Preview

"Arterial’naya Gipertenziya" ("Arterial Hypertension")

Advanced search

The cognitive dysfunction in patients with obesity. Role of the endocannabinoids

https://doi.org/10.18705/1607-419X-2012-18-2-126-135

Abstract

The endocannabinoid system plays an important role in different physiological processes including memory and learning. Its activation can affect cognitive function and cause cognitive deficit in obese patients. Objective. To assess the association between cognitive function and activity of the endocannabinoid system in obese patients. Design and methods. 32 subjects (18 females and 14 males) aged 35-55 years old (mean age — 47,8 ± 2,3 years) were included in the study. All participants underwent neuropsychological testing, assessment of cognitive evoked potentials and plasma level of the endocannabinoids. Results. Our study showed that obese patients demonstrate cognitive dysfunction. Cognitive evoked potential is an objective and early sing of cognitive dysfunction. Activation of the endocannabinoid system is associated with cognitive deficit in obese patients.

About the Authors

I. Zueva
Almazov Federal Heart, Blood and Endocrinology Centre
Russian Federation


K. I. Vanaeva
Almazov Federal Heart, Blood and Endocrinology Centre
Russian Federation


E. V. Shlyakhto
Almazov Federal Heart, Blood and Endocrinology Centre
Russian Federation


References

1. Захаров В.В., Яхно Н.Н. Синдром умеренных когнитивных расстройств в пожилом и старческом возрасте // Рус. мед. журн. — 2004. — № 10. — 573-576.

2. Гаврилова С.И. Мягкое когнитивное снижение — доклиническая стадия болезни Альцгеймера? // Consilium Medicum. — 2004. — № 2. — С. 153-156.

3. Зуева И.Б., Ванаева К.И., Санец Е.Л. и др. Взаимосвязь факторов сердечно-сосудистого риска с когнитивными функциями у пациентов среднего возраста // Артериальн. гипертензия. — 2011. — Т. 17, № 5. — С. 432-441.

4. Mossello E., Ballini E., Boncinelli M. et al. Glucagon-like peptide-1, diabetes, and cognitive decline: possible pathophysiological links and therapeutic opportunities // 2011. — Vol. 2011. — P. 24-30.

5. Johnson K.C., Margolis K.L., Espeland M.A. et al. A prospective study of the effect of hypertension and baseline blood pressure on cognitive decline and dementia in postmenopausal women: the Women’s Health Initiative Memory Study // J. Am. Geriatr. Soc. — 2008. — Vol. 56, № 8. — P. 1449-1458.

6. Dufouil C., de Kersaint-Gilly A., Besancon V. et al. Longitudinal study of blood pressure and white matter hyperintensities: The EVA MRI Cohort // Neurology. — 2001. — Vol. 56, № 7. — P. 921-926.

7. Whitmer R.A., Gustafson D.R., Barrett-Connor E., Haan Arterialnaya Gipertenziya M.N., Gunderson E.P., Yaffe K. Central obesity and increased risk of dementia more than three decades later // Neurology. — 2008. — Vol. 71, № 14. — P. 1057-1064.

8. Whitmer R.A., Gunderson E.P., Barrett-Connor E., Quesenberry C.P., Yaffe K. Obesity in middle age and future risk of dementia: a 27 year longitudinal population based study // Br. Med. J. — 2005. — Vol. 330, № 7504. — P. 1360-1364.

9. Gustafson D., Rothenberg E., Blennow K., Steen B., Skoog I. An 18-year follow-up of overweight and risk of Alzheimer disease // Arch. Intern. Med. — 2003. — Vol. 163, № 13. — P. 1524-1528.

10. Wang H., Dey S.K., Maccarrone M. Jekyll and Hyde: two faces of cannabinoid signaling in male and female fertility // Endocr. Rev. — 2006. — Vol. 27, № 5. — P. 427-448.

