Indiana University-Purdue University Indianapolis (IUPUI) / Voltage-‐gated sodium channels (VGSCs) are critical for the initiation and propagation of electrical signals in neurons; consequently they are significant regulators of neuronal excitability. They are exquisitely tuned and aberrations in their activity can lead to pathophysiological conditions. This dissertation highlights the roles of two prominent brain isoforms of VGSCs, Nav1.1 and Nav1.6. These isoforms have distinct localization in the brain. Specifically, Nav1.1 is predominantly expressed in the soma and proximal axon initial segment (AIS) of GABAergic neurons, while Nav1.6 is found at the distal AIS and nodes of Ranvier of both GABAergic and excitatory neurons. Several mutations have been identified in Nav1.1 and recently mutations in Nav1.6 have been discovered in patients with distinct epileptic phenotypes that respond poorly to current anti-epileptics. There is a need to better understand mechanistically how mutations in these channel isoforms lead to epilepsy in order to identify more efficacious treatment strategies. Therefore, the aims of this dissertation were to 1) examine the differential biophysical properties of Nav1.1 and Nav1.6, 2) determine the biophysical consequences of epilepsy-­associated mutations in Nav1.1 and Nav1.6 and examine the effects of cannabinoids on wildtype and mutant channel activity and 3) test the effects of selective inhibition of Nav1.1 versus Nav1.6 on epileptiform activity. To address these aims, whole­‐cell electrophysiology and mutlielectrode array recordings were used. The results demonstrate that 1) Nav1.1 and Nav1.6 have important differences in their biophysical properties that may be important in the fine­‐tuning of neuronal excitability, 2) epilepsy-­‐associated mutations in Nav1.1 and Nav1.6 alter several biophysical properties of the channels but have differential effects on resurgent current generation suggesting a divergence in the mechanism by which they induce epileptogenesis and cannabidiol can inhibit aberrant channel activity and reduce neuronal excitability and 3) pharmacological inhibition of Nav1.6, but not Nav1.1, abolishes epileptiform activity. Overall, this dissertation provides insight into the distinct contributions of Nav1.1 and Nav1.6 to physiological and pathophysiological firing activity and their ability to be targeted for therapeutic purposes. This knowledge is critical for understanding the potential role of VGSCs in epilepsy syndromes and identifying possible drug targets for more efficacious treatment strategies.

No description available.

Cannabidiol (CBD), a non-psychotropic phytocannabinoid with structural similarity to Δ 9 -tetrahydrocannabinol (THC), is currently being investigated as a therapeutic for its immunosuppressive effects. One disease for which CBD is extensively researched is multiple sclerosis (MS), a demyelinating, autoimmune disorder, and its murine model counterpart, experimental autoimmune encephalomyelitis (EAE). The focus of this dissertation aimed to analyze the transcriptomic brain pathways in EAE and its comparison to MS in addition to CBD’s immunosuppressive mechanisms in the innate and adaptive immune systems. Evidence presented here showed that transcriptomic signaling pathways in the EAE brain of mice with clinical symptoms were similar to the transcriptome of active lesions from MS patients. The transcriptomic analysis also presented two differentially expressed genes that were increased in CBD-treated, asymptomatic EAE mouse brains: oxytocin and vasopressin. Expression of these genes was also increased in naïve, CBD-treated mouse brains, which may indicate potential as efficacy biomarkers. Subsequently, as disease progression requires input from the innate and adaptive immune systems, the mechanisms of CBD were analyzed under naïve and stimulatory conditions in macrophages and splenocytes. In macrophages, CBD exerted an anti-inflammatory effect by dampening the M1 polarization phenotype, decreasing pro-inflammatory cytokines and chemokines, reducing TNF-α through intracellular TACE retention, and diminishing the translocation of RelA to the nucleus. Notably, similar impact of CBD on TACE was evident in naïve macrophages, suggesting that CBD exerted an effect under naïve conditions. In splenocytes, CBD exhibited a long-term effect on the percentage of various immune populations during naïve and splenic T cell activation (with anti-CD3/anti-CD28) conditions but only provided temporary relief and short-term from TNF-α and IFN-γ cytokine secretion. CBD also increased early mRNA expression of Tnfa in CBD in stimulated splenocytes. In naïve splenocytes, CBD impacted key immune mediators discovered from a transcriptomic re-analysis of human neuroblastoma cells, including decreased early expression of Noxo1 but increased expression of Ctsb. In summary, this dissertation presented evidence that CBD impacts the immune system from the transcriptional level in the brain, the innate and adaptive immune systems at the cellular level, and the overall EAE disease phenotype.

