Cannabinoid Receptors
<p>Cannabinoid receptors are activated by cannabinoids, generated naturally inside the body (<a href="http://en.wikipedia.org/wiki/Endocannabinoids#Endogenous_Cannabinoids" title="Endocannabinoids" class="mw-redirect" >endocannabinoids</a>) or introduced into the body as <a href="http://en.wikipedia.org/wiki/Cannabis_(drug)" title="Cannabis (drug)" >cannabis</a> or a related <a href="http://en.wikipedia.org/wiki/Chemical_synthesis" title="Chemical synthesis" >synthetic</a> compound.</p>
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Separation between the therapeutically undesirable psychotropic effects, and the clinically desirable ones, however, has not been reported with <a href="http://en.wikipedia.org/wiki/Agonists" title="Agonists" class="mw-redirect" >agonists</a> that bind to cannabinoid receptors. <a href="http://en.wikipedia.org/wiki/THC" title="THC" class="mw-redirect" >THC</a>, as well as the two major <a href="http://en.wikipedia.org/wiki/Endogenous" title="Endogenous" class="mw-redirect" >endogenous</a> compounds identified so far that bind to the cannabinoid receptors —<a href="http://en.wikipedia.org/wiki/Anandamide" title="Anandamide" >anandamide</a> and <a href="http://en.wikipedia.org/wiki/2-arachidonylglycerol" title="2-arachidonylglycerol" class="mw-redirect" >2-arachidonylglycerol</a> (2-AG)— produce most of their effects by binding to both the CB<sub >1</sub> and CB<sub >2</sub> cannabinoid receptors. While the effects mediated by CB<sub >1</sub>, mostly in the central nervous system, have been thoroughly investigated, those mediated by CB<sub >2</sub> are not equally well defined.</p>
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Inhibition of <a href="http://en.wikipedia.org/wiki/Gastrointestinal_tract" title="Gastrointestinal tract" class="mw-redirect" >gastrointestinal</a> activity has been observed after administration of Δ<sup >9</sup>-THC, or of <a href="http://en.wikipedia.org/wiki/Anandamide" title="Anandamide" >anandamide</a>. This effect has been assumed to be CB<sub >1</sub>-mediated since the specific CB<sub >1</sub>antagonist SR 141716A (<a href="http://en.wikipedia.org/wiki/Rimonabant" title="Rimonabant" >Rimonabant</a>) blocks the effect. Another report, however, suggests that inhibition of <a href="http://en.wikipedia.org/wiki/Intestine" title="Intestine" >intestinal</a> <a href="http://en.wikipedia.org/wiki/Motility" title="Motility" >motility</a> may also have a CB<sub >2</sub>-mediated component.<sup id="cite_ref-pmid15249429_22-0" class="reference" ><a href="http://en.wikipedia.org/wiki/Cannabinoid_receptor#cite_note-pmid15249429-22" >[23]</a></sup>
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Cannabinoids are well known for their <a href="http://en.wikipedia.org/wiki/Circulatory_system" title="Circulatory system" >cardiovascular</a> activity.</p>
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<a href="http://en.wikipedia.org/wiki/Cannabis_sativa" title="Cannabis sativa" >Cannabis sativa</a> preparations have been known as therapeutic agents against various <a href="http://en.wikipedia.org/wiki/Disease" title="Disease" >diseases</a> for millennia.<sup id="cite_ref-pmid16968947_32-0" class="reference" ><a href="http://en.wikipedia.org/wiki/Cannabinoid_receptor#cite_note-pmid16968947-32" >[33]</a></sup> The native active constituent, Δ<sup >9</sup>-<a href="http://en.wikipedia.org/wiki/Tetrahydrocannabinol" title="Tetrahydrocannabinol" >tetrahydrocannabinol</a> (Δ<sup >9</sup>-THC) was found to be the principal mediator of the effects of cannabis.<sup id="cite_ref-isolation_33-0" class="reference" ><a href="http://en.wikipedia.org/wiki/Cannabinoid_receptor#cite_note-isolation-33" >[34]</a></sup> Synthetic Δ<sup >9</sup>-THC is prescribed today under the generic name <a href="http://en.wikipedia.org/wiki/Dronabinol" title="Dronabinol" class="mw-redirect" >Dronabinol</a>, to treat <a href="http://en.wikipedia.org/wiki/Vomiting" title="Vomiting" >vomiting</a> and for enhancement of <a href="http://en.wikipedia.org/wiki/Appetite" title="Appetite" >appetite</a>, mainly in <a href="http://en.wikipedia.org/wiki/AIDS" title="AIDS" class="mw-redirect" >AIDS</a> patients.</p>
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