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Anandamide suppresses pain initiation through a peripheral endocannabinoid mechanism
Open accessAbstract
Peripheral cannabinoid receptors exert a powerful inhibitory control over pain initiation, but the endocannabinoid signal that normally engages this intrinsic analgesic mechanism is unknown. To address this question, we developed a peripherally restricted inhibitor (URB937) of fatty acid amide hydrolase (FAAH), the enzyme responsible for the degradation of the endocannabinoid anandamide. URB937 suppressed FAAH activity and increased anandamide levels outside the rodent CNS. Despite its inability to access brain and spinal cord, URB937 attenuated behavioral responses indicative of persistent pain in rodent models of peripheral nerve injury and inflammation and prevented noxious stimulus-evoked neuronal activation in spinal cord regions implicated in nociceptive processing. CB₁ cannabinoid receptor blockade prevented these effects. These results suggest that anandamide-mediated signaling at peripheral CB₁ receptors controls the access of pain-related inputs to the CNS. Brain-impenetrant FAAH inhibitors, which strengthen this gating mechanism, might offer a new approach to pain therapy.
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“Similarly, the peripherally restricted FAAH inhibitor URB937 attenuates carrageenaninduced allodynia and hyperalgesia through a CB 1 mechanism of action.”
From The endogenous cannabinoid system: a budding source of targets for treating inflammatory and neuropathic pain (2018) · cites this paper as Clapper et al, 2010
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“However, unlike brain-permeating FAAH inhibitors, the anti-edematous effects of URB937 are mediated by both CB 1 and CB 2 receptors (Clapper et al, 2010).”
From The endogenous cannabinoid system: a budding source of targets for treating inflammatory and neuropathic pain (2018) · cites this paper as Clapper et al, 2010
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“The fact that the analgesic action of paracetamol is maintained after URB937 administration and lost after URB597 treatment [10] shows that only brain and not peripheral, FAAH is involved and thereby confirms the central action of paracetamol.”
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“URB937 inhibited writhing responses to acetic acid-induced visceral pain, mechanical, and thermal sensitivity induced by sciatic nerve ligation (SNL) and intraplantar carrageenan injection, respectively, and pain-related Fos activation in the spinal cord comparable to centrally acting FAAH inhibitors in a cannabinoid…”
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URB937 Prevents the Development of Mechanical Allodynia in Male Rats with Trigeminal Neuralgia
Demartini, C., Greco, R., Zanaboni, A. M., Francavilla, M., Facchetti, S., & Tassorelli, C. (2023) · Pharmaceuticals · doi:10.3390/ph16111626 · Cited by 6
“…neuropathy [29–31], and diabetic peripheral neuropathy [32]. confirm the anti-allodynic effect of URB937, as previously reported in other neuropathic pain models, namely, sciatic nerve CCI [22,27,28], chemotherapy-induced neuropathy [29–31 and diabetic peripheral neuropathy [32].”
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“In the presence of CB1 activity, nociceptive signals originating from the peripheral TGVS are blocked and do not reach the central nervous system [8–10] and CB2 receptor activation was shown to counteract acute migraine-like pain in a rat model [11].”
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Self-citationModulation of central endocannabinoid system results in gastric mucosal protection in the rat
Tóth, V. É., Fehér, Á., Németh, J., Gyertyán, I., Zádori, Z., & Gyires, K. (2018) · Brain Research Bulletin · doi:10.1016/j.brainresbull.2018.02.012 · Cited by 4
Cannabinoids and Endocannabinoids
Jung, K., & Piomelli, D. (2016) · Springer eBooks · doi:10.1007/978-1-4939-3474-4_136 · Cited by 4
Self-citationNanì, M. F., Rinaldi, M. M., Miraglia, M., Amico, K. R., Cicco, P. D., & Romano, B. (2025) · Progress in Lipid Research · doi:10.1016/j.plipres.2025.101358 · Cited by 3
Bruijnzeel, A. W., Behnood‐Rod, A., Chellian, R., Malphurs, W. L., Caudle, R. M., Febo, M., Setlow, B., Murphy, N. P., & Neubert, J. K. (2026) · Scientific Reports · doi:10.1038/s41598-025-31828-y · Cited by 3
Greco, R., & Tassorelli, C. (2015) · Elsevier eBooks · doi:10.1016/b978-0-12-417041-4.00007-2 · Cited by 3
The Endocannabinoid System in Local and Systemic Inflammation
Kelly, M. E. M., Lehmann, C., & Zhou, J. (2017) · Colloquium Series on Integrated Systems Physiology From Molecule to Function · doi:10.4199/c00151ed1v01y201702isp074 · Cited by 4
Kumar, R., Prasoon, P., Gautam, M., & Ray, S. B. (2016) · The Indian Journal of Medical Research · doi:10.4103/ijmr.ijmr_1402_15 · Cited by 3
Endocannabinoid biochemistry: What do we know after 50 years?