La supervivencia de los organismos superiores depende de que sus células se organicen y actúen de manera sincronizada para cumplir funciones específicas, para lo cual es fundamental la comunicación intercelular. Este proceso es básico para la vida de todas las células, pero es la razón de ser en las neuronas que están especializadas en recibir información, procesarla y comunicarla a otras células. En el sistema nervioso, la principal forma de comunicación se realiza a través de la sinapsis química, en la que una neurona libera un mensajero químico, el neurotransmisor, que es reconocido por un receptor presente en otra célula permitiéndole responder al mensaje. La acetilcolina es uno de los principales neurotransmisores utilizados por las neuronas, y sus receptores, tanto metabotrópicos como ionotrópicos, están expresados en muchos tipos celulares. Los receptores ionotrópicos de acetilcolina, llamados receptores nicotínicos, son canales catiónicos pentaméricos que pertenecen a la familia de receptores Cys-loop. El receptor nicotínico de acetilcolina α7 es un homopentámero que exhibe propiedades funcionales particulares fundamentales para su rol neuromodulador, incluyendo la elevada permeabilidad al Ca2+ y la capacidad para transformar respuestas ionotrópicas transitorias en eventos más sostenidos de señalización metabotrópica. Es uno de los receptores nicotínicos más abundantes en el sistema nervioso, aunque también se encuentra presente en otros tejidos. En el sistema nervioso central cumple un rol importante en procesos de cognición, atención y memoria, al regular la liberación de neurotransmisores, mediar la transmisión sináptica rápida y modular la excitabilidad neuronal. Una disminución de su actividad se ha asociado con diversos desórdenes neurológicos y neurodegenerativos, incluyendo esquizofrenia, autismo y enfermedad de Alzheimer. El receptor α7 también se expresa en células no neuronales, tales como -entre otras-, los astrocitos, la microglía, los linfocitos B y T, las células epiteliales, los macrófagos, cumpliendo un rol importante en inmunidad, inflamación y neuroprotección. Las acciones neuromoduladoras, neuroprotectoras y antinflamatorias sistémicas del receptor nicotínico de acetilcolina α7 junto a sus propiedades únicas de activación, desensibilización, permeabilidad al Ca2+ y rol dual ionotrópico-metabotrópico, lo han convertido en un blanco farmacológico emergente muy importante en diversos desórdenes neurológicos, neurodegenerativos e inflamatorios. Este trabajo de tesis se basó en el estudio de los aspectos moleculares relacionados a diferentes tipos de modulación de las funciones ionotrópicas y metabotrópicas del receptor nicotínico de acetilcolina α7 humano. Para ello se utilizaron principalmente técnicas electrofisiológicas a nivel de canal único y de corrientes macroscópicas, en conjunto con análisis de proteínas por western blot y ensayos de movimiento de Ca2+ intracelular. El capítulo I se centró en el estudio de la modulación de las funciones ionotrópicas y metabotrópicas del receptor α7 por eventos de fosforilación/desfosforilación. Se demostró que favorecer el estado desfosforilado de las tirosinas del dominio intracelular de α7 potencia la actividad ionotrópica del receptor. A nivel de corrientes unitarias, el efecto potenciador involucró un aumento en la frecuencia y duración de los episodios de activación, mientras que a nivel de corrientes macroscópicas se manifestó por una disminución en la velocidad de decaimiento de la corriente, y un aumento en la tasa de recuperación desde el estado desensibilizado. Por el contrario, la desfosforilación de las tirosinas tuvo un efecto negativo en la actividad metabotrópica del receptor, estudiada por western blot a partir de la vía de ERK 1/2. Además, a diferencia de lo observado para las tirosinas, las alteraciones en el estado de fosforilación de serinas y treoninas del dominio intracelular no ocasionaron cambios importantes en la actividad ionotrópica de α7 en las condiciones experimentales aquí utilizadas. En síntesis, los resultados presentados en este capítulo ponen en evidencia que la fosforilación de las tirosinas, si bien es absolutamente necesaria para la actividad metabotrópica de α7 mediada por la vía ERK 1/2, actúa como un modulador negativo de la actividad ionotrópica del receptor. El capítulo II abordó el estudio de la asociación funcional entre un fragmento peptídico de la glicoproteína S del SARS-CoV-2 (Y674-R685) y el receptor nicotínico de acetilcolina α7 humano. La asociación entre SARS-CoV-2 y los receptores nicotínicos fue propuesta en forma de hipótesis al comienzo de la pandemia. Más adelante, simulaciones de dinámica molecular mostraron que el fragmento Y674-R685 no solo tiene afinidad por α7, sino que penetra profundamente en el bolsillo de unión a agonista del receptor. En este capítulo, en primer lugar, se demostró que el fragmento Y674-R685 actúa como un agonista silente de α7, ya que es capaz de provocar corrientes unitarias y macroscópicas del receptor, pero solo en presencia de un modulador alostérico positivo. Por otro lado, se demostró que Y674-R685 también ejerce una modulación negativa de α7, que se evidenció por una profunda disminución, dependiente de la concentración, en la duración de los episodios de activación de los canales potenciados y en la amplitud de las respuestas macroscópicas provocadas por la acetilcolina. De esta manera, utilizando distintos enfoques electrofisiológicos, se develó la existencia de una interacción funcional entre el fragmento Y674-R685 de la glicoproteína S del SARS-CoV-2 y el receptor α7 que proporciona las bases moleculares para seguir