Slit2
producing cells, oligodendrocytes. Application of JZL184 to increase 2-AG in cocultured
56
neurons and oligodendrocytes significantly increased the distance between the neuronal growth
cone and the oligodendrocytes from 10 to 15 micrometers in a manner that was not affected by
scrambled RNAi but was significantly reversed by Robo1 RNAi (Alpar et al., 2014). They
identified oligodendrocytes by labeling 2',3'-cyclic-nucleotide 3'-phosphodiesterase (CNPase), an
enzyme required for oligodendrocyte creation of the myelin sheath and which is expressed
exclusively by fully differentiated myelinating oligodendrocytes. Oligodendrocytes are not
functional at myelination unless they express CNPase. Gaining expression of CNPase is a type of
functional differentiation for oligodendrocytes. Alpar et al. found that application of JZL184 to
increase 2-AG significantly increased the oligodendrocyte CNPase abundance, increasing from
0.5 to 4 CNPase positive oligodendrocytes per 100 micrometers square of area. The 2-AG
stimulated increase in functionally differentiated oligodendrocytes was not different in CB1
receptor knockout embryos (Alpar et al., 2014), and not dependent upon the presence of CB1
receptor. Alpar et al. interpreted this to mean that the oligodendrocyte differentiation was not
mediated by CB1 receptor, but perhaps by CB2 receptor. To test this, Alpar et al. measured the
ability of CB2 receptor antagonist AM630 to decrease Slit2 protein intensity in the
oligodendrocyte end feet. The protein abundance of Slit2 in the oligodendrocytes had increased
significantly from 1 to 1.4 intensity units in JZL184 treated oligodendrocytes. Coapplication of
AM630 abrogated the JZL184 effect on Slit2, meaning that the JZL184-induced increase in 2-AG
that resulted in increased Slit2 secretion and CNPase positive oligodendrocytes had signaled in a
CB2 receptor specific manner (Alpar et al., 2014).
Alpar et al. interpreted these data to mean that endocannabinoids simultaneously engage
cell-type-specific receptors to orchestrate chemoreplusion in-trans. CNPase positive
oligodendrocytes produce Slit2 chemorepellants that alter neuronal axon path via growth cone
located Robo1 signaling. Both CB2 cannabinoid receptor on oligodendrocyte precursors and CB1
cannabinoid receptor on neurons are involved in this axonal extension signaling pathway. CB2
receptor increases CNPase and Slit2 abundance in oligodendrocytes and CB1 receptor increases
57
Robo1 growth cone localization in neurons relative to the axon length, which can lead to Robo1
sensing of Slit2 and resultant chemorepulsion of the growing axon.
1.6.2 CB1 Receptor Regulation of RhoA GTPase G Proteins
There is a family of small GTPase or G proteins which have activity to hydrolyze GTP to
GDP. This is similar to the activity of the alpha G protein subunit, but independent of a G Protein
Coupled Receptor. The small G proteins are regulated by a variety of different mechanisms.
Guanine nucleotide exchange factors (GEFs) catalyze the physical exchange of GDP for GTP,
generally resulting in activation (Cook et al., 2014). Guanosine nucleotide dissociation inhibitors
(GDIs) bind to the cytosolic inactive form of the small G protein. GTPase activating proteins
(GAPs) accelerate the hydrolysis of GTP to GDP, terminating the small G protein’s active GTP
bound state (Huang et al., 2017). In general, the action of the G protein is as follows. An
extracellular signal leads to the GEF to exchange GTP for GDP, activating the membrane bound
small G protein. The GTP bound active form performs its action until either its inherent GTPase
activity or facilitation of hydrolysis by a GAP causes hydrolysis of the GTP into GDF. Inactive
GTPases may become dissociated from the plasma membrane, and a GDI may increase the
amount of time spent away from the plasma membrane and in the GDP bound form. Eventually
the GDI dissociates from the GTPase and with the GDI dissociated the small G protein is
available for a GEF to exchange its GDP for GTP and become active again (Kawano et al., 2014).
The RAS superfamily of small GTPases shares a common core G domain which has the
capacity for nucleotide exchange and is the location where GTP is hydrolyzed into GDP. There
are five families in the RAS superfamily: Ras which are generally involved in proliferation, Rho
which are generally involved in cellular morphology, Ran which are generally involved in nuclear
transport, and Rab and Arf which are generally involved in vesicular transport. Ras GTPases
coordinate multiple signal pathways with precise spatial control and are crucial for axonogenesis
(Hall et al., 2010). The axon’s unique actin, microtubule, and neurofilament skeleton serves as a
58
metaphorical railroad for transporting proteins along the axon to the neuronal synapse (Kevenaar
et al., 2015). The RAS superfamily includes the actin regulating Rho family of GTPases, with
example members being Cdc42, Rac1, and RhoA. Myosin motors hydrolyze ATP to force
movement along the actin cytoskeleton. Rho GTPases control spine actin dynamics and
morphology, controlling where myosin directs protein traffic (Kneussel et al., 2013).
RhoA is a member of the Rho family of the RAS superfamily of GTPases. RhoA’s
downstream targets involve the actin cytoskeleton, cyclin D cell cycle regulation,
Serine/Threonine-Protein Kinase N2, regulation of apical junctions and cell-cell adhesion, Sox9
which is involved in developmental ontology, and transforming growth factor which is inolved in
tumorigenesis. In neurons, RhoA plays a role in altering cell extension, mobility, and migration.
GEFs phosphorylate RhoA to activate it. The C terminus of RhoA may receive a twenty carbon
geranylgeranylation prenylation to increase its lipophilicity and membrane anchor time. The
active form of RhoA is GTP bound and membrane localized, and results in increased activity of
effector molecules such as Rho-associated, coiled-coil containing protein kinase1 (ROCK1) and
diaphanous homolog (DIAPH1). G13 can directly interact with the Rho GEF domain of
p115RhoGEF (Chen et al., 2003). G12/13 is known to activate RhoA and ROCK (Bian et al.,
2006) to stimulate migration of human ovarian cancer cells. In CHO cells, G12/13 activation
stimulates RhoA activity (Sobel et al., 2015). Application of the ROCK inhibitor GSK269962
abrogated the ability of FTY720 to affect cell shape through the S1P1 receptor, as did knockdown
of Gα12 or Gα13 (Sobel et al., 2015). The application of ROCK-specific inhibitor Y27632
prevented LPA-induced filamentous actin polymerization in Swiss 3T3 fibroblasts, and prevented
LPA-induced neurite retraction in N1E-115 neuroblastoma (Narumiya et al., 2000).
Although the active form of RhoA is GTP bound and membrane localized, not all GTP
bound RhoA is active. RhoA activity can be regulated by phosphorylation at serine 188 and at
serine 26. The phosphorylation of serine 188 may be performed by protein kinase A (PKA) or
PKG. PKA phosphorylation of serine 188 decreased membrane localized GTP-bound active
59
RhoA-GTP and through GDI activity increased the proportion of RhoA-GTP in its soluble
inactive form (Lang et al., 1996). This translocation of RhoA from the membrane into the cytosol
was repeated in YT natural killer cells with prostaglandin E2, isoproterenol, and the AC stimulant
forskolin, compounds known to lead to an increase intracellular cAMP (Lang et al., 1996).
Increasing intracellular cAMP and phosphorylation of serine 188 led to the GDI sequestration of
the GTP bound form of RhoA in the cytosol, despite other GTP bound forms of RhoA being the
membrane bound, active version (Lang et al., 1996). The phosphorylation of GTP bound RhoA
can separate it from its effectors independently of its GTP/GDP cycling. The PKA
phosphorylated GDI bound GTP-RhoA is no longer necessarily the active membrane bound form.
The location of the RhoA must therefore be considered and it should not be assumed that the GTP
bound RhoA is the active form. Cytosolic GDI bound RhoA-GTP is both GTP bound and
inactive. This affects the interpretation of a number of research results involving cannabinoid
receptors and RhoA not all of which quantified whether or not the RhoA-GTP was in the
membrane (active) or cytosolic (inactive, phosphorylated at S188, GDI bound) state. Some
researchers instead measure the GTPase activity of RhoA to measure RhoA activation (Berghuis
et al., 2007).
The effect of small G protein activation on neurons has become better understood
because of the investigations into the mechanism behind lysophosphatidic acid (LPA) and brain
derived neurotropic factor (BDNF) induced neuronal outgrowth. Decreased actin polymerization
and increased myosin activity results in filopodia retraction and repulsive turning (Yuan et al.,
2003). Rho family members Rac and Cdc42 promote neurite extension, while Rho inhibits or
collapses growth cones (Yuan et al., 2003). LPA induced chemorepulsion is known to be
mediated by Rho activated regulation of myosin (Frisca et al., 2013; Kim et al., 2011; Retzer et
al., 2000). Clostridium difficile Toxin B inhibits Rho GTPases by glucosylating Thr37,
preventing effector coupling (Aktories et al., 2000). Toxin B blocked both LPA and BDNF
induced growth cone turning (Yuan et al., 2003). The application of Y27632, an inhibitor of
60
ROCK1, allowed for the LPA-induced increased extension length in the wild type and dominant
negative RhoA model of cultured Xenopus laevis spinal neurons, but not in the constitutively
active Cdc42 model (Yuan et al., 2003). These results were interpreted to mean that there is
crosstalk between the Cdc42 and RhoA pathways in myosin regulation. Cdc42 mediates BDNF
induced chemoattraction, while the BDNF induced repulsion observed in situations of low PKA
activity depended on both Cdc42 and RhoA (Yuan et al., 2003). The authors concluded that
BDNF may induce either chemoattraction or repulsion depending on intracellular calcium, PKA,
and cAMP concentrations (Yuan et al., 2003). This finding opens the possibility that BDNF and
cannabinoid receptor function in neuronal outgrowth may overlap. Indeed, seven years later the
De Chiara group found evidence that BDNF potently inhibits CB1 receptor function in the
striatum via a cholesterol dependent, lipid raft signaling mechanism (De Chiara et al., 2010).
BDNF, LPA, and CB1 cannabinoid receptors regulate neuronal outgrowth via small G protein
regulation of myosin and actin.
In primary cortical neurons, dual cannabinoid receptor agonist WIN 55,212-2 induced an
“increase in RhoA GTPase activity” (as measured by a Cell Biolabs Inc kit that precipitated the
GTP bound form) that was maximal between five and ten minutes and returned nearly to baseline
by fifteen minutes (Berghuis et al., 2007). This increase in RhoA activity by WIN 55,212-2 was
abrogated by pretreatment with CB1 receptor specific antagonist AM251 (Berghuis et al., 2007).
In J774A macrophages, the application of methanandamide increases the ratio of RhoA-GTP to
Total RhoA in a CB1 receptor-dependent manner, which was abrogated by CB1 specific
antagonist AM281 and by siCB1 but not siCB2 (Mai et al., 2015). It is noteworthy that the non-
lipid raft-localized CB2 receptor is not capable of increasing RhoA GTP binding (Mai et al.,
2015), and that RhoA GTP binding as a result of methanandamide stimulating the CB1 receptor is
pertussis toxin sensitive (Mai et al., 2015), implicating the non-Gαz members of the Gαi/o family
of G proteins as the transducers of CB1 receptor that lead to activation of RhoA. One caveat is
that the Berghuis and Mai groups (Berghuis et al., 2007; Mai et al., 2015) measured GTP
61
hydrolysis and GTP to GDP ratio, not membrane to cytosol translocation, and Lang et al. (Lang et
al., 1996) showed that PKA phosphorylation of RhoA on serine 188 may lead to GDI
sequestration of the GTP bound form of RhoA away from the membrane, in the cytosol, where it
does not have the same ability to activate signal transduction molecules.
The effect of cannabinoid receptors on membrane versus cytosolic GTP bound RhoA has
been measured in prostate cancer and breast cancer cells (Laezza et al., 2008; Nithipatikom et al.,
2012). In DU145 human prostate cancer cells, the application of dual cannabinoid receptor
agonist WIN 55,212-2 decreased the RhoA-GTP to total RhoA ratio, and the application of CB1
receptor antagonist AM251increased the ratio of GTP bound to total RhoA (Nithipatikom et al.,
2012). In PC3 human prostate cancer cells, the application of cannabinoid agonist WIN 55,212-2
increased the RhoA in the cytosol and decreased the RhoA in the membrane, and the application
of CB1 receptor antagonist AM251 increased the RhoA in the membrane and decreased the RhoA
in the cytosol. In human prostate cancer cells, cannabinoid receptor stimulation decreased RhoA
activity by leading to a decrease in the GTP to GDP bound ratio of RhoA and increasing
translocation to the cytosol (Nithipatikom et al., 2012). As in the prostate cancer cell lines,
MDA-MB-231 triple negative breast cancer cells treated with stable anandamide analog 2-
methyl-2’-F-anandamide also experienced a translocation of RhoA from the membrane to the
cytosol (Laezza et al., 2008). The result of dual cannabinoid receptor activation in primary
cortical neurons was an increase in GTP to GDP bound RhoA ratio (Berghuis et al., 2007), while
the result in breast and prostate cancer cells was a decrease in GTP to GDP bound RhoA ratio
(Laezza et al., 2008; Nithipatikom et al., 2012). Unlike neurons, in both prostate and breast
cancer cell lines, stimulation of the CB1 receptor inactivated RhoA by decreasing the GTP to
GDP bound ratio, and these two manuscripts did confirm a subsequent translocation from the
active site on the membrane to inactive sequestration in the cytosol. The SH-SY5Y
neuroblastoma cells have characteristics of both neurons and cancer cell lines. Whether the SH-
SY5Y neuroblastoma cells behaves like the primary neurons to increase the ratio of GTP to GDP
62
bound RhoA or the prostate and breast cancer cells to decrease the ratio of GTP to GDP bound
RhoA is unclear.
CB1 receptor can regulate small G proteins of the Rho family not only via activation of
Gα12/13 but also by activation of Gαi/o. Rap1 GTPases (Rap1a and Rap1b) are in the Ras-
related proteins family of small G proteins. Rap1 is present in neurons and regulates cell polarity
(Shah et al., 2017). The genetic knockout of Rap1 prevents formation of a synapse (Shah et al.,
2017). Anandamide decreases GTP-bound proportion of Rap1 and decreases B-Raf mediated
ERK phosphorylation in rat pheochromocytoma PC12 cells (Rueda et al., 2002). One mechanism
of action for CB1 activation of Rap1 is by Gαi/o induced ubiquitination and proteasomal
degradation of Rap1GAPII, an inhibitor of Rap1 (Jordan et al., 2005), which leads to neurite
outgrowth in the Neuro2A cells. In Neuro2A mouse neuroblastoma cells, CB1 receptor activity
through pertussis toxin sensitive Gαi/o activates Rap1 to induce Src and Stat3 phosphorylation
(He et al., 2005) and leads to neurite outgrowth (Bromberg et al., 2008a). CB1 receptor activation
of Gα12/13 decreases neurite extension, while CB1 activation of Gαi/o increases neurite extension.
63
Figure 1.6.3 Concept map of Gα12/13 and Gαi/o mediated cannabinoid signaling.
References: 1. (Diez-Alarcia et al., 2016), 2. (Siehler 2009), 3. (Garzon et al., 2009), 4. (Meng et
al., 1999), 5. (Jordan et al., 2005), 6. (Bromberg et al., 2008b), 7. (Gutkind 2000), 8. (Berghuis et
al., 2007), 9. (Mei et al., 2011), 10. (He et al., 2005), 11. (Yuan et al., 2003), 12. (Lawson et al.,
2014), 13. (Tortoriello et al., 2014), 14. (Alpar et al., 2014), 15. (Bromberg et al., 2008a), 16.
(Shin et al., 2012), 17. (Zhou et al., 2011), 18. (Keimpema et al., 2013)
64
1.6.4 Nerve Growth Factor Regulates CB1 Receptor Cytoskeletal Control Via BRCA1
Keimpema et al. investigated the role of localized degradation of cannabinoid ligands in
regulating the process of neurite extension (Keimpema et al., 2010). They quantified protein
abundance in the growth cone tip compared with the rest of the extension and found that DAGL,
MAGL, and CB1 receptor proteins are concentrated in specific motile regions on the growing
axon, suggesting functional activity of the cannabinoid system at these locations (Keimpema et
al., 2010). They hypothesized that in vivo, 2-AG concentration may be regulated by degradation
of MAGL at the protein level. Next, they utilized proteasome inhibition as a method of altering
protein abundance. Lactacystin is a molecule that was isolated from streptomyces lactacystinaeus
bacteria and found to increase neurite extension in Neuro2a mouse cells (Omura et al., 1991).
Lacacystin’s mechanism of action was discovered to be to prevent 20-S proteasomal degradation
of proteins (Fenteany et al., 1995). Keimpema et al. theorized that lactacystin’s mechanism of
action to increase neurite extension length was to inhibit proteasomal degradation of MAGL,
increasing MAGL’s abundance, and interfering with normal 2-AG concentration regulation.
Using a Western blot, Keimpema et al. showed that lactacystin increased total MAGL protein
abundance in primary cortical neurons isolated from E14.5-16.5 C57/Bl6 mice. This Western
blot data can be interpreted to mean that lactacystin’s inhibition of the proteasome had interfered
with normal MAGL protein degradation and function, increasing the net total amount of MAGL
protein, but in Figure 7 Keimpema showed that lactacystin actually decreased MAGL abundance
in the critical motile section of the extension (Keimpema et al., 2010). By interfering with
protein recycling, lactacystin had decreased MAGL abundance in the motile segment of the
neurite (Keimpema et al., 2010). Similar to how lactacystin decreases MAGL in the motile
segment in the tip of the neurite, JZL184 is also an inhibitor of MAGL. Application of JZL184 to
primary cortical neurons isolated from E14.5-16.5 C57/Bl6 mice also increased extension length,
and this increase in length could be prevented by a coapplication of either the 2-AG inhibitor
THL or the CB1 receptor specific antagonist O-2050. This work showed that the mechanism of
65
action of a known neurite extension increasing compound, lactacystin, was through decrease of
the protein abundance of cannabinoid system component MAGL locally in the motile section at
the tip of the growing extension (Keimpema et al., 2010). Lactacystin decreased motile tip
localized MAGL, decreased the hydrolysis of 2-AG, increased local 2-AG abundance, and
increased CB1 receptor activation specifically in the motile tip of the extension (Keimpema et al.,
2010).
