| Cellular Physiology in the MiddleBy Jason Socrates 
                    Bardi  
                    
                     "Midway 
                      upon the journey of our lifeI found myself within a forest dark,
 For the straightforward pathway had been lost..."
 Dante 
                      Alighieri, The Divine Comedy, Inferno: Canto I, From 
                      the early 14th Century.   Cellular physiology, says Paul Schweitzer, who is assistant 
                    professor of Neuropharmacology at The Scripps Research Institute 
                    (TSRI), is situated somewhere between the individual molecules 
                    of molecular biology and the whole organs and organisms of 
                    physiology. And a cellular physiologist like Schweitzer occupies 
                    a middle ground between the molecular biologists, on the one 
                    hand, and the physiologists, on the other. 
                    The work that he does each day, Schweitzer adds, is a good 
                    example of this. 
                    On one recent morning, he was looking at the hippocampusa 
                    small area near the front of the brain that is critical for 
                    forming memories. To do this, Schweitzer took a tissue slice 
                    of the hippocampus about 300 microns thick and perfused it 
                    with a solution meant to mimic cerebrospinal fluid. The artificial 
                    cerebrospinal solution is basically water, salts, and other 
                    additives. 
                    "Anything needed to keep the neurons alive for the rest 
                    of the day," Schweitzer says. 
                    Alive is the key here. Schweitzer looks at living neurons 
                    and how they respond to certain stimuli by measuring this 
                    response directly using a tiny electrode to connect to and 
                    measure the conductance of a single neuron's soma (the cell 
                    body) or dendrite (the branching "process" of a neuron). Alternatively, 
                    a slightly thicker electrode can be used to measure the response 
                    of a network of neurons. In either case, the measurements 
                    are only valid if the neurons are healthy and remain connected 
                    within the thin slice. 
                    In the course of one of his studies, Schweitzer might look 
                    at two to three neurons a day over several months. He might 
                    examine the effect of some drug of interest on these neurons, 
                    using electrodes and a series of chemicals and pharmacological 
                    tools to tease out the detailed cellular interactions between 
                    the drug and the neuron. 
                    This sort of study, says Schweitzer, is usually referred 
                    to as ex vivo. And, like cellular physiology, it lies 
                    somewhere between the in vivo whole organism studies of the 
                    physiologist and the in vitro cell culture experiments 
                    of the cell or molecular biologist. 
                    THC and the Brain Schweitzer is funded by a National Institutes of Health 
                    grant entitled, Cannabinoids and Central Neuronal Activity, 
                    the purpose of which is to ask what role the brain's endogenous 
                    cannabinoid system plays in memory formation and how this 
                    system may be disrupted by the consumption of marijuana. 
                    Marijuana contains as a principle active ingredient the 
                    cannabinoid tetrahydrocannabinol (THC), which binds to the 
                    same receptors as the body's natural endogenous cannabinoids. 
                    This fact has made marijuana the subject of heated debate 
                    in the last decade because THC is able to mimic the action 
                    of natural cannabinoids that the body produces in signaling 
                    cascades in response to a peripheral pain stimulus. THC binds 
                    to cannabinoid receptors called "CB1" on cells of the spinal 
                    cord and pain-modulating centers of the brain to decrease 
                    sensitivity to pain. 
                    Patients with multiple sclerosis, cancer, AIDS, and a number 
                    of other conditions have sought marijuana for years to treat 
                    their various symptoms. And public interest groups have taken 
                    up this cause and fought successfully in certain states, including 
                    California, to establish medical marijuana clubs and other 
                    vehicles for providing the drug for ill patients. The issue 
                    is far from settled, however, because the position of the 
                    federal government remains unchanged regarding marijuana use. 
                    Unfortunately, the brain's cannabinoid system is vast. The 
                    CB1 receptorsthe proteins that detect the release of 
                    cannabinoids or the presence of THCcan be found all 
                    over the body, and they are widely expressed throughout the 
                    brain. In fact, CB1 receptors are concentrated in the memory 
                    and information processing centers of the hippocampus. 
                    Binding to nerve cells of the hippocampus and other cells 
                    elsewhere in the body, THC creates a range of side effects 
                    as it activates CB1-mediated signaling, including, according 
                    to the National Institute of Drug Abuse, distorted perception, 
                    difficulty in problem-solving, loss of coordination, increased 
                    heart rate and blood pressure, anxiety, and panic attacks. 