explorando la participación de los receptores nicotínicos en la fisiopatología de la COVID-19. El capítulo III se basó en el estudio del receptor α7 como blanco del cannabidiol, lo cual resulta de gran interés debido al uso expandido de este fitocannabinoide para tratar diferentes condiciones patológicas gracias a sus propiedades terapéuticas y a la ausencia de efectos psicoactivos. Para ello se exploró el efecto del cannabidiol en las funciones ionotrópicas y metabotrópicas de α7 mediante técnicas electrofisiológicas y ensayos de movimiento de Ca2+ intracelular. En lo que respecta a las funciones ionotrópicas, se demostró que el cannabidiol produce una rápida disminución de la actividad del canal a nivel de corrientes unitarias evidenciada por la reducción en la frecuencia de los episodios de activación. Este efecto fue dependiente de la concentración y se dio con una CI50 en el rango submicromolar, lo que indica una potente modulación negativa. Por otra parte, el cannabidiol también produjo una modulación negativa en la función metabotrópica de α7 que se evidenció por una marcada disminución en las respuestas de Ca2+ intracelular tras la activación del receptor. Estos resultados demuestran que el cannabidiol ejerce una modulación negativa de α7 de relevancia farmacológica que debe tenerse en cuenta a la hora de evaluar los posibles usos terapéuticos del fitocannabinoide. En conjunto, los resultados presentados en esta tesis amplían el entendimiento de los aspectos moleculares relacionados con la modulación de las funciones ionotrópicas y metabotrópicas del receptor nicotínico de acetilcolina α7 en distintas condiciones, a saber, fisiológicas (eventos de fosforilación/desfosforilación), patológicas (fragmento peptídico derivado de la glicoproteína S del SARS-CoV-2) y terapéuticas (cannabidiol). / The survival of higher organisms depends on the ability of their cells to be well organized and to behave in a synchronized manner to fulfill specific functions for which intercellular communication is of pivotal importance. This process is basic for the life of all cells, but it is the raison d'être in neurons that are specialized in receiving information, processing it, and communicating it to other cells. In the nervous system, the main form of communication is carried out via the chemical synapse, in which a neuron releases a chemical messenger, the neurotransmitter, which is identified by a receptor present in another cell, allowing it to respond to the message. Acetylcholine is one of the main neurotransmitters used by neurons, and its receptors, both metabotropic and ionotropic, are expressed in many cell types. Ionotropic acetylcholine receptors, called nicotinic receptors, are pentameric cation channels belonging to the Cys-loop receptor family. The α7 nicotinic acetylcholine receptor is a homopentamer with particular functional properties critical to its neuromodulatory role, including high Ca2+ permeability and the ability to transform transient ionotropic responses into more sustained metabotropic signaling events. It is one of the most abundant nicotinic receptors in the nervous system, although it is also present in other tissues. In the central nervous system, it plays an important role in cognition, attention, and memory, by regulating the release of neurotransmitters, mediating rapid synaptic transmission, and modulating neuronal excitability. A decrease in α7 activity has been associated with various neurological and neurodegenerative disorders, such as schizophrenia, autism, and Alzheimer's disease. The α7 receptor is also expressed in non-neuronal cells; namely, astrocytes, microglia, B and T lymphocytes, epithelial cells, and macrophages, and plays an important role in immunity, inflammation, and neuroprotection. The neuromodulatory, neuroprotective, and systemic anti-inflammatory actions of α7, together with its unique activating, desensitizing, Ca2+ permeability, and dual ionotropic-metabotropic properties, have made the receptor a very important emerging drug target in various neurological, neurodegenerative, and inflammatory disorders. This P.D. thesis work was based on the study of molecular aspects related to different types of modulation of the ionotropic and metabotropic functions of the human α7 nicotinic acetylcholine receptor. To this end, electrophysiological techniques at the single channel and macroscopic current levels were mainly used, as well as protein analysis by western blot and intracellular Ca2+ movement assays. Chapter I focused on the study of α7 receptor ionotropic and metabotropic function modulation by phosphorylation/dephosphorylation events. It was shown that favoring the dephosphorylated state of α7 intracellular domain tyrosine residues potentiates its ionotropic activity. At the single-channel level, this potentiating effect involved an increase in the frequency and duration of activation episodes, while at the macroscopic level it was manifested by a decrease in the rate of current decay and by an increase in the rate of recovery from the desensitized state. In contrast, tyrosine dephosphorylation had a negative effect on receptor metabotropic activity, studied by western blot from ERK 1/2 pathway. In addition, unlike what was observed for tyrosine residues, alterations in the phosphorylation status of serine and threonine residues present in the intracellular domain did not cause any significant changes in α7 ionotropic activity under the experimental conditions used. Summing up, the results collected in this chapter show that tyrosine phosphorylation, although it is absolutely necessary for α7 metabotropic activity mediated by ERK 