2006
DOI: 10.1038/sj.ijo.0803277
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How many sites of action for endocannabinoids to control energy metabolism?

Abstract: The promising results obtained by clinical trials using Rimonabant to tackle visceral obesity and related disorders recently promoted a remarkable impulse to carry out detailed investigations into the mechanisms of action of endocannabinoids in regulating food intake and energy metabolism. The endocannabinoid system has been known for many years to play an important role in the modulation of the neuronal pathways mediating the rewarding properties of food. However, in the last few years, with the advanced unde… Show more

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Cited by 39 publications
(29 citation statements)
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“…The origin of these differences between rat strains is not clear, but may be related to the more severe insulin resistance and hyperinsulinemia of the cp/cp rat and polygenetic differences between strains carrying the fa and cp mutations (52). While data on humans are inconsistent, two recently published large clinical trials show a similar lag in reduction of body weight and waist circumference following initiation of rimonabant treatment (30,32). In these clinical studies, reduction in body weight was not accompanied by long-term reduction in food intake, suggesting a fundamental change in metabolism, unrelated to food intake and possibly reflected in increased oxidative activity.…”
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confidence: 78%
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“…The origin of these differences between rat strains is not clear, but may be related to the more severe insulin resistance and hyperinsulinemia of the cp/cp rat and polygenetic differences between strains carrying the fa and cp mutations (52). While data on humans are inconsistent, two recently published large clinical trials show a similar lag in reduction of body weight and waist circumference following initiation of rimonabant treatment (30,32). In these clinical studies, reduction in body weight was not accompanied by long-term reduction in food intake, suggesting a fundamental change in metabolism, unrelated to food intake and possibly reflected in increased oxidative activity.…”
mentioning
confidence: 78%
“…Basic research has been dependent on the use of animal models that mimic the metabolic and pathophysiological aspects of the metabolic syndrome (35). Desirable effects of putative pharmaceutical agents have been reduction of food intake with associated weight loss, improvement in insulin sensitivity, reduction in plasma lipid concentrations, improved vascular function, and anti-atherosclerotic/cardioprotective activity.Rimonabant (SR141716, Acomplia) is a highly selective antagonist of the cannabinoid-1 (CB 1 ) receptor and has been shown to have pleitropic effects on metabolism, obesity, and behavioral endpoints, such as addictions (5,12,24,30,32,33). Thus rimonabant (and related compounds) offers a possible approach to prevention or treatment of the metabolic syndrome, prediabetic status, and associated micro-and macrovascular sequelae (3).…”
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confidence: 99%
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“…There are two primary cannabinoid receptors, CB1 and CB2. The CB1 receptor is the most abundant G protein-coupled receptor expressed in the brain (Pagotto et al, 2006), with particularly dense expression in the hypothalamus, pituitary, cerebellum and mesolimbic dopaminergic reward pathways (Herkenham et al, 1990;Matsuda et al, 1990;Demuth and Molleman, 2006). Endocannabinoid signaling via the CB1 receptor is thought to play an important role in incentive stimuli, in part because of the close involvement of endocannabinoid signaling with the dopaminergic system (Lupica and Riegel, 2005;Laviolette and Grace, 2006;Maldonado et al, 2006;Pillolla et al, 2007).…”
Section: Neurobiology Of Voluntary Exercisementioning
confidence: 99%
“…The important point is that CB1 activation has multiple direct metabolic actions on tissues that are consistent with storing more fat, and these appear to occur independently of any transient change of energy intake. So whereas the CB1 receptor subtype mediates both central and peripheral actions of endocannabinoids on energy balance, it is often unclear if endocannabinoidmediated changes of lipid and glucose metabolism depend on central and/or peripheral CB1 activation (32)(33)(34). In fact, even though chronic CB1 blockade in obese animals and humans improves several symptoms of the metabolic syndrome (35), it still remains to be determined whether beneficial metabolic effects can directly result from CB1 receptor antagonism in the absence of changes in food intake.…”
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confidence: 99%