Exploring the role of cannabinoid CB(2) receptors in the brain, we present evidence of CB(2) receptor molecular and functional interaction with cannabinoid CB(1) receptors. Using biophysical and biochemical approaches, we discovered that CB(2) receptors can form heteromers with CB(1) receptors in transfected neuronal cells and in rat brain pineal gland, nucleus accumbens, and globus pallidus. Within CB(1)-CB(2) receptor heteromers expressed in a neuronal cell model, agonist co-activation of CB(1) and CB(2) receptors resulted in a negative cross-talk in Akt phosphorylation and neurite outgrowth. Moreover, one specific characteristic of CB(1)-CB(2) receptor heteromers consists of both the ability of CB(1) receptor antagonists to block the effect of CB(2) receptor agonists and, conversely, the ability of CB(2) receptor antagonists to block the effect of CB(1) receptor agonists, showing a bidirectional cross-antagonism phenomenon. Taken together, these data illuminate the mechanism by which CB(2) receptors can negatively modulate CB(1) receptor function.

Activation of cannabinoid CB1 receptors (CB₁R) by delta9-tetrahydrocannabinol (THC) produces a variety of negative effects with major consequences in cannabis users that constitute important drawbacks for the use of cannabinoids as therapeutic agents. For this reason, there is a tremendous medical interest in harnessing the beneficial effects of THC. Behavioral studies carried out in mice lacking 5-HT_2A receptors (5-HT_2AR) revealed a remarkable 5-HT_2AR-dependent dissociation in the beneficial antinociceptive effects of THC and its detrimental amnesic properties. We found that specific effects of THC such as memory deficits, anxiolytic-like effects, and social interaction are under the control of 5-HT_2AR, but its acute hypolocomotor, hypothermic, anxiogenic, and antinociceptive effects are not. In biochemical studies, we show that CB₁R and 5-HT_2AR form heteromers that are expressed and functionally active in specific brain regions involved in memory impairment. Remarkably, our functional data shows that costimulation of both receptors by agonists reduces cell signaling, antagonist binding to one receptor blocks signaling of the interacting receptor, and heteromer formation leads to a switch in G-protein coupling for 5-HT_2AR from Gq to Gi proteins. Synthetic peptides with the sequence of transmembrane helices 5 and 6 of CB₁R, fused to a cell-penetrating peptide, were able to disrupt receptor heteromerization in vivo, leading to a selective abrogation of memory impairments caused by exposure to THC. These data reveal a novel molecular mechanism for the functional interaction between CB₁R and 5-HT_2AR mediating cognitive impairment. CB₁R-5-HT_2AR heteromers are thus good targets to dissociate the cognitive deficits induced by THC from its beneficial antinociceptive properties. Delta-9-tetrahydrocannabinol (THC), the main psychoactive compound of marijuana, induces numerous undesirable effects, including memory impairments, anxiety, and dependence. Conversely, THC also has potentially therapeutic effects, including analgesia, muscle relaxation, and neuroprotection. However, the mechanisms that dissociate these responses are still not known. Using mice lacking the serotonin receptor 5-HT_2A, we revealed that the analgesic and amnesic effects of THC are independent of each other: while amnesia induced by THC disappears in the mutant mice, THC can still promote analgesia in these animals. In subsequent molecular studies, we showed that in specific brain regions involved in memory formation, the receptors for THC and the 5-HT_2A receptors work together by physically interacting with each other. Experimentally interfering with this interaction prevented the memory deficits induced by THC, but not its analgesic properties. Our results highlight a novel mechanism by which the beneficial analgesic properties of THC can be dissociated from its cognitive side effects.

Background and purpose:  Functional interactions between the G protein‐coupled dopamine D₁ and histamine H₃ receptors have been described in the brain. In the present study we investigated the existence of D₁–H₃ receptor heteromers and their biochemical characteristics.Experimental approach:  D₁–H₃ receptor heteromerization was studied in mammalian transfected cells with Bioluminescence Resonance Energy Transfer and binding assays. Furthermore, signalling through mitogen‐activated protein kinase (MAPK) and adenylyl cyclase pathways was studied in co‐transfected cells and compared with cells transfected with either D₁ or H₃ receptors.Key results:  Bioluminescence Resonance Energy Transfer and binding assays confirmed that D₁ and H₃ receptors can heteromerize. Activation of histamine H₃ receptors did not lead to signalling towards the MAPK pathway unless dopamine D₁ receptors were co‐expressed. Also, dopamine D₁ receptors, usually coupled to G_s proteins and leading to increases in cAMP, did not couple to G_s but to G_i in co‐transfected cells. Furthermore, signalling via each receptor was blocked not only by a selective antagonist but also by an antagonist of the partner receptor.Conclusions and implications:  D₁–H₃ receptor heteromers constitute unique devices that can direct dopaminergic and histaminergic signalling towards the MAPK pathway in a G_s‐independent and G_i‐dependent manner. An antagonist of one of the receptor units in the D₁–H₃ receptor heteromer can induce conformational changes in the other receptor unit and block specific signals originating in the heteromer. This gives rise to unsuspected therapeutic potentials for G protein‐coupled receptor antagonists.