Nerve Growth Factor (NGF) was the first discovered growth factor (Cohen et al., 1954;
Levi-Montalcini 1952). Depriving sensory and sympathetic neurons of NGF caused their death
(Levi-Montalcini et al., 1963) via a NEDD2/caspase2 dependent pathway (Park et al., 1998; Troy
et al., 1997). NGF binds to tyrosine kinase receptor TrkA (Kaplan et al., 1991). The TrkA
receptor can either be activated at the cell surface to signal via PI3 kinase / AKT and increase
survival, or the TrkA receptor can be endocytosed to signal from vesicles and increase neuronal
extension length (Zhang et al., 2000) if inactivation of Rab5 blocks endosomal fusion to establish
of a signaling endosome (Liu et al., 2007). RabGAP5 controls whether a signaling endosome
forms by inactivating Rab5 by promoting its GTP hydrolysis (Liu et al., 2007). NGF can increase
neuronal extension length via a JAK/Stat3 mediated signaling pathway (Quarta et al., 2014).
Nerve Growth Factor (NGF) is a trophic nutrient required for neuron survival. It binds to the
TrkA receptor and promotes neurite outgrowth. Due to the use of serum in cell culture, it is
possible that our SH-SY5Y cells are exposed to and stimulated by NGF.
Keimpema et al.’s discovery that exogenous lactacystin interfered with a MAGL
proteasome degradation pathway begged the question of which factors endogenously regulate
MAGL protein abundance in vivo. When BRCA1 and BARD1 heterodimerize, the resulting
complex functions as an E3 ubiquitin ligase (Wu et al., 2008). In cultured primary cortical
neurons isolated from E14.5-16.5 C57/Bl6 mice, NGF increased the total neurite length and the
number of vesicular acetylcholine transporter (VAChT) positive neurites in a manner that can be
completely inhibited by application of O2050, a CB1 receptor specific antagonist (Keimpema et
66
al., 2013). NGF induces spatial regulation of MAGL, affecting the “MAGL delay” or localized
protein abundance shift in the motile tip of the growth cone that was seen in lactacystin treated
cells. After three divisions, NGF treated cultured cortical neurons show an increase in BRCA1
mRNA expression (Keimpema et al., 2013). Cisplatin is a chemical inhibitor of BRCA1 activity
that decreases E3 ubiquitin ligase activity. The application of cisplatin alone decreased the
“MAGL delay”, or the distance between MAGL immunoreactivity (a quantified way to measure
MAGL in the motile tip of the extension), as cisplatin interfered with BRCA1 E3 ubiquitin ligase
activity and caused the accumulation of MAGL. Application of cisplatin plus NGF prevented
NGF from increasing neurite length (Keimpema et al., 2013). This means that in vivo, these
cholinergic neurons have a signaling system in which NGF increases the protein abundance of
BRCA1 to increase E3 ubiquitin ligase activity, decreasing the protein abundance of MAGL,
increasing the concentration of 2AG and increasing local CB1 receptor activation to drive
cytoskeletal changes that result in increased neurite extension. NGF regulates CB1 receptor
mediated cytoskeletal control via BRCA1 (Keimpema et al., 2013).
67
Figure 1.6.4 Concept map outlining G protein mediated cannabinoid signaling pathways.
References: 1. (Diez-Alarcia et al., 2016), 2. (Siehler 2009), 3. (Garzon et al., 2009), 4. (Meng et
al., 1999), 5. (Jordan et al., 2005), 6. (Bromberg et al., 2008b), 7. (Gutkind 2000), 8. (Berghuis et
al., 2007), 9. (Mei et al., 2011), 10. (He et al., 2005), 11. (Yuan et al., 2003), 12. (Lawson et al.,
2014), 13. (Tortoriello et al., 2014), 14. (Alpar et al., 2014), 15. (Bromberg et al., 2008a), 16.
(Shin et al., 2012), 17. (Zhou et al., 2011), 18. (Keimpema et al., 2013), 19. (Wang et al., 2018)
68
1.6.5 CB1 Receptor Regulation of Transcription Factors Involved in Neuronal Functional
Differentiation
The discovery of cannabinoid receptors in the nucleus (Glass et al., 1997; McIntosh et al.,
1998) raised the question: Is cannabinoid signaling affecting DNA production? There are a
variety of mechanisms through which this might be possible. For some nuclear receptors such as
the estrogen receptor, the lipophilic steroid molecule enters the plasma membrane of the cell and
either causes intracellular receptors to translocate to and become enriched in the nucleus (Parikh
et al., 1987) or activates receptor that are already present in the nucleus. Estrogen receptor
contains a DNA binding domain (Weinberg et al., 2007) and a nuclear localization sequence
(Casa et al., 2015) that allow for direct binding to DNA and an increase in transcription.
However, cannabinoid receptors don’t have known DNA binding domains. Without a DNA
binding domain it is unlikely that they are directly binding DNA, but they might be altering the
activity of or recruitment of nuclear transcription factors. A transcription factor could be defined
as any protein that can bind DNA and regulate its production. Transcription factors may be
regulated in a variety of manners including control of the transcription factor mRNA production
rate, mRNA and protein degradation rate, protein conformational activation, protein spatial
localization, etc. Cannabinoid ligands, estrogen, and testosterone all possess nonpolar
hydrophobic regions and great lipophilicity, and may not be confined by lipid bilayers. A
cannabinoid ligand might possibly enter the nucleus and bind to a nuclear cannabinoid receptor
that would signal through G proteins, resulting in an altered transcription factor
microenvironment. Cannabinoid receptors might then alter production of DNA by changing
transcription factor abundance or transcription factor conformational activation.
Retinoic acid activation of retinoic acid receptors RAR and RXR is an important
transcriptional master regulator of neuronal differentiation (Janesick et al., 2015). Chicken
ovalbumin upstream promoter transcription factor 1 (COUP-TF1) is an orphan receptor that can
competitively inhibit RAR and RXR to alter retinoic acid receptor interaction with DNA response
69
elements (Tran et al., 1992). Ctip2 is Coup-TF1 Interacting Protein 2. Ctip2 is a transcription
factor required for differentiation of medium spiny neurons in the striatum (Arlotta et al., 2008)
and corticospinal neurons (Diaz-Alonso et al., 2012). Diaz-Alonso et al. (Diaz-Alonso et al.,
2012) investigated cannabinoid mediated changes in transcription factor protein abundance.
Satb2 decreases the abundance of Ctip2 by binding to MAR promoter regions and sterically
inhibiting the transcription of Ctip2. Embryonic day 16.5 CB1 receptor knockout mice cortices
had less Ctip2+ cells and more Satb2+ cells than wild type controls (Diaz-Alonso et al., 2012). A
three day application of dual cannabinoid receptor agonist HU-210 to cortical slices increased the
number of Ctip2+ and decreased the number of Satb2+ cells. The co-application of CB1 receptor
antagonist SR141716 abrogated this effect, showing that CB1 receptor was required (Diaz-Alonso
et al., 2012). Diaz-Alonso created aHib5 cell line reporter model in which luciferasewas inserted
downstream of the MAR promoter region of Ctip2. This model directly quantified Satb2 steric
inhibition of the MAR site because when Satb2 is present, the MAR site is blocked and luciferase
and Ctip2 are not produced. Application of HU210 increased luciferase reporter activity in an
SR141716-dependent manner (Diaz-Alonso et al., 2012), meaning that CB1 receptor activation
uncouples Satb2 from the MAR sequence and allows for Ctip2 to be transcribed. This result was
confirmed in FAAH knockout mice which had significantly greater Ctip2 protein abundance in
the cortex at postnatal day 2 (Diaz-Alonso et al., 2012). Diaz-Alonso concluded that CB1
receptor activity increased Ctip2+ neurons by decreasing Satb2 inhibition of Ctip2 transcription
(Diaz-Alonso et al., 2012). Activation of cannabinoid receptor signaling may lead to changes in
Ctip2 inhibition of COUP interference in RAR-RXR interaction with certain of its DNA response
elements changing differentiation fate. Cannabinoid receptor-mediated regulation of COUP via
Ctip2 may be an important way in which the brain regulates neuronal differentiation in response
to RA.
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1.6.6 CB1 Receptor Regulation of SCG10
The survival of the axonal growth cone depends upon a number of maintenance proteins
that are under constant regulation. Deprivation of these proteins for several hours could collapse
the growth cone. One of these maintenance proteins is neuron-specific isoform of stathmin 10,
SCG10, a tubulin dimer binding protein that dynamically regulates the microtubule cytoskeleton.
The small G protein Rnd1 enhances the microtubule destabilizing activity of SCG10, inducing
axon formation (Li et al., 2009). SCG10 is an axonal maintenance factor required for survival of
the growth cone (Shin et al., 2012). Removing SCG10 by shRNA-mediated knockdown
accelerated the degeneration of severed axons, and maintaining SCG10 levels following axotomy
delayed axon breakdown (Shin et al., 2012). JNK phosphorylated SCG10, inactivating it and
causing rapid degradation within 10 minutes (Shin et al., 2012; Tortoriello et al., 2014). SCG10
is a rapidly degraded protein, and in normal physiological circumstances it is similarly rapidly
replenished by new protein synthesis and efficient transport along the axonal extension (Shin et
al., 2012). Overstimulating JNK phosphorylation of SCG10 and its proteasomal degradation
threatens the survival of the growth cone and may cause its collapse over the course of hours.
Maternal exposure to Δ9-THC activates fetal CB1 receptors, which stimulates JNK ,
which phosphorylate SCG10 leading to its degradation (Tortoriello et al., 2014). Maternal Δ9-
THC exposure decreased SCG10 abundance in both mouse and human fetal brains (Tortoriello et
al., 2014). Decreasing the abundance of SCG10 threatens the survival of axonal growth cones
and can alter the architecture of the developing brain. Maternally exposed fetuses have impaired
formation of perisomatic baskets in the mouse cortex, increased density of boutons in the statum
radiatum of the mouse hippocampal CA1 subfield, and diminished orthodromic stimulation-
evoked long term depression of CA1 pyramidal cells (Tortoriello et al., 2014). CB1 receptor
stimulated JNK phosphorylation of SCG10, leading to SCG10 protein degradation that if
sustained for hours may lead to microtubule instability and growth cone collapse. The
phosphorylation and degradation of SCG10 is one mechanism of action that can explain how
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hours of bath application of cannabinoid receptor agonists cause CB1 receptor dependent growth
cone collapse, as demonstrated by bath application of anandamide and WIN 55,212-2 by
Berghuis et al. (Berghuis et al., 2007).
1.7 THE SH-SY5Y HUMAN NEUROBLASTOMA CELL MODEL
The SK-N-SH cell line was first isolated from an aspiration biopsy in December 1970 of the
bone marrow of a four year old girl with metastatic neuroblastoma (Biedler et al., 1973). The
patient was not responding to chemotherapeutic agents or radiation therapy, and she died in
January 1971. The aspiration biopsy cells were grown in Eagle’s minimum essential medium
supplemented with 20% fetal bovine serum, penicillin, streptomycin, and fungizone (Biedler et al.,
1973). After two days the floating cells were washed off . After three months, the cells began to
be transferred to new cultures every two weeks by using three to five minute exposure to 0.125%
trypsin and 0.02% EDTA in calcium and magnesium free phosphate buffered salt solution to
obtain a cell suspension. Medium was replaced on days 5, 9, and 12. Inoculations of 107 isolated
cells induced tumors in cortisone induced immunocompromised hamsters. The doubling time
was 44 hours (Biedler et al., 1973). The SK-N-SH cells were of two morphologies: one with
short delicate processes that sometimes exceeded 100 μm in length, the other of larger size and
with epithelioid cell morphology (Biedler et al., 1973). The cells was maintained in vitro for two
years and as the culture aged the small “spiny” cells predominated. Microscopic observations of
these aged populations resembled dense mounds of the small spiny cells (Biedler et al., 1973).
Several clonal cell lines were derived from individual cells from the SK-N-SH cell line.
These clonal lines were assessed for their cholinergic and adrenergic enzyme activities and for
detection of neurotransmitters dopamine-β-hydroxylase, choline acetyltransferase,
acetylcholinesterase, and butyrylcholinesterase (Biedler et al., 1978). In general, the cultures
with a more neuronal “spiny” morphology had the greatest enzyme and neurotransmitter
abundance, while the epithelial morphology cell lines did not have enzyme activity or detectable
72
neurotransmitters (Biedler et al., 1978). SK-N-SH was the uncloned cell line cultured December
1970. SH-SY was a neuroblast-like clonal subline of SK-N-SH. SH-SY5 was subcloned from
SH-SY. SH-SY5Y was subcloned from SH-SY5. The thrice-cloned SH-SY5Y cell line was
homogenous and had the measured neurotransmitters (Biedler et al., 1978).
Later work (Jalava et al., 1988) found that the SH-SY5Y cells express abundant c-myc, an
oncogene transcription factor whose constitutive expression induces proliferation in a large
number of cancers (Dang 2012). A decline in c-myc expression, which can be induced by
tetradecanoylphorbol-13-acetate, was associated with morphological neuronal differentiation of
the SH-SY5Y cells (Jalava et al., 1988). Expression of c-myc can also be decreased by 3- to 5-
fold by 24 hour exposure to insulin-like growth factor 1, which led to morphological
differentiation of the SH-SY5Y cells and an increase in the neuronal differentiation marker
growth cone associated protein 43 (GAP43) (Sumantran et al., 1993).
We chose human SH-SY5Y neuroblastoma cells for this study because they are cells of a
human neuronal background that proliferate in culture and have relatively low basal cannabinoid
receptor mRNA and protein abundance. The SH-SY5Y cell line was chosen for its human
neuronal lineage and maintained expression of neuron specific proteins. SH-SY5Y cells have
been an important disease model for decades and are still currently being used to model
Parkinson’s disease (Su et al., 2016), Alzheimer’s disease (Song et al., 2015), and dopamine
production for functional differentiation during synapse development (Korecka et al., 2013). By
examining changes to the clonal cell lines after transfection and stable overexpression of either
CB1 or CB2 receptor we can more clearly distinguish effects between the two receptors than by
using an in vivo model.
1.8 RESEARCH OBJECTIVES
This research will investigate the gaps in knowledge of cannabinoid signaling in neuronal
functional development. There has never been a direct side by side comparison of the impact of
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CB1 versus CB2 cannabinoid receptors on extension length. The relative contributions of CB1 and
CB2 cannabinoid receptors to axonal pathfinding, neurite elongation, and synaptic vesicle
formation and spatial regulation is not well understood.
There have been two longitudinal studies to examine the effect of prenatal marijuana
exposure upon the long term behavior of children. The Ottowa Prenatal Prospective Study
(OPPS) was begun in 1978 and followed approximately 145 children until up to 22 years of age.
At 13 to 16 years of age, the prenatally exposed children showed a decreased visual memory
because they had a significantly longer time to latency during the abstract design recognition test
(Fried et al., 2003). This effect was not seen in children who had been exposed prenatally to
cigarette smoking, and was likely not an effect of smoke itself (Fried et al., 2003). The second
longitudinal study, the Maternal Health Practices and Child Development Study (MHPCD) (Day
et al., 1994), similarly to the OPPS study found an increase in hyperactivity of the prenatally
marijuana exposed children at six years of age (McLemore et al., 2016). The OPPS also found
long term changes in prefrontal cortex activity during working memory FMRI tests in the
prenatally marijuana exposed children at 18-22 years of age (McLemore et al., 2016; Smith et al.,
2006).
The CB1 and CB2 cannabinoid receptors have been extensively studied in a variety of
different cell types and disease models. However, they are not often directly compared to one
another and the application of a dual agonist has sometimes confounds the interpretation
regarding whether there is activity at one of the receptors specifically. The discovery that both
cannabinoid receptors are capable of altering neuronal proliferation (Aguado et al., 2005),
initiating cell death (Galanti et al., 2008; Pasquariello et al., 2009), and that both are present in the
axonal growth cone (Berghuis et al., 2007; Bromberg et al., 2008b; Callen et al., 2012; Duff et al.,
2013; He et al., 2005; Jordan et al., 2005; Jung et al., 2011; Keimpema et al., 2013; Mulder et al.,
2008; Tortoriello et al., 2014) raises the question of the relative impact of one receptor over
another. This research will utilize a uniquely suited model of stable overexpression of either CB1
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receptor or CB2 receptor in an otherwise identical clonal human neuroblastoma cell line. The SH-
SY5Y cell line has a four decade history of being studied as a human disease model and is
regarded as being representative of human neurons. It has maintained expression of cellular
proteins such as β-3-tubulin that are specific to neurons and its other proteins have been
thoroughly characterized during the past forty years. For example, the G proteins present in the
SH-SY5Y cell line have already been documented (Chan et al., 1998).
Broadly, I hypothesize that cannabinoid receptors regulate neuronal differentiation and
functional development by decreasing proliferation rate and increasing extension length via a G
protein mediated signaling pathway. The relative contribution of CB1 versus CB2 cannabinoid
receptors to these effects will be investigated, and both will be quantitatively compared and
contrasted. Specific aims to test this hypothesis are:
CHAPTER III: AIM 1: CREATE MODELS OF INCREASED CB1 OR CB2
RECEPTOR SIGNALING IN A CELL LINE THAT ENDOGENOUSLY EXPRESSES
ENDOCANNABINOID ENZYMES, SYNTHESIZE ENDOCANNABINOID LIGANDS,
AND RETAINS CELLULAR ARCHITECTURE COMPONENTS OF A HUMAN
NEURON.
The unique and novel advantage of this investigation into the comparison of CB1 or CB2
cannabinoid receptors is the creation of two clonal and otherwise identical human neuronal type
cell lines that differ only in their expression of CB1 or CB2 cannabinoid receptors. To investigate
the effects of cannabinoid receptor signaling on neuronal proliferation, viability, and extension
length, the SH-SY5Y human neuroblastoma cell line will be stably transfected with either
cannabinoid receptor. A qPCR analysis will confirm transfection. Western blot will assess
protein quantification. An mRNA analysis of the endogenous cannabinoid system enzymatic
components will determine if cannabinoid receptor overexpression alters mRNA abundance. The
abundance of the endogenous ligands anandamide and 2-AG will be quantified using mass
75
spectrometry. These cell lines will then be used to investigate the role of cannabinoid receptors
on cellular signaling pathways.
CHAPTER IV: AIM 2: DETERMINE THE CONSEQUENCES OF INCREASED
CB1 OR CB2 RECEPTOR SIGNALING ON CELLULAR PROLIFERATION RATE AND
VIABILITY.
The cannabinoid receptors have been shown to alter cellular proliferation rate and also
cellular viability via either increased necrosis or apoptosis. Changes in viability and proliferation
have known effects on neuronal functions such as altering extension length and must be
quantified in order to determine their contribution to the results. Aim 2 will investigate the
consequence of increased CB1 or CB2 cannabinoid receptor expression on proliferation rate using
a BrdU uptake assay, viability using a Trypan blue exclusion assay, and apoptosis using a PARP
cleavage assay. Data from these studies will determine if either or both cannabinoid receptors
regulate neuronal proliferation and viability, and if so which receptor has a larger impact.
