Letters to Nature
Nature 404, 84-87 (2 March 2000) | doi:10.1038/35003583; Received 18 August 1999; Accepted 20 January 2000
Cannabinoids control spasticity and tremor in a multiple sclerosis model
David Baker1, Gareth Pryce1, J. Ludovic Croxford1, Peter Brown2, Roger G. Pertwee3, John W. Huffman4 and Lorna Layward
- Neuroinflammation Group, Department of Neurochemistry, Institute of Neurology, University College London, 1 Wakefield Street, London WC1N 1PJ and the Institute of Ophthalmology, UCL, London EC1V 9EL, UK
- The Medical Research Council Human Movement and Balance Unit, National Hospital for Neurology and Neurosurgery , Queen Square, London, WC1N 3BG, UK
- Department of Biomedical Sciences, Institute of Medical Sciences, University of Aberdeen, Foresterhill , Aberdeen AB25 2ZD, UK
- Department of Chemistry, Clemson University, Clemson, South Carolina 29634-1905 , USA
- Multiple Sclerosis Society of Great Britain and Northern Ireland , 25 Effie Road, London SW6 1EE, UK
Correspondence to: Correspondence and requests for materials should be addressed to D.B. (e-mail: Email: D.Baker@ion.ucl.ac.uk).
Chronic relapsing experimental allergic encephalomyelitis (CREAE) is an
autoimmune model of multiple sclerosis1. Although both these
diseases are typified by relapsing-remitting paralytic episodes, after CREAE
induction by sensitization to myelin antigens1 Biozzi ABH mice
also develop spasticity and tremor. These symptoms also occur during multiple
sclerosis and are difficult to control. This has prompted some patients to
find alternative medicines, and to perceive benefit from cannabis use2. Although this benefit has been backed up by small clinical studies,
mainly with non-quantifiable outcomes3, 4, 5, 6, 7, the value
of cannabis use in multiple sclerosis remains anecdotal. Here we show that
cannabinoid (CB) receptor agonism using R(+)-WIN 55,212,
9-tetrahydrocannabinol, methanandamide and JWH-133 (ref. 8) quantitatively ameliorated both tremor and spasticity
in diseased mice. The exacerbation of these signs after antagonism of the
CB1 and CB2 receptors, notably the CB1 receptor,
using SR141716A and SR144528 (ref. 8) indicate
that the endogenous cannabinoid system may be tonically active in the control
of tremor and spasticity. This provides a rationale for patients' indications
of the therapeutic potential of cannabis in the control of the symptoms of
multiple sclerosis2, and provides a means of evaluating more
selective cannabinoids in the future.
