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Adaptations in endocannabinoid signaling in response to repeated homotypic stress: a novel mechanism for stress habituation
Open accessAbstract
Daily life stressors are a major environmental factor contributing to precipitation and exacerbation of mental illness. Animal models using repeated homotypic stress induce anxious and depressive phenotypes and are used to study the pathophysiology of affective disorders. Here we discuss data demonstrating that repeated homotypic stress produces temporally and anatomically distinct changes in endocannabinoid signaling components within stress‐responsive brain regions. We also present evidence describing the neural and behavioral correlates of these adaptations in endocannabinoid signaling. These data support a role for endocannabinoid signaling in the central nervous system response to chronic, homotypic stress, and specifically in the process of stress–response habituation. The clinical implications of these findings for the pathophysiology and treatment of affective disorders are discussed.
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“Recent preclinical evidence indicates that stress also mobilizes the endocannabinoid (eCB) system in both the brain and the periphery, and that the eCB system can modulate behavioral and endocrine responses to both acute and chronic stress (Hill et al, 2010;Patel and Hillard, 2008).”
From Acute stress increases circulating anandamide and other N-acylethanolamines in healthy humans (2012) · cites this paper as Patel and Hillard, 2008
In the citing paper
“Despite the abovementioned diversity in central and peripheral functions, recent studies in animals [9] and humans [10] point to a major role of EC signaling in both the periphery [10] and central nervous system [11] in controlling adaptive processes to aversive situations and regulating and limiting stress reactions.”
From Plasma concentrations of endocannabinoids and related primary fatty acid amides in patients with post-traumatic stress disorder (2013) · cites this paper as [9]
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Citations
Cites
Influence of life stress on depression: moderation by a polymorphism in the 5-HTT gene
Caspi, A., Sugden, K., Moffitt, T. E., Taylor, A., Craig, I. W., Harrington, H., McClay, J., Mill, J., Martin, J., Braithwaite, A., et al. (2003) · Science · doi:10.1126/science.1083968 · Cited by 8,120
Isolation and Structure of a Brain Constituent That Binds to the Cannabinoid Receptor
Devane, W. A., Hanuš, L., Breuer, A., Pertwee, R. G., Stevenson, L. A., Griffin, G., Gibson, D., Mandelbaum, A., Etinger, A., & Mechoulam, R. (1992) · Science · doi:10.1126/science.1470919 · Cited by 5,633
Hammen, C. (2005) · Annual Review of Clinical Psychology · doi:10.1146/annurev.clinpsy.1.102803.143938 · Cited by 2,979
Stress and Health: Psychological, Behavioral, and Biological Determinants
Schneiderman, N., Ironson, G., & Siegel, S. D. (2005) · Annual Review of Clinical Psychology · doi:10.1146/annurev.clinpsy.1.102803.144141 · Cited by 2,252
Cognitive vulnerability to emotional disorders
Mathews, A., & MacLeod, C. (2005) · Annual Review of Clinical Psychology · doi:10.1146/annurev.clinpsy.1.102803.143916 · Cited by 2,100
The molecular logic of endocannabinoid signalling
Piomelli, D. (2003) · Nature Reviews Neuroscience · doi:10.1038/nrn1247 · Cited by 1,957
Stress, Depression, and Neuroplasticity: A Convergence of Mechanisms
Pittenger, C., & Duman, R. S. (2008) · Neuropsychopharmacology · doi:10.1038/sj.npp.1301574 · Cited by 1,795
The endogenous cannabinoid system controls extinction of aversive memories
Marsicano, G., Wotjak, C. T., Azad, S. C., Bisogno, T., Rammes, G., Cascio, M. G., Hermann, H., Tang, J., Hofmann, C., Zieglgänsberger, W., et al. (2002) · Nature · doi:10.1038/nature00839 · Cited by 1,728
Role of Endogenous Cannabinoids in Synaptic Signaling
Freund, T. F., Katona, I., & Piomelli, D. (2003) · Physiological Reviews · doi:10.1152/physrev.00004.2003 · Cited by 1,616
Immunohistochemical distribution of cannabinoid CB1 receptors in the rat central nervous system
Tsou, K., Brown, S., Sañudo-Peña, M. C., Mackie, K., & Walker, J. M. (1998) · Neuroscience · doi:10.1016/s0306-4522(97)00436-3 · Cited by 1,586
Cited by
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Items 101–162 of 162
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“Stress exposure alters endocannabinoid levels in both human and rodents, although bidirectional effects on brain levels of AEA and 2-AG have been described (Dlugos et al., 2012; Hill et al., 2009; Patel and Hillard, 2008).”