CHAPTER V: AIM 3: DETERMINE THE CONSEQUENCES OF INCREASED
CB1 OR CB2 RECEPTOR SIGNALING ON NEURONAL EXTENSION LENGTH AS A
MODEL OF SYNAPTOGENESIS.
The presence of both cannabinoid receptors on the axonal growth cone of developing
neurons has raised the possibility that either or both cannabinoid receptors may be involved in
neuronal functional development. The focus of Aim 3 is to quantitatively compare the effect of
increased CB1 or CB2 cannabinoid receptor expression on the SH-SY5Y cell line. This aim will
use a novel technique created to quantify the extension length in neurons by staining the plasma
membrane using Texas Red conjugated Wheat Germ Agglutinin, tracing the cell outline, and
measuring extension length using the Neuron J plugin for Image J.
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1.9 DISSERTATION SUMMARY
The primary research objective of this research is to determine cannabinoid receptor
involvement in neuronal functional development. Specifically, by employing cannabinoid
receptor stable expression neuroblastoma cell line models that represent human neurons, the
direct effect of endogenously stimulated cannabinoid receptor activity on neuronal proliferation,
cell death, and extension length will be explored.
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CHAPTER II
EXPERIMENTAL DESIGN AND METHODS
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2.1. CELL CULTURE
SH-SY5Y clonal lines were grown in Dulbecco’s Modified Eagle’s Medium F12
supplemented with 2 mM L-alanyl-L-glutamine dipeptide as GlutaMAX, 100 IU/ml penicillin,
100 μg/ml streptomycin (Thermo Fisher Scientific, Waltham, MA, USA) and 10% heat
inactivated bovine serum (Gemini Bio Products, Sacramento, CA, USA). pcDNA3.1(+) plasmids
containing long isoform full length human CB1 receptor, CB2 receptor, or the neo gene (Missouri
S&T cDNA Research Center, St. Louis, MO, USA) all with the neo gene were transfected using
Lipofectamine (Invitrogen, Life Technologies, Carlsbad, CA, USA). The cells were selected for
plasmid expression using 450 mg/L geneticin (G418) (Life Technologies, Carlsbad, CA, USA)
and clonal cell lines were isolated.
2.1.1 Cell Abundance
Cell growth curves were created by plating 33,000 cells per well in six-well plates, with
treatment with compounds or vehicle beginning on day 3 and continuing every other day. Cells
were harvested from day 3 to day 9 by dissociation in 0.4 mL of sterile PBS EDTA (0.625 mM),
diluted 1:1 in 0.4% Trypan Blue in sterile 0.85% saline (Invitrogen, Life Technologies, Carlsbad,
CA, USA) and counted using a Reichert 0.1 mm hemocytometer.
2.1.2 Cell Viability
Cells were plated at 550,000 cells per well in a 96-well plate, and after one day the media
was changed in the presence or absence of 980 µM H2O2 (Walgreens, Deerfield, IL, USA). After
24 h, the media was removed and cells were dissociated with PBS/EDTA. The media was
combined with the dissociated cells, diluted (1:1) with 0.4% Trypan Blue and viable cells were
counted on a Countess Automated Cell Counter (Thermo Fisher Scientific, Waltham, MA, USA).
2.2 MASS SPECTROMETRY ANALYSIS
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2.2.1 Lipid Extraction of Endogenous Cannabinoids
Cells were harvested using dissociation by PBS/EDTA and sedimented at 1,000 x g at
4°C for 10 min. The pellet was resuspended in 150 μL of 50 mM Tris HCl, pH 7.4; 1 mM EDTA
and homogenized on ice with a Dounce glass-glass homogenizer. Lipid extraction followed the
procedure of Maccarrone and colleagues (Maccarrone et al., 2001). In a glass tube, 300 μL of
sample were combined with 600 μL of 2:1 (v/v) ice cold methanol:chloroform, and 180 μL ice
cold chloroform and vortexed. The suspension was centrifuged at 1,000 x g for 5 min at 4°C to
separate the aqueous (upper) and organic (lower) layers. The bottom organic layer was retrieved
using a glass pipette, taking care not to capture the protein residue at the interface, and dried to
approximately 30 μL of volume using N2 gas and stored frozen at -80°C.
Samples were analyzed by LC-MS/MS on an Acquity UPLC BEH C18 1.7 µm 2.1 x 50
mm column attached to a Sciex API 5000 ionizing via ESI. The mobile phases were 10 mM
ammonium acetate with 0.1% acetic acid in water (A) and 10 mM ammonium acetate with 0.1%
acetic acid in methanol (B) flowing at 0.3 mL/min. Starting conditions were 30% A ramping to
12% A over six min, followed by a ramp to 5% A over 1 min, 5% A held for 1.5 min, followed
by a re-equilibration to 30% A over one min and held for three min at 30% A for reconditioning.
Total run time was 12.5 min. Injection volume was 10 µL. Target column temperature was 30°C.
Target sample temperature was set to 4°C. Source parameters were set to 400°C, ion spray
voltage of 5500 volts. Ion source Gas 1 and 2 were set to 50 and 60, respectively. Curtain Gas
was ten and collision gas was five. Supplemental Tables 2 and 3 show detailed mass
spectrometry parameters (Schaich et al., 2015; Schaich et al., 2016).
2.3 MOLECULAR BIOLOGY STABLE TRANSFECTION TECHNIQUES
Plasmids containing CB1 receptor, CB2 receptor, or an empty vector (Missouri S&T
cDNA Research Center, St. Louis, MO, USA) all with the neo gene were transfected using
Lipofectamine (Invitrogen, Life Technologies, Carlsbad, CA, USA). The cells were selected for
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plasmid expression using geneticin G418 (Life Technologies, Carlsbad, CA, USA). Dilution to
approximately one cell per well was employed to isolate clonal cell lines. PCR confirmed
successful transfection and cannabinoid receptor mRNA abundance in the clonal cell lines. A
dose response curve determined that a concentration of 450 mg/L geneticin was sufficient to
prevent survival of the parental cell line and maintain stable overexpression.
2.4 REAL-TIME QUANTITATIVE PCR
Cells were harvested with 1 mL sterile PBS/EDTA (80 g NaCl or 1.37 M, 2 g KCl or
26.83 mM, 14.4 g Na2HPO4 or 101.43 mM, 2.4 g KH2PO4 or 17.64 mM, 25 mL of 250 mM
EDTA or 6.25 mM EDTA dissolved in 800 mL deionized H2O, adjusted to pH 7.4, and increased
to 1 L then filter sterilized to make a 10x stock. Final EDTA concentration is 0.625 mM in the 1x
PBS), sedimented at 2000 x g, 5 min in RNAse-free plastic tubes (Axygen, Corning Life Sciences,
Tewksbury, MA, USA), and pellets were stored at -80 for up to one week before extraction of
mRNA was performed using the RNeasy Mini Kit (Qiagen, Hilden, Germany) and a 15 min on-
column RNAse-free DNase digestion (Qiagen, Hilden, Germany). The mRNA was converted to
cDNA using a High Capacity cDNA Reverse Transcription Kit and Mutiscribe Reverse
Transcriptase (Applied Biosciences, Thermo Fisher Scientific, Waltham, MA, USA). The
concentration of cDNA was measured using a NanoDrop 2000 (Thermo Fisher Scientific,
Waltham, MA, USA) and qPCR was performed on 50 ng cDNA template per well plus All-In-
One PCR Mix (GeneCopoeia, Rockville, MD, USA) and 0.125 μM primers (listed in
Supplemental Table 1). The GeneMate 96-well plate (BioExpress, Kaysville, UT, USA) was
read by StepOnePlus Real Time PCR System (Applied Biosystems, Thermo Fisher Scientific,
Waltham, CA, USA). The threshold was manually adjusted to 0.5 for all wells, and cycle
threshold data were calculated using the 2^-ΔΔCt method (Livak et al., 2001) relative to ENO2
and GUSB as reference genes. Statistical analyses were performed using REST 2.0 with 2000
iterations (Pfaffl et al., 2002).
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2.4.1 Design and testing of primer sets
Gene Forward Primer Reverse Primer
ABHD6 ATG TCC GCA TCC CTC ATA AC CCT GGG TCT TTC CAT CAC TAC
ABHD12 CCT GGG TTT GAC TGG TTC TT CAG CTC AGG GCT CTT GTA AAT
CNR1 AGC AGA CCA GGT GAA CAT TAC TCA GGA CCA TGA AAC ACT CTA TG
CNR2 GAT TGG CAG CGT GAC TAT GA GAG CTT TGT AGG AAG GTG GAT AG
COX2 GTT CCA GAC AAG CAG GCT AAT A TAC CAG AAG GGC AGG ATA CA
DAGLα CTT CCT CTT TCT CCT GCA TAC C TGG CTT GAC CCT CCT CTA A.
DAGLβ TCA GCA TGA GAG GAA CGA TTT GGC TCT TGG TTG TTC CTG ATA
DDC CAG ACT TAA CGG GAG CCT TTA G CCA GAA TGA CTT CCA CAC AGA T
ENO2 CTG ATC CTT CCC GAT ACA TCA C CTG GTC AAA TGG GTC CTC AA
FAAH TCA GCT TTC CTC AGC AAC AT CCG CAG ACA CAA CTC TTC TT
GAP43 GCC AAG CTG AAG AGA ACA TAG A CAC ACG CAC CAG ATC AAA TAA C
GUSB AAG AGT GGT GCT GAG GAT TG GGA GGT GTC AGT CAG GTA TTG
ITGA1/CD49a GTG CCC GAA GAG GAG TTA AA CAT GAC CCA GTC CTG TGA ATA A
ITGB1/CD29 TGA TCC TGT GTC CCA TTG TAA G GTC AGT CCC TGG CAT GAA TTA
MAGL CTC ATT TCG CCT CTG GTT CT GAA GAC GGA GTT GGT GAC TT
MAP2 GAG AAT GGG ATC AAC GGA GAG GTG GAG AAG GAG GCA GAT TAG
NAPEPLD GCT GTG AGA ATG TGA TTG AGT TG CTG GGT CTA CAT GCT GGT ATT T
NCAM GGT GCC CAT CCT CAA ATA CA CAT CTG CCC TTC GAG CTT AG
NESTIN CGT TGG AAC AGA GGT TGG A CTC AGG ACT GGG AGC AAA G
PPARα AGT CTC CCA GTG GAG CAT TGA AAC GAA TCG CGT TGT GTG A
ST8SIA2 TAA TAA ACG GCT CCT CAT CAC C CAC AAG TCC CAA AGT GCT TAT TC
SYN1 CTC CTT GCA TTC TGT CTA CAA CT CTG GAC ACG CAC GTC ATA TT
SYN2 AGG TGG AAC AGG CAG AAT TT TCT CCT CCC AGT GTC TTA TAG ATA G
SYT CTG CTG GTA GGG ATC ATT CAG CAC GCC ATT CCT CAG TTA CA
β3TUB GAT CAG CGT CTA CTA CAA CGA G CAT CCG TGT TCT CCA CCA G
Table 2.4.1 Primers were generated using the IDT DNA PrimerQuest tool, modeled to detect
primer dimers using MFE 2.0, checked for hairpins using IDT DNA Oligo Analyzer tool,
referenced for alignment specificity using NCBI BLAST, and excluded if “expectation value” (E)
was less than three orders of magnitude away from the second closest target. PPARα was
generously gifted by Dr. John Parks.
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2.5 WESTERN IMMUNOBLOTTING PROCEDURES
Cells were harvested with PBS/EDTA, centrifuged at 2,000 g for 5 min, and resuspended on ice
with 200 μL of Pierce 87788 Lysis Buffer (25 mM TrisHCl pH 7.4, 150 mM NaCl, 1% NP-40, 1
mM EDTA, 5% glycerol, Thermo Fisher Scientific, Waltham, MA, USA) supplemented with
1:100 six protease inhibitor cocktail #539134 with broad inhibition of aspartic, cysteine, and
serine proteases (Calbiochem, San Diego, CA, USA). For the CB1 receptor, RIPA buffer (25 mM
pH = 7.6 Trizma® Base, 150 mM NaCl, 1% by volume Triton X-100, 1% sodium deoxycholate,
0.1% sodium dodecyl sulfate) was used. All of the cell pellets were broken apart within less than
2 hours by pipetting up and down with a P1000 pipette and then a 28 gauge needle on ice.
Unsolubilized material was sedimented for 2 min at 2,000 g, and the supernatant was used. A
bicinchoninic acid (BCA) assay (Thermo Fisher Scientific, Waltham, MA, USA) was used to
determine protein concentration. A 40 μL volume (10 to 30 μg of protein) was loaded per lane
onto a 10% polyacrylamide gel and resolved in Tris/Glycine/SDS buffer on a BioRad Western
Blot electrophoresis chamber (BioRad Laboratories, Hercules, CA, USA) at 150 volts for one h.
The proteins were transferred onto nitrocellulose (Licor, Lincoln, NE, USA) using a BioRad
Transfer System at 85 volts on ice for 50 min. The blot was rinsed in PBS, blocked in Odyssey
Blocking Buffer (Licor, Lincoln, NE, USA) for one h, incubated with primary antibodies
overnight at 4°C and secondary antibodies were applied 1:20,000 for 2 h at room temperature,
and imaged on a Licor Odyssey (Licor, Lincoln, NE, USA). Primary antibodies include anti-CB1
receptor: sc10066 (Santa Cruz, Dallas, TX, USA); anti-CB2 receptor: sc25494 (Santa Cruz,
Dallas, TX, USA); and both cleaved and total poly (ADP-ribose) polymerase (PARP) #9542 (Cell
Signaling Technologies, Danvers, MA, USA). Secondary donkey and goat antibodies include
IRDye® 800CW and IRDye® 680RD (Licor, Lincoln, NE, USA).
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2.6 IMMUNOFLUORESCENCE ANALYSIS
Clear plastic coverslips (Thermo Fisher Scientific, Waltham, MA, USA) were soaked in
ethanol for five minutes and then treated with ultraviolet light for twenty minutes to minimize
bacterial contamination. Cells were plated at a density of 1x105 cells per well in a six well plate.
After one week of growth, the cells were fixed for 10-20 minutes with 4% formaldehyde (Sigma
Aldrich, Missouri, USA), permeabilized for 10-20 minutes with 0.1% Triton X-100 in PBS
(Sigma Aldrich, St. Louis, MO, USA), and blocked for 30 minutes with 0.4% donkey serum in
PBS (Sigma Aldrich, St. Louis, MO, USA). The cells were stained for one hour with 1:100 goat
anti CB1 receptor antibody sc10066 (Santa Cruz, Dallas, TX, USA), CB2 receptor sc25494 (Santa
Cruz, Dallas, TX, USA) then rinsed with 0.1% Triton X-100 in PBS, incubated for 45 minutes
with 1:500 FITC channel donkey secondary antibodies (Abcam, Cambridge, United Kingdom),
and stained for 10 minutes with 1 μg/μL DAPI (Thermo Fisher Scientific, Waltham, MA, USA).
The coverslips were rinsed with PBS and then fixed onto SuperFrost Plus glass slides using
Prolong Gold antifade mountant (Thermo Fisher Scientific, Waltham, MA, USA). Images were
captured using CellSens software on an Olympus IX-71 inverted fluorescent microscope
(Olympus Microscopes, Tokyo, Japan).
2.6.1 Microscopy of PARP fragment abundance
Quantitative Immunocytochemical Determination of Apoptosis. Cells were settled on
glass coverslips at 20x10^4 cells per well in six well dishes. After one day, they were treated for
24 hours with 10 μM methanandamide (Cayman Chemicals, Ann Arbor, MI, USA) or 150 μM
H2O2, (Walgreens, Deerfield, IL, USA). One day after dosing, the slides were fixed for 10
minutes with 4% formaldehyde, permeabilized for 15 minutes with 0.1% Triton X-100, and then
blocked for 30 minutes with 4% donkey serum in PBS (Sigma Aldrich, St. Louis, MO, USA).
The cells were stained for one hour with 1:500 with mouse cleaved Parp antibody 19F4 (Cell
Signaling Technologies, Danvers, MA, USA) (Pasquariello et al., 2009) and 1:200 with Alexfluor
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488 donkey anti mouse (Thermo Fisher Scientific, Waltham, MA, USA) for 30 minutes in the
dark. The cells were stained for 10 minutes with 1 μg/μL DAPI (Thermo Fisher Scientific,
California, USA), rinsed with PBS, mounted on a glass slide with Prolong Gold (Thermo Fisher
Scientific, Waltham, MA, USA), dried for one day, and then imaged on an Olympus IX71
microscope. The photon magnitude at one second of exposure (below saturation as per the
exposure compensation tool) was exported using CellSens software (Olympus Microscopes,
Tokyo, Japan) and divided by the number of DAPI positive nuclei as counted with the Cell
Counter plugin for ImageJ (National Institutes of Health, Rockville, MD, USA).
2.6.2 Microscopy of Bromodeoxyuridine uptake
Immunocytochemical Determination of Bromodeoxyuridine Uptake Rate- To quantitate
bromodeoxyuridine (BrdU) uptake, SH-SY5Y cells were plated at 100,000 cells per plastic
coverslip, and five days after plating, media was exchanged containing 15 μM BrdU or DMSO
control. After 48 h, the cells were fixed with 100% methanol for 5 min. PBS containing 2 M
HCl (Sasaki et al., 1988) and 0.1% Tween was applied for 30 min, followed by incubation with
PBS containing 10% serum, 0.3 M glycine and 0.1% Tween-20 for 1 h. The cells were then
incubated with rat anti- BrdU (1:200) (ab6326 Abcam, Cambridge, United Kingdom) in 4% goat
serum for 1 h, rinsed with 0.1% Triton X-100, and incubated with goat anti-rat Alexa Fluor 594
(1:1,000) in 4% goat serum (A11007 Thermo Fisher Scientific, Waltham, MA, USA) for 45 min.
The stained coverslips were then incubated with 1 μg/μL DAPI for 10 min, rinsed with 0.1%
Triton X-100, and mounted onto SuperFrost Plus glass slides using Prolong Gold. Images were
captured on an Olympus IX-71 inverted fluorescent microscope (Olympus Microscopes, Tokyo,
Japan). The nuclei were counted in the Texas Red (BrdU) channel (an excitatory beam at or near
596 nanometers and collects light at or near 615 nanometers) or DAPI (total nuclei) channel (an
excitatory beam at or near 350 nanometers and collects light at or near 470 nanometers) using the
85
Cell Counter plug-in for Image J, and the percent of BrdU-stained/DAPI-stained nuclei were
calculated.
