2011
DOI: 10.2174/156802611795860997
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A New Perspective of Cannabinoid 1 Receptor Antagonists: Approaches Toward Peripheral CB1R Blockers without Crossing the Blood-Brain Barrier

Abstract: Since Rimonabant was withdrawn in Europe in 2008 because of its substantial CNS risk factors including depression and anxiety, the development of anti-obesity drugs targeting CB1R in the brain has been suspended and/or terminated globally. Instead, developing peripherally restricted CB1R antagonists is actively pursued in the hope that not only could they eliminate any CNS adverse effects observed with Rimonabant, but also maintain therapeutic benefits in metabolic syndrome, including obesity, type 2 diabetes,… Show more

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Cited by 22 publications
(16 citation statements)
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“…The adverse psychoactive effects of CB 1 blockage in the brain could be greatly attenuated if a CB 1 selective antagonist was to target peripheral tissues and not cross the blood-brain barrier (BBB). Initial investigations into the development of peripherally targeted CB 1 compounds has met with disappointing results, showing that the positive effects were short lived or did not share the same effects as the brain penetrating parent compound, Rimonabant [105]. Further research, however, has seen the development of a range of newer, more effective peripheral CB 1 targeted compounds ( figure 3).…”
Section: Peripheral Targeted Cb 1 Antagonism-the Road Forwardmentioning
confidence: 99%
“…The adverse psychoactive effects of CB 1 blockage in the brain could be greatly attenuated if a CB 1 selective antagonist was to target peripheral tissues and not cross the blood-brain barrier (BBB). Initial investigations into the development of peripherally targeted CB 1 compounds has met with disappointing results, showing that the positive effects were short lived or did not share the same effects as the brain penetrating parent compound, Rimonabant [105]. Further research, however, has seen the development of a range of newer, more effective peripheral CB 1 targeted compounds ( figure 3).…”
Section: Peripheral Targeted Cb 1 Antagonism-the Road Forwardmentioning
confidence: 99%
“…The distribution of TXX-522 in brain tissue and plasma was first studied following intravenous administration to normal rats after distribution had reached a steady state as described previously (Wu et al, 2011). This analysis identified only 2% of TXX-522 in the brain tissue, and most of this compound was retained in peripheral tissues while under the same condition, >60% of SR141716A was distributed in the brain tissue.…”
Section: Discussionmentioning
confidence: 99%
“…The role of CB1 receptors for normal micturition was confirmed by administration of rimonabant, a CB1 receptor antagonist, which caused urodynamic changes in the WT mouse similar to those found in the CB1 KO mouse. As rimonabant is known to cross the blood–brain‐barrier (BBB) , it can only be speculated on whether or not the CB1 receptor‐related changes in micturition are mainly related to a CNS or peripheral nervous site of action (or both). One should keep in mind that genes can compensate for each other especially knowing that CB1 and CB2 share intracellular pathways (Gi/0 protein).…”
Section: Discussionmentioning
confidence: 99%