The Endocannabinoid/Endovanilloid N-Arachidonoyl Dopamine (NADA) and Synthetic Cannabinoid WIN55,212-2 Abate the Inflammatory Activation of Human Endothelial Cells*

Background: The endothelium is centrally involved in acute inflammatory disorders. Results: WIN55,212-2 and the endocannabinoid N-arachidonoyl dopamine (NADA), but not anandamide nor 2-arachidonoylglycerol, reduce endothelial activation by bacterial Toll-like receptor agonists and TNFα. Conclusion: NADA is a newly identified endogenous regulator of endothelial inflammation. Significance: The endothelial endocannabinoid system represents a novel immune regulatory system that could be exploited therapeutically. Although cannabinoids, such as Δ9-tetrahydrocannabinol, have been studied extensively for their psychoactive effects, it has become apparent that certain cannabinoids possess immunomodulatory activity. Endothelial cells (ECs) are centrally involved in the pathogenesis of organ injury in acute inflammatory disorders, such as sepsis, because they express cytokines and chemokines, which facilitate the trafficking of leukocytes to organs, and they modulate vascular barrier function. In this study, we find that primary human ECs from multiple organs express the cannabinoid receptors CB1R, GPR18, and GPR55, as well as the ion channel transient receptor potential cation channel vanilloid type 1. In contrast to leukocytes, CB2R is only minimally expressed in some EC populations. Furthermore, we show that ECs express all of the known endocannabinoid (eCB) metabolic enzymes. Examining a panel of cannabinoids, we demonstrate that the synthetic cannabinoid WIN55,212-2 and the eCB N-arachidonoyl dopamine (NADA), but neither anandamide nor 2-arachidonoylglycerol, reduce EC inflammatory responses induced by bacterial lipopeptide, LPS, and TNFα. We find that endothelial CB1R/CB2R are necessary for the effects of NADA, but not those of WIN55,212-2. Furthermore, transient receptor potential cation channel vanilloid type 1 appears to counter the anti-inflammatory properties of WIN55,212-2 and NADA, but conversely, in the absence of these cannabinoids, its inhibition exacerbates the inflammatory response in ECs activated with LPS. These data indicate that the eCB system can modulate inflammatory activation of the endothelium and may have important implications for a variety of acute inflammatory disorders that are characterized by EC activation.

molecules outside the nervous system, and the roles of the other eCBs, are not as well understood (5)(6)(7)(8).
Cannabinoid receptors are expressed in immune cells. In particular, CB 2 R is expressed at relatively high levels, especially in B-cells, natural killer cells, and monocytes, and its activation can dampen the inflammatory response to infection (9 -12). In fact, targeting CB 2 R in leukocytes has been suggested as a therapy for inflammatory disorders such as sepsis (13)(14)(15)(16). Although it is clear that several plant-derived (i.e. phytocannabinoids) and synthetic cannabinoids possess immunomodulatory activity, prior studies have primarily focused on their effects on leukocytes and microglia without assessing their effects on the endothelium, which is known to be centrally involved in acute inflammatory disorders such as sepsis (17)(18)(19). In sepsis, the persistent, direct, and unresolved engagement of endothelial Toll-like receptors (TLRs) by microbial components, and the sustained secretion of endogenous inflammatory mediators, such as tumor necrosis factor (TNF)␣ and interleukin (IL)-1␤, lead to endothelial activation and dysfunction (20 -24). Ultimately, this contributes to the development of coagulopathy and increased vascular permeability, which subsequently leads to multiorgan failure and death (23). Therefore, therapeutically targeting components of the endothelial eCB system may represent a novel approach to ameliorating the damaging effects that occur during acute inflammatory disorders.
To this end, we sought to identify cannabinoids that are able to modulate EC inflammation and delineate which components of the eCB system are expressed by ECs. Using a panel of synthetic cannabinoids, phytocannabinoids, and eCBs, we found that the synthetic cannabinoid WIN55,212-2 and the eCB NADA have the ability to dampen the activation of primary human lung microvascular ECs (HMVEC-lung) by a variety of inflammatory agonists, including bacterial lipopeptides (TLR2 agonist), lipopolysaccharide (LPS) (TLR4 agonist), and TNF␣. Although the anti-inflammatory properties of WIN55,212-2 have previously been described, only a few reports have described the physiological functions of NADA, including its role in inflammation (16,(25)(26)(27)(28)(29)(30)(31)(32).
