The cannabinoid receptor 2 is critical for the host response to sepsis

J Immunol. 2009 Jul 1;183(1):499-505. doi: 10.4049/jimmunol.0900203. Epub 2009 Jun 12.

Abstract

Leukocyte function can be modulated through the cannabinoid receptor 2 (CB2R). Using a cecal ligation and puncture (CLP) model of sepsis, we examined the role of the CB2R during the immune response to an overwhelming infection. CB2R-knock out (KO) mice showed decreased survival as compared with wild-type mice. CB2R-KO mice also had increased serum IL-6 and bacteremia. Twenty-four hours after CLP, the CB2R-deficient mice had increased lung injury. Additionally, CB2R-deficiency led to increased neutrophil recruitment, decreased neutrophil activation, and decreased p38 activity at the site of infection. Consistent with a novel role for CB2R in sepsis, CB2R-agonist treatment in wild-type mice increased the mean survival time in response to CLP. Treatment with CB2R-agonist also decreased serum IL-6 levels, bacteremia, and damage to the lungs compared with vehicle-treated mice. Finally, the CB2R agonist decreased neutrophil recruitment, while increasing neutrophil activation and p38 activity at the site of infection compared with vehicle-treated mice. These data suggest that CB2R is a critical regulator of the immune response to sepsis and may be a novel therapeutic target.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Bacteremia / immunology
  • Bacteremia / microbiology
  • Bacteremia / mortality
  • Bacteremia / pathology
  • Cecum
  • Disease Models, Animal
  • Immunity, Innate / genetics
  • Inflammation Mediators / metabolism
  • Inflammation Mediators / physiology
  • Integrin alpha2 / administration & dosage
  • Integrin alpha2 / therapeutic use
  • Ligation
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Neutrophil Infiltration / genetics
  • Neutrophil Infiltration / immunology
  • Punctures
  • Receptor, Cannabinoid, CB2 / agonists
  • Receptor, Cannabinoid, CB2 / deficiency
  • Receptor, Cannabinoid, CB2 / genetics
  • Receptor, Cannabinoid, CB2 / physiology*
  • Shock, Septic / immunology*
  • Shock, Septic / microbiology*
  • Shock, Septic / mortality
  • Shock, Septic / pathology
  • Signal Transduction / genetics
  • Signal Transduction / immunology

Substances

  • Inflammation Mediators
  • Integrin alpha2
  • Receptor, Cannabinoid, CB2