TY - JOUR T1 - Cannabinoids and Neuroprotection in Global and Focal Cerebral Ischemia and in Neuronal Cultures JF - The Journal of Neuroscience JO - J. Neurosci. SP - 2987 LP - 2995 DO - 10.1523/JNEUROSCI.19-08-02987.1999 VL - 19 IS - 8 AU - Tetsuya Nagayama AU - Amy D. Sinor AU - Roger P. Simon AU - Jun Chen AU - Steven H. Graham AU - Kunlin Jin AU - David A. Greenberg Y1 - 1999/04/15 UR - http://www.jneurosci.org/content/19/8/2987.abstract N2 - Marijuana and related drugs (cannabinoids) have been proposed as treatments for a widening spectrum of medical disorders.R(+)-[2,3-dihydro-5-methyl-3-[(morpholinyl)methyl]pyrrolo[1,2,3-de]-1,4-benzoxazin-yl]-(1-naphthalenyl)methanone mesylate (R(+)-WIN 55212-2), a synthetic cannabinoid agonist, decreased hippocampal neuronal loss after transient global cerebral ischemia and reduced infarct volume after permanent focal cerebral ischemia induced by middle cerebral artery occlusion in rats. The less active enantiomerS(−)-WIN 55212-3 was ineffective, and the protective effect of R(+)-WIN 55212-2 was blocked by the specific central cannabinoid (CB1) cannabinoid receptor antagonistN-(piperidin-1-yl)-5-(4-chlorophenyl)-1-(2,4-dichlorophenyl)-4-methyl-1H-pyrazole-3-carboxamide-hydrochloride.R(+)-WIN 55212-2 also protected cultured cerebral cortical neurons from in vitro hypoxia and glucose deprivation, but in contrast to the receptor-mediated neuroprotection observed in vivo, this in vitro effect was not stereoselective and was insensitive to CB1 and CB2 receptor antagonists. Cannabinoids may have therapeutic potential in disorders resulting from cerebral ischemia, including stroke, and may protect neurons from injury through a variety of mechanisms. ER -