NADA was first described as a putative eCB in 2000, and was subsequently also identified as an endovanilloid (33,34). In mice, NADA was shown to induce the following tetrad of physiological paradigms associated with cannabinoids: hypothermia, hypo-locomotion, catalepsy, and analgesia (33,(35)(36)(37). NADA has been found to play a regulatory role in both the peripheral and central nervous systems and displays antioxidant and neuroprotectant properties (34, 38 -41). In addition to its neurological effects, NADA has been implicated in smooth muscle contraction and vasorelaxation in blood vessels (42)(43)(44)(45). Additionally, NADA has been observed to suppress inflammatory activation of human Jurkat T-cells and to inhibit the release of prostaglandin E 2 (PGE 2 ) from LPS-activated astrocytes, microglia and mouse brain ECs (46 -48). NADA also displays inhibitory activity in HIV-1 replication assays (49). Finally, a recent report suggests that NADA can prevent the degranulation and release of TNF␣ from RBL-2H3 mast cells treated with an IgE-antigen complex (50). Together, these studies show that physiological functions attributed to NADA are multifaceted and include the potential to modulate the immune response.
The binding specificity for the cannabinoid receptors differs between WIN55,212-2 and NADA. Although WIN55,212-2 is a strong agonist of both CB 1 R and CB 2 R, NADA displays approximately a 40-fold selectivity for CB 1 R over CB 2 R (1,33,51). Moreover, the TRPV1 ion channel is activated by NADA but is inhibited by WIN55,212-2 (34,(52)(53)(54). Therefore, we sought to determine the expression repertoire of the four G protein-associated CBRs, and TRPV1, in different human primary endothelial cell niches. We found that primary human ECs from multiple vascular beds all express CB 1 R, GPR18, GPR55, and TRPV1 and differentially express CB 2 R at relatively low levels. Additionally, we determined that human ECs express all the eCB metabolic enzymes identified to date. We find that CB 1 R/ CB 2 R are necessary for the anti-inflammatory properties of NADA but not WIN55,212-2. Furthermore, although TRPV1 inhibition further reduces the LPS-induced inflammatory activation of HMVEC-lung in the presence of WIN55,212-2 or NADA, paradoxically, TRPV1 inhibition augments inflammation in the absence of the cannabinoids. Together, these results suggest that human ECs have the machinery to metabolize and respond to NADA and that the endothelial eCB system represents a novel target for inflammatory disorder therapies.
ELISAs, MTT Assay, and Crystal Violet Assay-IL-6 and IL-8 levels were quantified in culture supernatants by ELISA (R&D Systems, Minneapolis, MN, and BD Biosciences, respectively) according to the manufacturer's instructions. For the MTT and crystal violet (CV) assays, the CBR agonist or antagonist was added at the indicated concentrations for 7 h in the absence of inflammatory agonists. MTT Assays (Biotium, Hayward, CA) were performed in 96-well plates according to the manufacturer's instructions. Because NADA induces the formation of formazan crystal from tetrazolium salt in the absence of cells, in the MTT assay graph (Fig. 5C), background ODs of NADA in the absence of cells were subtracted from ODs in the presence of cells at the same NADA concentration. For CV assays, after the indicated treatments, the cells in 48-well plates were washed twice with PBS and then stained with 0.5% CV in methanol for 10 min (100 l). The plates were then dunked several times in tap water to remove the excess CV solution, after which time the plates were gently tapped upside down on a paper towel to remove all traces of liquid. 1% SDS in water (300 l) was then added to each well, and the remaining stained cells were allowed to solubilize for several hours. One well in the plate was left without cells to control for background staining. Absorbance was read at 570 nm in a FLUOstar OPTIMA fluorescent plate reader (BMG Labtech, Cary, NC); the background staining was subsequently subtracted, and the percent adherence relative to the control was calculated.
