Extensive in vitro and in vivo studies have shown that cannabinoid drugs have neuroprotective properties and suggested that the endocannabinoid system may be involved in endogenous neuroprotective mechanisms. On the other hand, neurotoxic effects of cannabinoids in vitro and in vivo were also described. Several possible explanations for these dual, opposite effects of cannabinoids on cellular fate were suggested, and it is conceivable that various factors may determine the final outcome of the cannabinoid effect in vivo. In the current review, we focus on one of the possible reasons for the dual neuroprotective/ neurotoxic effects of cannabinoids in vivo, namely, the opposite effects of low versus high doses of cannabinoids. While many studies reported neuroprotective effects of the conventional doses of cannabinoids in various experimental models for acute brain injuries, we have shown that a single administration of an extremely low dose of D 9 -tetrahydrocannabinol (THC) (3-4 orders of magnitude lower than the conventional doses) to mice induced long-lasting mild cognitive deficits that affected various aspects of memory and learning. These findings led to the idea that this low dose of THC, which induces minor damage to the brain, may activate preconditioning and/or postconditioning mechanisms and thus will protect the brain from more severe insults. Indeed, our recent findings support this assumption and show that a pre-or a postconditioning treatment with extremely low doses of THC, several days before or after brain injury, provides effective long-term cognitive neuroprotection. The future therapeutical potential of these findings is discussed.
LINKED ARTICLESThis article is part of a themed issue on Cannabinoids in Biology and Medicine. To view the other articles in this issue visit http://dx.doi. org/10.1111/bph.2011.163.issue-7 Abbreviations 2AG, 2-arachidonylglycerol; BAY 38-7271, [(-)-(R)-3-(2-hydroxymethylindanyl-4-oxy)phenyl-4,4,4-trifluoro-1-sulfonate]; CBs, cannabinoids, the psychoactive ingredients of the cannabis plant, their synthetic analogues and the endogenous ligands that act through CB1 and/or CB2 receptors. This definition excludes, within the framework of the present review, the non-psychoactive ingredients of cannabis such as cannabidiol; CO, carbon monoxide; CP 55 940 [(-)-cis-3-(2-hydroxy-4-(1,1-dimethylheptyl)phenyl)-trans-4-(3-hydroxypropyl)cyclohexanol)]; ERK, extracellular signal-regulated kinase; HU-210 ((-)-11-hydroxy-D 8 -tetrahydrocannabinol-dimethylheptyl); i.p., intraperitoneal; i.v., intravenous; JNK, c-Jun N-terminal kinase; NO, nitric oxide; PTZ, pentylenetetrazole; Raf1, murine leukaemia viral oncogene homolog 1; THC, D 9 -tetrahydrocannabinol; TNFa, tumour necrosis factor a; WIN 55,212-2 [(R)-(+)-(2,3-fihydro-5-methyl-3-[(morphonolinyl)methyl]pyrrolol[1,2,3-del]-1,4-benzoxazin-yl)(1-naphtaleneyl)methanone mesylate]; WIN 55, voltage-gated calcium channels (Howlett, 1995;Pertwee, 1997;Howlett et al., 2010). Gi/o proteins also mediate the effect of CBs on the mitogen-a...