1/2 pathway, acts as a negative modulator of receptor ionotropic activity. Chapter II focused on the study of the functional association between a peptide fragment of SARS-CoV-2 S glycoprotein (Y674-R685) and human α7 nicotinic acetylcholine receptor. The association between SARS-CoV-2 and nicotinic receptors was hypothesized at the beginning of the pandemic. Later, molecular dynamics simulations showed that the Y674-R685 fragment not only has affinity for α7 but also penetrates deep into its agonist-binding pocket. In this chapter, it was firstly stated that the Y674-R685 fragment acts as a silent α7 agonist, since it is capable of triggering single-channel and macroscopic currents, but only in the presence of a positive allosteric modulator. On the other hand, it was shown that Y674-R685 also exerts α7 negative modulation, which was evidenced by a profound concentration-dependent decrease in the duration of acetylcholine-induced activation episodes from potentiated channels and macroscopic responses. In this way, using different electrophysiological approaches, the existence of functional interaction between SARS-CoV-2 S glycoprotein Y674-R685 fragment and α7 receptor was revealed, which provides the molecular bases to further explore nicotinic receptor participation in COVID-19 pathophysiology. Chapter III was based on the study of the α7 receptor as a target of cannabidiol, which is of great interest due to the expanded use of this phytocannabinoid to treat different pathological conditions thanks to its therapeutic properties and the absence of psychoactive effects. To this end, the effect of cannabidiol on α7 ionotropic and metabotropic functions was explored using electrophysiological techniques and intracellular Ca2+ movement assays. Regarding ionotropic functions, it was shown that cannabidiol produces a rapid decrease in single-channel activity evidenced by the reduction in activation episodes frequency. This concentration-dependent effect occurred with an IC50 in the submicromolar range, indicating a potent negative modulation. On the other hand, cannabidiol also produced a negative modulation in α7 metabotropic function that was evidenced by a marked decrease in intracellular Ca2+ responses after receptor activation. These results demonstrate that cannabidiol exerts α7 negative modulation of pharmacological relevance that must be taken into account when evaluating possible therapeutic uses of the phytocannabinoid. Taken together, the results presented in this thesis broaden the understanding of molecular aspects related to the modulation of α7 nicotinic acetylcholine receptor ionotropic and metabotropic functions under different conditions, namely physiological (phosphorylation/dephosphorylation events), pathological (SARS-CoV-2 S glycoprotein fragment) and therapeutic (cannabidiol).

No description available.

<p dir="ltr"><i>Serratia marcescens </i>is a bacterium with a ubiquitous environmental distribution and the ability to cause opportunistic infections. This research explores three different group behaviors in <i>S. marcescen</i>s. These are biofilm formation, microbial hitchhiking, and responses to cannabinoid-induced stress. To study biofilm development, we used a crystal violet assay to measure biofilm and compared that to the bacterial growth of those cultures. We looked at the role of nutrients and temperature in biofilm produced by <i>S. marcescens</i> and tested four <i>S. marcescens</i> strains. We found that there were differences in the ratio of biofilm to growth when <i>S. marcescens</i> was grown in different media. The exact relationship between temperature and media composition requires more information than could be attained from these studies. Next, we wanted to investigate whether <i>S. marcescens</i> could also utilize movement of other, more highly motile species of bacteria through a process called microbial hitchhiking. <i>S. marcescens</i> was grown with a highly motile <i>Paenibacillus</i> sp. isolate. <i>S. marcescens</i> was tracked by the red pigment that it produces. It was observed that <i>S. marcescens</i> consistently spread farther across a surface when it was co-cultured with <i>Paenibacillus</i> sp. than when grown alone. This was repeated with three other <i>S. marcescens</i> strains and three different species of <i>Paenibacillus.</i><i> </i>Hitchhiking behavior was observed in all cases. To understand the mechanism by which <i>S. marcescens</i> hitchhikes on <i>Paenibacillus </i>spp., a <i>S. marcescens </i>flagellar mutant was used. Even in the absence of a flagellum, <i>S. marcescens</i> was still able to hitchhike implying that another mechanism must be involved. Finally, we evaluated the response of <i>S. marcescens </i>to cannabidiol (CBD) a phytocannabinoid with antimicrobial and antibiofilm properties, though it has limited potency against Gram-negative bacteria like <i>S. marcescens</i>. We found that CBD did not kill <i>S. marcescens </i>nor did it affect its biofilm development. Interestingly, <i>S. marcescens </i>cultures showed enhanced pigment production in response to high-dose CBD exposure compared to vehicle controls. This response was also observed with exposure to three additional phytocannabinoids. Results from these studies add to our understanding of how <i>S. marcescens</i> can access new areas and persist in a broad range of environments.</p>

