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Abstract
The neurobiological mechanisms that regulate the appetite-stimulatory properties of cannabis sativa are unresolved. This work examined the hypothesis that cannabinoid-1 receptor (CB1R) expressing neurons in the mediobasal hypothalamus (MBH) regulate increased appetite following cannabis vapor inhalation. Here we utilized a paradigm where vaporized cannabis plant matter was administered passively to rodents. Initial studies in rats characterized meal patterns and operant responding for palatable food following exposure to air or vapor cannabis. Studies conducted in mice used a combination of in vivo optical imaging, electrophysiology and chemogenetic manipulations to determine the importance of MBH neurons for cannabis-induced feeding behavior. Our data indicate that cannabis vapor increased meal frequency and food seeking behavior without altering locomotor activity. Importantly, we observed augmented MBH activity within distinct neuronal populations when mice anticipated or consumed food. Mechanistic experiments demonstrated that pharmacological activation of CB1R attenuated inhibitory synaptic tone onto hunger promoting Agouti Related Peptide (AgRP) neurons within the MBH. Lastly, chemogenetic inhibition of AgRP neurons attenuated the appetite promoting effects of cannabis vapor. Based on these results, we conclude that MBH neurons contribute to the appetite stimulatory properties of inhaled cannabis.
Introduction
It is well established that cannabis sativa promotes appetite1–4, and this realization has guided the development of synthetic compounds to treat anorexia in a range of clinical applications5,6. However, therapies that mimic the pharmacological action of individual phytocannabinoids are not well tolerated and often fail to reliably stimulate feeding7–9. As a result, a disproportionate number of patients with anorexia use cannabis sativa to promote appetite10–14, although remarkably, the neurobiological mechanisms supporting this process remain largely unknown.
Prior work has established that neurons within the mediobasal hypothalamus (MBH), namely the arcuate nucleus (ARC), regulate diverse aspects of feeding behavior15–17. Previous work from our lab indicates that exposure to cannabis vapor stimulates appetite, hedonic consumption of palatable food and mRNA expression changes in the MBH of rodents18. Agouti related peptide (AgRP) neurons in the MBH are necessary and sufficient to stimulate food intake, making them a logical target of inhaled cannabis sativa19. Notably, AgRP afferent terminals express the cannabinoid type-1 receptor (CB1R), a prominent regulator of cellular signaling by endogenous cannabinoids and phytocannabinoids20. Collectively, these observations support the hypothesis that CB1Rs within MBH neurons contribute to the appetite-stimulatory properties of inhaled cannabis sativa. To test this hypothesis we measured meal patterns, locomotor activity, operant responding, in vivo calcium dynamics of MBH neurons, ex-vivo patch-clamp electrophysiological recordings and conducted chemogenetic manipulations of AgRP neurons in rodents exposed to cannabis vapor.
Materials and methods
Animals
Male Long-Evans rats (Envigo, IN) weighing 275-300 g, male C57BL/6J mice weighing 20-30 g (Jackson Laboratory, ME), Agrptm1(cre)Low1/J (C57BL/6J background) mice weighing 20-30 g were used as experimental subjects. Rats were initially used as the model species due to the ease of behavioral assays, however we also made use of multiple mouse models which allowed for mechanistic imaging and chemogenetic studies. All rodents were maintained on ad libitum food and water except when indicated. Rodents were housed in an environmentally controlled vivarium on a reverse 12:12 light cycle. All animal groups were randomly selected via a random number generator for equal mean body weights for each experiment in this study. One rat was excluded from the study due to large outlying data points in all measurements taken. All work adhered to the guidelines and regulations and was approved by the Institutional Animal Care and Use Committee (IACUC) guidelines at Washington State University. Additionally, experiments in this study are reported in accordance with ARRIVE guidelines.
Cannabis plant
In accordance with federal law, the Cannabis sativa plant matter used in this study was obtained under federal guidelines with a Drug Enforcement Agency Schedule I drug license from the National Institute on Drug Abuse (NIDA) via Research Triangle. The ground whole plant Cannabis sativa used contained 7.8% THC and 0.5% CBD.
