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Activation of the Peripheral Endocannabinoid System in Human Obesity
Open accessAbstract
Obesity is the main risk factor for the development of type 2 diabetes. Activation of the central endocannabinoid system increases food intake and promotes weight gain. Blockade of the cannabinoid type 1 (CB-1) receptor reduces body weight in animals by central and peripheral actions; the role of the peripheral endocannabinoid system in human obesity is now being extensively investigated. We measured circulating endocannabinoid concentrations and studied the expression of CB-1 and the main degrading enzyme, fatty acid amide hydrolase (FAAH), in adipose tissue of lean (n = 20) and obese (n = 20) women and after a 5% weight loss in a second group of women (n = 17). Circulating levels of anandamide and 1/2-arachidonoylglycerol were increased by 35 and 52% in obese compared with lean women (P < 0.05). Adipose tissue mRNA levels were reduced by -34% for CB-1 and -59% for FAAH in obese subjects (P < 0.05). A strong negative correlation was found between FAAH expression in adipose tissue and circulating endocannabinoids. Circulating endocannabinoids and CB-1 or FAAH expression were not affected by 5% weight loss. The expression of CB-1 and FAAH was increased in mature human adipocytes compared with in preadipocytes and was found in several human tissues. Our findings support the presence of a peripheral endocannabinoid system that is upregulated in human obesity.
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“and this effect is likely to result from downregulation of FAAH gene expression, an effect which has also been observed in adipocytes sampled from obese women.110”
From Cannabinoids as Pharmacotherapies for Neuropathic Pain: From the Bench to the Bedside (2009) · cites this paper as [110]
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“CB1 receptor is abundant in the brain, particularly on central and peripheral neurons in the presynapse (Kano et al., 2009), postsynaptic cells, and astrocytes (Castillo et al., 2012), and is found in low levels in peripheral organs (Engeli et al., 2005).”
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“The altered n-6/n-3 PUFA ratio may be important also in the activation of the endocannabinoid system, which is upregulated in human obesity (47).”
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“Reported decreases in CB1R mRNA [74] and expression [77,80,84] levels and 2-AG content [77] in adipose tissue from obese individuals have been interpreted as evidence for a purported counter-regulatory mechanism that attempts to limit the obesity-related consequences of CB1R activation, which can be normalized to some…”
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Endocannabinoid tone is higher in healthy lean South Asian than white Caucasian men
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BackgroundIntegrated physiology and pathophysiology of CB1-mediated effects of the endocannabinoid system
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“(2007) found an increased expression of CB1R mRNA in visceral fat tissue of obese patients, other working groups (Bluher et al., 2006; Engeli et al., 2005; Kempf et al., 2007) reported decreased levels in visceral and subcutaneous fat tissue compared to lean patients.”
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Heritability and family-based GWAS analyses of the N -acyl ethanolamine and ceramide plasma lipidome
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“The ECS modulates several central and peripheral functions and is usually silent, but it becomes transiently activated in stressful conditions (Andre and Gonthier, 2010).”
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“In obesity, both circulating AEA and 2-AG increased (Engeli et al. 2005).”
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“Additionally, the endocannabinoid system is upregulated in obesity, which may further perpetuate excessive energy intake [17].”