Flow Cytometry-HUVEC were detached using Accutase Cell Detachment Solution (Innovative Cell Technologies, San Diego). HUVEC were passed through a 70-m filter, counted, and aliquoted at 5 ϫ 10 5 cells per sample. The cells were then washed using Flow Cytometry Staining Buffer (FCSB) (R&D Systems) and incubated with 10 g/ml human IgG (R&D Systems) in FCSB for 15 min at 4°C. Next, the cells were incubated for 30 min at 4°C with either 0.25 g/sample of FITC-mouse anti-human CD62E (E-selectin) (BBA21; R&D Systems) or FITC-mouse IgG1 (IC002F; R&D Systems). The samples were washed once more with FCSB and then analyzed by flow cytometry (LSRII Flow Cytometer, BD Biosciences). A far-red fluorescent dye (L10119; Invitrogen) was used to assess cell viability.
Neutrophil Adhesion Assay-The neutrophil adhesion assay was performed as described previously (55). Briefly, neutrophils were resuspended in RPMI 1640 medium at 2 ϫ 10 6 cells/ml and labeled with 3 M calcein-AM (Invitrogen). Just prior to adding labeled neutrophils, 48-well plates containing HMVEClung monolayers were washed three times with RPMI 1640 medium containing 3% BSA. Labeled neutrophils were then added at 6 ϫ 10 5 cells/300 l/well and allowed to incubate for 20 min at 37°C in the dark before washing five times with PBS (with Ca 2ϩ and Mg 2ϩ ) to remove nonadherent cells. Pre-washing and post-washing fluorescence was read at an excitation of 485 nm and an emission of 520 nm in a FLUOstar OPTIMA fluorescent plate reader. The relative adherence was calculated by first subtracting the background fluorescence of the ECs from the pre-and post-wash readings and then dividing the post-wash reading by the pre-wash reading to quantitate the fluorescence decrease for each well. The ratio of adherence of each well is then divided by the average ratio of adherence for the positive control samples. Neutrophil adhesion was visualized using a Zeiss Axio Imager D1 microscope.
Electric Cell-Substrate Impedance Sensing (ECIS)-ECIS Z Theta system (Applied Biophysics, Troy, NY) was used to measure the transendothelial electrical resistance (TER), a measure of endothelial barrier integrity, of HMVEC-lung monolayers, as described in detail by Giaever and Keese (58). Briefly, HMVEClung (1.4 ϫ 10 5 cells/cm 2 ) were seeded into wells containing 10 small gold electrodes and a larger counter electrode on a 96-well plate (Applied Biophysics) and were allowed to grow to confluence. Inflammatory agonists (FSL, LPS, and TNF␣) and either NADA (2 or 10 M) or WIN55,212-2 (1 or 2 M) were then added to the wells. Resistance was measured repeatedly in each well for 8 h. Data were normalized to the resistance measured before the addition of inflammatory agonists and NADA.
Antagonist/Inverse Agonist Assays-Confluent monolayers of HMVEC-lung were pretreated for 30 min with either the combination of CP945598 (CB 1 R antagonist; Tocris) and SR144528 (CB 2 R inverse agonist; Cayman Chemical) or with AMG9810 (TRPV1 antagonist; Tocris) (0.1, 1, or 10 M) and then incubated for another 30 min with WIN55,212-2 (4 M) or NADA (10 M) in the continued presence of either CP945598 plus SR144528 or AMG9810 (0.1, 1, or 10 M). ECs were then treated with LPS (10 g/ml) for an additional 6 h while in the continuous presence of the combination of CP945598 and SR144528 or AMG9810 and WIN55,212-2 or NADA. IL-6 and IL-8 were quantified in culture supernatants.
Calcium Influx Assay-HMVEC-lung were grown to confluency in 96-well black-walled TC plates. Endothelial Ca 2ϩ influx was determined using the FLIPR Calcium 6 assay (Molecular Devices) according to the manufacturer's supplied instructions. Cells were treated with either ethanol, ATP (10 M), or NADA at the indicated concentrations, and fluorescence output (i.e. Ca 2ϩ influx) was measured for 3 min with a Flex Station fluorometer (Molecular Devices). The data were then normalized to the background readings before treatments for each condition.