General procedure
Rat studies
For each experiment, rats (n = 8/group) were habituated to the vapor chambers for 10 min across 5 days prior to any experimental manipulation. On test days, rats were exposed to cannabis plant matter (7.8% THC, 0.5% CBD, NIDA, Research Triangle, NC) vaporized over a 10-min period. Control rats were placed into an identical apparatus with an unfilled vaporizer and served as “air-treated” controls. We used a behaviorally relevant cannabis dose (800 mg) known to stimulate food intake18. A second cohort of free-feeding rats (n = 8/group) was habituated to BioDAQ metabolic chambers for 10 days prior to any experimental manipulation. After habituation, rats were exposed to 800 mg of cannabis and feeding patterns were measured in the BioDAQ metabolic chambers over a 4-h period. In addition, open-field exploration was used to assess acute locomotor activity in a subset of rats (n = 4) 30 min after cannabis exposure in this experiment. A third cohort of free-feeding rats (n = 10) was habituated to Sable Promethion metabolic chambers for 10 days. After habituation, feeding patterns and locomotor activity were measured in the Sable Promethion metabolic chambers over a 4-h period following cannabis exposure. A fourth cohort of rats (n = 6/group) was tested for food-reinforced behavior following cannabis exposure using bussey touch screen chambers.
Experiment 1: cannabis-induced feeding pattern analysis in free feeding rats
To measure the effects of cannabis on meal patterns, one cohort of rats were habituated to BioDAQ chambers (n = 8/group) and a second cohort of rats were habituated to the Sable Promethion metabolic (n = 6 experimental and n = 4 control) chambers for 10 days prior to any experimental manipulation. During this process, rats were introduced to the vapor chambers without any cannabis exposure to eliminate the effects of stress due to handling. On test days, rats received an 800 mg dose of vaporized cannabis plant matter and were immediately returned to the BioDAQ chambers or Sable system chamber. Subsequently, feeding measurements were taken continuously for 4 h to examine temporal changes in meal patterns. Meals were defined as 0.2 g or larger separated by 10 min.
Experiment 2: cannabis effects on locomotor activity
An open-field arena was used to quantify locomotor activity following cannabis exposure. The field measured 45 cm by 45 cm and was constructed with a white floor and transparent plexiglass walls around the perimeter, leaving the top of the field exposed to the room. A camera was stationed directly above the field to capture locomotor activity. Rats were habituated to the field environment for 10 min on three separate days. Subsequently, rats received 800 mg of vaporized cannabis and were placed in the open-field arena 30 min later (n = 4/group). Locomotor activity was evaluated by measuring total movement and total distance traveled over the 30 min period with Ethovision XT 11.5 software. Separately, the locomotor activity of a second cohort of rats living in Sable Promethion metabolic chambers (n = 6 experimental and n = 4 control) was monitored following 800 mg of vaporized cannabis. Locomotor activity was evaluated by measuring total movement and total distance traveled over a period of 24 h and later segmented to the second 30 min following vapor cannabis exposure. Metabolic measurements of Energy Expenditure (EE), Respiratory Exchange Rates (RER), rate of oxygen consumption (VO2), and rate of carbon dioxide emission (VCO2) were also gathered from rats in the Sable Promethion chambers. RER was calculated using the Weir Equation [Energy Expenditure (kcal/hr) = 3.941(VO2) + 1.106(VCO2)]21. Measurements were grouped by rat and combined into three minute bins for the 30 min to 1 h post-exposure timeframe for analysis.
Experiment 3: operant responding following cannabis exposure
The effects of cannabis on food-reinforced behavior were examined using a rodent touch screen operant system. In this experiment, rats were trained to respond for 45 mg sucrose pellets in a Bussey Touch Screen System (89547-R-Lafayette Instrument Company, Lafayette, IN), as described previously18. Rats maintained on ad libitum chow were trained using this protocol until they reached a sufficient response (15 correct touches) over a 30-min period (5 days). Following acquisition of food-reinforced behavior, one cohort (n = 6/group) of rats was placed into the chambers 1 h after air or cannabis vapor exposure (800 mg). To determine if the effects on food-seeking were time-dependent, on a second day, rats was placed into the chambers 2 h after air or cannabis exposure. During each experiment, food was removed from the home cages during drug assimilation (1 h or 2-h period) and subsequently, correct touches, blank touches, correct touch latency, and blank touch latency were recorded over a 30-min period for each condition.