11. Di Marzo V., Matias I. Endocannabinoid control of food intake and energy balance // Nat. Neurosci. — 2005. — Vol. 8, № 5. — P. 585-589.

12. Cota D., Marsicano G., Tschop M. et al. The endogenous cannabinoid system affects energy balance via central orexigenic drive and peripheral lipogenesis // J. Clin. Invest. — 2003. — Vol. 112, № 3. — P. 423-431.

13. Kershaw E.E., Flier J.S. Adipose tissue as an endocrine organ // J. Clin. Endocrinol. Metab. — 2004. — Vol. 89, № 6. — P. 2548-2556.

14. Pagotto U., Vicennati V., Pasquali R. The endocannabinoid system and the treatment of obesity // Ann. Med. — 2005. — Vol. 37, № 40. — P. 270-275.

15. Hill M.N., Gorzalka B.B. Pharmacological enhancement of cannabinoid CB1 receptor activity elicits an antidepressant-like response in the rat forced swim test // Eur. Neuropsychopharmacol. — 2005. — Vol. 15, № 6. — P. 593-599.

16. Ameri A. The effects of cannabinoids on the brain // Prog. Neurobiol. — 1999. — Vol. 58, № 4. — P. 315-348.

17. Di Marzo V., Fontana A. Anandamide, an endogenous cannabinomimetic eicosanoid: «killing two birds with one stone» // Prostaglandins Leukot. Essent. Fatty Acids. — 1995. — Vol. 53, № 1. — P. 1-11.

18. Cota D., Woods S. The role of the endocannabinoid system in the regulation of energy homeostasis // Curr. Opin. Endocrinol. Diabetes. — 2005. — Vol. 12, № 5. — P. 338-351.

19. Devane W.A., Hanus L., Breuer A. et al. Isolation and structure of a brain constituent that binds to the cannabinoid receptor // Science. — 1992. — Vol. 258, № 5090. — P. 19461949.

20. Mechoulam R., Ben-Shabat S., Hanus L. et al. Identification of an endogenous 2-monoglyceride, present in canine gut, that binds to cannabinoid receptors // Biochem. Pharmacol. — 1995. — Vol. 50, № 1. — P. 83-90.

21. Sugiura T., Kondo S., Sukagawa A. et al. 2-Arachidonoyl-glycerol: a possible endogenous cannabinoid receptor ligand in brain // Biochem. Biophys. Res. Commun. — 1995. — Vol. 215, № 1. — P. 89-97.

22. Idris A.I., van ‘t Hof R.J., Greig I.R. et al. Regulation of bone mass, bone loss and osteoclast activity by cannabinoid receptors // Nat. Med. — 2005. — Vol. 11, № 7. — P. 774-779.

23. Wilson R.I., Nicoll R.A. Endocannabinoid signaling in the brain // Science. — 2002. — Vol. 296, № 5568. — P. 678-682.

24. Alger B.E. Endocannabinoid identification in the brain: Studies of breakdown lead to breakthrough, and there may be NO hope // Sci. STKE. — 2005. — Vol. 2005, № 309. — Р. pe51.

25. Howlett A.C., Breivogel C.S., Childers S.R., Deadwyler Arterialnaya Gipertenziya S.A., Hampson R.E., Porrino Arterialnaya Gipertenziya L.J. Cannabinoid physiology and pharmacology: 30 years of progress // Neuropharmacology. — 2004. — Vol. 47, Suppl. 1. — P. 345-358.

26. Croxford J.L. Therapeutic potential of cannabinoids in CNS disease // CNS Drugs. — 2003. — Vol. 17, № 3. — P. 179-202.

27. Piomelli D. The molecular logic of endocannabinoid signaling // Nat. Rev. Neurosci. — 2003. — Vol. 4, № 11. — P. 873-884.

28. Chevaleyre V., Takahashi K.A., Castillo P.E. Endocan-nabinoid-mediated synaptic plasticity in the CNS // Annu Rev. Neurosci. — 2006. — Vol. 29. — P. 37-76.