BackgroundPre-analytical challenges for the quantification of endocannabinoids in human serum
Kratz, D., Sens, A., Schäfer, S. M. G., Hahnefeld, L., Geißlinger, G., Thomas, D., & Gurke, R. (2022) · Journal of Chromatography B · doi:10.1016/j.jchromb.2022.123102 · Cited by 22
Hirsch, S., Hinden, L., Naim, M. B.-D., Baraghithy, S., Permyakova, A., Azar, S., Nasser, T., Portnoy, E., Agbaria, M., Nemirovski, A., et al. (2022) · Journal of Controlled Release · doi:10.1016/j.jconrel.2022.11.040 · Cited by 25
Fat-Rich Food Palatability and Appetite Regulation
Erlanson‐Albertsson, C. (2009) · Frontiers in neuroscience · doi:10.1201/9781420067767-c14 · Cited by 23
Oliveira, A. B., de Mello, M. T., Tufik, S. B., & Peres, M. F. P. (2018) · Physiology & Behavior · doi:10.1016/j.physbeh.2018.12.018 · Cited by 22
de Luis, D. A., Sagrado, M. G., Aller, R., Izaola, O., & Conde, R. (2010) · Metabolism · doi:10.1016/j.metabol.2010.01.028 · Cited by 21
“Furthermore, the CB1 receptor is expressed in some peripheral human tissues studied in relation to the pathogenesis of obesity and obesityassociated metabolic disorders; and marked down-regulation of the fatty acid amide hydrolase gene expression was found in the adipose tissue of obese women, suggesting that adipose…”
BackgroundLiu, W. J., Jin, H. Y., Park, J. H., Baek, H. S., & Park, T. S. (2010) · European Journal of Pharmacology · doi:10.1016/j.ejphar.2010.04.004 · Cited by 21
Endocannabinoid system and its implications for obesity and cardiometabolic risk
Nesto, R. W., & Mackie, K. (2008) · European Heart Journal Supplements · doi:10.1093/eurheartj/sum052 · Cited by 21
de Luis, D. A., Sagrado, M. G., Aller, R., Izaola, O., Conde, R., & Romero, E. (2010) · PubMed · Cited by 21
Romero‐Zerbo, S., Ruz‐Maldonado, I., Espinosa-Jiménez, V., Rafacho, A., Gómez-Conde, A. I., Salido, L. S., Cobo‐Vuilleumier, N., Gauthier, B. R., Tinahones, F. J., Persaud, S. J., et al. (2017) · Scientific Reports · doi:10.1038/s41598-017-03292-w · Cited by 21
Buntyn, R. W., Alugubelly, N., Hybart, R., Mohammed, A. N., Nail, C. A., Parker, G. C., Ross, M. K., & Carr, R. L. (2017) · International Journal of Toxicology · doi:10.1177/1091581817725272 · Cited by 21
Tagliamonte, S., Gill, C. I. R., Pourshahidi, L. K., Slevin, M. M., Price, R. K., Ferracane, R., Lawther, R., O’Connor, G., & Vitaglione, P. (2020) · European Journal of Nutrition · doi:10.1007/s00394-020-02398-8 · Cited by 25
Sempio, C., Klawitter, J., Jackson, M., Freni, F., Shillingburg, R., Hutchison, K. E., Bidwell, L. C., Christians, U., & Klawitter, J. (2021) · Analytical and Bioanalytical Chemistry · doi:10.1007/s00216-021-03280-0 · Cited by 21
Lindborg, K. A., Jacob, S., & Henriksen, E. J. (2011) · Cardiorenal Medicine · doi:10.1159/000322826 · Cited by 21
“Obesity is known to cause dysregulation of the endocannabinoid system [ ,”
BackgroundOrosensory Detection of Dietary Fatty Acids Is Altered in CB1R−/− Mice
Brissard, L., Leemput, J., Hichami, A., Passilly‐Degrace, P., Maquart, G., Demizieux, L., Degrace, P., & Khan, N. A. (2018) · Nutrients · doi:10.3390/nu10101347 · Cited by 21
Peripheral Endocannabinoid System Activity in Patients Treated With Sibutramine
Engeli, S., Heusser, K., Janke, J., Gorzelniak, K., Bátkai, S., Pacher, P., Harvey-White, J. D., Luft, F. C., & Jordan, J. (2008) · Obesity · doi:10.1038/oby.2008.47 · Cited by 21
“Similarly, 5% weight loss through caloric restriction had no effect on peripheral ECS activity (7).”
BackgroundMethodInfluentialScheen, A. J., Gaal, L. G. V., Després, J., Pi-Sunyer, X., Golay, A., & Hanotin, C. (2006) · PubMed · Cited by 21
Shahidi, M., Tay, E. S. E., Read, S. A., Ramezani–Moghadam, M., Chayama, K., George, J., & Douglas, M. W. (2014) · Journal of General Virology · doi:10.1099/vir.0.067231-0 · Cited by 22
“The endocannabinoid system is an important regulator of hepatic lipid metabolism; signalling through the hepatic cannabinoid 1 (CB1) receptor induces hepatic steatosis in both clinical and experimental studies (Engeli et al., 2005; Osei-Hyiaman et al., 2005, 2008).”
