The CB1 inverse agonist/antagonist SR141716A recently has been introduced for the management of obesity (rimonabant; Acomplia) and appears to have beneficial effects. However, its utility may be hampered in some individuals by adverse effects including nausea or emesis or by mood depression. The recent development of biochemically 'neutral' antagonists such as AM4113 (Sink et al. 2007) has allowed an initial evaluation of the proposition that the adverse effects of SR141716A are associated with its inverse agonist activity. Thus far, data comparing SR141716A and AM4113 across several species indicate that both drugs produce dose-related direct effects on operant behavior within the same range of doses that serve to antagonize the behavioral and hypothermic effects of a CB1 agonist. However, initial observations suggest that AM4113 may not produce preclinical indications of nausea or emesis. Further studies with AM4113 and other novel CB1 antagonists differing in efficacy should amplify our understanding of the relationship between the pharmacological activity of CB1 antagonists and their behavioral effects.
KeywordsSR141716A; rimonabant; AM4113; AM4054; inverse agonism; neutral antagonism; behavior; hypothermia A rapid succession of events in the first half of the 1990s including the discovery of the cannabinoid-1 (CB1) receptor and the isolation and synthesis of its endogenous ligands anandamide and 2-AG, energized the explosion of scientific interest in cannabinoid pharmacology and the development of novel ligands, including those that produced Δ 9 THClike effects and those could counter, i.e., antagonize, the effects of Δ 9 THC and other CB1 agonists at the CB1 receptor. It is interesting that, notwithstanding the acknowledged medicinal value of cannabis products with CB1 agonist actions, the first major therapeutic agent to emerge from these research efforts has been the CB1 antagonist/inverse agonist SR141716A (rimonabant; [1]). Perhaps it is not surprising that its initial therapeutic targets have been based a The preparation of this manuscript and portions of the work described herein were supported under NIH/NIDA DA19205 b Portions of the work described herein have been presented previously at the 2005 meeting of the College on Problems of Drug Dependence in Orlando, FL and at the