2.6.3 Immunofluorescence of Texas Red Conjugated Wheat Germ Agglutinin stained extensions
SH-SY5Y human neuroblastoma cells were plated at a density of 100,000 cells per sterile
plastic coverslip, and treatments were applied as indicated. The RA treatment was applied every
other day while the other treatments were applied 24 h before fixation. On day 6, the cells were
fixed with 4% formaldehyde in PBS for 20 min, stained for 20 min with Texas Red conjugated
wheat germ agglutinin (Thermo Fisher Scientific, California, USA), and stained for 10 min with 1
μg/μL DAPI. The coverslips were rinsed with PBS and then mounted onto SuperFrost Plus glass
slides using Prolong Gold. Images were captured on an Olympus IX-71 inverted fluorescent
microscope (Olympus Microscopes, Tokyo, Japan) at 20x optical zoom at five fields per slide:
the four corners and the center. Image location was chosen in an unbiased manner based upon the
DAPI nuclei density, independent of the Texas Red channel’s view of cell shape. The nuclei
identified in the DAPI channel were counted using the Cell Counter plug-in for ImageJ (30 to 50
nuclei per field). All cell extensions per field visible in the Texas Red channel were traced using
the NeuronJ plug-in for Image J, recording the each individual tracing length and the longest
extension per field. Extensions that were longer than 30 micrometers were characterized as
“neurites”, whereas extensions that were less than 30 micrometers were considered to be
“filopodia” (Sainath et al., 2015). Data shown are the sum of all neurites or filopodia per field
normalized by dividing by the number of nuclei per field.
2.6.4 Cell Cycle Population Demographics Quantification Using FACS
Cell cycle was determined by dissociation of cells with PBS-EDTA, adjusting to
3,000,000 cells per sample, and sedimenting cells for 5 min at 2500 x g. The cells were
resuspended with 5 mL 70% ethanol at 4°C and incubated at 4°C for 2 h, sedimented, and the
86
pellet was resuspended in 900 μL PBS. Fluorescence Activated Cell Sorting (FACS) was
performed on Aria or Canto (BD Biosciences, California, USA) by treating the sample with DNA
binding reagent (100 μL; 0.036 M sodium citrate, 75 μM propidium iodide, 1 mg/mL RNAse A,
0.06% NP40) (Thermo Fisher Scientific, California, USA) for 10 min (Krishan 1975). The
samples were gated on forward and side scatter to exclude aggregates and debris. The two peaks
on the graph with FL2-A as the x axis were integrated to sum the area under each curve. The first
peak represents cells with single quanta DNA (cells in G0/G1 phase of the cell cycle) and the
second peak represents cells with double quanta DNA (cells in S/G2/M phase).
2.7 STATISTICAL ANALYSIS
Data were statistically analyzed and plotted with PRISM software version 6 or 7
(GraphPad, California, USA). Statistical differences were tested using the Student’s t-test, or, a
one way ANOVA was performed with either a Tukey’s post hoc test for multiple comparisons or
a Dunnett’s post hoc analysis to compare groups to the control. Differences were considered to be
significant at p < 0.05, and trends close to this level of significance are noted. Determinations of
significant difference in mRNA values were performed using Relative Expression Software Tool
(REST©) 2.0 with 2000 iterations (Pfaffl et al., 2002).
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CHAPTER III
HUMAN NEUROBLASTOMA CELL MODEL OF NEURONAL CANNABINOID
SIGNALING
88
CHAPTER III: HUMAN NEUROBLASTOMA CELL MODEL OF NEURONAL
CANNABINOID SIGNALING
3.1 Creation of CB1 or CB2 receptor stably overexpressing SH-SY5Y neuroblastoma cell lines—
Clonal cell lines were created by lipofectamine plasmid transfection, geneticin selection
and maintenance of plasmid expression, and dilution to single cell founders of clonal cell lines.
Increased expression of CB1 receptors (the CB1XS cell line), CB2 receptors (the CB2XS cell lines),
or an empty vector that only expressed the neo geneticin resistance gene (the MT4 cell line) is
shown at the transcriptional and translational levels (Fig. 3.1). Transfection and selection of the
SH-SY5Y cells resulted in a stable increase of CB1 receptor mRNA by 10^11 abundance in the
CB1XS clonal cell line. Parental, MT4, and the CB2XS cell lines have less than 1% of the mRNA
abundance of CB1 receptor found in the CB1XS cell line (Fig. 3.1, ANOVA p < 0.0001,
Dunnett’s adjusted p for Par vs CB1XS = 0.0001, n = 3). Absolute cycle threshold (CT) value for
CB1 mRNA abundance was 34 for Parental SH-SY5Y, 33 for MT4, 23 for CB1XS, 36 for CB2XS
4-3, and 35 for the CB2XS 4-4 cell line (Fig. 3.1, n = 3). CB2 receptor mRNA increased by an
average of 10^12 abundance in the CB2XS clonal cell lines relative to the parental SH-SY5Y.
Parental, MT4, and the CB1XS cell line have less than 1% of the average mRNA abundance of
CB2 receptor found in the CB2XS cell lines (Fig. 3.1, ANOVA p < 0.0001, Dunnett’s adjusted p
for Par vs CB2XS 4-2 = 0.0001, for Par vs CB2XS 4-3 = 0.0001, for Par vs CB2XS 4-4 = 0.0001,
n = 3). Absolute CT for CB2 receptor mRNA abundance was 35 for Parental SH-SY5Y, 33 for
MT4, 34 for CB1XS, 24 for CB2XS 4-2, 22 for CB2XS 4-3, and 22 for the CB2XS 4-4 cell line
(Fig. 3.1, n = 3). Western blots were performed to quantify the protein abundance of cannabinoid
receptors in the parental SH-SY5Y, transfection control MT4, and stably transfected cell lines
CB1XS and CB2XS clones 4-2, 4-3, and 4-4 (Fig. 3.1, n = 3). Cannabinoid receptor protein
abundance was significantly increased in the XS cell lines (Fig. 3.1, n = 3).
SH-SY5Y cells express the mRNA of enzymatic components of the endogenous
cannabinoid system including DAGLα, DAGLβ, MAGL, ABHD6, ABHD12, NAPE-PLD, and
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FAAH (Fig. 3.2, n = 4). REST analysis found that increased expression of CB1 or CB2 receptors
did not alter mRNA abundance of the enzymatic components of the endogenous cannabinoid
system (Fig. 3.2, n = 4).
The SH-SY5Y human neuroblastoma cell line produces the endogenous cannabinoid
ligand 2-AG at a steady state concentration of 135 pmol per gram of protein (Fig. 3.2, n = 3).
Application of 2 h of 1 μM THL, an inhibitor of DAGL activity to produce 2-AG, did not
significantly alter 2-AG abundance but resulted in a concentration of 15 pmol per gram protein
(Fig. 3.2). Five min of 10 μM Oxotremorine M (an agonist of Gq coupled muscarinic
acetylcholine receptors that increases intracellular calcium (Billups et al., 2006), stimulating the
enzyme DAGL to produce 2-AG) did not significantly alter 2-AG abundance but resulted in a
concentration of 564 pmol per gram protein (Fig. 3.2). Inhibition of MAGL, ABHD6, and
ABHD12 was performed through a novel application of a combination of 1 μM of MAGL
inhibitor JZL184, 1 μM WWL70, and 10 μM ursolic acid 2 h before harvesting. These
compounds each individually inhibit one of the three major enzymes that hydrolyze 2-AG in-situ,
but have not previously been applied in combination. Inhibition of these hydrolytic enzymes
increased 2-AG abundance to 2,140 pmol per gram protein (Fig. 3.2, ANOVA p = 0.01, for Veh
vs J&W&U Dunnett’s adjusted p = 0.01, n = 3).
SH-SY5Y express endogenous cannabinoid ligand anandamide at a steady state
concentration of 0.82 pmol per gram of protein (Fig. 3.2). Application of 2 h of 1 μM THL did
not significantly alter anandamide concentration and resulted in 0.79 pmol per gram of protein
(Fig. 3.2). The novel cocktail of 2-AG hydrolysis inhibitors 1 μM of MAGL inhibitor JZL184, 1
μM WWL70, and 10 μM ursolic acid applied 2 h before cell harvesting increased anandamide
concentration, resulting in 2.4 pmol per gram of protein (Fig. 3.2, ANOVA p = 0.02, for Veh vs
J&W&U Dunnett’s adjusted p = 0.02, n = 3). Stimulation of muscarinic acetyl choline receptors
by five min of 10 μM OxoM (Billups et al., 2006) did not significantly change anandamide
concentration of 0.79 pmol per gram of protein (Fig. 3.2), likely due to the rapid hydrolytic
90
activity of FAAH (Cravatt et al., 1996) that rapidly biotransforms anandamide into arachidonic
acid and ethanolamine.
3.2 Cannabinoid Receptor Overexpression Alters Synaptogenic Protein mRNA Expression—
We designed primers, listed in Table 1, to detect mRNA of proteins known to be
involved in the endogenous cannabinoid system and neurite extension. Treatment with 10 to 100
μM all trans Retinoic Acid (RA) is known to increase SH-SY5Y extension length (Pahlman et al.,
1984) (reproduced here in Fig. 5.1) and to also alter the mRNA production of proteins that are
involved in increased neuronal extension length, neurotransmitter abundance, vesicle creation and
spatial regulation, and synapse formation (Korecka et al., 2013). The mRNA non-rate-limiting
catecholamine synthesis enzyme DOPA Decarboxylase (DDC) decreases after RA treatment
while dopamine abundance increases due to a greater increase in the mRNA enzymes that
degrade dopamine (Korecka et al., 2013). Replicating the work of Korecka et al., we also found
that treatment of the parental SH-SY5Y cells every other day for one week with 10 μM RA
decreased the mRNA of DDC (p=0.03, n = 3, Fig. 3.3). RA also decreased the mRNA of
endogenous cannabinoid enzyme MAGL (p=0.03, n = 3, Fig. 3.3) by approximately 80% relative
to untreated cells. Treatment with RA also decreased Synapsin 2 by approximately 40% relative
to vehicle control (p=0.03, n = 3, Fig. 3.3). Treatment of the parental SH-SY5Y cells every other
day for one week with 10 nM of the synthetic agonist CP-55,940 decreased the mRNA abundance
of ABHD6 (p = 0.02), DAGLβ (p = 0.049), ITGα1 (p = 0.02), ITGβ1 (p = 0.01), NAPE-PLD (p =
0.02), and PPARα (p = 0.03) to between 40 and 70% of the abundance of vehicle treated cells as
assessed by REST analysis (Fig 3.13, n = 4). Stable overexpression of cannabinoid receptors also
altered mRNA expression of proteins involved in neuronal functional development. GAP43 is a
protein that is enriched at the cytosolic surface of the growth cone membrane and which alters
neurite extension by modulating pertussis toxin-sensitive G-protein activity in the growth cone
(Strittmatter et al., 1994). ST8 Alpha-N-Acetyl-Neuraminide Alpha-2,8-Sialyltransferase 2
91
(ST8SIA2) is a sialyl transferase that attaches polysialic acid to Neural Cell Adhesion Molecule,
NCAM, a major regulator of brain plasticity, to decrease its adhesive properties (Aonurm-Helm
et al., 2016; Schnaar et al., 2014; Szewczyk et al., 2017). The mRNA abundance of ST8SIA2 can
be increased by forskolin (Razmi et al., 2014), increasing rat memory. Stably increased
expression of CB1 receptor increased GAP43 (p = 0.01) and ST8SIA2 (p = 0.04) mRNA relative
to parental SH-SY5Y, and decreased Integrinα1 (p = 0.02, n = 4, Fig. 3.3). The mRNA targets
that were not altered by increased CB1 receptor abundance are listed in Fig. 3.11. Synaptotagmin
(SYT) is a calcium binding protein present in neurite growth cones and required for successful
neurite outgrowth in chick dorsal root ganglion neurons (Mikoshiba et al., 1999). Stably
increased expression of CB2 receptor increased NCAM and SYT mRNA abundance when REST
analysis compared them with parental SH-SY5Y cells (p < 0.001, p = 0.03, n = 4, Fig. 3.3). The
mRNA targets that were not altered by increased CB2 receptor abundance are listed in Fig. 3.12.
Stimulation of the cannabinoid receptors in the CB1XS and CB2XS cell lines altered the mRNA
of several proteins significantly versus CP-55,940 stimulated parental SH-SY5Y (Fig. 3.14). One
week of 1 nM CP-55,940 stimulation increased GAP43 (p = 0.04) and decreased Integrinα1 (p =
0.04) mRNA in CP treated CB1XS versus CP treated parental SH-SY5Y (n = 4). CP-55,940
stimulation of CB2XS increased GAP43 (p = 0.049) and decreased Dopa Decarboxylase (p =
0.04), ST8SIA2 (p = 0.01), and β-3-tubulin (p = 0.01) relative to CP stimulated parental cells (n =
4, Fig. 3.14). These findings show that cannabinoid receptor signaling can alter the mRNA
abundance of proteins involved in neuronal adhesion, extension length, and neurotransmitter
regulation.
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Figure 3.1 Characterization of CB1 or CB2 receptor-expressing human SH-SY5Y neuroblastoma
cell lines. PCR quantification of the steady state abundance of (A) hCB1 and (B) hCB2 receptor
mRNA in parental SH-SY5Y, empty neo vector MT4, and stably-transfected cannabinoid
receptor-expressing CB1XS and CB2XS cell lines. The average mRNA expression in the
transfected cell line is set at 100%. Statistical comparisons were made using ANOVA and then
Dunnett’s post hoc analysis, p for Par vs CB1XS = 0.0001, n = 3. Fig. 1 B, ANOVA p < 0.0001,
Dunnett’s p for Par vs CB2XS 4-2 = 0.0001, for Par vs CB2XS 4-3 = 0.0001, for Par vs CB2XS 4-
4 = 0.0001, n = 3. (C, D) Western blots of whole cell detergent lysates were performed as
described in the Methods section, and quantified for (C) CB1 receptors and (D) CB2 receptors in
parental SH-SY5Y, MT4, and stably transfected CB1XS and CB2XS cell lines. Data shown are
means ± SEM (C, n=5; D, n=3. Statistical analyses by ANOVA and Dunnett’s p value, **Par vs
CB2XS 4-4, p = 0.001)
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Figure 3.2 Quantification of endogenous cannabinoid ligands 2-AG and anandamide (AEA) in
parental SH-SY5Y cells. (A) Parental, CB1XS and CB2XS cells were grown in 10% heat-
inactivated bovine serum, harvested with PBS-EDTA, and mRNA was isolated and cDNA
prepared as described in the Methods. qPCR quantification of mRNA for the enzymes that
synthesize and biotransform endocannabinoid 2-AG and AEA was performed and ΔΔCt data are
reported relative to ENO2, X ± SEM (n= 4). Comparisons between cell lines were analyzed by
REST analysis (Livak et al., 2000) and found not to be significantly different for any of the genes
analyzed. (B, C) Parental SH-SY5Y cells were grown in media containing 10% heat-inactive
bovine serum, and media was changed to serum-free 12 h prior to addition of vehicle (serum-free
media containing 0.1% ethanol ) or indicated metabolic inhibitors: THL (1 µM, 2h); J&W&U: a
cocktail comprised of MAGL inhibitor JZL184 (1 μM), ABHD6 inhibitor WWL70 (1 μM), and
ABHD12 inhibitor ursolic acid (10 μM) (2h); or muscarinic agonist oxotremorine M (10 μM, 5
min). Cells were harvested, sedimented, and lipid extraction and mass spectroscopy was
performed as described in Methods. Data are shown for (B) 2-AG and (C) AEA as pmol/g
protein (X ± SEM, n = 3). Statistical differences from vehicle were determined by ANOVA and
Dunnett’s posthoc test , *p < 0.05.
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Figure 3.3 Identification of mRNA targets responding to retinoic acid or cannabinoid receptor
expression. (A) CB1XS and (B) CB2XS cell lines were grown in culture for 7 days, harvested and
mRNA extracted and subjected to real-time qPCR (n=4 experiments). (C) SH-SY5Y cells were
treated with RA (20 μM on days 2, 4, and 6 ), harvested on day 7, and RNA extracted and
subjected to real-time qPCR. (n=3 experiments). Primer sets shown on Supplemental Table 1.
ΔΔCT data were calculated relative to vehicle parental SH-SY5Y cells. Statistical differences
were identified using REST analyses (* = p < 0.05, *** = p < 0.001). Those mRNAs that were
tested and found not to be significantly different from parental SH-SY5Y cells are reported in Fig.
3.11 and 3.12.
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Figure 3.4: Effect of cannabinoid receptor overexpression on mRNA of endogenous
cannabinoid system component enzymes. Parental SH-SY5Y, CB1XS, and CB2XS mRNA are
shown. REST analysis of CB1XS compared with Parental and CB2XS compared with Parental
for 2,000 iterations did not find any significant differences. n = 4.
A B C
D E F
G H
96
Figure 3.5: Effect of cannabinoid receptor overexpression on mRNA of transcription factors.
Parental SH-SY5Y, CB1XS, and CB2XS mRNA are shown. REST analysis of CB1XS
compared with Parental and CB2XS compared with Parental for 2,000 iterations did not find any
significant differences. n = 4.
A B
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Figure 3.6: Effect of 7 days of 20 uM Retinoic Acid (RA) every other day on mRNA of
endogenous cannabinoid system component enzymes. Parental SH-SY5Y vehicle and RA treated
mRNA are shown. REST analysis of RA treated compared with Vehicle for 2,000 iterations
identified MAGL as signficantly different (downregulated by a mean factor of 0.221, SE range
0.118 – 0.334, p = 0.031, n = 4).
A B C
D E F
G H
98
Figure 3.7: Effect of 7 days of every other day application of 20 uM Retinoic Acid (RA) to SH-
SY5Y cells on the mRNA of proteins involved in neurotransmitter regulation. Vehicle and RA
treated parental SH-SY5Y mRNA are shown. REST analysis of RA treated compared with
Vehicle for 2,000 iterations identified DDC as signficantly different (downregulated by a mean
factor of 0.291, SE range 0.188 – 0.425, p = 0.029, n = 4). An analysis by the REST program run
for 2,000 iterations on the RA treated compared with Vehicle treated SH-SY5Y cells identified
SYN2 as signficantly different (downregulated by a mean factor of 0.574, SE range 0.466 – 0.637,
p = 0.032, n = 4).
A B
C D
99
Figure 3.8: Effect of 7 days of 20 uM Retinoic Acid (RA) every other day on mRNA of proteins
involved in cytoskeletal regulation. Parental SH-SY5Y vehicle and RA treated mRNA are shown.
REST analysis of RA treated compared with Vehicle for 2,000 iterations did not find any
significant differences. N = 4.
A B
C D
100
Figure 3.9: Effect of 7 days of 20 uM Retinoic Acid (RA) every other day on mRNA of proteins
involved in cellular adhesion. Parental SH-SY5Y vehicle and RA treated mRNA are shown.