29. De Petrocellis L., Cascio M.G., Di Marzo V. The endocannabinoid system: a general view and latest additions // Br. J. Pharmacol. — 2004. — Vol. 141, № 5. — P. 765-774.

30. de Jager C.A., Schrijnemaekers A.C., Honey T.E., Budge Arterialnaya Gipertenziya M.M. Detection of MCI in the clinic: evaluation of the sensitivity and specificity of a computerised test battery, the Hopkins Verbal Learning Test and the MMSE // Age Ageing. — 2009. — Vol. 38, № 4. — Р. 455-460.

31. Hogervorst E., Yaffe K., Richards M., Huppert F. Hormone replacement therapy to maintain cognitive function in women with dementia // Cochrane Database Syst. Rev. — 2002. — № 3. — P. CD003799.

32. Левин О.С. Диагностика и лечение деменции в клинической практике. — М.: Медпресс-информ, 2009. — 250 c. / Levin O.S. Diagnosis and treatment of dementia in clinical practice. — M.: Medpress-inform. — 2009. — 250 р. [Russian].

33. Белова А.Н. Шкалы, тесты и опросники в неврологии и нейрохирургии. Руководство для врачей и научных работников. — М., 2004. — 432 с.

34. Polich J. Meta-analysis of P300 normative aging studies // Psychophysiology. — 1996. — Vol. 33, № 4. — P. 1001.

35. Polich J. Cognitive brain potentials // Curr. Directions Psychol. Sci. — 1993. — Vol. 2. — P. 175.

36. Polich J. Attention, probability and task demands as determinants of P300 latency from auditory stimuli // EEG Clin. Neurophysiol. — 1986. — Vol. 63, № 3. — P. 251.

37. Гнездицкий В.В., Шамшинова А.М. Опыт применения вызванных потенциалов в клинической практике. — М., 2001. — 480 с. / Gnezdinskiy V.V., Shamshinova A.M. The experience of application of evoked potentials in clinical practice. — M., 2001. — P. 480 [Russian].

38. Muscoso E.G., Costanzo E., Daniele O., Maugeri D., Natale E., Caravaglios G. Auditory event-related potentials in subcortical vascular cognitive impairment and Alzheimer’s disease // J. Neural. Transm. — 2006. — Vol. 113, № 11. — P. 1779-1786.

39. Sachs G., Anderer P., Margreiter N., Semlitsch H., Saletu B., Katschnig H. P300 event-related potentials and cognitive function in social phobia // Psychiat. Res. — 2004. — Vol. 131, № 3. — P. 249-261.

40. Корепина О.С., Гнездицкий В.В., Ревенок Е.В. и др. Вызванные потенциалы в оценке сенсорных, активирующих и когнитивных функций мозга человека в норме и при сосудистой деменции коркового и подкоркового типа // Журн. высшей нервной деятельности. — 1998. — Т. 48. — С. 707-718.

41. Ревенок Е.В., Гнездицкий В.В., Калашникова Л.А. Различия Р300, нейропсихологического профиля и когнитивных нарушений при деменции коркового и подкоркового типов // Физиол. человека. — 2001. — № 3. — С. 42-53.

42. Благосклонная Я.В., Шляхто Е.В., Бабенко А.Ю. Эндокринология: Уч. для мед. Вузов. — Спб.: СпецЛит, 2004. — 398 с. / Blagosklonnaya Y.V., Shlyakhto E.V., Babenko A.U. Endocrinology. Textbook for medical schools. — St Petersburg: SpetsLit, 2004. — P. 398 [Russian].

43. Matthews D., Hosker J., Rudenski A. et al. Homeostasis model assessment: insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man // Dia-betologia. — 1985. — Vol. 28, № 7. — P. 412-419.