The overall purpose of this paper was to critically analyze the legal prerequisites for using medical cannabis in Sweden. The legal method and the legal analysis method have been the basis for the analysis of current law, regarding medical use of cannabis and drug abuse. Current law has been analyzed led by a medical approach to clarify the legal and medical meaning of drug abuse. The Narcotic Drugs Punishment Act makes no distinction between drug abuse and medical use, which means that all forms of use ending up in a drug offence. It ́s not obvious what constitutes narcotics because the cannabis plant is divided into different species and it ́s also available in various forms of preparations. Against this background, the medical usage of cannabis seems to have ended up in a legal grey zone. The cannabis preparation called Bediol includes whole plant parts of cannabis and is treated as drug abuse according to the law, but regarding the legal view of CBD-extract the position is more unclear. The prevailing opinion in law cases of today is that CBD-extracts do not constitute drugs. The question of cannabis for self-medication has been pointed in NJA 2017 s. 872, the Supreme Court considers that the medical motive mitigates the crime classification and that a medical purpose can cause a situation of emer- gency. It ́s still unclear how the prerequisites “addictive properties” and ”euphoric effects” in paragraph 8 in the Narcotic Drugs Punishment Act shall be read regarding the occasion of medical use. As long as cannabis is under extensive international control the uncertainty remains about how the prerequisites in paragraph 8 in the Narcotic Drugs Punishment Act should be treated in relative to the medical motive. Furthermore, the study based on the Swedish Medical Products Agency’s decision regarding Bediol and Epidiolex shows that the Medical Products Agency has a tolerant attitude towards both cannabis preparations. The study of license decisions has also been relevant to clarify the discrepancy between medical use and how it ́s considered according to the Narcotic Drugs Punishment Act. The study demonstrates how the Swedish Medical Products Agency's attitude does not always interact with the view of the law. Since the decisions about licenses can be seen as an exception to the Narcotic Drugs Punishment Act, there should be some sort of consensus in how the preparations should be viewed from an authority and law point of view. This to not affect the predictability of a drug abuse in respect of the Narcotic Drugs Punishment Act. As the Medical Products Agency considers both the medical rudiments and the medical development this should be taken into account in the Narcotic Drugs Punishment Act in a more extensive way, to reach some sort of consensus. The national law can only be changed in a sharpening direction, which means that a future international reclassification of cannabis may be considered as a guide in how much space the medical motives can be applied in the 8 paragraph in the Narcotic Drugs Punishments Act. / Det övergripande syftet med denna uppsats var att kritiskt analysera de legala förutsättningarna för att använda medicinsk cannabis i Sverige. I uppsatsen har den rättsdogmatiska och rättsanalytiska metoden legat till grund för analysen av gällande rätt avseende medicinskt bruk av cannabis samt narkotikamissbruk. Gällande rätt har till viss del analyserats med ledning av en medicinsk infallsvinkel för att tydliggöra den juridiska och medicinska innebörden av narkoti- kamissbruk. Narkotikastrafflagen gör ingen skillnad på narkotikamissbruk och medicinskt bruk, vilket resulterar i att alla former av bruk innebär ett narkotikabrott. Då cannabisplantan är uppdelad i olika arter och att cannabis finns tillgängligt i olika former av preparat, blir det inte helt självklart vad som utgör narkotika. Mot denna bakgrund tycks det medicinska bruket hamnat i en rättslig gråzon. Preparatet Bediol består av hela cannabisväxtdelar och utgör narkotika i lagens mening men vad gäller CBD-extrakt är rättsläget mer oklart. Rådande uppfattning i rättspraxis är dock att CBD-extrakt inte utgör narkotika. Frågan om cannabis i självmedicineringssyfte har behandlats i NJA 2017 s. 872 där Högsta domstolen beaktade det medicinska motivet genom mildare brottsrubricering och att ett medicinskt syfte kan föranleda en nödsituation. Det kvarstår dock oklarhet huruvida rekvisiten ”beroendeframkallande egenskaper” och euforise- rande effekter” i 8 § narkotikastrafflagen ska beaktas i fråga om ett medicinskt bruk. Så länge cannabis står under omfattande internationell kontroll kvarstår oklarheten vilken tyngd de medicinska motiven bör tillmätas vid tolkning och tillämpning av 8 §. Vidare visar den studie som gjorts beträffande Läkemedelsverkets beslut rörande Bediol och Epidiolex att verket har en tolerant inställning gentemot båda preparaten. Studien som gjorts av licensbesluten har även varit relevant för att tydliggöra diskrepansen som råder mellan medicinskt bruk och hur det betraktas enligt narkotikastrafflagen. Studien påvisar således hur verkets inställning inte alltid samverkar med den straffrättsliga synen. Eftersom licensbesluten kan ses som ett undantag från narkotikastrafflagen bör det finnas någon form av samsyn hur preparaten betraktas ur myndighets respektive straffrättslig synvinkel. Detta för att inte påverka förutsebarheten av vad ett missbruk enligt narkotikastrafflagen innebär. Då Läkemedelsverket beaktar den medicinska grunden i takt med den medicinska utvecklingen bör det för samsynens skull vara relevant att den medicinska potentialen beaktas i större utsträckning även vid tillämpning av narkotikastrafflagen. Nationell lag kan enbart utformas i skärpande riktning, vilket medför att en internationell framtida omklassificering av cannabis får anses vägledande för hur stort utrymme de medicinska motiven kan tillmätas vid tillämpning av 8 §.