BackgroundThe CB1 receptor antagonist rimonabant controls cell viability and ascitic tumour growth in mice
Malfitano, A. M., Laezza, C., Galgani, M., Matarese, G., D’Alessandro, A., Gazzerro, P., & Bifulco, M. (2011) · Pharmacological Research · doi:10.1016/j.phrs.2011.11.008 · Cited by 20
Molina, P. E., Amedee, A. M., Winsauer, P. J., Nelson, S., Bagby, G., & Simon, L. (2015) · Journal of Neuroimmune Pharmacology · doi:10.1007/s11481-015-9599-8 · Cited by 20
Endocannabinoids and the cardiovascular response to stress
O’Sullivan, S. E., Kendall, P. J., & Kendall, D. A. (2011) · Journal of Psychopharmacology · doi:10.1177/0269881111408457 · Cited by 20
“Obesity, which is a significant physical stressor, is also associated with increased 2-AG levels (Côté et al., 2007; Engeli et al., 2005).”
BackgroundEmerging drugs for obesity therapy
Zanella, M. T., & Filho, F. F. R. (2009) · Arquivos Brasileiros de Endocrinologia & Metabologia · doi:10.1590/s0004-27302009000200019 · Cited by 20
Lipina, C., Rastedt, W., Irving, A. J., & Hundal, H. S. (2012) · BioEssays · doi:10.1002/bies.201200031 · Cited by 19
“Indeed, circulating levels of anandamide and 2-AG do correlate positively with non-esterified free fatty acid (NEFA) and triglyceride levels which are found to be higher in obese human subjects compared to lean individuals [2, 4, 5, 15, 81].”
BackgroundChronic activation of cannabinoid receptorsin vitrodoes not compromise mouse islet function
Vilches‐Flores, A., Hauge-Evans, A. C., Jones, P. M., & Persaud, S. J. (2012) · Clinical Science · doi:10.1042/cs20120447 · Cited by 20
Cable, J. C., Tan, G. D., Alexander, S. P. H., & O’Sullivan, S. E. (2014) · Lipids in Health and Disease · doi:10.1186/1476-511x-13-43 · Cited by 20
“N-arachidonoylethanolamide (anandamide, AEA) * Correspondence: mbzso@nottingham.ac.uk 1Division of Medical Sciences & Graduate Entry Medicine, School of Medicine, Faculty of Medicine & Health Sciences, University of Nottingham, Royal Derby Hospital Centre, Uttoxeter Road, Derby, DE22 3DT, UK Full list of author inform…”
BackgroundInfluentialActivity-based reporter assays for the screening of abused substances in biological matrices
Cannaert, A., Vandeputte, M. M., Wille, S. M. R., & Stove, C. P. (2019) · Critical Reviews in Toxicology · doi:10.1080/10408444.2019.1576588 · Cited by 20
“Although in some conditions (eating disorders, obesity, schizophrenia, post-exercise) the endocannabinoid concentrations can rise, this will never be to an extent that this would lead to interference (<10 pmol/ mL) (De Marchi et al. 2003; Engeli et al. 2005; Heyman et al. 2012).”
BackgroundChildhood Obesity and the Role of Dopamine D2 Receptor and Cannabinoid Receptor-1 Gene Polymorphisms
Araz, N. Ç., Nacak, M., Balcı, S. O., Benlier, N., Araz, M., Pehlıvan, S., Balat, A., & Aynacıoğlu, A. Ş. (2012) · Genetic Testing and Molecular Biomarkers · doi:10.1089/gtmb.2012.0244 · Cited by 20
“This system regulates appetite via the activation of cannabinoid receptor-1 (CNR1) (Engeli et al. , 2005; Pagotto et al. , 2006).”
Ouellette, C., Rudkowska, I., Lemieux, S., Lamarche, B., Couture, P., & Vohl, M. (2014) · Lipids in Health and Disease · doi:10.1186/1476-511x-13-86 · Cited by 20
“Circulating 2-AG levels in the plasma have been correlated positively with BMI and waist girth, as well as with plasma TG levels [50], while another study found that 2-AG levels were increased by 52% in obese women [51].”