LC-MS/MS to Detect NADA in HMVEC-Lung-An analytical LC-MS/MS method to detect endocannabinoids in cell lysates was developed at Cayman Chemical Co. (Ann Arbor, MI). Confluent monolayers of HMVEC-lung were grown in 15-cm tissue culture dishes and left untreated or treated either with FSL-1 (10 g/ml), LPS (10 g/ml), or TNF␣ (100 ng/ml) for 3 h, and then lysed with 2.25 ml of RIPA lysis buffer (see above for formulation and procedures) per plate. For each sample, the lysate from 2 ϫ 15-cm tissue culture dishes were combined (4.5 ml total). After an initial extraction with chloroform/ methanol (2:1), both 1 and 3 ml of the lysate from each sample were concentrated and analyzed by LC-MS/MS. NADA standard was prepared at Cayman Chemical using RIPA buffer as the matrix.
Statistics-The data were analyzed using t-tests (unequal variance two-tail) or ANOVA using a Dunnett's post-test. GraphPad Prism or Excel 2008 was used for statistical analyses. p values Յ0.05 were considered significant for all data except crystal violet assays, where p values Յ0.01 were considered significant. Data were expressed as mean Ϯ S.D., except for the data compiled in Fig. 4, which are expressed as the mean Ϯ S.E.
On-line Supplemental Material-The supplemental Tables S1 and S2 display the mean ⌬C t calculations for the CBR and eCB metabolic enzyme qPCR data in Figs. 1 and 3, respectively. The supplemental Table S3 gives a description and shows the breakdown of the calculated data for the mean viability and inflammatory indices depicted in the graph in Fig. 4. The supplemental Figs. S1 and S2 depict the WIN55,212-2 and NADA, respectively, IC 50 values, and pre-/post-treatment graphs. The supplemental Fig. S3 displays the flow cytometry gating schematic for the data depicted in Fig. 8. The supplemental Fig. S4 describes two anabolic pathways proposed for NADA and the qPCR RQ graphs for DDC and TH expression in ECs, PBMCs, and human adrenal tissue.

Endothelial Cells from Different Vascular Beds Express a Similar Subset of Cannabinoid Receptors and eCB Metabolic
Enzymes-To determine which cannabinoid receptors are expressed in primary human endothelial cells, mRNA expression levels from HUVEC, HCAEC, brain, liver, and lung microvascular ECs (HMVEC-brain, -liver, and -lung) were measured. cDNA derived from human peripheral blood mononuclear cells (PBMCs) was used for comparison. Commercially available assays designed to detect the presence of CNR1 (CB 1 receptor/CB 1 R), CNR2 (CB 2 receptor/CB 2 R), GPR18 and GPR55, and the ion channel TRPV1 were utilized. Initial results showed that ECs express CNR1, GPR18, and TRPV1 but not CNR2 nor GPR55 (Fig. 1, A-E, and supplemental Table S1). In contrast, PBMCs expressed CNR2 and GPR55 in addition to the other receptors detected in ECs ( Fig. 1F and supplemental Table S1). Although detectable in all cell lines, endothelial CNR1 expression was relatively low and, in fact, was not detected in any of the ECs when an input of 5 ng of cDNA was used (supplemental Table  S1). To confirm the expression profile of CNR2 and GPR55 in ECs, qPCR was repeated using different assays (assay 2) containing primers that recognize different exons. Using the assay 2 mixes, GPR55 was detected in all the ECs tested, and CNR2 , and HCAEC (one donor) (E, G, and H) were grown in their respective media and lysed with TRIzol upon confluency. PBMCs (three donors) (F, G, and H) were immediately lysed upon isolation. Three biological replicates were analyzed for each donor. The mean C t value for HPRT1 and GUSB was used as the reference in calculating the ⌬C t values (supplemental Fig. S1) for each biological replicate as described under "Experimental Procedures." 80 ng of cDNA was analyzed for each sample. The relative quantification (RQ) values shown in the graphs are relative to lowest detectable expressing CBR gene for each cell type (A-F) or lowest detectable expressing cell type for each gene (G and H). When gene expression was not detected in more than half of the technical replicates, it was defined as not expressed (nde, not detectably expressed). Because CNR1 and GPR55 were not initially detected using assay 1, a second gene assay (assay 2) was performed using different primers to re-assess expression in the same samples (G and H).
transcripts were detected in HUVEC, HMVEC-brain, HCAEC, and PBMCs, although the levels were extremely low (Fig. 1, G  and H). CNR2 was not detected with assay 2 in any of the ECs, or the PBMCs, when an input of 5 ng of cDNA was used (supplemental Table S1). These results suggest that alternative splice variants of GPR55 and CNR2 may be expressed in different tissues.