BackgroundFotio, Y., Tagne, A. M., Jung, K., & Piomelli, D. (2023) · Psychopharmacology · doi:10.1007/s00213-023-06358-y · Cited by 19
“Preclinical and clinical studies have shed light into the role endocannabinoids play both in stress-coping processes and in the susceptibility to develop trauma-related psychopathologies (Hill et al. 2010b; Kathuria et al. 2003; Mayo et al. 2022; Patel and Hillard 2008; Stopponi et al. 2018).”
Lee, T. T.-Y., & Gorzalka, B. B. (2015) · International review of neurobiology · doi:10.1016/bs.irn.2015.09.002 · Cited by 22
“…pathways and pharmacodynamic properties, AEA contributes to a “toniclike” mechanism, whereas 2-AG promotes a “burst-like” mechanism in 61Adolescent Endocannabinoid Signaling and the HPA Axis CB1R activation (Ahn et al., 2008; Gorzalka, Hill, & Hillard, 2008; Hill, McLaughlin, et al., 2010).”
BackgroundKondev, V., Winters, N. D., & Patel, S. (2021) · International review of neurobiology · doi:10.1016/bs.irn.2020.09.007 · Cited by 21
Self-citationHypothalamic endocannabinoid signalling modulates aversive responses related to panic attacks
Viana, T. G., Bastos, J. D. R., Briânis, R. C., Hott, S. C., Machado, F. S. M., Coimbra, C. C., Resstel, L. B. M., de Aguiar, D. C., & Moreira, F. A. (2019) · Neuropharmacology · doi:10.1016/j.neuropharm.2019.01.022 · Cited by 18
Swim stress differentially affects limbic contents of 2-arachidonoylglycerol and 2-oleoylglycerol
Roberts, C. J., Stuhr, K. L., & Hillard, C. J. (2011) · Neuroscience · doi:10.1016/j.neuroscience.2011.11.065 · Cited by 17
“While a single episode of 30 minute restraint does not reliably alter 2- AG contents in brain, repeated exposure of mice to the same restraint stress increases 2-AG contents in limbic brain regions after 5–10 repetitions (Patel et al., 2005, Rademacher et al., 2008).”
Self-citationZamberletti, E., & Rubino, T. (2020) · Biological Psychiatry Cognitive Neuroscience and Neuroimaging · doi:10.1016/j.bpsc.2020.06.013 · Cited by 17
Sánchez‐Marín, L., Flores-López, M., Gavito, A., Suárez, J., Pavón, F. J., de Fonseca, F. R., & Serrano, A. (2022) · Biomedicines · doi:10.3390/biomedicines10030593 · Cited by 16
“Numerous preclinical studies have described the behavioral and hormonal effects of repeated restraint stress, including depressive-like behaviors, anxiety-like behaviors, cognition impairments and increased plasma corticosterone levels [for review see [5]].”