REST analysis of RA treated compared with Vehicle for 2,000 iterations did not find any
significant differences. N = 4.
A B
C D
DD
Ct
% E
xp
ressio
n
Rela
tiv
e t
o E
NO
2
400
200
600
101
Figure 3.10: Effect of 7 days of 20 uM Retinoic Acid (RA) every other day on mRNA of
transcription factors. Parental SH-SY5Y vehicle and RA treated mRNA are shown. REST
analysis of RA treated compared with Vehicle for 2,000 iterations did not find any significant
differences. N = 4.
A B
102
Figure 3.11: mRNA targets that were not altered by CB1 receptor stable expression as
determined by REST analysis, n = 4.
103
Figure 3.12: mRNA targets that were not altered by CB2 receptor stable expression as
determined by REST analysis, n = 4.
104
Figure 3.13: Feedback inhibition and desensitization is evidence of a functional signaling
pathway. One week of 10 nM of synthetic dual receptor cannabinoid agonist CP-55,940
decreases the mRNA abundance of endogenous cannabinoid system components ABHD6,
DAGLβ, NAPEPLD, and PPARα. n=3. (* denotes p < 0.05).
105
The functionality of the ECS in SH-SY5Y cells has been explored and corroborated by
others using radiolabeled displacement assays (Pasquariello et al., 2009). Previously in our lab
we have demonstrated that maximal CB1 receptor signaling requires integrins (Dalton, Peterson,
L. J., and Howlett, A. C. et al., 2013). PPARα has been suggested as a theoretical target of
cannabinoid signaling (O'Sullivan and Kendall, D. A. et al., 2010; Sun et al., 2006). We
demonstrated the functionality of the ECS enzymes by quantifying mRNA abundance regulatory
changes after one week of CP agonist treatment (Fig. 3.13). Chronic exogenous CP agonist
treatment decreased ABHD6, DAGLβ, NAPEPLD, and some proteins considered to be involved
with cannabinoid receptor signaling including Integrinα1, Integrinβ1, and PPARα to
approximately half of their steady state expression as if by feedback inhibition. Treatment with
CP-55,940 decreased ABHD6 (p=0.03), DAGLβ (p=0.04), Integrinα1 (p=0.03), Integrinβ1
(p=0.01), NAPEPLD (p=0.01), and PPARα (p=0.02) mRNA relative to vehicle treated SH-SY5Y
cells (Fig. 3.14). Our results therefore show that despite low receptor abundance, the internal
machinery required for endogenous cannabinoid signaling is intact in SH-SY5Y cells and that
desensitization can follow chronic exogenous agonist treatment. These data supports the
existence of the ECS in SH-SY5Y cells and suggests that there is endogenous production of
ligands by ECS enzymes.
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Figure 3.14: The mRNA abundance in CB1XS and CB2XS cell lines treated for 7 days with 10
nM of dual cannabinoid agonist CP-55,940, shown relative to the mRNA abundance in CP
stimulated parental SH-SY5Y. n = 4.
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Figure 3.15: Representative Western blot showing parental SH-SY5Y, MT4 SH-SY5Y, and three
CB2XS cell lines: 4-2, 4-3, and 4-4. The antibodies were Santa Cruz CB2 receptor rabbit sc-
25494 at 0.4 μg/mL and Santa Cruz GAPDH mouse sc-365062 at 0.4 μg/mL. Staining protocol
was as described in the methods, and image was captured and quantified using a Licor Odyssey
as described. Chameleon Duo ladder is shown.
108
Figure 3.16: Representative Western blot showing parental SH-SY5Y, MT4 SH-SY5Y, and
CB1XS SH-SY5Y. The antibodies were Santa Cruz CB1 receptor goat sc-10066 at 0.4 μg/mL and
Santa Cruz GAPDH mouse sc-365062 at 0.4 μg/mL. Staining protocol was as described in the
methods, and image was captured and quantified using a Licor Odyssey as described. Chameleon
Duo ladder is shown.
109
CHAPTER IV
THE ROLE OF CANNABINOID SIGNALING IN CELL VIABILITY AND
PROLIFERATION
110
CHAPTER IV: THE ROLE OF CANNABINOID SIGNALING IN CELL VIABILITY
AND PROLIFERATION
Cannabinoid signaling has been discovered to alter the proliferation rate of cells in a
number of different neuronal systems ranging from early development of the embryonic brain to
sustained proliferation of progenitor populations in the adult brain. Both CB1 and CB2
cannabinoid receptor activation have been shown to be required for proliferation of neuronal
progenitors, with which is active depending upon signaling pathways that are possible in
different brain regions at different developmental stages.
4.1 Stable Overexpression of Cannabinoid Receptors Does Not Increase Apoptosis or Alter
Viability
Cannabinoid receptor activity has been associated with increased apoptosis (Pasquariello
et al., 2009) and decreased overall cell viability (Galanti et al., 2008). PARP cleavage is the end
result of caspase activity and is a mandatory step after commitment to apoptosis. Cleaved PARP
fragments are not present unless a cell has become committed to and is currently undergoing
apoptosis (Palazuelos et al., 2006). We investigated the capability of human neuroblastoma cells
to undergo cannabinoid stimulated apoptosis by quantifying cleaved PARP protein fragments.
Quantitative immunostaining of cleaved PARP found that stable increased expression of CB1 and
CB2 cannabinoid receptors did not increase the abundance of cleaved PARP fragments per nuclei
(ANOVA among vehicle groups Par, MT4, CB1XS and CB2XS p = 0.5, n = 6, Fig. 4.3).
Hydrogen peroxide (H2O2, 24 h of 500 μM) served as a positive control and significantly
increased cleaved PARP immunostaining per cell (p = 0.00002, n = 7, data not shown).
Treatment for 24 h with 10 μM methanandamide did not induce PARP cleavage in any of the cell
lines (ANOVA among methanandamide groups Par, MT4, CB1XS and CB2XS p = 0.2, n = 4, Fig.
4.4). A Western blot using an antibody that binds to both the 116 kDa holo PARP and the 89
kDa cleaved PARP fragment shows only a single 116 kDa protein band, demonstrating that
111
PARP is present only in its uncleaved form (Fig. 4.1). A trypan viability assay that tests whether
the plasma membrane is intact was employed to detect the summation of all death mechanisms
that may alter overall viability. The increased expression of cannabinoid receptors did not alter
viability compared with parental or the MT4 transfection control, while the 979 μM H2O2 (24 h)
control had significantly reduced viability (Fig. 4.1, ANOVA p = 0.04, Dunnett’s adjusted p =
0.0001, n = 8). These data do not support a role for cannabinoid receptor signaling in apoptosis
or other mechanisms of decreased cell viability in SH-SY5Y human neuroblastoma cells.
4.2 Cannabinoid Receptors Do Not Alter Proliferation Rate in SHS5Y Human Neuroblastoma
We investigated whether cannabinoid receptor signaling could alter SH-SY5Y cellular
proliferation rate. Treatment of SH-SY5Y neuroblastoma cells with 20 μM RA every other day is
known to inhibit proliferation rate (Pahlman et al., 1984). This finding was reproduced here as a
positive control, showing significantly decreased percentage of proliferating cells compared with
vehicle. Treatment of SH-SY5Y neuroblastoma cells with 10 μM RA every other day
significantly decreased the number of cells on day nine versus vehicle treated cells (Fig. 4.2, p =
0.0005, n = 3). RA resulted in only 60% of the population incorporating the labeled nucleotide
bromodeoxyuridine (BrdU) over 48 h. (Fig. 4.2, Par RA vs Veh Dunnett’s adjusted p = 0.008, n =
4). Increased cannabinoid receptor expression did not significantly alter the rate of BrdU uptake
in SH-SY5Y cells (Fig. 4.2, n = 4). Approximately 85% of parental, empty vector MT4, and
cannabinoid receptor stably expressing CB1XS and CB2XS cell lines incorporated BrdU during
the 48 hours (Fig. 4.2, n = 4). The proliferation rate of the cell lines was also quantified by
determining the exponential growth rate and doubling time. When calculated using linear
interpolation, RA treatment increased the doubling time from 1.5 days to 2 days (n = 3, Fig. 4.2).
The doubling times calculated for Parental, CB1XS and CB2XS SH-SY5Y were 1.5, 1.5 and 1.5
days, respectively (Fig. 4.2, n = 3). Proliferation rate was also examined using fluorescence
activated cell sorting (FACS) of propidium iodide-stained cells, which quantified the percentage
112
of cells with single quanta DNA (cells in G0/G1 phase of the cell cycle) or doubled DNA (cells in
S/G2/M phase). The percentage of cells in S/G2/M phase versus total was not different between
parental SH-SY5Y and CB2XS, 31% versus 27% respectively (Fig. 4.2, ANOVA p = 0.3, n = 3).
These data does not support a role for cannabinoid receptor signaling in altering the proliferation
rate of SH-SY5Y human neuroblastoma cells.
Seven-day stimulation with methanandamide or 2-AG-ether, stable analogs of the
endogenous ligands anandamide and 2-AG, did not significantly alter the cell counts of parental
or CB1XS SH-SY5Y on day nine compared with vehicle (Fig. 4.2) over an extended
concentration range (Fig. 4.5, Fig 4.6), although application of 1 μM 2-AG-ether increased
CB2XS cell count (Fig 4.2, n = 4, p = 0.002). Cell counts relative to vehicle were not altered by
7-day application of CB1 receptor antagonist SR141716A (1 μM) to parental or CB1XS SH-SY5Y
cells, or CB2 receptor antagonists SR144528 (1 μM) or AM630 (0.5 μM) to parental or CB2XS
SH-SY5Y cells (Fig. 4.5).
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Figure 4.1 Stable expression of cannabinoid receptors does not alter SH-SY5Y viability or
promote apoptosis. (A) Cells were grown for 9 days, and where indicated subjected to 979 μM
H2O2 for 24 h. Total floating cells in media and attached cells were stained with trypan blue, and
assessed for viability on a Countess Automated Cell Counter. Data are means ± SEM (n=8), and
were analyzed using ANOVA with Dunnett’s test, ***, p<0.001. (B) Representative Western blot
of SH-SY5Y cell lines immunostained with a PARP antibody (whole PARP 116 kDa, cleaved
PARP 89 kDa, actin 42 kDa).
114
Figure 4.2 Stable expression of cannabinoid receptors did not alter the proliferation rate of
human SH-SY5Y neuroblastoma cells. (A) Cell clones were grown, and where indicated, all-
trans retinoic acid (RA; 1 μM) was applied to parental cells every other day. On day 5, cells were
incubated with BrdU for 48 h, immunostained, and nuclei were counted as described in Materials
and methods. BrdU positive nuclei are presented as a percent of total DAPI stained nuclei. Data
are means ± SEM (n=4), and statistical differences from parental vehicle was determined by
ANOVA with Dunnett’s test, ** p<0.01. (B) Cells from indicated lines were plated on day 0, and
counted every other day from days 3 to 9. Means ± SEM were determined from n =
4 experiments, and an exponential growth rate correlation curve was analyzed by linear
regression. (C) Indicated cell lines were counted on day 9, after 7 days of growth with vehicle, 1
μM methanandamide (n = 3) or 1 μM 2-AG-ether (n = 4). Data are shown as means ± SEM (n=3
experiments) normalized to the vehicle controls as 100%. Paired student’s two way t test of drug
compared with vehicle indicated a significant difference after Bonferroni correction between
CB2XS cells treated with 1 μM 2-AG-ether compared with vehicle (p = 0.002). (D) Cell lines
were plated and grown for 2 days, followed by 7 days of growth with or without 1 μM
SR141716A (n=5), 1 μM SR144528 (n=3), or 0.5 μM AM630 (n=5) and counted on day 9. Data
are means ± SEM. ANOVA of Parental SH-SY5Y indicated no significant differences between
SR141716, SR144528, and AM630 groups compared with vehicle SH-SY5Y determined as
100% (F (2, 10) = 0.03015; p = 0.97). Paired student’s two way t test of drug compared with
vehicle detected no significant difference between CB1XS vehicle and SR141716. ANOVA of
CB2XS SH-SY5Y indicated no significant differences between SR144528 and AM630 groups
115
compared with vehicle determined as 100% (F (2, 10) = 0.2134; p = 0.81). (E) Cell cycle phases
of SH-SY5Y cell lines was characterized using FACS of propidium iodide-stained cells as
described in Materials and methods. Data were normalized to the mean of the parental as 100%
(35.7% of total parental cells were in S+G2+M). Data are means ± SEM (n=3), and one-way
ANOVA indicated no significant differences between CB1XS or CB2XS compared with parental
SH-SY5Y.
116
Figure 4.3: Stable expression of cannabinoid receptors does not alter apoptosis in human SH-
SY5Y neuroblastoma cells. The fluorescent signal per cell from an antibody that detects only the
cleaved PARP fragment generated as the end result of caspase cleavage during apoptosis was not
altered by cannabinoid receptor overexpression, n=7. 24 hs of 500 μM H2O2 served as a positive
control known to induce apoptosis and reduce viability. (* denotes p < 0.05)
117
We investigated the susceptibility of the cells to undergo apoptosis by quantifying
cleaved PARP protein fragments. PARP cleavage is the end result of caspase activity and is a
mandatory step after commitment to apoptosis. Cleaved PARP fragments are not present unless a
cell has become committed to and is currently undergoing apoptosis (Palazuelos et al., 2006).
The stable increased expression of CB1 and CB2 cannabinoid receptors did not increase the
abundance of cleaved PARP fragments per nuclei as assessed by quantitative immunostaining of
cleaved PARP (ANOVA among vehicle groups Par, MT4, CB1XS and CB2XS p = 0.5, n = 6, Fig.
4.3). Hydrogen peroxide (H2O2, 24 h of 500 μM) served as a positive control and significantly
increased cleaved PARP immunostaining per cell (p = 0.00002, n = 7, Fig. 4.3).
118
Figure 4.4: Application of methanandamide (mAEA) onto cells stably expressing cannabinoid
receptors does not alter apoptosis in human SH-SY5Y neuroblastoma cells. The fluorescent
signal per cell from an antibody that detects only the cleaved PARP fragment generated as the
end result of caspase cleavage during apoptosis was not altered by cannabinoid receptor
overexpression or application of 24 hours of 10 μM mAEA , n=7. 24 hs of 500 μM H2O2 served
as a positive control known to induce apoptosis and reduce viability. (Dunnett’s post-ANOVA
comparison of parental vehicle vs CB2XS H2O2 p = 0.0001, ****).
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Figure 4.5: Application of mAEA onto cells stably expressing cannabinoid receptors does not
alter cell number of human SH-SY5Y neuroblastoma cells. mAEA Dose Response Curve. Cells
were deposited in the same initial number, grown in media in an incubator for nine days, and then
counted. Every other day for seven days, doses were applied of 1 nM, 10 nM, 100 nM, 1μM, or
10 μM mAEA, a stable conjugate of the endogenous ligand AEA. Treatment did not alter the cell
counts compared with vehicle (ANOVA of Par doses p = 0.9, ANOVA of CB1XS doses p = 0.8,
ANOVA of CB2XS doses p = 0.9).
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Figure 4.6: Application of 2-AG ether onto cells stably expressing cannabinoid receptors does
not alter cell number of human SH-SY5Y neuroblastoma cells. 2-AG Ether Dose Response Curve.
Cells were deposited in the same initial number, grown in media in an incubator for nine days,
and then counted. Every other day for seven days, doses were applied of 1 nM, 10 nM, 100 nM,
1μM, or 10 μM 2-AG-ether, a stable conjugate of the endogenous ligand 2-AG. Treatment did
not alter the cell counts compared with vehicle (ANOVA of Par doses p = 0.9, ANOVA of
CB1XS doses p = 0.6, ANOVA of CB2XS doses p = 0.2).
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CHAPTER V
CANNABINOID RECEPTORS AND NEURONAL EXTENSIONS
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CHAPTER V: CANNABINOID RECEPTORS AND NEURONAL EXTENSIONS
5.1 CB1 Cannabinoid Receptor Overexpression Alters Neurite Outgrowth
SH-SY5Y cellular projections have been shown in the past to be lengthened by a variety
of signaling molecules, including 10 to 100 μM all trans retinoic acid (RA). Here, RA induction
of longer extensions in SH-SY5Y was used as a positive control to develop a Texas Red Wheat
Germ Agglutinin (TR-WGA) based Image J tracing assay that could numerically depict visual
cellular extension length. All cellular projections were traced. Extensions were summed per field
and divided by the number of nuclei per field. Neurites are defined as extensions longer than one
soma (at least 100 pixels or 30 micrometers) and filopodia are defined as extensions shorter than
one soma (less than 100 pixels or 30 micrometers). Treating SH-SY5Y cells for 5 days with 20
μM RA every other day increased the average neurite length. Vehicle treated parental SH-SY5Y
average neurite length was 0.72 μm, wheras SH-SY5Y cells treated for 7 days every other day
with 20 μM RA averaged 2.96 μm (Fig. 5.1, t test p = 0.004, n = 8). The assay was then applied
to quantify the extensions in the clonal cell lines. The average neurite length was 0.46 μm for the
MT4 neo empty vector control cell line (Fig. 5.1, n = 8), 6.02 μm for CB1XS (Fig. 5.1, ANOVA p
< 0.0001, Par vs CB1XS Dunnett’s adjusted p = 0.0001, n = 6), 0.65 μm for CB2XS 4-2 (Fig. 5.1,
n = 5), 2.65 μm for the CB2XS 4-3 (Fig. 5.1, ANOVA p < 0.0001, Par vs CB2XS 4-3 Dunnett’s
adjusted p = 0.002, n = 5), and 1.69 μm for the CB2XS 4-4 (Fig. 5.1, n = 8). The CB2XS 4-2 and
4-4 clonal cell lines were not significantly different versus parental SH-SY5Y while the CB2XS
4-3 cell was (Fig. 5.1). Application of 20 μM RA every other day did not further increase CB1XS
neurites compared with vehicle control (6.02 μm veh, 6.45 μm RA, p = 0.7, n = 6, Fig. 5.1).
5.2 CB1 Receptor Induced Cell Extensions Already Maximal with Endogenous 2-AG
Oxotremorine M is an agonist of M3 Gq coupled muscarinic acetylcholine receptors
(Billups et al., 2006), which leads via calcium mobilization from intracellular stores to
stimulation of DAGLα production of 2-AG. Mass spectrometry showed that 2-AG at five min
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after 10 μM OxoM treatment had not significantly changed but went from 135 to 564 pmol per
gram of protein (Fig. 3.2). We investigated whether OxoM application could induce a long term
increase in 2-AG abundance that would result in increased extension length. Application of 10
μM OxoM one day before fixation did not increase the neurite length compared with vehicle
CB1XS (5.94 μm, Fig. 5.3, ANOVA p = 0.7, n = 3).