To verify that CB 1 R, CB 2 R, GPR18, GPR55, and TRPV1 are expressed at the protein level in the aforementioned cell types, immunoblotting was performed using lysates derived from the same primary cells used in qPCR expression analysis. The results appear to corroborate the qPCR expression analysis, although it was difficult to determine the correct protein band in some blots due to excessive background protein staining and to discrepancies between the observed and predicted or described molecular weights (Fig. 2). Nonetheless, we are confident that CB 1 R (protein band 1), GPR18, GPR55, and TRPV1 protein bands were definitively detected in ECs (Fig. 2). However, in the CB 1 R immunoblot, a fainter protein band is detected at ϳ55 kDa in the PBMC lysates (protein band 2), FIGURE 2. ECs express CBR and TRPV1 proteins. HUVEC, HMVEC-brain, -liver, and -lung, and HCAEC were grown to confluency in 6-well plates and lysed with RIPA-LB. CB 1 R (A), CB 2 R (B), GPR18 (C), GPR55 (D), and TRPV1 (E) protein levels were assessed by immunoblot using the indicated antibodies. PBMCs were immediately lysed in RIPA-LB upon isolation. ␤-Actin levels were assessed as a loading control (bottom panels) (A-E). Arrows indicate candidate CBR or TRPV1 protein bands. For reference, the predicted molecular weight and the molecular weight indicated in the respective products sheets are shown.
which is not present in ECs ( Fig. 2A). Because this protein band more closely corresponds to the predicted molecular weight for CB 1 R and is consistent with the relatively low expression of CNR1 in ECs, as observed in the qPCR data, it may represent CB 1 R, suggesting this receptor is not detectable by immunoblot in ECs (Fig. 2 and supplemental Table S1). Additionally, in Fig.  2B, if the protein band observed either at ϳ25 kDa (protein band 1) or ϳ52 kDa (i.e. the middle band of the triplet found between 50 and 55 kDa; protein band 2) in the PBMC lane is in fact CB 2 R, the results indicate that ECs do not express detectable quantities of this G protein-coupled receptor, which would be consistent with our qPCR results using assay 1 (Figs. 1 and. 2B and supplemental Table S1). Furthermore, several protein bands are in the predicted or previously observed molecular weight ranges for TRPV1; however, in comparison with ECs, some of these are not highly expressed in PBMCs (59,60). Taken together, the results from our CBR expression studies indicate that ECs express CB 1 R, GPR18, GPR55, and TRPV1 and possibly CB 2 R at very low levels.
The eCB system uses a complex network of metabolic enzymes to regulate the synthesis and breakdown of the arachidonic acid-based eCBs (3,4). Through literature review, we identified 10 enzymes involved in eCB metabolism. We tested for the presence of these enzymes through qPCR expression profiling in HUVEC and HMVEC-lung, again using PBMCs for comparison. Our results show that HUVEC and HMVEC-lung express very similar levels of all the eCB metabolic enzymes tested, including ␣/␤-hydrolase-4, -6, and -12 (ABHD4, ABHD6, and ABHD12), diacylglycerol lipase ␣ (DAGLA), glycerophosphodiesterase (GDE1), monoacylglycerol lipase (MGLL), N-acyl phosphatidylethanolamine phospholipase D (NAPE-PLD), and proteintyrosine phosphatase, nonreceptor type 22 (PTPN22) (Fig. 3, A and B, and supplemental Table S2). Additionally, fatty acid amide hydrolase 1 and 2 (FAAH and FAAH2) were expressed in ECs but at relatively low levels. We also found that PBMCs express all the enzymes (Fig. 3C and supplemental Table S2). These results suggest that ECs and PBMCs are able to regulate eCB metabolism.