Le cannabidiol (CBD), constituant majeur non-psychotrope du Cannabis sativa, possède un grand nombre de propriétés pharmacologiques. Des dérivés du CBD présentant une rotation restreinte autour de la liaison simple aryl-C(sp3) ont été synthétisés avec deux modifications majeures apportés sur l’un ou/et l’autre cycle dans le but d’atteindre et de contrôler l’atropisomérie.Des phénylcyclohexanes diversement substitués ont été préparés par hydrogénation catalytique des phénylcyclohexènes correspondants. Des études de RMN dynamique et de modélisation moléculaire ont permis l’identification des épimères (1R/1S) et de leurs conformères (M/P). Selon la nature des substituants, de bons résultats de diastéréosélectivité et d’atroposélectivité ont été obtenus. Les conformères de l’épimère (1S) ont des barrières de rotation élevées jusqu’à 92 kJ.mol-1, contrairement à ceux de (1R) avec des barrières de seulement ~72 kJ.mol-1. L’atropisomérie dépend non seulement des substituants autour l’axe de chiralité mais aussi de la position d’un groupe méthyle sur le cycle monoterpénique (en C1).Des dérivés ortho-soufrés ont été préparés à partir de leurs analogues oxygénés via le réarrangement de Newman-Kwart. La substitution de l’atome d’oxygène par le soufre ralentit significativement l’échange conformationnel, les barrières énergétiques augmentent d’environ 10 kJ.mol-1. / Cannabidiol (CBD) is the major non-psychoactive constituent of Cannabis sativa with a large number of pharmaceutical interests. CBD derivatives with restricted rotation about the aryl-C(sp3) single bond have been synthesized with two major changes on one and/or both cycles in order to reach and control atropisomerism.Diversely substituted phenylcyclohexanes were prepared by catalytic hydrogenation from their corresponding phenylcyclohexenes. Dynamic NMR experiments and DFT calculations allowed us to identify the epimers (1R/1S) and their conformers (M/P). According to the nature of the substituents, high diastereoselectiviy and atrop-selectivity were obtained in these natural product derivatives. The conformers of epimers (1S) show high rotational barriers of up to 92 kJ.mol-1, unlike those of (1R) and with much lower barriers of ~72 kJ.mol-1. Atropisomerism not only depends on the substituents at the axis of chirality but also is influenced by the position of a methyl group on the monterpene ring (at C1).Ortho-thio derivatives were prepared from their oxygenated analogs via the Newman-Kwart rearrangement. The substitution of the oxygen atom by the sulfur slows the conformational exchange significantly increasing the rotational barriers of around 10 kJ.mol-1.

O Canabidiol (CBD), que representa aproximadamente 40% dos canabinóides encontrados na planta Cannabis sativa, é desprovido dos efeitos psicológicos e cognitivos típicos do 9-Tetraidrocanabinol (9THC). Estudos sugerem que o CBD apresenta propriedades ansiolíticas, porém esta substância nunca foi testada na ansiedade clínica. Do mesmo modo, não se sabe como estes possíveis efeitos seriam mediados centralmente em pacientes com transtorno de ansiedade social (TAS). Diante das evidências da existência de um sistema canabinóide em humanos e do crescente interesse terapêutico no uso do CBD, justifica-se um estudo para desenvolvimento e validação de uma metodologia analítica para a determinação e quantificação de CBD e 9THC empregando a técnica de cromatografia em fase gasosa/espectrometria de massas. O método desenvolvido e validado se mostrou rápido, simples, de baixo custo com boa sensibilidade e apropriado para aplicação na área da toxicologia clínica. O método demonstrou ser linear no intervalo de concentração de 5 a 500 ng/0,5 mL de plasma para o CBD (r2 = 0,99) e de 5 a 300 ng/0,5 mL (r2 = 0,98) para o 9THC. Os limites de detecção e quantificação foram respectivamente 0,1 ng/0,5 mL e 0,5 ng/0,5 mL para o CBD e, 5 ng/0,5 mL e 10 ng/0,5 mL para o 9THC. Valores de precisão inter e intra ensaio estão respectivamente, na faixa de 5,5% a 12,7%, e de 2,1% a 8,1%. Valores de exatidão inter e intra ensaio estão respectivamente, na faixa de 1,2% a 12,0, e de 1,2 a 14,5 para CBD e 9THC. A eficiência da extração foi obtida na faixa de 54,6 a 93,2% de recuperação para os analitos. A metodologia validada foi empregada em um estudo clínico para correlacionar a dose após a administração controlada de CBD em pacientes com transtorno de ansiedade