Mouse Studies
Experiment 4: dose response to cannabis in mice.
In this experiment we established a behaviorally relevant dose of cannabis vapor that stimulated feeding in mice. To do this, male C57BL/6J mice were individually housed (n = 5) in an environmentally controlled vivarium and habituated to cannabis vapor chambers prior to any experimental manipulations. All mice had ad libitum access to standard rodent chow and water. On test days, mice were food restricted 6 h prior to any experimental manipulation. On day 1, all mice were placed in a vapor chamber filled with air for 5 min to serve as “air-treated” controls. Following air exposure, mice were returned to their respective home cages and chow was returned. Food intake was measured at the 2 h timepoint. Following 1 day of treatment recovery, mice were exposed to 100 mg of cannabis vapor over a 5-min period and subsequently returned to their home cages, as described previously. This experimental design was repeated to test food consummatory behavior at 200 mg and 400 mg doses of cannabis, respectively.
Experiment 5: In vivo calcium imaging of MBH neurons of mice exposed to cannabis vapor
To assess MBH neuronal activation in response to HFD following cannabis exposure, we completed in vivo calcium imaging experiments in freely behaving mice using the Inscopix nVista system. Briefly, 6–8 week old C57BL/6J mice (n = 4) maintained on a reverse 12/12 light cycle were anesthetized with isoflurane and unilaterally injected (AP = − 1.7, ML = +/− 0.3, DV = , 5.60 mm to 5.75) with 1.5 μl of pAAV.Syn.GCaMP6s.WPRE.SV40 (Addgene, #100843). Following the viral injection, a stereotaxic support arm was used to implant a graded index lens (Inscopix, 1050-002212) 200um above the viral injection site. Lenses were secured in place with C&B Metabond Quick Adhesive Cement System (Parkell, S380) and covered with clear Kwik-Sil silicone elastomer (World Precision Instruments, KWIK-SIL). After 4–5 weeks of viral incubation, mice were briefly anesthetized with isoflurane to allow for the placement of a base plate (Inscopix, 100-004095), which was positioned to ensure optimal clarity. A base-plate cover was fitted over the baseplate to ensure lens protection while not in use.
Two days following the base-plating procedure, mice were acclimated to the cannabis vapor chambers and the open field environment (Med Associates Inc., ENV-510). Prior to each session of open field acclimation, mice were acclimated to the vapor chambers (air only) for a 10-min session. Then, mice were placed in an open field environment fitted with an EthoVision XT system (Noldus, EthoVision XT 11.5) to record locomotor activity for a total of 20 min. For the first 10 min, no stimuli were presented in the environment. During the second 10 min, a small pellet of HFD was placed in the upper right corner. Mice were exposed to HFD in their home cages prior to open field acclimation to reduce neophobia. On day 1 of acclimation, mice were untethered in the open field environment. On day 2, mice were tethered to a dummy Inscopix imaging scope. Tethered acclimation sessions continued for 3–4 days until the mice were fully acclimated to the dummy scope placement.
On all test days, mice were food restricted for a total of 6.5 h beginning 3 h before lights off. On day 1, mice received air treatment for 5 min in the cannabis vapor chambers. 30 min after air exposure, mice were tethered to an Inscopix nVista miniscope and placed in the open field environment for 10 min without food and 10 min with HFD. EthoVision XT recordings occurred for the duration of the session. On day 2, mice received 200 mg cannabis over a 5-min period in the vapor chambers and the open field test described on day 1 was completed identically. At the conclusion of these experiments, all mice were euthanized, and lens placement verified.
Experiment 6: WIN effects on AgRP neuronal GABAergic sIPSCs.
