:
Endocannabinoids are bioactive
amides,
esters, and
ethers of long-chain
polyunsaturated fatty acids. Evidence suggests that activation of the
endocannabinoid pathway offers cardioprotection against
myocardial ischemia, arrhythmias, and endothelial dysfunction of coronary arteries. As
cardiac hypertrophy is a convergence point of risk factors for
heart failure, we determined a role for
endocannabinoids in attenuating endothelin-1-induced
hypertrophy and probed the signaling pathways involved. The
cannabinoid receptor ligand anandamide and its metabolically stable analog,
R-methanandamide, suppressed hypertrophic indicators including cardiomyocyte enlargement and fetal gene activation (ie, the
brain natriuretic peptide gene) elicited by
endothelin-1 in isolated neonatal rat ventricular myocytes. The ability of
R-methanandamide to suppress myocyte enlargement and fetal gene activation was mediated by CB2 and CB1 receptors, respectively. Accordingly, a CB2-selective agonist,
JWH-133, prevented only myocyte enlargement but not
brain natriuretic peptide gene activation. A CB1/CB2 dual agonist with limited brain penetration,
CB-13, inhibited both hypertrophic indicators.
CB-13 activated
AMP-activated protein kinase (AMPK) and, in an AMPK-dependent manner,
endothelial nitric oxide synthase (eNOS). Disruption of AMPK signaling, using compound C or short hairpinRNA knockdown, and eNOS inhibition using
L-NIO abolished the antihypertrophic actions of
CB-13. In conclusion,
CB-13 inhibits cardiomyocyte
hypertrophy through AMPK-eNOS signaling and may represent a novel therapeutic approach to cardioprotection.