In the bed nucleus of the stria terminalis (BNST), blocking CB1 receptors reduced anxiety while blocking CB2 receptors increased it, with stress exposure modifying these effects.
Anxiety neuroscience researchers, cannabinoid pharmacologists, anxiety treatment developers
CB1 and CB2 receptors had opposite effects on anxiety in the same brain region
What the researchers found
Both CB1 and CB2 receptor gene expression were confirmed in the anterior and posterior BNST. CB1 antagonist AM251 increased open arm exploration (reduced anxiety) in unstressed rats and blocked stress-evoked anxiety. Conversely, CB2 antagonist JTE907 decreased open arm exploration (increased anxiety) and also blocked restraint-evoked behavioral changes. These opposite roles suggest CB1 and CB2 receptors differentially regulate anxiety through this brain region.
Why it matters
The BNST is a key brain structure for sustained anxiety states. Discovering that CB1 and CB2 receptors have opposing roles in this region helps explain why cannabis can both increase and decrease anxiety, and identifies specific receptor targets for anxiety treatment.
The numbers in context
CB1 and CB2 gene expression confirmed in anterior and posterior BNST; AM251 (CB1 antagonist) dose-dependently increased EPM open arm exploration; JTE907 (CB2 antagonist) dose-dependently decreased open arm exploration; both blocked restraint-evoked anxiety changes
How the study worked
Gene expression of CB1 and CB2 receptors confirmed in anterior and posterior BNST by RT-PCR. Behavioral effects tested in elevated plus maze (EPM) in unstressed rats and after restraint stress, with bilateral microinjection of CB1 antagonist AM251 or CB2 antagonist JTE907 into the anterior BNST.
What this study cannot tell us
Male rats only. Pharmacological blockade does not perfectly mimic natural cannabinoid signaling. Elevated plus maze is one measure of anxiety. BNST is one of many anxiety-relevant brain regions. Single stress paradigm used.
How to read the evidence
Novel finding confirming CB2 presence in BNST for the first time with clear functional dissociation, but limited to male rats.
When this study was published
Published in 2021.
The bigger picture
The opposing anxiety effects of CB1 and CB2 in the same brain region may explain the paradoxical anxiety responses people have to cannabis. Selective targeting of one receptor type in the BNST could offer more predictable anxiety treatment than whole-plant cannabis.
Questions still open
- Would CB2-selective agonists reduce anxiety without the CB1-related side effects of cannabis? Do these opposite CB1/CB2 effects in the BNST extend to other anxiety-related brain regions?
Common questions
Why does cannabis sometimes increase and sometimes decrease anxiety?
What is the BNST?
Read the original research
CB1 and CB2 receptors in the bed nucleus of the stria terminalis differently modulate anxiety-like behaviors in rats.
Progress in neuro-psychopharmacology & biological psychiatry, 110, 110284
Citation
Gomes-de-Souza, Lucas; Bianchi, Paula C; Costa-Ferreira, Willian; Tomeo, Rodrigo A; Cruz, Fábio C; Crestani, Carlos C. (2021). CB1 and CB2 receptors in the bed nucleus of the stria terminalis differently modulate anxiety-like behaviors in rats.. Progress in neuro-psychopharmacology & biological psychiatry, 110, 110284. https://doi.org/10.1016/j.pnpbp.2021.110284
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