To investigate the role of CB1R signaling on AgRP neurons, we performed uni- or bi-lateral pAAV.Syn.Flex.GCaMP6s.WPRE.SV40 (Addgene, #100845) ARC injections in 6–8 week old Agrptm1(cre)Low1/J mice for cell-type specific electrophysiological recordings (Please see supplemental methods for full details of solution composition). Following 2 weeks of viral incubation, coronal slices (225 μm in the range- coronal plates 26–36; Bregma − 2.12 mm − 4.52 mm) were prepared for recording. AgRP cells were visually identified and voltage-clamped (Vh = − 60 mV). Internal solution was pH-adjusted to 7.2–7.3 with CsOH. All aCSF contained 2 mM kynurenic acid (a broad spectrum glutamate receptor blocker) to isolate spontaneous inhibitory post synaptic currents (sIPSCs) in the recording. Drugs (WIN 55,212-2; Cayman Chemical, #10009023) were dissolved in aCSF + kynurenic acid, bubbled with 95% O2/5% CO2 gas before being administered. All experimental conditions were conducted for 5 min each, with the baseline condition being conducted for at least 5 min, or until a stable baseline was reached. sIPSCs from the final 2 min of recording in each experimental condition were analyzed using Clampfit (Molecular Probes), using the function threshold search of event detection, using an amplitude threshold of 3 times the peak-to-peak amplitude of the noise, and then events were individually inspected with a further inclusion criterion of having a rise time at least 3× faster than the decay time. Average frequency was determined including temporally overlapping events, then all non-overlapping events were averaged to calculate mean amplitude. Detailed methods can be found in the supplemental information.
Experiment 7: chemogenetic inhibition of AgRP neurons
To determine if AgRP neurons regulate cannabis-induced feeding behavior, mice were injected with a DREADD virus specifically targeting the AgRP neurons in the MBH. Briefly, (n = 5) 6–8 week old Agrptm1(cre)Low1/J mice (n = 5) maintained on a reverse 12/12 light cycle were anesthetized with isoflurane and bilaterally injected (AP = − 1.7, ML = +/− 0.3, DV = , 5.60 mm to 5.75) with 1.5 μl of pAAV.hSyn.DIO.hM4D(Gi).mCherry (Addgene, #44362). After 3–4 weeks of viral incubation, mice were acclimated to the vapor chambers for 5 min a day over 5 days with no manipulations to reduce neophobia. On test day 1, mice were injected with saline and immediately placed into the vapor chamber and exposed to air. On test day 2, mice were injected with saline and immediately exposed to 200 mg of vaporized cannabis (10.1% THC, 0.5% CBD, NIDA, Research Triangle, NC) for 5 min. This was repeated on test day 3, except here, mice received a 2 mg/kg dose of clozapine-N-oxide (CNO) immediately preceding vapor cannabis exposure and food intake was measured at 0.5, 1 and 2 h following vapor cannabis exposure. One week after the completion of the experiment, mice were transcardially perfused and the brains removed for histological verification.
Statistical analyses
Food Intake, feeding microstructure, Bussey Touch Screen System (BTSS) activity, locomotor activity, in vivo Ca2+ imaging data, and DREADD manipulations data were analyzed by two-way repeated measures ANOVA in IBM SPSS Statistics 29.0.0.0 (IBM Corp.). Overall average meal size and meal number statistics were analyzed by one-way ANOVA and both metabolic and dose response data were analyzed by one-way repeated measures ANOVA in IBM SPSS Statistics 29.0.0.0. Tukey HSD was used for post-hoc analysis in all datasets except for locomotor activity data due to the unequal sample sizes. Graphs were subsequently generated in Graphpad Prism 9.0.0 (Graphpad Inc.). Data for cell activity were graphed in Origin Lab (Origin Lab, MA). Patch clamp data were analyzed using a paired students t-test. For each group, the number of subjects as well as the mean differences are reported. All statistical comparisons were conducted at the 0.05α level.
Results
Cannabis increases food intake in free-feeding rats
To determine how cannabis vapor affects temporal feeding patterns, we housed rats in metabolic chambers with real-time automated feeding measurement of meal frequency and meal size following exposure to air or a behaviorally characterized dose of cannabis vapor known to elicit feeding behavior18 (800 mg; Fig. 1A). Relative to air-treated controls, exposure to cannabis vapor produced a transient, significant increase in food intake 2 and 3 h post exposure (Fig. 1B). Further analysis of meal patterns revealed that cannabis vapor exposure promoted increased meal frequency and reduced meal size throughout the evaluation period (Fig. 1C–F), suggesting that inhaled cannabis may provoke motivational components of feeding.