BackgroundRabasa, C., Pastor‐Ciurana, J., Delgado‐Morales, R., Gómez-Román, A., Carrasco, J., Gagliano, H., García‐Gutiérrez, M. S., Manzanares, J., & Armario, A. (2015) · European Neuropsychopharmacology · doi:10.1016/j.euroneuro.2015.04.026 · Cited by 16
Ceci, C., Mela, V., Macrı̀, S., Marco, E. M., Viveros, M., & Laviola, G. (2013) · Psychopharmacology · doi:10.1007/s00213-013-3367-3 · Cited by 15
de Souza-Júnior, F. J. C., Cunha, L. C., & Lisboa, S. F. D. S. (2022) · Exploration of Neuroprotective Therapy · doi:10.37349/ent.2022.00028 · Cited by 16
Zhao, J., Liu, J., Denney, J., Li, C., Li, F., Chang, F., Chen, M., & Yin, D. (2015) · NeuroImmunoModulation · doi:10.1159/000371468 · Cited by 14
Danan, D., Todder, D., Zohar, J., & Cohen, H. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22126416 · Cited by 13
Hashiesh, H. M., Jha, N. K., Sharma, C., Gupta, P. K., Jha, S. K., Patil, C. R., Goyal, S. N., & Ojha, S. K. (2021) · European Journal of Pharmacology · doi:10.1016/j.ejphar.2021.174398 · Cited by 13
Elfving, B., Jakobsen, J., Madsen, J. C. B., Wegener, G., & Müller, H. K. (2015) · Synapse · doi:10.1002/syn.21808 · Cited by 13
- Role of the Endocannabinoid System in the Neurobiology of Suicide
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Newsom, R. J., Garcia, R. J., Stafford, J., Osterlund, C., O’Neill, C. E., Day, H. E. W., & Campeau, S. (2019) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2019.104549 · Cited by 11
“Finally, considering theoretical and known eCB system involvements in recovery from acute stress (Riebe and Wotjak, 2011), and modulation of reactivity to repeatedly experienced stressors, which may involve stimulation or stress-dependent alterations in CB1R activity (Hill et al., 2010a; Newsom et al., 2019; Patel and…”
BackgroundHartwig, M., Bhat, A., & Peters, A. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.865203 · Cited by 11
“Therefore, habituation to stress manifests itself as a specific form of synaptic and morphological plasticity, in the induction of which not only glucocorticoids but also endocannabinoids play a key role (Patel and Hillard, 2008; Hill et al., 2010a).”
BackgroundKondev, V., Bluett, R. J., Najeed, M., Rosas-Vidal, L. E., Grueter, B. A., & Patel, S. (2022) · Neurobiology of Stress · doi:10.1016/j.ynstr.2022.100510 · Cited by 10
“5 2-AG signaling has been shown to play a prominent role in modulating stress effects after repeated homotypic stress exposures (Bluett et al., 2017; Patel and Hillard, 2008; Rademacher et al., 2008).”
BackgroundSelf-citationErdozain, A. M., Rubio, M., Meana, J. J., Fernández‐Ruíz, J., & Callado, L. F. (2015) · Journal of Psychopharmacology · doi:10.1177/0269881115599388 · Cited by 11
“Since stress and anxiety disorders (Kamprath et al., 2009; Patel and Hillard, 2008), as well as depression (Hungund et al.”
BackgroundLaricchiuta, D., Rojo, M. L., Rodríguez‐Gaztelumendi, A., Ferlazzo, F., Petrosini, L., & Fowler, C. J. (2012) · PLoS ONE · doi:10.1371/journal.pone.0042111 · Cited by 9
Avalos, M. P., Guzman, A. S., García‐Keller, C., Mongi‐Bragato, B., Esparza, M. A., Rigoni, D., Sanchez, M. A., Calfa, G. D., Bollati, F. A., & Cancela, L. M. (2022) · Frontiers in Physiology · doi:10.3389/fphys.2022.896268 · Cited by 8
“On the other hand, studies have reported habituation of several of these responses after the repeated stimulation of stress-responsive brain regions through homotypic stressful stimuli (Capriles and Cancela, 1999; Moghaddam, 2002; Patel and Hillard, 2008).”