44. Hoffman A.F., Oz M., Caulder T., Lupica C.R. Functional tolerance and blockade of long term depression at synapses in the nucleus accumbens after chronic cannabinoid exposure // J. Neurosci. — 2003. — Vol. 23, № 12. — P. 4815-4820.

45. Sim-Selley L. Regulation of cannabinoid CB1 receptors in the central nervous system by chronic cannabinoids // Crit. Rev. Neurobiol. — 2003. — Vol. 15, № 2. — P. 91-119.

46. Klein T.W. Cannabinoid-based drugs as anti-inflammatory therapeutics // Nat. Rev. Immunol. — 2005. — Vol. 5, № 5. — P. 400-411.

47. Freund T.F., Katona I., Piomelli D. Role of endogenous cannabinoids in synaptic signaling // Physiol. Rev. — 2003. — Vol. 83, № 3. — P. 1017-1066.

48. Hampson A.J., Grimaldi M., Lolic M., Wink D., Rosenthal R., Axelrod J. Neuroprotective antioxidants from marijuana // Ann. NY Acad. Sci. — 2000. — Vol. 899. — P. 274-282.

49. Hampson R.E., Deadwyler S.A. Role of cannabinoid receptors in memory storage // Neurobiol. Dis. — 1998. — Vol. 5, № 6, Pt. B. — P. 474-482.

50. Varvel S.A., Hamm R.J., Martin B.R., Lichtman A.H. Differential effects of delta 9-THC on spatial reference and working memory in mice // Psychopharmacology (Berl). — 2001. — Vol. 157, № 2. — P. 142-150.

51. Hampson R.E., Simeral J.D., Kelly E.J., Deadwyler S.A. Tolerance to the memory disruptive effects of cannabinoids involves adaptation by hippocampal neurons // Hippocampus. — 2003. — Vol. 13, № 5. — P. 543-556.

52. Nakamura E.M., da Silva E.A., Concilio G.V., Wilkinson D.A., Masur J. Reversible effects of acute and long-term administration of delta-9-tetrahydrocannabinol (THC) on memory in the rat // Drug Alcohol Depend. — 1991. — Vol. 28, № 2. — P. 167-175.

53. Robinson L., McKillop-Smith S., Ross N.L. et al. Hippocampal endocannabinoids inhibit spatial learning and limit spatial memory in rats // Psychopharmacology (Berl). — 2007. — Vol. 198, № 4. — Р. 551-563.

54. Terranova J.P., Storme J.J., Lafon N. et al. Improvement of memory in rodents by the selective CB1 cannabinoid receptor antagonist, SR 141716 // Psychopharmacology (Berl). — 1996. — Vol. 126, № 2. — P. 165-172.

55. Lichtman A.H. SR 141716A enhances spatial memory as assessed in a radial-arm maze task in rats // Eur. J. Pharmacol. — 2000. — Vol. 404, № 1-2. — P. 175-179.

56. Wolff M.C., Leander J.D. SR141716A, a cannabinoid CB1 receptor antagonist, improves memory in a delayed radial maze task // Eur. J. Pharmacol. — 2003. — Vol. 477, № 3. — P. 213-217.

57. Reibaud M., Obinu M.C., Ledent C., Parmentier M., Bohme G.A., Imperato A. Enhancement of memory in cannabinoid CB1 receptor knockout mice // Eur. J. Pharmacol. — 1999. — Vol. 379, № 1. — P. R1-2.89.

58. Frodl-Bauch T., Bottlender R., Hegerl U. Neurochemical substrates and neuroanatomical generators ofthe event-related P300 // Neuropsychobiology. — 1999. — Vol. 40, № 2. — P. 86-94.

59. Hénon H., Pasquier F., Leys D. Poststroke dementia // Cerebrovasc. Dis. — 2006. — Vol. 22, № 1. — P. 61-70.

60. Гнездицкий В.В. Вызванные потенциалы мозга в клинической практике. — М., 2003. — 264 с. / Gnezdinskiy V.V. Evoked potentials of the brain in the clinical practice. — M., 2003. — 264 р. [Russian].