Vapor cannabis regulates general locomotor activity in a food specific fashion
Tetrahydrocannabinol (THC), the primary psychoactive constituent of the cannabis plant, produces sedative effects in patients and rodents23. As a result, THC-based therapies are often not well tolerated in the clinical population7,8,24,25. Thus, to determine if the observed appetite stimulation induced by cannabis vapor was accompanied by potentially adverse sedative effects, we conducted an open field assay and collected data from rats housed in metabolic chambers to examine potential changes in locomotor activity (Fig. 2A–C). Rats exposed to cannabis vapor and placed in the open field arena without access to food did not display differences in total distance traveled (Fig. 2A; right), cumulative movement (Fig. 2B; right), or time spent still (Fig. 2C; right) relative to air-treated control rats. In contrast, when rats were exposed to cannabis in the presence of food in metabolic chambers, they traveled a greater total distance (Fig. 2A; left), displayed increased cumulative movement (Fig. 2B; left), spent less time still (Fig. 2C; left) and more time around the food hopper (Fig. 2E–H) relative to air-treated control rats. Notably, when compared to rats with no food present, both distance traveled and time spent still were significantly decreased in rats with food present, while time spent moving was significantly increased, indicating that in the presence of food, cannabis treated rats spent more time around the food hopper as opposed to other areas of the environment (Fig. 2A–C). Importantly, rats continued to display increased total distance traveled for up to 4 h after exposure (Fig. 2D). Together these data suggest that appetite stimulation with this dose (800 mg) of cannabis vapor does not induce noticeable sedative effects and instead, motivates behavior towards food.
Cannabis augments metabolic activity
Previous studies suggest that inhaled cannabis leads to increases in resting metabolic and ventilation rate26. In the present study, rats exposed to an acute dose of vaporized cannabis displayed no significant difference in respiratory quotient (RQ), the ratio of carbon dioxide emission and oxygen consumption, compared to air controls (Fig. 2K). However, the rate of oxygen consumption was significantly increased in the cannabis exposed rats (Fig. 2L) while the rate of carbon dioxide emission did not reach statistical significance (Fig. 2M). Importantly, this ratio is often used as an indicator of the macronutrient utilization, a ratio of 0.7 indicates fat metabolism, whereas 1.0 indicates carbohydrates, and 0.8 suggests a mixed diet21. Both cannabis and air exposed rats had average ratios around 0.88 suggesting they are metabolizing both carbohydrates and fats (Fig. 2K). Interestingly, and in support of the current theory that cannabis use increases metabolism26, our data indicate that cannabis exposed rats had a significantly higher rate of energy expenditure (Fig. 2J), an observation that occurred during the same timeframe when rats were more active (Fig. 2I).
Cannabis augments food-motivated behavior
To determine if cannabis sativa enhances the motivational properties of food, we evaluated operant performance for sucrose in rats exposed to cannabis vapor (Fig. 3A). Vapor cannabis exposure caused a significant increase in operant responding for sucrose 1 h after exposure (Fig. 3B; left) without affecting the total number of blank touches, or the latencies to perform correct or blank touches (Fig. 3B, C). In contrast, no differences in operant responding for sucrose were detected when rats were tested 2 h following vapor cannabis exposure (Fig. 3B, C). However, cannabis exposed rats did have significantly less correct and blank touches 2 h after exposure relative to 1 h after, indicating that cannabis augments food-motivated behavior in a time-dependent fashion.
Vapor cannabis stimulates food intake in mice
To conduct in vivo imaging experiments, we first needed to establish a dose response for cannabis-induced feeding behavior in mice (Fig. 4A). Our data indicate that food intake in C57BL6J mice exposed to the 100 mg dose did not differ significantly from air. However, mice displayed a significant increase in food intake when exposed to the 200 mg cannabis dose whereas a significant decrease was detected at the 400 mg dose (Fig. 4B). It is important to note here that this dose (200 mg), was 4× less than that required for cannabis-induced appetite stimulation in rats and followed a similar temporal pattern as previously published in this model18. Subsequently we used this dose in all calcium imaging experiments and chemogenetic manipulations.