social. / Dissertation (Master). Faculdade de Ciências Farmacêuticas de Ribeirão Preto Universidade de São Paulo, Ribeirão Preto, 2008. The Cannabidiol (CBD), that represents about 40% of the cannabinoids found in Cannabis sativa plant, is devoided of the typical psychological and cognitive effects of 9-Tetrahydrocannabinol (9THC). Researches suggest that CBD shows ansiolitic properties, but this substance was never tested on clinical anxiety. It is unknown how possible CBD effects could be centrally mediated in social anxiety disorder (SAD) patients. There are evidences about the existence of a cannabinoid system in humans and there is also increasing interest on therapeutic CBD application. The present study was conducted to develop and validate an analytical methodology for determination and quantification of CBD and 9THC, employing gas phase chromatography/mass spectrometry technique. The validated method was fast, easy, low cost, with a good sensibility and appropriate for clinical toxicology applications. The method was linear on the range of 5 to 500 ng/0,5 mL of plasma for CBD (r2=0,99) and 5 to 300 ng/0,5 mL (r2=0,98) for 9THC. The detection and quantification limits were 0,1 ng/0,5 mL and 0,5 ng/0,5 mL for CBD and 5ng/0,5 mL and 10 ng/0,5 mL for 9THC respectively. Inter and intraday reproducibility were between 5,5% to 12,7% and 2,1% to 8,1%, respectively. Inter and intraday accuracy was between 1,2% to 12% and 1,2% to 14,5% for CBD and 9THC respectively. The recovery of extraction was between 54, 6% to 93,2% of recovery for the analytes The validated methodology was applied in a clinical trial to correlate the doses after the controlled cannabidiol administration to patients with social anxiety disorders.

O Canabidiol (CBD), principal composto não-psicotomimético da Cannabis sativa, possui diversas propriedades farmacológicas, incluindo a indução de efeitos tipoantidepressivos e ansiolíticos em roedores após administração sistêmica. O isolamento social aumenta comportamentos agressivos em camundongos, condição denominada agressão induzida pelo isolamento social ou agressão territorial. Drogas ansiolíticas e antidepressivas podem atenuar comportamentos agressivos. Desse modo, o objetivo do presente trabalho foi avaliar se o CBD atenuaria comportamentos agressivos induzidos pelo isolamento social em camundongos. Camundongos Suíços machos (7-8 semanas de idade no dia do isolamento, 30-40 g no dia do teste) foram mantidos isolados (camundongos residentes) para indução dos comportamentos agressivos. Paralelamente, camundongos co-específicos (camundongos intrusos) foram mantidos agrupados (oito por caixa). Neste modelo, um camundongo intruso da mesma linhagem, sexo e idade foi colocado na caixa moradia do residente. As interações entre os camundongos residente e intruso foram gravadas por 20 min e a latência para a primeira mordida contra o intruso, o número de ataques e o tempo total de ataques foram analisados por um observador cego aos grupos experimentais. Após 10 dias de isolamento social, foi testado se a administração aguda (i.p.) de CBD (5, 15, 30 ou 60 mg/kg), 30 min antes do teste, atenuaria comportamentos agressivos dos camundongos residentes contra os intrusos. Para avaliar a participação de receptores 5-HT1A e CB1 nos efeitos do CBD, grupos independentes de animais receberam 1 injeção prévia de WAY 100635 (antagonista dos receptores 5-HT1A, 0,3 mg/kg) ou AM251 (antagonista dos receptores CB1, 1 mg/kg), 30 min antes do CBD (15 mg/kg). Para controlar possíveis efeitos motores da droga, grupos independentes de animais tratados com doses efetivas de CBD ou não efetivas de WAY100635 ou AM251 foram submetidos ao actímetro para avaliação da atividade locomotora total. O CBD (15 mg/kg) aumentou a latência para o residente atacar o intruso e este efeito foi atenuado tanto pela administração prévia de AM251 (VEI+VEI: 186,62±83,16; VEI+CBD: 956,25±150,77; AM+VEI: 271,71±156,18; AM+CBD: 395,86±208,24; p=0,030) quanto WAY100635 (VEI+VEI: 116,33±29,38; VEI+CBD: 860,87±177,36; WAY+VEI: 305,12±159,16; WAY+CBD: 302,57±154,68; p=0,011). Além disso, o CBD reduziu o número de ataques em todas as doses testadas (VEI: 23,00±3,66; CBD 5: 12,25±2,43; CBD 15: 6,62±2,43; CBD 30: 7,71±3,24; CBD 60: 8,16±2,36; p=0,002) e as doses intermediárias (15 e 30 mg/kg) foram capazes de diminuir o tempo total de ataques (VEI: 114,37±22,65; CBD 5: 