                    The work of the cellular physiologist, says Schweitzer, 
                    is to determine the cascade by which THC and natural cannabinoids 
                    have their effects. 
                    "Our goal," he says, "is to determine the cellular outcome 
                    of exposure to cannabinoids." 
                    Schweitzer also studies the effect of neuropeptides on the 
                    brain, and in the past few years, he has elucidated the neuronal 
                    mechanisms of action of somatostatin, a tetradecapeptide implicated 
                    in several physiologic and pathophysiologic processes. Recently, 
                    Schweitzer began collaborating with Assistant Professor Luis 
                    de Lecea in TSRI's Department of Molecular Biology to do a 
                    similar investigation on a new peptide they call cortistatin. 
                    Measuring Conductance In his studies, Schweitzer makes tiny electrodes by heating 
                    up and pulling apart capillary glass tubes so that they form 
                    a microscopic tapered end that he can carefully place under 
                    the microscope. Making these electrodes is more of an art 
                    than a science, and he often has to go through several capillaries 
                    before he gets one good electrode. 
                    But when he does, he hooks one end to an amplifier that 
                    will boost the tiny response signal coming from the neuron, 
                    and he connects the other end directly to the soma of the 
                    neuron or to whichever part of a neuron he wants to measure. 
                    His goal is to measure the conductance or current due to 
                    sodium or potassium influx. Neurons are excitable cells and 
                    alter their activity by changing their potential, which is 
                    determined by the fluctuating concentrations of ions inside 
                    and outside. In general, a hyperpolarized neuron shows less 
                    activity than a neuron that is depolarized. 
                    Regulating the potential of neurons (and thus their excitability) 
                    are different types of ion channels on neurons' surfaces. 
                    There are an array of different potassium channels, for instance, 
                    and a few sodium channels as well. These transport ions across 
                    the membrane to control the excitability of the neurons and, 
                    together with calcium channels, such important functions as 
                    the release of neurotransmitters at the synapses. 
                    The conductances that Schweitzer measures can tease apart 
                    which particular ion channels are being affected by, say, 
                    one particular interaction between a cannabinoid and a receptor 
                    like CB1 on the surface of the neuron. When a cannabinoid 
                    like THC binds to the CB1 receptor, this binding event starts 
                    a cascade of reactions involving intracellular messengers 
                    and other molecular signals that modulate the flow of ions 
                    on one or more channel types on the neuron, and modify neuron 
                    excitability. 
                    The net effect of this cascade of events following ingestion 
                    of THC is well known at the level of the whole organism. The 
                    organism experiences a high. But the cellular details of this 
                    cascade are not so well understood. Where in the brain are 
                    the cannabinoids binding? Where on the neuron are they binding? 
                    Which neurotransmitters are affected and how? How do the cannabinoids 
                    work and how do they affect cellular activity? How do they 
                    affect ensembles of neurons? How do they affect the hippocampus 
                    function or the function of other areas of the brain? 
                    "Even simple questions like these are difficult to answer 
                    at this point," says Schweitzer. And, he adds, there are many 
                    more complicated questions he is interested in as well. How 
                    does THC interact with alcohol and other drugs of abuse? How 
                    does the effect of THC or other cannabinoids affect the levels 
                    of neuropeptides in the brain? How do these levels affect 
                    pain sensation or appetite? How can these effects be controlled 
                    or mimicked? 
                    The goal of Schweitzer's sensitive measurements is to explain 
                    in basic terms what happens at the cellular level when THC 
                    hits the brain. 
                    "You try to point out which specific conductances and synapses 
                    are affected," he says. By looking at the characteristic response 
                    of the conductance, he can relate this to the particular kinetic 
                    or action potential profiles of the various ion channels on 
                    the neurons and see which are turned on or off by the binding 
                    of a cannabinoid to its receptor, and overall what this binding 
                    event does to the neuron. 
                    This allows him to study topics like the long-term potentiation, 
                    or the synergistic effect of combining a cannabinoid like 
                    THC with another drug, such as cocaine, methamphetamines, 
                    heroin, or alcohol. 
                     
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