In vivo Ca2+ imaging in mixed populations of MBH neurons
The MBH, regulates appetite and contains neurons that express the cannabinoid-1 receptor (CB1R; 17). Thus, we reasoned neurons in this region may participate in cannabis-induced appetite. To understand how MBH neuronal activity was modified by cannabis, we applied in vivo microendoscopic imaging to visualize somatic intracellular calcium [Ca2+] dynamics in mixed neuronal ensembles in freely behaving mice. Specifically, we expressed the calcium sensor GCamp6s in the MBH, specifically the ARC, of male C57BL/6J mice and then utilized microendoscopes to visualize changes in [Ca2+] in neurons when mice approached or consumed palatable food (Fig. 5A). Mice exposed to this paradigm rapidly learned to approach the food containing zone (FZ), where a palatable high fat diet (HFD) was consistently offered (Fig. 5B). Using this approach, our first experiment involved exposing mice to air only in the vapor chambers (control) then visualizing GCamp6s fluorescence, which reflects changes in intracellular Ca2+ dynamics (Fig. 5C, G, H). Cannabis-exposed mice displayed increased [Ca2+] in numerous MBH neurons that became activated when mice entered the FZ (Fig. 5I). In agreement with previous reports27,28, a portion of FZ activated neurons remained active when HFD was consumed whereas others were inhibited. In addition, a separate population of neurons displayed increased [Ca2+] only when HFD was consumed (Fig. 5J).
Vapor cannabis stimulates food anticipatory responses in MBH neurons
We next exposed the same mice to the behaviorally characterized dose of cannabis shown to increase feeding in mice (200 mg, Fig. 4B) prior to placement in the test arena. Importantly, the number of active MBH neurons remained nearly constant during both the anticipatory and consummatory timeframes following cannabis exposure (Fig. 5I). Under this condition, we observed a significant increase in the number of MBH neurons that displayed [Ca2+] when mice entered the FZ relative to air FZ active neurons (Fig. 5F, J). A similar effect was observed once HFD was delivered (Fig. 5F, J). Remarkably, we observed increased [Ca2+] in a novel population of FZ and HFD stimulated MBH neurons in mice exposed to cannabis (Fig. 5D, E, J, supplemental video file S1). Overall, these observations indicate that cannabis exposure augments activity of MBH neurons during functionally diverse aspects of feeding behavior.
CB1R activation disinhibits AgRP neurons
Within the MBH, AgRP neurons are instrumental in promoting hunger and motivation to obtain food19. In addition, recent reports indicate that AgRP neurons receive presumed GABAergic afferent inputs that express CB1Rs20. With this in mind, we employed an ex vivo slice electrophysiology approach to determine if activation of CB1Rs affected GABAergic synaptic activity onto AgRP neurons. To accomplish this, we injected Agrptm1(cre)Low1/J mice with an AAV expressing a GFP reporter to allow visualization and selection of AgRP neurons for patch-clamp recording (Fig. 6A, B). Recordings were performed in the presence of a glutamate receptor antagonist (Kynurenate, 1 mM) to isolate GABAA receptor (GABAAR)-mediated synaptic currents. Voltage clamped (Vh = − 60 mV, with ECl- = ~ 0 mV, making GABAergic currents inward) AgRP neurons exhibited robust spontaneous inhibitory post synaptic currents (sIPSCs), mediated by GABAARs, as evidenced by their elimination following treatment with the GABAAR antagonist GABAzine (10 mM; Fig. 6C). Bath application of the selective CB1R agonist, WIN 55, 212-2 significantly reduced the frequency of sIPSCs onto AgRP neurons (Figs. 6C, D) without altering peak amplitude (Fig. 6E). These data confirm that functional CB1Rs are indeed expressed on GABAergic synapses onto MBH neurons, and that their activation suppresses vesicular release of GABA, resulting in disinhibition of AgRP neurons.
AgRP neurons regulate the appetite stimulatory properties of cannabis sativa
Recent work indicates that pro-opiomelanocortin (POMC) neurons regulate feeding induced by endocannabinoids29,30. However, it is less clear if appetite-stimulatory AgRP neurons contribute to this process. In the present study chemogenetic inhibition of AgRP neurons attenuated the appetite stimulatory properties of vaporized cannabis sativa. Specifically, Agrptm1(cre)Low1/J mice expressing inhibitory DREADD receptors (hM4D(Gi) (Fig. 7A) displayed attenuated intake of chow following cannabis exposure when treated with CNO relative to saline injected controls (Fig. 7B–D). These data indicate that AgRP neurons are functionally relevant for regulation of cannabis-induced feeding behavior.