80,87±23,83; CBD 15: 40,00±14,58; CBD 30: 25,86±12,88; CBD 60: 54,67±9,68; p=0,018), ambos os efeitos sendo atenuados pelo AM251 (Número de ataques - VEI+VEI: 19,25±2,56; VEI+CBD: 3,25±2,36; AM+VEI: 22,86±4,97; AM+CBD: 14,14±4,10; p=0,028; Tempo total de ataques - VEI+VEI: 66,62±9,19; VEI+CBD: 11,75±9,56; AM+VEI: 118,86±31,00; AM+CBD: 58,71±17,45; p=0,049) e WAY100635 (Número de ataques - VEI+VEI: 30,83±6,77; VEI+CBD: 7,87±4,68; WAY+VEI: 22,50±5,06; WAY+CBD: 23,57±6,74; p=0,059; Tempo total de ataques - VEI+VEI: 151,17±32,65; VEI+CBD: 16,75±10,88; WAY+VEI: 113,75±24,66; WAY+CBD: 76,29±21,36; p=0,002). Não foi observado efeito motor do CBD em nenhuma das doses testadas, bem como do WAY100635 e AM251. Esses resultados evidenciam que o CBD atenua comportamentos agressivos em camundongos e nos permitem sugerir um mecanismo misto, visto que há o envolvimento de receptores CB1 e 5-HT1A. Desse modo, este fitocanabinoide poderia ser uma alternativa terapêutica para tratar comportamentos agressivos associados a transtornos psiquiátricos / Cannabidiol (CBD), a major non-psychotomimetic compound from Cannabis sativa plant, induces anxiolytic- and antidepressant-like effects in rodents after systemic administration. Long-term individual housing increases aggressive behavior in mice, a condition named isolation-induced aggression or territorial aggression, which can be attenuated by anxiolytic and antidepressant drugs. Thus, the aim of the present study was to verify whether CBD would attenuate the aggressive behavior induced by social isolation. Male Swiss mice (7-8 weeks of age on the isolation day, 30-40 g on the test day) were individually housed (resident mice) to induce aggressive behavior, while conspecific mice (intruder mice) were grouped housed (eight per cage). In this model, an intruder mouse of the same strain, sex and age is placed in the resident home cage. The resident-intruder interactions were videotaped for 20 min and the latency to the first bite against the intruder, the number of attacks and the total duration of aggressive encounters were recorded and later analyzed by an observer blind to the treatment groups. After 10 days of social isolation, we tested if acute intraperitoneal CBD administration (5, 15, 30 and 60 mg/kg) to the resident mice 30 min prior to the test would attenuate aggressive-like behavior towards the intruder animal. To evaluate the involvement of 5-HT1A and CB1 receptors in the CBD effects, independent groups of animals were injected with WAY100635 (0.3 mg/kg) or AM251(1 mg/kg) 30 min prior to CBD (15 mg/kg). To control possible motor effects, independent animals treated with effective doses of CBD or ineffective doses of WAY100635 or AM251 were submitted to the actimeter to evaluate the total locomotor activity. CBD (15 mg/kg) increased latency to attack the intruder and this effect was attenuated by the prior administration of AM251 (VEI+VEI: 186.62±83.16; VEI+CBD: 956.25±150.77; AM+VEI: 271.71±156.18; AM+CBD: 395.86±208.24; p=0.030) or WAY100635 (VEI+VEI: 116.33±29.38; VEI+CBD: 860.87±177.36; WAY+VEI: 305.12±159.16; WAY+CBD: 302.57±154.68; p=0.011). Moreover, CBD reduced the number of attacks in all tested doses (VEI: 23.00±3.66; CBD 5: 12.25±2.43; CBD 15: 6.62±2.43; CBD 30: 7.71±3.24; CBD 60: 8.16±2.36; p=0.002) as well as the duration of aggressive behavior encounters in the intermediary doses (15 and 30 mg/kg; VEI: 114.37±22.65; CBD 5: 80.87±23.83; CBD 15: 40.00±14.58; CBD 30: 25.86±12.88; CBD 60: 54.67±9.68; p=0.018), both effects were attenuated by AM251 (Number of attacks - VEI+VEI: 19.25±2.56; VEI+CBD: 3.25±2.36; AM+VEI: 22.86±4.97; AM+CBD: 14.14±4.10; p=0.028; Total time of attacks - VEI+VEI: 66.62±9.19; VEI+CBD: 11.75±9.56; AM+VEI: 118.86±31.00; AM+CBD: 58.71±17.45; p=0.049) and WAY100635 (Number of attacks - VEI+VEI: 30.83±6.77; VEI+CBD: 7.87±4.68; WAY+VEI: 22.50±5.06; WAY+CBD: 23.57±6.74; p=0.059; Total time of attacks - VEI+VEI: 151.17±32.65; VEI+CBD: 16.75±10.88; WAY+VEI: 113.75±24.66; WAY+CBD: 76.29±21.36; p=0.002). CBD, in all tested doses, as well as WAY100635 and AM251, did not induce locomotor changes. These findings suggest that CBD decreases aggressive behaviors in mice and allow us to suggest that this effect involves CB1 and 5-HT1A receptors. Therefore, this phytocannabinoid may be therapeutically useful to treat aggressive behaviors that are usually associated with psychiatric disorders