The role of the pineal gland is to translate the rhythmic cycles of night and day encoded by the retina into hormonal signals that are transmitted to the rest of the neuronal system in the form of serotonin and melatonin synthesis and release. Here we describe that the production of both melatonin and serotonin by the pineal gland is regulated by a circadian-related heteromerization of adrenergic and dopamine D₄ receptors. Through α_1B-D₄ and β₁-D₄ receptor heteromers dopamine inhibits adrenergic receptor signaling and blocks the synthesis of melatonin induced by adrenergic receptor ligands. This inhibition was not observed at hours of the day when D₄ was not expressed. These data provide a new perspective on dopamine function and constitute the first example of a circadian-controlled receptor heteromer. The unanticipated heteromerization between adrenergic and dopamine D₄ receptors provides a feedback mechanism for the neuronal hormone system in the form of dopamine to control circadian inputs. Animals respond to cycles of light and dark with patterns in sleeping, feeding, body temperature alterations, and other biological functions. The pineal gland translates these light signals received from the retina into a language understandable to the rest of the body through the rhythmic synthesis and release of melatonin in response to the light and dark cycle. This process is controlled by adrenergic receptors. One impressive and mysterious aspect of the system is the rapid ability of rhythmic melatonin production and/or degradation to respond to changes in the cycle. In this study, we demonstrate that part of this response is due to the formation of receptor-receptor complexes (heteromers) between the adrenergic receptors α_1B or β₁ and the D₄ dopamine receptor. Using both biochemical and biophysical methods in transfected cells and in ex vivo tissue we show that dopamine, a neurotransmitter, inhibits adrenergic receptor signaling through these heteromers. This inhibition causes a dramatic decrease in melatonin production of the pineal gland. We postulate that these heteromers provide a rapid feedback mechanism for the neuronal hormone system to modulate circadian-controlled outputs.

Significance: G protein-coupled receptors (GPCRs) constitute the largest plasma membrane protein family involved in cell signaling. GPCR homodimers are predominant species, and GPCR heteromers likely are constituted by heteromers of homodimers. The adenosine A _2A receptor (A _2A R)-dopamine D ₂ receptor (D ₂ R) heteromer is a target for the nonselective adenosine receptor antagonist caffeine. This study uncovers allosteric modulations of A _2A R antagonists that mimic those of A _2A R agonists, challenging the traditional view of antagonists as inactive ligands. These allosteric modulations disappear when agonist and antagonist are coadministered, however. A model is proposed that considers A _2A R-D ₂ R heteromers as heterotetramers, constituted by A _2A R and D ₂ R homodimers. The model predicted that high concentrations of A _2A R antagonists would behave as A _2A R agonists and decrease D ₂ R function in the brain.

Pharmacological activation of cannabinoid receptors elicits antitumoral responses in different cancer models. However, the biological role of these receptors in tumor physio-pathology is still unknown. We analyzed CB₂ cannabinoid receptor protein expression in two series of 166 and 483 breast tumor samples operated in the University Hospitals of Kiel, Tübingen, and Freiburg between 1997 and 2010 and CB₂ mRNA expression in previously published DNA microarray datasets. The role of CB₂ in oncogenesis was studied by generating a mouse line that expresses the human V-Erb-B2 Avian Erythroblastic Leukemia Viral Oncogene Homolog 2 (HER2) rat ortholog (neu) and lacks CB₂ and by a variety of biochemical and cell biology approaches in human breast cancer cells in culture and in vivo, upon modulation of CB₂ expression by si/shRNAs and overexpression plasmids. CB₂-HER2 molecular interaction was studied by colocalization, coimmunoprecipitation, and proximity ligation assays. Statistical tests were two-sided. We show an association between elevated CB₂ expression in HER2+ breast tumors and poor patient prognosis (decreased overall survival, hazard ratio [HR] = 0.29, 95% confidence interval [CI] = 0.09 to 0.71, P = .009) and higher probability to suffer local recurrence (HR = 0.09, 95% CI = 0.049 to 0.54, P = .003) and to develop distant metastases (HR = 0.33, 95% CI = 0.13 to 0.75, P = .009). We also demonstrate that genetic inactivation of CB₂ impairs tumor generation and progression in MMTV-neu mice. Moreover, we show that HER2 upregulates CB₂ expression by activating the transcription factor ELK1 via the ERK cascade and that an increased CB₂ expression activates the HER2 pro-oncogenic signaling at the level of the tyrosine kinase c-SRC. Finally, we show HER2 and CB₂ form heteromers in cancer cells. Our findings reveal an unprecedented role of CB₂ as a pivotal regulator of HER2 pro-oncogenic signaling in breast cancer, and they suggest that CB₂ may be a biomarker with prognostic value in these tumors.