September 2023

PSYCHIATRY

YOUR BODY'S OWN CANNABINOID MOLECULES CALM YOU DURING STRESS


Scientists discover how stress activates the same receptors as THC.
Featuring: Sachin Patel, MD

​A new Northwestern Medicine study in mice, published in Cell Reports, has discovered that a key emotional brain center, the amygdala, releases endogenous (the body’s own) cannabinoid molecules under stress, and these molecules dampen the incoming stress alarm from the hippocampus, a memory and emotion center in the brain. These results provide more support for the hypothesis that the endogenous cannabinoid molecules are a body’s natural coping response to stress.

Stress exposure heightens risk for the development or worsening of psychiatric disorders from generalized anxiety and major depression to post-traumatic stress disorder (PTSD).

“Understanding how the brain adapts to stress at the molecular, cellular and circuit level could provide critical insight into how stress is translated into mood disorders and may reveal novel therapeutic targets for the treatment of stress-related disorders,” said corresponding study author Sachin Patel, MD, the chair and Lizzie Gilman Professor of Psychiatry and Behavioral Sciences and a Northwestern Medicine psychiatrist.  

The study could indicate that impairments in this endogenous cannabinoid signaling system in the brain could lead to a greater susceptibility to developing stress-related psychiatric disorders including depression and PTSD, although this remains to be determined in humans, Patel said.

For the study, Northwestern scientists used a new protein sensor that can detect the presence of these cannabinoid molecules at specific brain synapses in real time to show that specific high-frequency patterns of amygdala activity can generate these molecules. The sensor also showed that these molecules were released as a result of several different types of stress in mice.

When scientists removed the target of these cannabinoids, the cannabinoid receptor type 1, it resulted in poorer ability to cope with stress and motivational deficits in the mice. Specifically, when the receptor target of these endogenous cannabinoids was removed at hippocampal-amygdala synapses, mice adopted more passive and immobile responses to stress and had a lower preference to drink a sweetened sucrose water after stress exposure. The latter finding may relate to anhedonia, or the decrease in pleasure, often experienced by patients with stress-related disorders such as depression and PTSD.

One of the leading signaling systems that has been identified as a prominent drug-development candidate for stress-related psychiatric disorders is the endocannabinoid system, Patel said.

“Determining whether increasing levels of endogenous cannabinoids can be used as potential therapeutics for stress-related disorders is a next logical step from this study and our previous work,” Patel said. “There are ongoing clinical trials in this area that may be able to answer this question in the near future.”

Other Northwestern authors include Farhana Yasmin, PhD; Amanda Morgan, PhD, research assistant professor of Psychiatry and Behavioral Sciences; and Keenan Johnson.


​
The research was supported by grants F31MH126I460, MH107435 and MH119817 from the National Institute of Mental Health and grant AA9013514 from the National Institute of Alcohol Abuse and Alcoholism, Integrative Neuroscience Initiative on Alcoholism, all of the National Institutes of Health.
​
This article was originally published in the Feinberg School of Medicine News Center on September 12, 2023.
Sachin Patel, MD, Chair, Department of Psychiatry and Behavioral Sciences, Lizzie Gilman Professor of Psychiatry and Behavioral Sciences, Professor of Psychiatry and Behavioral Sciences (General Psychiatry) 

Refer a Patient

Northwestern Medicine welcomes the opportunity to partner with you in caring for your patients. ​

You May Also Like