“…One month after a severe, 20-min PA, the rats developed an alteration in the endocannabinoid system expression and related acylethanolamide pathways (Blanco et al, 2015). Palmitoylethanolamide (PEA) is an endogenous lipidic neuromodulator related to endocannabinoids, acting as a peroxisome proliferator-activated receptor alpha (PPARα) or G protein-coupled receptor 55 (GPR55) agonist that elicits anti-inflammatory, neuroprotective, and restorative properties (Mattace Raso et al, 2014;Petrosino and Di Marzo, 2017) in vitro (Avagliano et al, 2016), in animal models of both neurodegeneration (Esposito et al, 2011(Esposito et al, , 2012(Esposito et al, , 2014Herrera et al, 2016) and hypoxia-ischemia (HI) (Fernandez-Lopez et al, 2013;England et al, 2015), and in human patients as well (Orefice et al, 2016). Interestingly, one study reported that natives from Puno at about 3,830 m above sea level in Peru, having high hemoglobinemia and low oxygen saturation, also exhibited a high plasma concentration of PEA (Alarcon-Yaquetto et al, 2017).…”