5.3 CB1 Receptor Induced Cell Extension Maximal with Endogenous Receptor Stimulation
Stable overexpression of CB1 receptor in the CB1XS clonal cell line induced an increase
in neurites, defined as extensions that were at least one soma or 30 μm long. CB1 receptor
expression increased neurite length from an average of 0.72 μm per nuclei in the parental SH-
SY5Y to 6.02 μm in CB1XS cells (Fig. 5.1, p = 0.0001, n = 6). In order to determine whether the
increase in neurite length resulting from stimulation of the CB1 receptors by the 135 pmol per
gram 2-AG and 0.82 pmol per gram anandamide that is produced endogenously by SH-SY5Y
cells (Fig. 3.2) was maximal, we further stimulated the CB1XS cells with the exogenous
cannabinoid ligand CP-55,940. Application of 50 nM CP-55,940 on day 4, 24 hs before fixation
on day 5, did not increase CB1XS neurite length compared with CB1XS vehicle control (7.9 μm,
Fig. 5.3, ANOVA p = 0.7, n = 3).
5.4 CB1 Receptor Requires 2-AG Ligand Stimulation to Increase Extension Length
The increase in extension length in the CB1XS cell line could have been due to 2-AG
and anandamide endogenous stimulation of the CB1 receptor, or due to ligand independent
constitutive receptor activity. We investigated whether the receptor was ligand stimulated by
examining whether depletion of 2-AG would decrease extension length. THL is a hydrolase
inhibitor that impairs the activity of DAGLα and which decreased SH-SY5Y 2-AG concentration
from 135 to 15 pmol per gram of protein after application of 1 μM THL for 2 h (Fig. 5.3). The
application of 1 μM THL for 24 h significantly decreased neurite length in the CB1XS cell line
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compared with vehicle control by 42% (Fig. 5.3, p = 0.0002, n = 8), which can be interpreted to
mean that 2-AG ligand stimulation is required for CB1 receptor to increase neuronal extension
length. The experimental result of 42% reduction of neurite length was independent of passage
number as it was replicated at two distinct time points half a year apart with passage 50 and
passage 20 cells, at higher passage number by an average reduction of 43% (CB1XS vehicle
length of 6.02 μm, CB1XS THL treated length of 3.44 μm, n = 3) and at lower passage number
with an reduction of 42% (CB1XS vehicle length of 16.7 μm, CB1XS THL treated length of 9.61
μm, n = 5).
5.5 CB1 Receptor Mediated Cell Extension: Cellular Signaling Mechanisms
Cannabinoid receptors are coupled to multiple proteins that can convey signaling
messages including β-arrestin, Gαi, and the Gβγ complex (Howlett 2005). We used
pharmacological antagonists to identify which pathways were involved in transducing the signal
of the activated CB1 receptor to increase extensions. CB1XS cells were treated for 24 h before
fixation and staining with either 100 ng/mL of Gαi/o inactivator pertussis toxin (PTX), 100 μM of
β-arrestin inhibitor barbadin, or 10 μM of Gβγ inhibitor gallein. Filopodia were defined as short
extensions less than one soma (100 pixels, 30 micrometers) in length. CB1XS cells had
significantly more filopodia length per nuclei than parental SH-SY5Y (Fig. 5.5, Tukey’s adjusted
Par vs CB1XS Veh p < 0.0001, n = 5). Treating the CB1XS cells with 100 ng/mL of PTX for 24
hours significantly decreased the short filopodia length per nuclei compared with vehicle treated
CB1XS SHY5Y cells (Fig 5.5, Tukey’s adjusted CB1XS Veh vs PTX p = 0.02, n = 5). Neurites,
defined as extensions at least one cell body in length, were not affected by 24 hours of treatment
with 100 ng/mL of PTX (Fig 5.5, 14.5 μm, n = 5) or 100 μM barbadin (Fig. 5.5, 15.5 μm, n = 5
Fig.) compared with vehicle (Fig 5.5, 16.7 μm, n = 5). Treatment for 24 h with 10 μM of the Gβγ
inhibitor gallein did not significantly alter neurite length but at 37% length reduction had the most
impact of the three inhibitors (Fig. 5.5, 10.6 μm, Dunnett’s adjusted p = 0.07, n = 5).
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5.6 CB1 Receptor Induced Cell Extensions Increase After ROCK inhibition—
Y27632 selectively inhibits p160ROCK. One h of 50 μM Y27632 did not significantly
change neurite length (Fig. 5.5, 10.1 μm, n = 3). A 24-h application of 50 μm of Y27632
significantly increased the neurite length (Fig. 5.5, 14.0 μm, Dunnett’s adjusted p = 0.01, n = 3)
when compared with vehicle SH-SY5Y cells (Fig. 5.5, 6.02 μm, n = 6).
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Figure 5.1 Stable expression of cannabinoid receptors is associated with neurite development in
SH-SY5Y cells. (A) SH-SY5Y cells were grown for 5 days to 30% confluence on plastic
coverslips treated with RA (20 μM applied on days 2 and 4, fixed, stained and extensions
quantitated as described in Methods. Data are normalized to parental vehicle 0.72 +/- 0.21 as
100%, reported as mean ± SEM (n=8) and analyzed by unpaired two sided Student’s t-test. (B)
Parental SH-SY5Y, MT4, CB1XS and three different clones of CB2XS were grown for five days
to 30% confluence , fixed and stained with Texas red-conjugated wheat germ agglutinin and
DAPI, and traced using Image J as described in Methods. Data are normalized to parental as
100%, reported as mean ± SEM (n=5), and analyzed by ANOVA and Dunnett’s posthoc test. (C)
CB1XS SH-SY5Y cells were grown and treated with RA (20 μM added on days 2 and 4), and
fixed and stained as described in (A). Data are normalized to CB1XS vehicle and reported as
mean ± SEM (n=6), and analyzed by unpaired two sided Student’s t-test. (D, E) A neurite is
defined as an extension longer than 30 micrometers while a filopodia is an extension less than 30
micrometers. Statistically significant differences from control were: ** = p < 0.01; *** = p <
0.001.
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Figure 5.2: Histochemistry of SH-SY5Y stably transfected cell lines. Histochemistry of Texas
Red Wheat Germ Agglutinin and DAPI shows (a) parental SH-SY5Y, (b) parental treated every
other day with 20 μM RA, (c) MT4 neo gene transfection control cell line, (d) CB1XS, (e) CB2XS
4-2, (f) CB2XS 4-3, (g) CB2XS 4-4 which was used for further experiments, (h) CB1XS treated
with 20 μM RA every other day. Scale bar shows 50 micrometers.
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Figure 5.3 Endocannabinoid system factors affecting neurite extension in CB1XS SH-SY5Y cells.
CB1XS cells were grown for five days on plastic coverslips were stimulated on day 4 with CP-
55,940 (50 nM, 24 h) or oxotremorine M (10 μM, 24 h), fixed on day 5, and stained with Texas
Red-conjugated wheat germ agglutinin and DAPI. Extensions were traced in Image J and
quantitated as described in Methods. Data are normalized to vehicle as 100%, and reported as
X±SEM (n=3) and analyzed by ANOVA and Dunnett’s test. (B) CB1XS cells were treated with
vehicle or THL (1 μM, 24 h) before fixation and staining on day 5. Data are normalized to
CB1XS vehicle 6.02 +/- 0.52 as 100%, and reported as X±SEM (n=8) and analyzed by unpaired
two sided Student’s t-test (*** p < 0.001).
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Figure 5.4: Histochemistry of CB1XS SH-SY5Y stably transfected cell lines. Histochemistry of
Texas Red Wheat Germ Agglutinin and DAPI shows (a) CB1XS Veh grown on plastic coverslips
for one week, (b) CB1XS treated for 24 h with 50 nM CP-55,940 before fixation, (c) CB1XS
treated for 24 h with 10 uM of M3 Gq agonist OxoM which is shown to increase 2-AG, (d)
CB1XS treated for 24 h with 1 uM THL which was shown to decrease 2-AG from 135 to 15 pmol
per gram of protein. Scale bar shows 50 micrometers.
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Figure 5.5 Intracellular signaling targets of CB1 receptor stimulation. SH-SY5Y cell lines were
grown for five days on plastic coverslips, and treated with indicated compounds for 24 h prior to
fixation and staining with Texas red-wheat germ agglutinin as described in Methods. The effect
of GPCR activation on (A) neurite extensions greater than 30 micrometers in length or (B)
filopodia extensions less than 30 micrometers in length were determined after application of
pertussis toxin (PTX) (100 ng/ml for 24 h) ; gallein (10 μM), a Gβγ inhibitor or barbadin (100
μM), a β-arrestin inhibitor (n=5). (C) The effect of rho/rac pathways on neurite extensions (as
total length/cell) were determined by application of p160ROCK inhibitor Y27632 (50 μM) for 1
or 24 h prior to fixation and staining. Data are mean± SEM from n=3 experiments, and
normalized to CB1XS Veh 16.7 +/- 1.13. Statistical differences from vehicle control were
determined by ANOVA and Dunnett’s post-hoc test (* p < 0.05, **p < 0.01. ***p < 0.001, ****
p < 0.0001.)
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Figure 5.6 Histochemistry of CB1XS SH-SY5Ystably transfected cell lines. Histochemistry of
Texas Red Wheat Germ Agglutinin and DAPI shows (a) CB1XS SH-SY5Y grown for one week
on plastic coverslips and matching the passage plated for b-d, (b) CB1XS treated for the last 24 h
before the time of fixation with 100 ng/mL PTX, (c) CB1XS treated for the last 24 h before the
time of fixation with 100 μM of β-arrestin inhibitor Barbadin, (d) CB1XS treated for the last 24 h
before the time of fixation with 10 μM Gallein. Scale bar shows 50 micrometers.
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Figure 5.7: Histochemistry of CB1XS SH-SY5Y stably transfected cell lines. Histochemistry of
Texas Red Wheat Germ Agglutinin and DAPI shows (a) CB1XS SH-SY5Y grown for one week
on plastic coverslips and matching the passage plated for b-c, (b) CB1XS treated for the last 1 h
before the time of fixation with 50 μM Y27632, (c) CB1XS treated for the last 24 h before the
time of fixation with 50 μM Y27632, Scale bar shows 50 micrometers.
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Figure 5.8: Effect of cannabinoid receptor overexpression on mRNA of proteins involved in
cytoskeletal regulation. Parental SH-SY5Y, CB1XS, and CB2XS mRNA are shown. REST
analysis of CB1XS vs Par for 2,000 iterations identified GAP43 as significantly different
(upregulated by a mean factor of 4.395, SE range 2.273 – 7.428, p = 0.012, n = 4).
A B
C D
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Figure 5.9: Effect of cannabinoid receptor overexpression on mRNA of proteins involved in
neurotransmitter regulation. Parental SH-SY5Y, CB1XS, and CB2XS mRNA are shown. REST
analysis of CB2XS vs Par for 2,000 iterations identified SYT as significantly different
(upregulated by a mean factor of 1.749, SE range 1.369 – 2.307, p = 0.03, n = 4).
A B
C D
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Figure 5.10: Effect of cannabinoid receptor overexpression on mRNA of proteins involved in
cellular adhesion. Parental SH-SY5Y, CB1XS, and CB2XS mRNA are shown. REST analysis
of CB1XS vs Par for 2,000 iterations identified ITGA as significantly different (down regulated
by a mean factor of 0.445, SE range 0.325 – 0.583, p = 0.020, n = 4). CB1XS ST8SIA2 was also
significantly different versus parental (upregulated by a mean factor of 2.474, SE range 1.292 –
4.774, p = 0.038, n = 4). REST analysis of CB2XS vs Par identified NCAM as signficantly
different (upregulated by a mean factor of 2.043, SE range 1.456 – 2.889, p < 0.001, n = 4).
A B
C D
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CHAPTER VI
DISCUSSION AND FUTURE PERSPECTIVES
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6.1 IMPLICATIONS OF CURRENT RESEARCH ON CANNABINOID SIGNALING IN
HUMAN NEURITE EXTENSION
Multiple G protein coupled receptors (GPCRs) have been documented to increase or decrease
neurite extension length. Example GPCRs that increase neurite length include Pac1 (Guirland et
al., 2003), GPR3 (Tanaka et al., 2007), GPR6 (Tanaka et al., 2007), GPR12 (Tanaka et al., 2007),
GPR50 (Grunewald et al., 2009), melanopsin (Li et al., 2016), and CRHR1 (Inda et al., 2017).
Example GPCRs that decrease neurite length are CXCR4 (Xiang et al., 2002a), LPAR4 (Lee et
al., 2007), S1PR2 (Kempf et al., 2014), and muscarinic acetylcholine type 1 receptor (Sabbir et al.,
2018). The CB1 receptor has been documented to both increase length (Bromberg et al., 2008b;
He et al., 2005; Jordan et al., 2005; Jung et al., 2011; Keimpema et al., 2013) or decrease length
(Berghuis et al., 2007; Mulder et al., 2008; Tortoriello et al., 2014) in different test environments.
Recent evidence has also implicated the second cannabinoid receptor, CB2, in neurite outgrowth
to either shorten (Duff et al., 2013) or lengthen (Callen et al., 2012) neurites. These data suggests
a complicated role for cannabinoid receptors 1 and 2 to situationally either increase or decrease
neuritic extension length. The purpose of our investigation was to quantify the impact of CB1 and
CB2 receptor signaling on neurite outgrowth length in a purely neuronal human cell population.
There had never been a direct side by side comparison of the impact of CB1 versus CB2
cannabinoid receptors on extension length. We utilized transfection of CB1 or CB2 receptors to
create stably expressing SH-SY5Y clonal cell lines (CB1XS or CB2XS) to investigate how
cannabinoid receptors and their downstream signaling targets affect neurite extension.
6.2 OVERVIEW OF FINDINGS
In this study we investigated the role of cannabinoid receptors in neurite extension,
proliferation rate, apoptosis rate, and viability in a human SH-SY5Y neuroblastoma model of
increased CB1 or CB2 receptor cannabinoid signaling. The stably transfected exogenously
expressed cannabinoid receptors were maximally stimulated by the endogenously produced 2-AG
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and anandamide; the effect of the receptor on neurite length did not further increase with
exogenous stimulation by CP-55,940 agonist or Oxotremorine M induced calcium stimulated
production of endogenous agonist. Our work has clarified that although CB2 receptor has been
named as a potential initiator of neurite extension, it does not share the ability of CB1 receptor to
statistically significantly induce changes in neurite length, elongating only one CB2XS clone and
not at the magnitude achieved in the CB1XS cell line. The extensions induced by increased CB1
receptor was reversible when 2-AG concentrations were reduced by THL, implying that ligand
stimulation was required for receptor activity and that the CB1 was not constitutively active. The
inhibition of single receptor coupling complexes failed to reverse neurite length, but the greatest
inhibition of CB1 receptor induced neurite length was the application of gallein, p = 0.07, which
decreased extension length in the CB1XS cells. These results may identify the Gβγ subunit as the
greatest magnitude propagator of the extension length altering message, perhaps by coupling to
G12/13 or Gz or a combination therof. The application of all of the single inhibitors (PTX to
inhibit Gαi/o, barbadin to inhibit beta arrestin and possibly CRIP1a, and gallein to inhibit Gβγ,
and possibly its complexes with Gα12, Gα13, and the pertussis toxin insensitive Gαz) reduced
the length of filopodia, defined as extensions shorter than 30 micrometers.
The application of Retinoic Acid (RA) increased the length of neurites in parental SH-
SY5Y but not in CB1XS SH-SY5Y cells. At the mRNA level, MAGL, a cannabinoid receptor
system enzyme, was a mRNA target altered by RA induced neurite outgrowth, identifying a novel
junction point between the two signaling pathways.
We also identified a variety of mRNA targets that mediate cannabinoid receptor initiated
neurite outgrowth, neurotransmitter production, and vesicle regulation. The stable expression of
CB1 receptor increased ST8SIA2 and GAP43 mRNA and decreased ITGA1 mRNA. The stable
expression of CB2 receptor increased NCAM and SYT mRNA.
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Neither CB1 nor CB2 cannabinoid receptor signaling alters proliferation rate or viability
in the SH-SY5Y human neuroblastoma. This was tested by two different antibody assessments of
PARP cleavage to assess apoptosis rate, a trypan total viability stain, and cell counting with and
without methanandamide and 2-AG-ether, analogs of the endogenous agonists, and receptor
specific antagonists SR141716, SR144528, and AM630.
This study demonstrates a role for cannabinoid receptor signaling in neurite and filopodia
extension in a human neuroblastoma cell model that retains the enzymatic components of the
neuronal cannabinoid system and endogenously produces endocannabinoids. The increase in
extension length resulting from CB1 was of twice the magnitude of the maximal response
resulting from stimulating CB2. Of note, this CB1 receptor induced increase in neurite length was
dependent upon endogenous 2-AG production, showing that the receptor was not constitutively
active. Pertussis toxin inhibition of Gα i/o, barbadin inhibition of beta arrestin and possibly
CRIP1a, and gallein inhibition of the Gβγ complex all decreased filopodia that were less than one
soma in length but did not significnaly affect neurites that were at least one soma in length.
Inhibition by gallein of the Gβγ complex achieved a 40% reduction in length that reached p =
0.07, potentially implicating Gα12, Gα13, or Gαz coupling partners in the propagation of the
cannabinoid receptor signal to increase neurite length. Furthermore, the changes to extension
length occurred independent of any alteration in proliferation rate or decrease in cell viability.
6.3 PHYSIOLOGICAL RELEVANCE OF THE SHSH5Y CELL MODEL OF
NEURONAL CANNABINOID SIGNALING IN THE HUMAN BRAIN
The Endogenous Cannabinoid System (ECS) ECS is composed of two G protein coupled
receptors (CB1 and CB2 receptors), two ligands anandamide and 2-arachidonoylglycerol (2-AG)
capable of activating the receptors, and the enzymes that synthesize and biotransform the ligands.
Anandamide is synthesized from N-acyl lyso phosphatidyl ethanolamine by NAPE-PLD (Di
Marzo et al., 1994) and rapidly hydrolyzed to arachidonic acid and ethanolamine by FAAH
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(Cravatt et al., 1996). 2-AG is synthesized from diacylglycerol by DAGL (Stella et al., 1997) and
converted by MAGL, ABHD12, ABHD6, and FAAH to arachidonic acid and glycerol (Blankman
et al., 2007). The enzyme COX2 can also biotransform both anandamide and 2-AG into
prostaglandin products (Kozak et al., 2000; Yu et al., 1997). Anandamide and its metabolites can
also bind to receptor GPR55 and to vanilloid TRPV1 receptors.