BackgroundCannabinoid Modulation of Midbrain Urocortin 1 Neurones During Acute and Chronic Stress
Derks, N. M., Pintér, O., Zuure, W. A., Ledent, C. A., Watanabe, M., Molnár, C. S., Wei, Y., Roubos, E. W., Wu, S., Hrabovszky, E., et al. (2012) · Journal of Neuroendocrinology · doi:10.1111/j.1365-2826.2012.02355.x · Cited by 8
Ishola, I. O., Akinleye, M. O., Oduola-Akande, M. D., & Adeyemi, O. O. (2016) · Biomedicine & Pharmacotherapy · doi:10.1016/j.biopha.2016.06.054 · Cited by 8
Newsom, R. J., Stafford, J., Garcia, R. J., & Campeau, S. (2019) · Stress · doi:10.1080/10253890.2019.1655538 · Cited by 7
“Repeated stress has been reported to result in stress-induced elevations of eCB ligands in stress-reactive limbic structures in patterns different than those reported to occur after acute stress (Hill et al., 2010; Patel et al., 2004, 2005; Patel and Hillard, 2008).”
BackgroundDeNapoli, R. C., Buettmann, E. G., Friedman, M. A., Lichtman, A. H., & Donahue, H. J. (2022) · Journal of Biomechanics · doi:10.1016/j.jbiomech.2022.111414 · Cited by 7
Zamani, M., Radahmadi, M., & Reisi, P. (2022) · PubMed Central · doi:10.22038/ijbms.2022.66718.14629 · Cited by 7
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“In particular, the role of endocannabinoids in response to stress was identified [127], with preclinical evidence showing that AEA and 2-AG play critical roles in the regulation of the glucocorticoid response to stress [128–132].”
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“The endocannabinoid system is also linked to stress release, and CB1 receptors in the prefrontal cortex may influence anxiety, chronic stress, motivation, and social functioning in general [45].”
BackgroundCannabis, endocannabinoids and neurodevelopment
Galve‐Roperh, I. (2011) · Cambridge University Press eBooks · doi:10.1017/cbo9780511706080.007 · Cited by 6
Lightfoot, S. H. M., Baglot, S. L., Hume, C., Grace, L. M., McLaughlin, R. J., & Hill, M. N. (2024) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2024.107263 · Cited by 4
“…of CB1 receptors can modulate the HPA axis, although the direction of these effects is strongly influenced by whether activation occurs through endogenous or exogenous ligands (Glodosky et al., 2021; Hill and McEwen, 2010; Morena et al., 2016; Patel et al., 2004; Patel and Hillard, 2008).”
Stress and Behavior: The Role of Nutrients with Emphasis on Omega-3 Fatty Acids
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“Previous studies have implicated 2-AG signaling in stress adaptation and modulation of anxiety-like behavior after stress exposure (Bedse et al. 2017; Bluett et al. 2017; Marcus et al. 2020; Patel et al. 2005; Patel and Hillard 2008; Patel et al. 2009).”