NADA and WIN55,212-2 Negatively Regulate EC Inflammatory Activation-Cannabinoids have been reported to modulate the inflammatory activation of leukocytes, but their effects on endothelial inflammation have not been thoroughly investigated (16,17). Because the inflammatory activation of ECs also plays a central role in recruiting leukocytes and mounting immune responses, we decided to test a panel of synthetic cannabinoids, phytocannabinoids and eCBs, including the TRPV1activating compound CAP, for their ability to regulate the secretion of IL-6 and IL-8 from HMVEC-lung activated with the pro-inflammatory agonists FSL-1 (TLR2/6 ligand), LPS (TLR4 ligand), or TNF␣. Specific cannabinoids and CAP were chosen due to their ability to activate or inhibit the known cannabinoid receptors (Table 1). Based on previous studies, we chose to preincubate HMVEC-lung with 10 M of each cannabinoid or CAP for 1 h and then treat for 6 h with the inflammatory agonists while in the continuous presence of the compounds. After the 7 h, we quantified IL-6 and IL-8 levels in culture supernatants. MTT assays were used to ensure that changes in cytokine expression were not due differences in cell viability. In the MTT assays, the ECs were incubated with 10 M of the different compounds for 7 h. Fig. 4 summarizes the combined inflammatory index versus viability index for each cannabinoid tested. A detailed description on how the indices were calculated can be found in the legends of Fig. 4 and supplemental Table S3. Of the compounds tested, only the eCB NADA (IL-6, p Ͻ 0.05; IL-8, p Ͻ 0.01) and synthetic cannabinoid WIN55,212-2 (IL-6, p Ͻ 0.001; IL-8, p Ͻ 0.001) significantly reduced IL-6 and IL-8 secretion from ECs after inflammatory agonist treatment without significantly affecting EC viability (MTT, p Ͼ 0.05) (Fig. 4 and supplemental Table S3). We therefore decided to further analyze the anti-inflammatory properties of these two compounds in more detail. Of note, although the CB 2 R agonist HU-308 appears to display anti-inflammatory activity without grossly affecting the viability of ECs, we did not follow up on this cannabinoid in this report because its effect on IL-6 and IL-8 secretion was not statistically significant by our criteria (p Ͼ 0.05) and because of our inconclusive results regarding CB 2 R expression in ECs (Figs. 1, 2, and 4 and supplemental Tables S1 and S3). Also, although 10 M CBD strongly inhibited cytokine secretion from all ECs tested, we determined that this reduction was due to a substantial increase in cell death ( Fig. 4 and supplemental Table S3). Lower concentrations of CBD (Յ1 M) did not cause cell death but also did not have a significant effect on cytokine secretion, and therefore, we did not further pursue this phytocannabinoid (data not shown).
WIN55,212-2 Inhibits HMVEC-Lung Activation by Inflammatory Agonists-WIN55,212-2 is a well studied synthetic compound and has been shown previously to have anti-inflammatory activity in a variety of cells (26 -30). We first analyzed the effects of WIN55,212-2 (0.1, 1, and 10 M) on the FSL-1-, LPS-, and TNF␣-induced up-regulation of IL-8 in HMVEClung. We found that 10 M WIN55,212-2 strongly inhibits the up-regulation of IL-8 expression in HMVEC-lung treated with all three of the inflammatory agonists (Fig. 5, A-C). More refined concentration curves of WIN55,212-2 between 1 and 10 M in FSL-1-and LPS-treated HMVEC-lung indicated that the IC 50 for WIN55,212-2 inhibition of IL-6 and IL-8 secretion is between 2.96 and 3.94 M (supplemental Fig. S1, A-D). Importantly, we also observed that WIN55,212-2 concentrations of up to 100 M do not effect cell viability (Fig. 5D). Additionally, we found that initiating treatment of HMVEC-lung with WIN55,212-2 anytime from 2 h before to 2 h after the addition of FSL-1 strongly reduced IL-6 and IL-8 secretion (supplemental Fig. S1, E and F). We next used a neutrophil adhesion assay to test the ability of WIN55,212-2 to inhibit the binding of neutrophils to HMVEClung activated with either FSL-1, LPS, or TNF␣. We found that WIN55,212-2 dose-dependently reduces the adhesion of primary human neutrophils to HMVEC-lung monolayers activated by all three inflammatory agonists (Fig. 5E shown for FSL-1). These results all suggest that WIN55,212-2 robustly inhibits the inflammatory activation of HMVEC-lung without affecting cell viability.