Backgroundvan Diepen, H. C., Schlicker, E., & Michel, M. C. (2008) · Naunyn-Schmiedeberg s Archives of Pharmacology · doi:10.1007/s00210-008-0327-2 · Cited by 20
The endocannabinoid system and cardiometabolic risk
Szmitko, P. E., & Verma, S. (2008) · Atherosclerosis · doi:10.1016/j.atherosclerosis.2008.03.011 · Cited by 21
Comparative genetics of the central nervous system in epigean and hypogean Astyanax mexicanus
Strickler, A. G., & Soares, D. (2011) · Genetica · doi:10.1007/s10709-011-9557-1 · Cited by 19
“Changes in cannabinoids levels have been shown to underlie obesity in rats (Harrold 2002) and humans ( Engeli et al. 2005 ).”
BackgroundMeta-analyses between 18 candidate genetic markers and overweight/obesity
Tang, L., Ye, H., Hong, Q., Chen, F., Wang, Q., Xu, L., Bu, S., Liu, Q., Ye, M., Wang, D. W., et al. (2014) · Diagnostic Pathology · doi:10.1186/1746-1596-9-56 · Cited by 19
“CNR1 is shown to regulate the endocannabinoid system that might stimulate the metabolism of lipogenesis through central and peripheral mechanisms [15,16].”
BackgroundTherapeutic Applications for Agents that Act at CB1 and CB2 Receptors
Pertwee, R. G., & Thomas, A. (2008) · Humana Press eBooks · doi:10.1007/978-1-59745-503-9_13 · Cited by 20
“It has also been found, however, that CB1 mRNA expression is downregulated in the adipose tissue of obese women [193], and that body weight increases induced in rats by a palatable diet are associated with a decrease in the density of CB1-binding sites in extrahypothalamic brain areas, including the nucleus accumbens…”
Background
Metadata
- Authors
- Engeli, S., Böhnke, J., Feldpausch, M., Gorzelniak, K., Janke, J., Bátkai, S., Pacher, P., Harvey-White, J., Luft, F. C., Sharma, A. M., & Jordan, J.
- Affiliations
- Helios Hospital Berlin-Buch (DE)
- Franz Volhard Clinical Research Center, Charité Campus Buch, and HELIOS Klinikum Berlin, Berlin, Germany
- Laboratory of Physiologic Studies, National Institute on Alcohol Abuse & Alcoholism, National Institutes of Health, Bethesda, Maryland
- National Institutes of Health (US)
- McMaster University (CA)
- Venue
- Diabetes
- Publisher
- American Diabetes Association
- Published
- 2005-10-01
- Volume
- 54
- Issue
- 10
- Pages
- 2838-2843
- ISSN
- 0012-1797 (ISSN-L)
- 1939-327X
- PMC
- PMC2228268
- OpenAlex
- W2162112945
- Cited by
- 686
- References
- 37
- Citations by year
- 2026: 11 · 2025: 14 · 2024: 20 · 2023: 19 · 2022: 20 · 2021: 30 · 2020: 29 · 2019: 24 · 2018: 30 · 2017: 30 · 2016: 15 · 2015: 31 · 2014: 29 · 2013: 29 · 2012: 33
- FWCI
- 38.06
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Diabetes (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- MDC Repository (Max-Delbrueck-Center for Molecular Medicine) (submittedVersion)
- Funders
- Sanofi
- Bundesministerium für Bildung und Forschung
- National Institutes of Health
- National Institute on Alcohol Abuse and Alcoholism (Z01AA000375)
- Topics
- Health Sciences › Medicine › Pharmacology (medical) › Cannabis and Cannabinoid Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adipokines, Inflammation, and Metabolic Diseases
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Keywords
- obesity, cannabinoid type 1 receptor, fatty acid amide hydrolase, anandamide, 2-arachidonoylglycerol, adipose tissue, weight loss, human adipocytes, type 2 diabetes risk
- MeSH terms
- Fatty Acid Amide Hydrolases, Adipose Tissue, Amidohydrolases, Arachidonic Acids, Body Composition, Female, Glycerides, Humans, Middle Aged, Obesity, RNA, Messenger, Weight Loss, Gene Expression, Body Mass Index, Linear Models, Postmenopause, Reverse Transcriptase Polymerase Chain Reaction, Receptor, Cannabinoid, CB1, Polyunsaturated Alkamides, Cannabinoid Receptor Modulators, Endocannabinoids
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