Involvement of heart-gut axis in endocannabinoid CB1R signaling following alcohol binge

Abstract

Introduction: Binge alcohol drinking is linked to an increasing number of emergency room visits and rising healthcare costs. We have recently shown that binge alcohol drinking is associated with the activation of cannabinoid receptor type-1 (CB1R) signaling, aggravating binge alcohol-induced cardiovascular dysfunction. The endogenous CB1R agonist, anandamide (AEA), can form in response to various stimuli including increased levels of circulating endotoxins derived from intestinal Gram-negative bacteria. Besides, increased levels of serum endotoxins can also provoke the activation of innate immune cells. However, it is still unclear if how AEA is formed in the cardiovascular system. Here, we studied the effect of intestinal Gram-negative bacteria-derived endotoxins on myocardial CB1R activation and aimed to identify the cellular source of AEA after alcohol binge. Methods: 8-12 week old C57BL/6J mice were orally administered a single ethanol binge at a dose of 5g/kg body weight, with or without prior treatment with non-absorbable antibiotics. Circulating endotoxins were assessed following alcohol binge. Intestinal-barrier permeability was assayed by using FITC-Dextran administration. Myocardial tissue endocannabinoid levels were measured by LC/MS. Immunostaining approaches were applied to determine the rate of oxidative stress in the myocardium. Left ventricle performance was assessed by using a pressure-volume catheterization approach. Tissue perfusion was also evaluated by laser speckle contrast imaging. Results: Alcohol gavage was associated with a time-dependent increase of serum endotoxins peaking 3h after intoxication. Selective intestinal decontamination significantly improved the gut barrier function following alcohol gavage which was concomitant with the decreased myocardial oxidative stress. Simultaneously, reduced levels of myocardial AEA and cardiovascular performance improvement were observed. Conclusion: Our findings underscore the potential role of Gram-negative flora derived substances in the modulation of cardiovascular endocannabinoid AEA levels following alcohol binge drinking, impacting cardiac function and oxidative stress. Supported by Intramural Research Program of NIH/NIAAA; R00AA028300, LSUHSC start-up funds. This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.