Peripheral FAAH inhibition causes profound antinociception and protects against indomethacin-induced gastric lesions
Open accessAbstract
Fatty-acid amide hydrolase (FAAH) catalyzes the intracellular hydrolysis of the endocannabinoid anandamide and other bioactive lipid amides. In the present study, we conducted a comparative characterization of the effects of the newly identified brain-impermeant FAAH inhibitor, URB937 ([3-(3-carbamoylphenyl)-4-hydroxy-phenyl] N-cyclohexylcarbamate), in various rodent models of acute and persistent pain. When administered by the oral route in mice, URB937 was highly active (median effective dose, ED(50), to inhibit liver FAAH activity: 0.3mgkg(-1)) and had a bioavailability of 5.3%. The antinociceptive effects of oral URB937 were investigated in mouse models of acute inflammation (carrageenan), peripheral nerve injury (chronic sciatic nerve ligation) and arthritis (complete Freund's adjuvant). In all models, URB937 was as effective or more effective than standard analgesic and anti-inflammatory drugs (indomethacin, gabapentin, dexamethasone) and reversed pain-related responses (mechanical hyperalgesia, thermal hyperalgesia, and mechanical allodynia) in a dose-dependent manner. ED(50) values ranged from 0.2 to 10mgkg(-1), depending on model and readout. Importantly, URB937 was significantly more effective than two global FAAH inhibitors, URB597 and PF-04457845, in the complete Freund's adjuvant model. The effects of a combination of URB937 with the non-steroidal anti-inflammatory agent, indomethacin, were examined in the carrageenan and chronic sciatic nerve ligation models. Isobolographic analyses showed that the two compounds interacted synergistically to attenuate pain-related behaviors. Furthermore, URB937 reduced the number and severity of gastric lesions produced by indomethacin, while exerting no ulcerogenic effect when administered alone. The results indicate that the peripheral FAAH inhibitor URB937 is more effective than globally active FAAH inhibitors at inhibiting inflammatory pain. Our findings further suggest that FAAH and cyclooxygenase inhibitors interact functionally in peripheral tissues, to either enhance or hinder each other's actions.
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Dual administration of URB937 and the nonsteroidal anti-inflammatory drug indomethacin synergistically attenuates hyperalgesia, allodynia, and edema induced by intraplantar carrageenan injection.
“Similarly, dual administration of URB937 and the nonsteroidal anti-inflammatory drug (NSAID) indomethacin synergistically attenuates hyperalgesia, allodynia, and edema induced by intraplantar carrageenan injection (Sasso et al, 2012).”
From The endogenous cannabinoid system: a budding source of targets for treating inflammatory and neuropathic pain (2018) · cites this paper as Sasso et al, 2012
FAAH inhibition attenuates mechanically-induced pain in the CFA model of inflammatory pain.
“FAAH inhibition attenuates mechanically-induced pain in the CFA model of inflammatory pain (Ahn et al, 2009(Ahn et al, , 2011;;Jayamanne et al, 2006;Sasso et al, 2012).”
From The endogenous cannabinoid system: a budding source of targets for treating inflammatory and neuropathic pain (2018) · cites this paper as Sasso et al, 2012
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- Authors
- Sasso, O., Bertorelli, R., Bandiera, T., Scarpelli, R., Colombano, G., Armirotti, A., Moreno-Sanz, G., Reggiani, A., & Piomelli, D.
- Affiliations
- Italian Institute of Technology (IT)
- University of California, Irvine (US)
- Corresponding author
- Piomelli, Daniele
- ORCID
- Venue
- Pharmacological Research
- Publisher
- Elsevier BV
- Published
- 2012-05
- Volume
- 65
- Issue
- 5
- Pages
- 553-563
- ISSN
- 1043-6618 (ISSN-L)
- PMC
- PMC3738192
- OpenAlex
- W2026469610
- Cited by
- 96
- References
- 41
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 1 · 2023: 2 · 2022: 4 · 2021: 4 · 2020: 6 · 2019: 6 · 2018: 7 · 2017: 4 · 2016: 11 · 2015: 11 · 2014: 16 · 2013: 11 · 2012: 6
- FWCI
- 10.80
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Pharmacological Research (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion, cc-by)
- Funders
- National Institute on Drug Abuse (R01DA012413, DP1DA031387)
- Topics
- Health Sciences › Medicine › Pharmacology › Cannabis and Cannabinoid Research
- Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
- Health Sciences › Medicine › Pharmacology › Inflammatory mediators and NSAID effects
- Keywords
- fatty acid amide hydrolase, endocannabinoids, anandamide, antinociception, inflammatory pain, peripheral nerve injury, carrageenan, complete Freund's adjuvant, sciatic nerve ligation, indomethacin, gastric lesions, cyclooxygenase inhibitors, drug synergy, oral bioavailability, hyperalgesia, allodynia
- MeSH terms
- Fatty Acid Amide Hydrolases, Amidohydrolases, Analgesics, Animals, Anti-Inflammatory Agents, Non-Steroidal, Arthritis, Experimental, Benzamides, Cannabinoids, Carbamates, Disease Models, Animal, Enzyme Inhibitors, Hyperalgesia, Indomethacin, Male, Pain, Pyridazines, Sciatic Nerve, Stomach Ulcer, Urea, Mice
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