Fezza, F., & Maccarrone, M. (2014) · Wiley eBooks · doi:10.1002/9781118451281.ch3 · Cited by 3
Lai, M., Rocca, V. L., Amato, R., Iacono, E., Filipponi, C., Catelli, E., Bogani, L., Fonnesu, R., Lottini, G., Carli, A. D., et al. (2022) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2022.02.08.479661 · Cited by 3
Self-citationDistinct endocannabinoids specifically signal to astrocytes and neuronsPreprint
Noriega‐Prieto, J. A., Falcón‐Moya, R., Eraso‐Pichot, A., Fundazuri, U. B., Guttipatti, P., Belisle, L., Moreno, A. R., van der Stelt, M., Cheer, J. F., Marsicano, G., et al. (2023) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2023.06.13.544877 · Cited by 3
“, 2009), AEA has also been shown to act through CB1 receptors in various neurobiological contexts (Clapper et al., 2010; Kinsey et al., 2009; Straiker et al., 2011).”
BackgroundState of the Art Review: Thiazide Diuretics Exploit the Endocannabinoid System via NAPE-PLD
Garau, G. (2025) · American Journal of Hypertension · doi:10.1093/ajh/hpaf174 · Cited by 2
Understanding and Targeting the Endocannabinoid System with Activity‐Based Protein Profiling
Zhu, N., Janssen, A. P. A., & van der Stelt, M. (2023) · Israel Journal of Chemistry · doi:10.1002/ijch.202200115 · Cited by 2
Kingwell, K. (2010) · Nature Reviews Drug Discovery · doi:10.1038/nrd3300 · Cited by 2
- Simple Lipids with Two Different Components
Leray, C. (2012) · CRC Press eBooks · doi:10.1201/b12894-8 · Cited by 2
Neural Secretions and Regulation of Gut Functions
Welcome, M. O. (2018) · Springer eBooks · doi:10.1007/978-3-319-91056-7_9 · Cited by 3
Takizawa, M., Cerneus, D. P., Michon, I. N., Rijnders, S., van der Heide, D., Meijer, J., Stoelzel, M., & Sato, Y. Z. (2020) · Advances in Therapy · doi:10.1007/s12325-020-01402-1 · Cited by 2
Lifestyle modifications and complementary treatments for hidradenitis suppurativa
De, D. R., Rick, J. W., Shih, T., Alavi, A., Hsiao, J. L., & Shi, V. Y. (2022) · Dermatological Reviews · doi:10.1002/der2.117 · Cited by 2
“Anandamide is a CB1 agonist that interacts with vanilloid receptors to regulate nociceptive signals, pain, and itch, to the peripheral nervous system.(86,87) Cannabinoids may have an analgesic effect through inhibition of the release of calcitonin gene‐related peptide, which is stored in sensory neurons and involved i…”
Background‘’The Science Behind Raj Yoga Meditation-A Narrative Review’’
(2023) · Advancement in Yoga and Physical Therapy · doi:10.33140/aypt.01.02.01 · Cited by 2
Promising Inhibitors of Endocannabinoid Degrading Enzymes Sharing a Carbamate Scaffold
Jaiswal, S., & Ayyannan, S. R. (2024) · Mini-Reviews in Medicinal Chemistry · doi:10.2174/0113895575328120241107061303 · Cited by 1
Bhattacharya, A., Vasconcelos, D., Spicarova, D., & Paleček, J. (2025) · Scientific Reports · doi:10.1038/s41598-025-98567-y · Cited by 1
“The AEA-induced analgesia was recognized to be underlined by a peripheral mechanism via CB 1 receptor activation in the animal model of neuropathic pain, while increased AEA levels were achieved with a peripherally restricted FAAH inhibitor (URB937) 2 .”
The day anandamide almost died, and other endocannabinoid stories
Piomelli, D. (2025) · Handbook of behavioral neuroscience · doi:10.1016/b978-0-443-13908-6.00004-9 · Cited by 1
Self-citationEvaluating FABP5 as a Therapeutic Target for Pain Management
Warren, W. G., Osborn, M., Kaczocha, M., Yates, A. S., & O’Sullivan, S. E. (2026) · European Journal of Pain · doi:10.1002/ejp.70267 · Cited by 1
Couttas, T. A., Hoffmann, A., Jieu, B., Golla, F. R., Shepherd, C. E., Leweke, F. M., & Rohleder, C. (2026) · Translational Psychiatry · doi:10.1038/s41398-026-04120-4 · Cited by 1
“URB937 ([3-(3-carbamoylphenyl)-4-hydroxy-phenyl] N-cyclohexyl-carbamate), a derivative of URB597, is a peripherally restricted FAAH inhibitor that selectively increases AEA outside the CNS [115].”