Previous reports have published that the ECS is present and functional in SH-SY5Y cells
(Pasquariello et al., 2009) and that NAPEPLD, FAAH, DAGL, and MAGL mRNA are
measurable with PCR. We measured mRNA abundance of ECS components in SH-SY5Y cells
and were able to detect DAGLα, DAGLβ, MAGL, ABHD6, ABHD12, NAPEPLD, FAAH, and
COX2 and graphed these abundances all relative to ENO2 as per the Livak et al. method (Livak
et al., 2001). The presence of DAGL indicates that 2-AG can be synthesized from DAG. The
presence of MAGL, ABHD6, and ABHD12 indicates that 2-AG can be hydrolized to arachidonic
acid and glycerol. Because COX2 is one hundred times less abundant in mRNA than MAGL, 2-
AG is not likely to be being oxygenated to PGH2-G, 11-HETE-G, and 15-HETE-G. The
presence of NAPEPLD indicates that anandamide can be synthesized from N-acyl-
lysophosphatidylethanolamine. The presence of FAAH indicates that anandamide can be
hydrolized to arachidonic acid and ethanolamine. Because FAAH is ten times more abundant in
mRNA expression than COX2, hydrolysis of anandamide to arachidonic acid and ethanolamine is
more likely than oxygenation to PGE2. The mRNA for enzyme components of the endogenous
cannabinoid system were not altered by stable increased expression of CB1 or CB2 receptor.
The existence of an intact endocannabinoid system in parental SH-SY5Y cells was
supported by feedback inhibition of mRNA abundance of the enzymatic components in response
to one week of stimulation with 1 nM of the agonist CP-55,940. One week of treatment with dual
receptor agonist CP-55,940 led to feedback inhibition that halved mRNA abundance of the
enzymes ABHD6, DAGLβ, NAPE-PLD, and PPARα.Treatment with CP-55,940 decreased
ABHD6 (p=0.03), DAGLβ (p=0.04), Integrinα1 (p=0.03), Integrinβ1 (p=0.01), NAPEPLD
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(p=0.01), and PPARα (p=0.02) mRNA relative to vehicle treated SH-SY5Y cells. These data
supports the hypothesis that SH-SY5Y cells contain molecular machinery capable of producing
the ligands that stimulate cannabinoid activity.
Because the enzymes that create and then rapidly biotransform the endogenous ligands 2-AG
and anandamide are present, there was evidence to believe that although cannabinoid receptor
abundance was low in SH-SY5Y neuroblastoma, their neuronal cannabinoid system had remained
intact during the transition to a cancer cell. This was supported by lipid extraction and mass
spectrometry data finding that the steady state concentrations of 2-AG and anandamide. We
employed mass spectrometry to quantify the abundance of cannabinoid ligands 2-AG and
anandamide produced by the enzymes of the endogenous cannabinoid system, and determined the
steady state ligand concentrations. The steady state level of 2-AG in SH-SY5Y cells was 135 ±
47.0 pmol/g of protein. Steady state levels of anandamide in SH-SY5Y cells were 0.82 ± 0.10
pmol/g protein. We demonstrated the functionality of the ECS by applying THL, an inhibitor of
the synthetic enzyme DAGL, to deplete the abundance of 2-AG. Application of THL (1 μM), an
inhibitor of DAGL, for 2 h before cell harves resulted in a concentration of 15 ± 3.6 pmol/g
protein (p = 0.06). The application of THL for the last 24 hours of growth resulted in a 42%
decrease in the neurite extension length in the CB1XS cell line (p < 0.001). Our results therefore
show that despite low cannabinoid receptor abundance, the internal machinery required to
produce endogenous cannabinoid ligands is intact in SH-SY5Y cells. Endogenous 2-AG and
anandamide are produced at a magnitude capable of driving cannabinoid receptor activation and
signaling.
In the human brain 2-AG is hydrolyzed to arachidonic acid and glycerol by the actions of
enzymes MAGL, ABHD6, and ABHD12. Application of 2 h of MAGL inhibitor JZL184,
ABHD6 inhibitor WWL70, and ABHD12 inhibitor ursolic acid decreased the enzymatic
hydrolysis of 2-AG and significantly increased 2-AG concentration to 2,140 pmol per gram
protein. These data illustrates the active role played by the hydrolytic cannabinoid system
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enzymes in SH-SY5Y cells, suggesting that the enzymes involved in synthesis and degradation of
2-AG are similar in SH-SY5Y cells and the human brain. The SH-SY5Yhuman neuroblastoma
cell line was thus employed to model the signaling environment of the human brain, where
endogenous ligand production would stimulate receptors that we stably transfected and expressed
in great abundance. The CB1XS cell line has a greater abundance of CB1 receptor and therefore
greater CB1 receptor initiated signaling, and the CB2XS cell line has a greater abundance of CB2
and CB2 receptor signaling. These cell lines served as models of increased signaling from the
respective cannabinoid receptor.
The existence and functionality of low abundance cannabinoid receptors in SH-SY5Y has
been previously investigated. SH-SY5Y cells possess mRNA at an abundance of 35 cycle
thresholds, protein of both CB1 and CB2 receptors can be detected by Western blot and
immunofluorescence, and the radiolabeled agonist [3H] CP-55,940 can be displaced 50% by 0.1
μM of selective CB1 receptor agonist SR141716, or 0.1 μM of selective CB2 receptor agonist
SR144528 (Pasquariello et al., 2009). We created MT4, CB1XS, and CB2XS cell lines that
maintained expression of plasmid over time by co-culturing with geneticin in the media at a 450
mg/L concentration demonstrated to kill the parental cell line but not the transfected cell lines
(data not shown). We employed quantitative PCR to determine the mRNA abundance of CB1 and
CB2 receptors in the parental SH-SY5Y cell line, the empty vector geneticin resistant clone
(MT4), the CB1 receptor overexpressing clone (CB1XS) and the CB2 receptor overexpressing
clone (CB2XS clone 4-4) . The mRNA of CB1 receptor in the cells lines was stably maintained at
the following cycle thresholds: 34 in parental SH-SY5Y, 33 in the MT4 control, 23 in CB1XS, 36
in CB2XS 4-3, and 35 in CB2XS clone 4-4. The mRNA of CB2 receptor in the cells lines was
stably maintained at the following cycle thresholds: 35 in parental SH-SY5Y, 33 in the MT4
control, 34 in CB1XS, 24 in CB2XS clone 4-2, 22 in CB2XS clone 4-3, and 22 in CB2XS clone 4-
4. The mRNA expression of CB1 and CB2 receptors was maintained at greater abundance in their
respective stably transfected cell lines than in parental SH-SY5Y or the MT4 transfection control.
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We employed Western blot to determine the protein abundance of CB1 and CB2 receptors
in the parental SH-SY5Y cell line, the empty vector geneticin resistant clone (MT4), the CB1
receptor overexpressing clone (CB1XS) and the CB2 receptor overexpressing clone (CB2XS clone
4-4) . The protein of CB1 receptor in the cells lines was stably maintained at the following
abundance relative to parental SH-SY5Y set to 100%: 94% in the MT4 control and 2,611% in
CB1XS. The protein of CB2 receptor in the cells lines was stably maintained at the following
abundance relative to parental SH-SY5Y set to 100%: 65% in the MT4 control and 1,440% in
CB2XS clone 4-4. The protein expression of CB1 and CB2 receptors was maintained at greater
abundance in their respective stably transfected cell lines than in parental SH-SY5Y.
The effect of CB1 receptor on extension length was maximally attained by the steady
state concentrations of 2-AG and anandamide and not further increased by exogenous application
of 50 nM CP-55,940 24 hours before fixation.
These stably transfected human SH-SY5Y neuroblastoma cell lines may be seen as a
model of increased cannabinoid receptor signaling following receptor stimulation from
endogenously produced 2-AG and anandamide cannabinoid ligands. Our clonal SHSYSY cell
lines represent a human neuron derived cell population that contain no other brain cell types.
This model serves in contrast to models derived from isolation of primary cells from a rodent
brain which are rodent neurons and which may contain oligodendrocytes, etc variety of cells
present in the brain.
6.4 RETINOIC ACID DIFFERENTIATION OF SH-SY5Y CELLS AND CANNABINOID
RECEPTOR STABLY EXPRESSING SH-SY5Y CELL LINES
Retinoic Acid (RA) differentiation is frequently employed on SH-SY5Y cells to increase
neurite extension, decrease proliferation, and improve their usefulness as a model of human
disease such as Alzheimer’s disease (Martin et al., 1995). RA is a transcription factor whose
mechanism of action is mediated through heterodimerization of a family of nuclear retinoic acid
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receptors, RAR (Marill et al., 2003). One week of 1 μM RA increases SH-SY5Y mRNA of
neuronal associated proteins such as DDC, and increases protein abundance of dopamine
(Korecka et al., 2013). SH-SY5Y human neuroblastoma increase extension length upon
treatment with RA (Korecka et al., 2013). We employed RA treatment of SH-SY5Y as a known
positive control to design our neurite quantification assay, and confirmed that RA increased SH-
SY5Y neurite extension length.
We found that RA increased extension length in parental SH-SY5Y cells in line with
previous reports. Overexpression of CB1 but not CB2 receptor increased extension length versus
parental and empty vector controls. RA did not further increase the extension length of CB1
receptor stably expressing SH-SY5Y. It is possible that RA and CB1 receptor signaling pathways
converge or crosstalk. From the literature, RA increased CB1 receptor, DAGLα and β, and
ABHD6 mRNA in Neuro2A cells (Jung et al., 2011), and RA increased CB1 receptor expression
in the liver (Mukhopadhyay et al., 2010). Our own data found that amongst the targets of retinoic
acid, the endogenous cannabinoid enzyme MAGL had altered mRNA after one week of 10 μM
RA. The MAGL mRNA was increased at approximately the same magnitude as DDC. An
increase in MAGL activity would lead to a decrease in 2-AG, and could be predicted to reduce
the influence of 2-AG on neurite extension. Local alteration of MAGL abundance at the axonal
growth cone has been observed to be a mechanism of altering neurite extension length
(Keimpema et al., 2013). Another theoretical point of interaction between cannabinoid and
retinoic acid signaling is the COUP family of proteins, which regulates retinoic acid (Tran et al.,
1992) and whose member Ctip2 is regulated by cannabinoid receptor activity (Diaz-Alonso et al.,
2012).
6.5 COMPARISON OF CANNABINOID SIGNALING EFFECT ON PROLIFERATION
AND APOPTOSIS IN SH-SY5Y RELATIVE TO OTHER CELL TYPES
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Cannabinoid receptors have been implicated in altering apoptosis (Pasquariello et al., 2009),
proliferation (Galanti et al., 2008), and autophagy (Vara et al., 2011). PARP cleavage marks
apoptosis (Chaitanya et al., 2010). We assessed cleaved PARP per cell using a quantitative
immunostain and performed a Western blot to assess whole versus cleaved fragments. The
Western blots revealed only whole PARP in the Parental, CB1XS, and CB2XS cell lines, with no
second band for cleaved PARP present. The whole PARP protein was detectable but the cleavage
fragment was not, signifying that the parental, CB1XS, and CB2XS are not undergoing apoptosis
at any appreciable rate. A second, distinct antibody based immunofluorescent quantification assay
also revealed no difference in apoptosis rate in the cannabinoid receptor stimulated SH-SY5Y
cells. The cleaved PARP per nuclei assay revealed no difference between cell types with vehicle
(anova p = 0.5). The positive control of treatment with hydrogen peroxide did increase cleaved
PARP in this assay. Treatment with anandamide, an endogenous cannabinoid receptor agonist,
has been recognized to initiate apoptosis in a CB1 receptor reversible manner (Pasquariello et al.,
2009). The Par, CB1XS, and CB2XS cell lines did not experience PARP when treated with 24
hours of 10 μM methanandamide.
Cannabinoid receptor stable increased expression also did not alter survival in a Trypan assay
of total cell viability (ANOVA p = 0.7) that would have reflected any change in apoptosis,
autophagy necroptosis, pyroptosis, while the positive control of hydrogen peroxide treated cells
experienced reduced viability. This Trypan sum viability assay can be interpreted to mean that
the sum effect of cannabinoid signaling on SH-SY5Y apoptotic and non apoptotic death
mechanisms such as autophagy, necroptosis, and pyroptosis is insignificant. Stable expression of
cannabinoid receptors does not alter the viability of SH-SY5Y human neuroblastoma cells.
Both CB1 and CB2 receptors have had a documented impact upon proliferation in some
cell types. Aguado et al. showed that adult mouse cortex derived neurospheres treated with dual
synthetic agonist WIN-55,212-2, anandamide, and 2-AG increased their expression of
proliferation markers BrdU, Ki67, and nestin. The increase in proliferation was abrogated by
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coapplication of CB1 receptor antagonist SR141716 (Aguado et al., 2005). The mechanism of
CB1 receptor stimulated proliferation may be via AKT/glycogen synthase kinase-3beta/beta-
catenin cyclin D1 signaling, increasing proliferation by decreasing cell cycle exit (Trazzi et al.,
2010). Embryonic rat hippocampus derived neurospheres treated with dual synthetic agonist
HU210 increase incorporation of proliferation marker BrdU (Jiang et al., 2005). In the dentate
gyrus of adult rats, ten day chronic but not acute treatment with dual agonist HU210 increased
proliferation as measured by BrdU uptake (Jiang et al., 2005). Neurospheres derived from the
embryonic cortex of either wild type or CB2 receptor knockout mice treated with selective CB2
receptor agonists HU308 and JWH133 increased in proliferation when quantified by number of
neurospheres and BrdU incorporation (Palazuelos et al., 2006). This proliferative effect was not
seen in the CB2 receptor knockout mouse derived neurospheres and was abrogated in the wildtype
mouse derived neurospheres by CB2 receptor antagonist SR144528. The mechanism of action for
CB2 receptor instigated proliferation may be via PI3K/Akt activated mTORC1 signaling
(Palazuelos et al., 2012). Goncalves et al. showed using Ki67 staining in adult wild type and
TRPV1 knockout mice that subventricular zone adult progenitor cell proliferation is increased by
application of CB2 receptor agonist JWH133 and in a manner abrogated by CB2 receptor
antagonists JTE907 and AM630. Proliferation was also increased by dual cannabinoid receptor
agonist WIN 55,212-2 and FAAH inhibitor URB597. The number of proliferating cells was not
affected by CB1 receptor agonist ACEA (Goncalves et al., 2008).
Based upon these previous studies, we anticipated that stably increased expression of either
cannabinoid receptor would alter the proliferation rate of SH-SY5Y cells. We employed a
Bromodeoxyuridine, BrdU, uptake assay, FACS propidium iodide cell cycle demographics, and
doubling time calculated cell counts over time to test whether cannabinoid receptor signaling in
SH-SY5Y cells would alter proliferation rate. We detected no difference in parental, MT4,
CB1XS or CB2XS cells. There was no difference in growth rate derived from counting cells and
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calculating doubling time, no difference in the percentage of cells in the S, G2, and M phases of
the cell cycle using propidium iodide stained FACS, and no difference in the BrdU uptake rates.
6.6 CANNABINOID RECEPTOR INDUCED CHANGES IN NEURITE AND FILOPODIA
EXTENSION
Present data provides convincing evidence that cannabinoid signaling is involved in
neuronal extension, axon guidance, and synapse formation (Harkany et al., 2008). However, the
conclusion about whether cannabinoid receptor stimulation increases or decreases extension
length appears to depend upon the model chosen. Investigations involving primary cell isolates
from embryonic days 14-18 rodent cortex (Berghuis et al., 2007; Mulder et al., 2008; Tortoriello
et al., 2014) or serum starved neuroblastoma (Zhou et al., 2001) resulted in the conclusion that
CB1 signaling decreases extension length. Investigations involving β-3-tubulin positive purely
neuronal cells such as mouse Neuro2A neuroblastoma (Bromberg et al., 2008b; He et al., 2005;
Jordan et al., 2005; Jung et al., 2011) or purified embryonic day 16.5 cholinergic neurons
(Keimpema et al., 2013) resulted in the conclusion that CB1 signaling increases extension length.
The two models, neuroblastoma and brain cell isolates, in general reach two different
conclusions about cannabinoid mediated neurite extension or repulsion. Neuroblastoma studies
conclude that CB1 receptor increases neurite length while brain primary cell isolates conclude that
CB1 receptor decreases neurite length. This difference in results was not influenced by
cannabinoid alteration of cell fate determination in a mixed neuronal precursor population, such
as when cannabinoid agonist increased BrdU positive proliferating cells to the detriment of the
acquisition of β-3-Tubulin and NeuN in E17 rat cortical progenitors and PC12 cells (Rueda et al.,
2002). A population that has less neurons may have less neurite extensions. However, the cells
in these studies were already β-3-Tubulin positive neurons. The difference in results may lie in
the potential for excreted signaling from a small but nonzero population of non-neuronal cells in
the brain primary isolate culture. The Keimpema et al. group employed embryonic day 16.5 cells,
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but futher isolated a purified cholinergic neuronal culture, and observed increased extension
length after CB1 receptor stimulation. It is therefore reasonable that the difference in results may
have been due to the presence of mixed cell types versus a monotypic cell culture. One example
of a pathway involving paracrine signaling between two cell types is the cannabinoid mediated
Slit2/Robo1 axon repulsion pathway discovered by Alpar et al. (Alpar et al., 2014). This
repulsion growth signaling requires both neurons and oligodendrocytes. Cannabinoid receptor
activity causes excretion of Slit2 by oligodendrocytes and mobilization of Robo1 receptor to the
axon growth cone tip in the neuron. Neuronal CB1 receptor mobilized Robo1 receptor in the
axon tip is activated by Slit2 that was excreted by local oligodendrocytes and the Robo1 signaling
results in axon repulsion (Alpar et al., 2014). This is one example of a paracrine cannabinoid
signaling pathway that cannot be observed in monoculture which lacks both oligodendrocytes and
neurons in the cell culture. This and other yet to be discovered paracrine signaling pathways may
explain why the pure neuron studies conclude that cannabinoids increase extension length while
the embryonic brain isolate studies conclude that cannabinoid signaling decreases extension
length.
CB2 receptor is localized on the growth cone of mouse retinal ganglion cells (Duff et al.,
2013). The effect of CB2 receptor has been documented to increase or to decrease neurite length
depending upon the model. CB2 receptor agonists JWH015 and JWH133 decrease mouse retinal
ganglion neurite surface area. CB2 receptor antagonists AM630 and JTE907 increase neurite
surface area (Duff et al., 2013). The Duff et al. work supports a role of CB2 receptor in
decreasing neurite length. Transient transfection of CB2 receptor into SH-SY5Y combined with
50 nM JWH133 agonist stimulation resulted in an unquantified image and claim that some of the
cells visually appeared to have longer neurites (Callen et al., 2012). The Callen et al. work
supports a role of CB2 receptor in increasing neurite length. Our own findings were performed in
three different human SH-SY5Y neuroblastoma cell lines that had been transfected, clonally
isolated, and stably expressed increased CB2 receptor. Two of the three CB2XS clonal cell lines
149
did not experience a significant change in neurite length while one cell line had a statistically
significant increase in length that was of much smaller magnitude than the increase in length that
can be induced by RA or CB1 receptor expression.