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Vinod, K. (2012) · Frontiers in neuroscience · doi:10.1201/b12215-6 · Cited by 4
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Baloh, R. W. (2020) · Springer eBooks · doi:10.1007/978-3-030-59181-6_5 · Cited by 3
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Hillard, C. J., Liu, Q., Liu, X., Pan, B., Roberts, C. J., & Shi, L. (2014) · Wiley eBooks · doi:10.1002/9781118451281.ch5 · Cited by 2
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Zhu, R., Li, J., Zhang, X., & Zhang, B. (2025) · Frontiers in Neuroscience · doi:10.3389/fnins.2025.1629351 · Cited by 3
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Mari, M., Bagaev, A., Sur, D., Rocha, B. G. S., Begmatova, D., Zemliana, N. A., Bowirrat, A., Blum, K., Thanos, P. K., Kogan, N. M., et al. (2025) · Scientific Reports · doi:10.1038/s41598-025-15528-1 · Cited by 3
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Akirav, I., & Portugalov, A. (2015) · Springer eBooks · doi:10.1007/978-1-4939-2294-9_2 · Cited by 2
Bisogno, T., & Marzo, V. D. (2013) · Wiley eBooks · doi:10.1002/9781118395318.ch12 · Cited by 2
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Hill, M. N., & Patel, S. (2019) · Elsevier eBooks · doi:10.1016/b978-0-12-813983-7.00022-7 · Cited by 1
Self-citationProsser, C. M. (2018) · Environmental Pollution · doi:10.1016/j.envpol.2018.12.062 · Cited by 1
Vieira, J. C. F. (2020) · Digital Library of Theses and Dissertations (Universidade de São Paulo) · doi:10.11606/t.17.2020.tde-11022020-153242 · Cited by 1
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Hillard, C. J. (2013) · Springer eBooks · doi:10.1007/978-1-4614-7940-6_9
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von Heimendahl, J. (2012)
Angefertigt mit Genehmigung der Mathematisch-Naturwissenschaftlichen Fakultät der
Bonn, R. F.-W.-U. (2012)
Assini, F. L., & Takahashi, R. N. (2014) · Revista Eletrônica Estácio Saúde
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Scullion, K. (2015) · Libraries and Cultural Resources (University of Calgary) · doi:10.11575/prism/25792
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Tesone-Coelho, C., Varela, P., Escosteguy-Neto, J. C., Mello, L. E., & Santos-Junior, J. G. (2012) · Journal of Drug and Alcohol Research · doi:10.4303/jdar/235589
“Given the importance of habituation to homotopic stress [17,28], mice might be more habituated to other subsequent mild stress.”
BackgroundEfeitos comportamentais e neuroplásticos da combinação de escitalopram e canabinóides
Scarante, F. F. (2018) · Digital Library of Theses and Dissertations (Universidade de São Paulo) · doi:10.11606/d.17.2018.tde-25072018-103829
Fusse, E. J. (2019) · Digital Library of Theses and Dissertations (Universidade de São Paulo) · doi:10.11606/d.17.2019.tde-23102019-162952 · Cited by 1
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BackgroundInvestigation of the endocannabinoid system using in vivo and in vitro models
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de Souza, F. J. C. (2023) · Digital Library of Theses and Dissertations (Universidade de São Paulo) · doi:10.11606/d.17.2023.tde-10112023-160939
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Metadata
- Authors
- Patel, S., & Hillard, C. J.
- Affiliations
- Vanderbilt University Medical Center (US)
- Medical College of Wisconsin (US)
- Corresponding author
- Patel, Sachin
- Venue
- European Journal of Neuroscience
- Publisher
- Wiley
- Published
- 2008-06
- Volume
- 27
- Issue
- 11
- Pages
- 2821-2829
- ISSN
- 0953-816X (ISSN-L)
- 1460-9568
- PMC
- PMC2593941
- OpenAlex
- W1981670902
- Cited by
- 162
- References
- 95
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 6 · 2023: 4 · 2022: 8 · 2021: 8 · 2020: 6 · 2019: 8 · 2018: 6 · 2017: 4 · 2016: 7 · 2015: 13 · 2014: 12 · 2013: 18 · 2012: 15
- FWCI
- 1.51
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- European Journal of Neuroscience (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Institute on Drug Abuse (F30 DA15575, R01DA016967, F30DA015575, R21DA022439)
- Topics
- Health Sciences › Medicine › Pharmacology (medical) › Cannabis and Cannabinoid Research
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Keywords
- endocannabinoid signaling, stress habituation, chronic stress, anxiety, depression, mood disorders
- MeSH terms
- Adaptation, Physiological, Animals, Anxiety Disorders, Brain, Depressive Disorder, Disease Models, Animal, Humans, Stress, Psychological, Mood Disorders, Cannabinoid Receptor Modulators, Endocannabinoids
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