Kingwell, K. (2010) · Nature reviews. Neuroscience · doi:10.1038/nrn2939 · Cited by 1
Effects of URB937 on an animal model of migraine pain
Greco, R., Mangione, A. S., Icco, R. D., Bandiera, T., Sandrini, G., Nappi, G., Piomelli, D., & Tassorelli, C. (2013) · The Journal of Headache and Pain · doi:10.1186/1129-2377-14-s1-p68 · Cited by 1
Self-citationSimple Lipids with Two Different Components
(2012) · CRC Press eBooks · doi:10.1201/b12894-4 · Cited by 1
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Implication of the endocannabidiome and metabolic pathways in fragile X syndrome pathophysiology
Dionne, O., Abolghasemi, A., Corbin, F., & Çaku, A. (2024) · Psychiatry Research · doi:10.1016/j.psychres.2024.115962 · Cited by 1
“The CB1 receptor is also expressed in the peripheral nervous system and some peripheral tissues, such as gastrointestinal tract (neuronal and non-neuronal cells), liver, adipocytes, muscle, skin, and reproductive system (Clapper et al., 2010; Izzo and Sharkey, 2010; Maccarrone et al., 2015).”
The Endocannabinoid System and the Early Development of the Brain
Thapa, S., & Bukiya, A. N. (2025) · Springer eBooks · doi:10.1007/978-3-031-87990-6_4 · Cited by 1
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Control of analgesic and anti-inflammatory pathways by fatty acid amide hydrolase
Long, J. H. (2012) · Cited by 1
Metadata
- Authors
- Clapper, J. R., Moreno-Sanz, G., Russo, R., Guijarro, A., Vacondio, F., Duranti, A., Tontini, A., Sanchini, S., Sciolino, N. R., Spradley, J. M., Hohmann, A. G., Calignano, A., Mor, M., Tarzia, G., & Piomelli, D.
- Affiliations
- University of California, Irvine (US)
- University of Naples Federico II (IT)
- University of Parma (IT)
- University of Urbino (IT)
- University of Georgia (US)
- Corresponding author
- Piomelli, Daniele
- ORCID
- Venue
- Nature Neuroscience
- Published
- 2010-09-19
- Volume
- 13
- Issue
- 10
- Pages
- 1265-1270
- ISSN
- 1097-6256 (ISSN-L)
- 1546-1726
- PMC
- PMC3260554
- OpenAlex
- W2143684129
- Cited by
- 346
- References
- 52
- Citations by year
- 2026: 9 · 2025: 13 · 2024: 13 · 2023: 21 · 2022: 23 · 2021: 17 · 2020: 21 · 2019: 18 · 2018: 14 · 2017: 23 · 2016: 24 · 2015: 27 · 2014: 32 · 2013: 31 · 2012: 34
- FWCI
- 22.06
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature Neuroscience (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion, cc-by)
- CINECA IRIS Institutional Research information system (University of Urbino) (submittedVersion)
- Funders
- National Institute on Drug Abuse (R01DA012413)
- Topics
- Health Sciences › Medicine › Pharmacology (medical) › Cannabis and Cannabinoid Research
- Health Sciences › Medicine › Physiology (medical) › Pain Mechanisms and Treatments
- Life Sciences › Neuroscience › Sensory Systems › Ion Channels and Receptors
- Keywords
- anandamide, CB1 receptor, fatty acid amide hydrolase, FAAH inhibitors, chronic pain, peripheral nerve injury, inflammation, spinal cord nociception, analgesia, blood-brain barrier
- MeSH terms
- Rimonabant, Fatty Acid Amide Hydrolases, Amidohydrolases, Animals, Arachidonic Acids, Cannabinoids, Carrageenan, Chlorobenzenes, Chromatography, Liquid, Disease Models, Animal, Drug Administration Routes, Drug Administration Schedule, Enzyme Inhibitors, Escape Reaction, Ethylene Glycols, Feeding Behavior, Formaldehyde, Gene Expression Regulation, Hyperalgesia, Indoles, Male, Mice, Inbred C57BL, Monoacylglycerol Lipases, Motor Activity, Pain, Pain Measurement, Peripheral Nervous System Diseases, Piperidines, Pyrazoles, Sciatica, Mass Spectrometry, Spinal Cord, Time Factors, Tissue Distribution, Tritium, Oncogene Proteins v-fos, Rats, Sprague-Dawley, Pain Threshold, Mice, Knockout, Statistics, Nonparametric, PPAR alpha, Mice, Rats, Polyunsaturated Alkamides, Cannabinoid Receptor Modulators, Endocannabinoids
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