In the present study, stably increased expression of cannabinoid receptors altered the mRNA
abundance of proteins that are involved in neurite extension and synapse functional development.
CB1 receptor stably increased expression (CB1XS) increased GAP43 mRNA versus parental SH-
SY5Y. GAP43 is a protein that is present in the axonal growth cone (Strittmatter et al., 1994) and
whose protein concentration is proportional to neurite length (Kim et al., 2012). Integrinα1
mRNA decreased in CB1XS SH-SY5Y, perhaps due to the involvement of integrinα1 in CB1
receptor stimulated FAK activation (Dalton et al., 2013). ST8SIA2, ST8 Alpha-N-Acetyl-
Neuraminide Alpha-2,8-Sialyltransferase 2, is a glycosyltransferase that regulates the activity of
Neural Cell Adhesion Molecule (NCAM). CB1XS increased ST8SIA2 mRNA compared with
parental SH-SY5Y.
CB2 receptor overexpression (CB2XS) increased NCAM and Synaptotagmin (SYT) mRNA.
NCAM and polysialylated NCAM (PSA-NCAM) regulate synaptogenesis and brain plasticity
(Aonurm-Helm et al., 2016). Synaptotagmin is a calcium and inositol polyphosphate binding
protein involved in neurotransmitter release and neurite outgrowth (Mikoshiba et al., 1999).
Stably increased CB2 receptor (CB2XS) increased NCAM and Synaptotagmin (SYT) mRNA.
Stable expression of CB1 receptor induced a significant increase in both neurite (defined as an
extension at least 30 micrometers in length) and filopodia (defined as an extension less than 30
micrometers in length) compared with parental SH-SY5Y cell. The change in extension length in
CB2XS SH-SY5Y was only significantly different in one clonal cell line, CB2XS 4-3, which
experienced an increase in neurite length of minor magnitude. Stable expression of CB2 receptor
did not consistently alter the extension length compared with parental SH-SY5Y.
Reversal of the CB1 receptor signaling effect in CB1XS cells was not significantly achieved
with 24 hour doses of 0.1, 1, or 100 nM of CB1 receptor antagonist SR141716. The application
150
of 50 nM of CB2 receptor ligands CP-55,940 and JWH133 24 hours before fixation did not
change the results of CB2 receptor stable exogenous expression. It is unclear whether exogenous
application of antagonists can reverse neurite increase caused by a greatly transfected protein.
The steady state abundance of cannabinoids appears to be producing a maximal CB1 receptor
induced length response in the CB1XS cell line, as application of oxotremorine M, which
activates the Gq-coupled M3 muscarinic acetylcholine receptors in SH-SY5Y cells to activate
PLC, generate IP3, and release intracellular Ca2+
to stimulate DAGL production of 2AG (Billups
et al., 2006) did not increase extension length in the CB1XS cells. The application of THL, an
inhibitor of the enzyme DAGL that decreased endogenous 2-AG from 135 to 15 pmol per gram
of protein, decreased extension length by 42% (p < 0.05) in CB1XS. Application of 24 hours of
gallein induced a 40% decrease in neurite length in the CB1XS SH-SY5Y (p = 0.07).
Cannabinoid receptors may couple to a variety of molecules, including Gα12, Gα13, Gαz,
Gαi, Gαo, and Gβγ. It is well documented that the family of G αi/o protein coupled receptors
may control the cytoskeleton and neurite extension through a Rap1 to SRK to STAT3 mediated
mechanism (Bromberg et al., 2008a). CB1 receptor signaling through Gα i/o leads to inhibition of
Rap1GAPII, inhibition of Rap1, an increase in Ral, increased Src activity, phosphorylation of two
Stat3 sites and an increase in its activity, resulting in an increase in neurite extension length (He
et al., 2005) (Jordan et al., 2005) (Bromberg et al., 2008b) (Zhou et al., 2011). Src may also
increase Rac activity to lead to Jnk inhibition of SCG10 and an increase of extension length via
that pathway (He et al., 2005) (Shin et al., 2012) (Tortoriello et al., 2014). Through Gα 12 or 13,
cannabinoid 1 receptor may alter RhoA activation of ROCK and myosin to decrease extension
length (Berghuis et al., 2007). Perhaps the CB1 to Gα 12/13 to RhoA signaling pathway requires
interaction with another cell type and cannot be observed in a purely neuronal population. This
idea is supported by the Slit2/Robo1 oligodendrocyte/neuron cannabinoid extension decrease
pathway documented by Alpar et al. (Alpar et al., 2014), where CB2 receptor dependent Slit2
151
excretion by oligodendrocytes causes a CB1 receptor dependent Robo1 mediated repulsion in
neuron growth cones.
Through Gβγ, cannabinoid 1 receptor may activate PI3K and AKT to inhibit BRCA1
inhibition of STAT3 and result in an increase in extension length (Bromberg et al., 2008b;
Keimpema et al., 2013). The Gβγ also allows cannabinoid 1 receptor to increase MAPK activity,
activating CREB and leading to increased neurite extension in that manner (Bromberg et al.,
2008b).
In the present study, we provide evidence that the CB1 receptor induced increase in the human
neuroblastoma cell neurites of at leat 30 micrometers in length was not significantly inhibited by
the application the inhibitor of any single receptor coupling complex. Neither pertussis toxin
(PTX), an inhibitor of Gα i/o but not the family member Gαz, not barbadin an inhibitor of beta
arrestin and possibly CRIP1a, nor gallein an inhibitor of the Gβγ complex significantly decreased
the length of neurites, although gallein did achieve a 40% reduction in magnitude similar to THL
and achieved a p value of 0.07. All three inhibitors significantly decrease the length of filopodia,
or extensions that were less than 30 micrometers in length.
In agreement with the Neuro2A model of purely neuronal population studies in which
cannabinoid receptors increased extension length (He et al., 2005; Jordan et al., 2005; Bromberg
et al., 2008b; Jung et al., 2011), we found that CB1 receptor activation lead to an increase in
neurite extension length. In agreement with the findings of Berghuis et al. where CB1 receptor
activation of RhoA lead to activation of ROCK and a decrease in neurite length, we also found
ROCK activation to have a negative impact on extension length that can be reversed by
application of ROCK1 inhibitor Y27632. Exogenous inhibition of ROCK1 through application
of Y27632 further increased the extensions in the already lengthened CB1XS cells. This further
increase to extension length by ROCK inhibition in the CB1XS cells is especially notable when
contrasted with the application of RA, which did not further increase the length of neurites in
CB1XS SH-SY5Y.
152
Figure 6.1 Cannabinoid signaling pathways affecting neuronal extension length. Studies which
observed a RhoA to ROCK mediated neurite length decrease uniformly employed primary cells
isolated from rodent E 14-17 brain cortex, and may support the idea of a multi cell type
collaborative signaling pathway that could not be observed in purely neuronal culture such as our
SH-SY5Y human neuroblastoma. Studies using either a neuroblastoma cell line or further
isolation of primary cells to obtain a purified neuronal population consistently report that CB1
stimulation increases extension length. References: 1. (Diez-Alarcia et al., 2016), 2. (Siehler
2009), 3. (Garzon et al., 2009), 4. (Meng et al., 1999), 5. (Jordan et al., 2005), 6. (Bromberg et al.,
2008b), 7. (Gutkind 2000), 8. (Berghuis et al., 2007), 9. (Mei et al., 2011), 10. (He et al., 2005),
153
11. (Yuan et al., 2003), 12. (Lawson et al., 2014), 13. (Tortoriello et al., 2014), 14. (Alpar et al.,
2014), 15. (Bromberg et al., 2008a), 16. (Shin et al., 2012), 17. (Zhou et al., 2011), 18.
(Keimpema et al., 2013), 19. (Wang et al., 2018)
154
6.7 CONCLUSIONS
We have described a new model for investigating the divergent effects of CB1 versus CB2
receptor stimulation in human disease. We created clonal cell lines that stably express either
increased CB1 (CB1XS) or CB2 (CB2XS) receptor in human neuroblastoma SH-SY5Y as a model
to investigate the role of cannabinoid signaling in neurite extension, proliferation, apoptosis, and
cell viability. The mRNA of the enzymatic components of the endogenous cannabinoid system
DAGL, MAGL, ABHD6, ABHD12, NAPE-PLD, and FAAH are present in SH-SY5Y cells.
Cannabinoid receptor stably increased expression did not alter the mRNA abundance of the
enzyme components of the endogenous cannabinoid system in SH-SY5Y cells. Activity of these
enzymes produced endocannabinoid ligands 2-AG and anandamide, resulting in a steady state
concentration of 135 pmol of 2-AG and 0.82 pmol of anandamide per gram of protein.
Application of THL, an inhibitor of DAGL activity, decreased 2-AG abundance to 15 pmol per
gram protein and as expected did not alter anandamide abundance at 0.79 pmol per gram of
protein. Oxotremorine M, an agonist of Gq coupled muscarinic acetylcholine receptors,
stimulated DAGL, increasing 2-AG abundance to 564 pmol per gram protein. Inhibition of
hydrolysis of 2AG by MAGL, ABHD6, and ABHD12 significantly increased 2-AG abundance to
2,140 pmol per gram protein. Transfection of SH-SY5Y cells resulted in a stable increase of CB1
receptor mRNA by 10^11 abundance in the CB1XS cell line and of CB2 receptor mRNA by
10^12 abundance in the CB2XS cell lines. Increased expression of CB1 but not CB2 receptor
increased neurite length from 0.7 to 6.0 micrometers per nuclei. This neurite length was halved
by THL inhibition of DAGL production of 2-AG. The filopodia, or extensions less than 30
micrometers in length, induced by CB1 receptor expression were signficantly inhibited by the
application of PTX, barbadin, or gallein. Increased expression of CB1 receptor increased the
mRNA abundance of GAP43 and ST8SIA2 mRNA and decreased ITGA1 mRNA. Stably
increased expression of CB2 receptor increased NCAM and SYT mRNA. MAGL mRNA was
significantly altered by RA treatment, identifying a component of the endogenous cannabinoid
155
system as a novel RA transcription target. Overexpression of cannabinoid receptors did not alter
the viability, apoptosis rate, or proliferation rate of cells relative to parental or empty vector SH-
SY5Y.
We contrasted the role of cannabinoid receptors CB1 and CB2 receptors in neurite extension,
proliferation rate, apoptosis rate, and total cell viability. Cannabinoid receptor CB1 greatly
increased extension outgrowth length in human SH-SY5Y neuroblastoma, while CB2 receptor did
not. Both receptors altered mRNA of different proteins involved in neurite extension,
neurotransmitter organization, and release. Neither altered proliferation rate or overall cell
viability. We provide evidence that CB1 and CB2 cannabinoid receptors play different roles in
neurons.
156
Figure 6.2: Effect of CB1 and CB2 cannabinoid receptors extension length, apoptosis,
proliferation rate, and gene expression. CB1 receptor greatly increased extension length, while
CB2 receptor did not. CB1 receptor increased GAP43 and ST8SIA2 mRNA and decreased
ITGA1 mRNA. CB2 receptor increased NCAM and SYT mRNA. Neither CB1 nor CB2 receptor
altered proliferation rate, apoptosis rate, or overall SH-SY5Y cell viability.
157
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CURRICULUM VITAE
179
ERICA L. LYONS
2327 Winston Ct. Apt C, Winston-Salem, NC 27103
(216) 978-1886. [email protected]
EDUCATION
Wake Forest School of Medicine Department of Internal Medicine - Molecular Medicine. Medical Center Boulevard, Winston-Salem, NC 27157. Ph.D. in Molecular Medicine and Translational Science, May 2019 (expected). GPA 3.50 Advanced to Ph.D. Candidacy April 21st, 2014. Case Western Reserve University Department of Chemical Engineering, 10900 Euclid Ave, Cleveland, OH 44106. B.S.E. in Chemical Engineering specializing in Biochemical Engineering, 2011. GPA 3.3 Minor: Japanese.
RESEARCH EXPERIENCE
Wake Forest School of Medicine
May 2013 - present
Ph.D. Candidate
Advisor: Dr. Allyn Howlett
Successfully proposed and defended a research plan to a committee, advancing to Ph.D.
candidacy. Collected data and presented two posters at competitive conferences.
Prepared a first author manuscript that is currently being finalized for publication.
Wake Forest School of Medicine
June 2012 - Apr 2013
Ph.D. Student
Advisor: Dr. Mary Sorci-Thomas
Contributed mouse compound injection, aortic embedding, cryosectioning,
immunohistochemistry, and quantification to a published manuscript.
Wake Forest Institute for Regenerative Medicine
Mar 2012 - May 2012
Rotation Student
Advisor: Dr. Bryon Petersen
Trained in the decellularization of porcine liver in order to create a scaffold for cell
seeding and organoid development.
Wake Forest Institute for Regenerative Medicine
Oct 2011 - Feb 2012
180
Rotation Student
Advisor: Dr. James Yoo
Analyzed the extracellular matrix of decellularized porcine kidney in order to optimize a
scaffold for cell seeding and organoid development.
Wake Forest Institute for Regenerative Medicine
Aug 2011 - Oct 2011
Rotation Student
Advisor: Dr. Shay Soker
Contributed immunohistochemical staining of muscle tissue samples in a rat
compartment syndrome model.
Polymer Diagnostic Inc.
Jun 2010 - Jan 2011
Intern Laboratory Technician
Trained in and executed more than 20 different ASTM standard laboratory testing
procedures. Operated over 20 different instruments.
Case Western Reserve University
Sep 2008 – May 2010
Advisor: Dr. Heidi Martin
Modified the surface of diamond films by attaching paraphenylene diamine to create a
selective biosensor diamond electrode. Fully trained in diamond growth using a hot
filament diamond reactor, cyclic voltammetry using a potentiostat, and near surface
microscopy using X-Ray photoelectron spectroscopy.
Case Western Reserve University
Jan 2008 – May 2008
Advisor: Dr. David Schiraldi
Tested the feasibility of carbon dioxide and calcium hydroxide reaction within PAA
montmorillonite composite to potentially sequester carbon dioxide gas in an industrial
setting to reduce atmospheric emissions.
HONORS / AWARDS
Case Western Reserve University SOURCE Summer Research Grant 2009
Case Western Reserve University Provost’s Scholarship 2007-2011
Center for Molecular Communication and Signaling Mini Grant 2016
181
PUBLICATIONS
Pollard RD, Blesso CN, Zabalawi M, Fulp B, Gerelus M, Zhu X, Lyons EW, Nuradin N,
Francone OL, Li XA, Sahoo D, Thomas MJ, Sorci-Thomas MG. (2015) Procollagen C-
endopeptidase Enhancer Protein 2 (PCPE2) Reduces Atherosclerosis in Mice by
Enhancing Scavenger Receptor Class B1 (SR-BI)-mediated High-density Lipoprotein
(HDL)-Cholesteryl Ester Uptake. J Biol Chem. 290(25):15496-511.
PMID: 25947382. PMCID: PMC4505464.
Lawrence C. Blume, Sandra Leone-Kabler, Deborah J. Luessen, Glen S. Marrs, Erica
Lyons, Caroline E. Bass, Rong Chen, Dana E. Selley, and Allyn C. Howlett. (2016)
Cannabinoid Receptor Interacting Protein (CRIP1a) suppresses agonist-driven CB1
receptor internalization, and regulates receptor replenishment in an agonist-biased
manner. J Neurochem. 2016 Nov;139(3):396-407. doi: 10.1111/jnc.13767. Epub 2016
Sep 26.
Lyons, EL, Kabler SK, Howlett AC. (2018) CB1 and CB2 Cannabinoid Receptors
Increase Neurite Extensions in a Human SH-SY5Y Neuronal Model (pending)
ABSTRACTS TO MEETINGS
Lyons, EL, Kabler SK, Howlett AC. (2014) “Endogenous Cannabinoid Signaling in
Neuronal Development” presentation. 4th Annual T32 Symposium on Integrative Lipid
Sciences, Inflammation, and Chronic Diseases. Winston-Salem, NC.
Lyons, EL, Kabler SK, Howlett AC. (2014) “Endogenous Cannabinoid Signaling In a
CB1R or CB2R Transfected SH-SY5Y Human Neuroblastoma Cell Model” poster.
Carolina Cannabinoid Collaborative Conference. Winston-Salem, NC.
Lyons, EL, Kabler SK, Howlett AC. (2015) “Stable Overexpression of Cannabinoid
Receptors in SH-SY5Y Neuroblastoma” poster. Center for Molecular Communication
and Signaling Annual Retreat. Winston-Salem, NC.
Lyons, EL, Kabler SK, Howlett AC. (2015) “Stable Overexpression of Cannabinoid
Receptors in SH-SY5Y Neuroblastoma” poster. Carolina Cannabinoid Collaborative
Conference. NIAAA, Rockville, MD.
Lyons, EL, Kabler SK, Howlett AC. (2017) “Cannabinoid Receptor CB1 but not CB2
Increases Neurite Extension in Human Neuroblastoma” poster. Carolina Cannabinoid
Collaborative Conference. Raleigh, NC.
182
Lyons, EL, Kabler SK, Howlett AC. (2018) “Cannabinoid Receptor CB1 but not CB2
Increases Neurite Extension in Human Neuroblastoma” poster. Experimental Biology
Conference. San Diego, CA.
Lyons, EL, Kabler SK, Howlett AC. (2018) “Cannabinoid Receptor CB1 but not CB2
Increases Neurite Extension in Human Neuroblastoma” poster. Center for Molecular
Signaling Conference. Winston Salem, NC.
Lyons, EL, Kabler SK, Howlett AC. (2018) “Cannabinoid Receptor CB1 but not CB2
Increases Neurite Extension in Human Neuroblastoma” poster. Center for Research on
Substance Use and Addiction Retreat. Winston Salem, NC.
Lyons, EL, Kabler SK, Howlett AC. (2018) “Cannabinoid Receptor CB1 but not CB2
Increases Neurite Extension in Human Neuroblastoma” poster. Carolina Cannabinoid
Collaborative Conference. Raleigh, NC.
PROFESSONAL SOCIETIES
International Cannabinoid Research Society
American Society for Biochemistry and Molecular Biology
FUNDING
T32 HL091797 Parks (PI)
08/13/12-08/13/15
Integrative Lipid Metabolism, Inflammation, and Chronic Diseases
The goal of this T32 grant was to prepare predoctoral trainees for careers that have a
significant impact on the health related research needs of the nation.
Role: predoctoral student trainee