Discussion
The appetite promoting effects of cannabis sativa have been recognized for centuries31–34, however, surprisingly, the biological mechanisms that underlie this process have remained largely unknown. In this regard, our data demonstrate that inhalation of cannabis vapor augments the appetitive phases of feeding behavior as evidenced by an increase in the number of meals consumed, a decrease in meal size and enhanced effort-based responding for palatable food. Notably, these behavioral observations occurred in the absence of reduced locomotor activity, and in the presence of increased energy expenditure.
The CB1R is expressed within the MBH of both rodents35 and humans36,37. In rodents, CB1R mRNA is expressed within a novel population of n19.Gpr50+ neurons35 as well as kisspeptin neurons33. In humans, CB1R mRNA is expressed in pro-opiomelanocortin (POMC) neurons39, an observation in agreement with previous rodent studies which indicate that endocannabinoids target POMC neurons to stimulate food intake29,30. The ubiquitous expression pattern of CB1R suggests that inhaled cannabis may alter the activity of multiple populations of MBH neurons. Our in vivo Ca2+ imaging data indicate that vapor cannabis increases activity of distinct populations of temporally defined MBH neurons. Specifically, we find that mice exposed to cannabis vapor display increased activity within MBH neurons that encode meal anticipation or meal consumption. These data are the first to detail the in vivo effects of inhaled cannabis on neuronal activity in an appetite-regulatory region of the CNS and suggest that MBH neurons may play a strong regulatory role for feeding behaviors stimulated by cannabis drugs.
Importantly, clinical evidence suggests that maladaptive reductions in hypothalamic CB1R expression may contribute to metabolic disturbances37. Thus, understanding the neurobiological mechanisms stimulated by cannabis exposure is an essential step for development and refinement of translational therapies for metabolic disease. In this context, our data indicate that GABAergic afferent terminals contain CB1Rs that exert a strong inhibitory tone on AgRP neurons. Moreover, we find that activation of GABAergic afferent CB1Rs significantly reduced the frequency of sIPSCs in AgRP neurons, without affecting their amplitude. These data suggest that activation of CB1Rs directly suppresses vesicular release of inhibitory GABA onto AgRP neurons, raising the possibility that AgRP neurons can be disinhibited by cannabinoid drugs to promote appetite. In support of this notion, we find that the appetite stimulatory properties of cannabis are reduced in mice following chemogenetic inhibition of AgRP neurons. It is important to note here that cannabis-induced feeding was not entirely ameliorated after AgRP inhibition, thus our studies do not rule out the contribution of separate CNS regions or additional signaling mechanisms (cannabinoid-2 receptor, ion channels, or novel G-coupled protein receptors) as important regulators of cannabis-induced feeding behavior. That said, the data presented here provide new mechanistic insights regarding the neurobiological mechanisms involved in cannabis-induced appetite and support the hypothesis that cannabinoid-CB1R interaction within MBH neurons contribute to the appetite-stimulatory properties of inhaled cannabis.
Supplementary Information
Acknowledgements
We would like to thank Mr. Dave Savage for his invaluable skills in constructing the cannabis vapor chambers and Mr. Than Hutson for his technical assistance.
Author contributions
E.W. ran experiments and contributed to writing, J.F.D. conceived experiments. All authors reviewed the manuscript.
Funding
State of Washington Dedicated Marijuana Account (dMAc) grant from the Alcohol and Drug Abuse Research Program (ADARP) Grant No. 130625–003 to JFD, and NIAAA Grant R01AA026078 to DJR. National Institute of Food and Agriculture, United States Department of Agriculture under Award Numbers 2020-67015-31733/2022-51300-38058/2023-67015-39566 and by funds provided for medical and biological research by the State of Washington Initiative Measure No. 171 and the Washington State University Agricultural Experiment Station (Hatch funds 1014918) received from the National Institutes for Food and Agriculture, United States Department of Agriculture to ZJ.
Footnotes
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Supplementary Information
The online version contains supplementary material available at 10.1038/s41598-023-50112-5.