61. Patel A.B., Kostis J.B., Wilson A.C., Shea M.L., Pressel S.L., Davis B.R. Long-term fatal outcomes in subjects with stroke or transient ischemic attack: fourteen-year follow-up of the systolic hypertension in the elderly program // Stroke. — 2008. — Vol. 39, № 4. — P. 1084-1089.

62. Pacher P., Batkai S., Kunos G. The endocannabinoid system as an emerging target of pharmacotherapy // Pharmacol. Rev. — 2006. — Vol. 58, № 3. — P. 389-462.

63. Howlett A.C. Cannabinoid receptor signaling // Handb. Exp. Pharmacol. — 2005. — № 168. — P. 53-79.

64. Di Marzo V. Endocannabinoids: synthesis and degradation // Rev. Physiol. Biochem. Pharmacol. — 2008. — Vol. 160. — P. 1-24.

65. Starowicz K., Nigam S., Di Marzo V. Biochemistry and pharmacology of endovanilloids // Pharmacol. Ther. — 2007. — Vol. 114, № 1. — P. 13-33.

66. Poirier B., Bidouard J.P., Cadrouvele C. et al. The anti-obesity effect of rimonabant is associated with an improved serum lipid profile // Diabetes Obes. Metab. — 2005. — Vol. 7, № 1. — P. 65-72.

67. Jbilo O., Ravinet-Trillou C., Arnone M. et al. The CB1 receptor antagonist rimonabant reverses the diet-induced obesity phenotype through the regulation of lipolysis and energy balance // Faseb. J. — 2005. — Vol. 19, № 11. — P. 1567-1569.

68. Julien B., Grenard P., Teixeira-Clerc F. et al. Antifibrogenic role of the cannabinoid receptor CB2 in the liver // Gastroenterology. — 2005. — Vol. 128, № 3. — P. 742-755.

69. Siegmund S.V., Qian T., de Minicis S. et al. The endocannabinoid 2-arachidonoyl glycerol induces death of hepatic stellate cells via mitochondrial reactive oxygen species // Faseb. J. — 2007. — Vol. 21, № 11. — P. 2798-2806.

70. Osei-Hyiaman D., DePetrillo M., Pacher P. et al. Endocannabinoid activation at hepatic CB1 receptors stimulates fatty acid synthesis and contributes to diet-induced obesity // J. Clin. Invest. — 2005. — Vol. 115, № 5. — P. 1298-1305.

71. Gary-Bobo M., Elachouri G., Gallas J.F. et al. Rimonabant reduces obesity-associated hepatic steatosis and features of metabolic syndrome in obese Zucker fa/fa rats // Hepatology. — 2007. — Vol. 46, № 1. — P. 122-129.

72. Bluher M., Engeli S., Kloting N. et al. Dysregulation of the peripheral and adipose tissue endocannabinoid system in human abdominal obesity // Diabetes. — 2006. — Vol. 55, № 11. — P. 3053-3060.

73. Côté M., Matias I., Lemieux I. et al. Circulating endocannabinoid levels, abdominal adiposity and related cardiometabolic risk factors in obese men // Int. J. Obes. (Lond). — 2007. — Vol. 31, № 4. — P. 692-699.

74. Ranganathan M., D’Souza D.C. The acute effects of cannabinoids on memory in humans: a review // Psychopharmacology (Berl). — 2006. — Vol. 188, № 4. — P. 425-444.


Review

For citations:


Zueva I., Vanaeva K.I., Shlyakhto E.V. The cognitive dysfunction in patients with obesity. Role of the endocannabinoids. "Arterial’naya Gipertenziya" ("Arterial Hypertension"). 2012;18(2):126-135. (In Russ.) https://doi.org/10.18705/1607-419X-2012-18-2-126-135

Views: 1087


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1607-419X (Print)
ISSN 2411-8524 (Online)