As mentioned previously, WIN55,212-2 has high affinity for both CB 1 R and CB 2 R and is reported to inhibit TRPV1 (1,51,53,54). We first analyzed the effects of the CB 1 R antagonist CP945598 and CB 2 R inverse agonist SR144528 together (0.1, 1, and 10 M) on the LPS-induced up-regulation of IL-6 and IL-8 in HMVEC-lung in the presence and absence of WIN55,212-2. We decided to use these inhibitors in combination to exclude any possibility of compensation by one over the other, given the uncertainty of CB 2 R expression in ECs. We found that the effects of WIN55,212-2 on IL-6 secretion are only significantly abrogated in the presence of 0.1 M (p Ͻ 0.05) CP945598/ SR144528, whereas IL-8 secretion is not significantly affected by the inhibitors, suggesting that CB 1 R and CB 2 R may have only minimal effects on its anti-inflammatory properties in ECs (Fig.  5F, shown for IL-8). Note that we used 4 M WIN55,212-2 in these assays to more closely match its IC 50 value (supplemental Fig. S1). We next analyzed the effects of the TRPV1 antagonist AMG9810 (0.1, 1, and 10 M) on the LPS-induced up-regula-tion of IL-6 and IL-8 in HMVEC-lung pretreated with WIN55,212-2. We found that in the presence of 10 M AMG9810, the WIN55,212-2-dependent decreases in IL-6 and IL-8 secretion were further reduced in LPS-treated HMVEClung, but surprisingly, in the absence of WIN55,212-2, the LPSinduced inflammatory response was exacerbated in the presence of 10 M AMG9810 (Fig. 5G, shown for IL-8). This suggests that TRPV1 promotes inflammation in the presence of WIN55,212-2 but inhibits inflammation in its absence. Importantly, we did not observe significant effects of AMG9810 at concentrations Ͻ10 M, suggesting that these outcomes may be due to the inhibition of another endothelial TRP channel such as TRPA1, -M8, -V3, and -V4 (61, 62). NADA, and Not Its Chemical Constituents Arachidonic Acid nor Dopamine, Reduces HMVEC-Lung Activation-We next focused on refining the anti-inflammatory properties of NADA in ECs that were observed in our initial experiments (Fig. 4). NADA is composed of AA and dopamine moieties covalently linked through an amide bond (Fig. 6A). Because several eCB hydrolase enzymes, such as FAAH1/2, MAGL, and ABHD-4, -6, and -12, are expressed in ECs (Fig. 3), it is possible that either AA or dopamine, or a combination of the two, are responsible for the observed anti-inflammatory properties. To explore this possibility, we compared the effects of AA or dopamine alone, the two compounds in combination, or NADA alone on FSL-1 and TNF␣ activation of HMVEC-lung. We found that in the presence of AA, either alone or in combination with dopamine, it tends to increase the expression of IL-8 by HMVEC-lung when treated with either agonist, in line with previous observations, whereas NADA again decreased cytokine secretion (Fig.  6B, shown for FSL-1) (63). Polymyxin B was used to show that the additional increase in IL-8 levels after FSL-1 addition in the presence of AA was not due to LPS contamination. These results suggest that NADA itself is directly responsible for the observed anti-inflammatory effects and not its breakdown products AA or dopamine. We also tested ethanol preparations of NADA from three different sources (Sigma, Tocris, and Cayman), and we found similar decreases in IL-8 secretion in LPStreated HMVEC-lung when preincubated with either 10 or 20 M NADA (supplemental Fig. S2A). Additionally, we found that NADA has no effect on cell viability or cell adherence as measured by MTT and CV assays, respectively, up to 20 M in vitro, but that higher concentrations did cause significant cell death within 7 h (Fig. 6, C and D). It is possible that at higher concentrations NADA may cause EC death via oxidative stress, similar to results reported for hepatic stellate cells (64).
NADA Reduces Pro-inflammatory Cytokine Secretion and Neutrophil Adherence to HMVEC-Lung Activated by Inflammatory Agonists-Next, we found that NADA dose-dependently inhibits the up-regulation of IL-6 and IL-8 expression in HMVEC-lung treated with FSL-1, LPS, or TNF␣ (Fig. 7, A-F). The IC 50 values for NADA's inhibitory effects on LPS-induced secretion of IL-6 and IL-8 from HMVEC-lung were 12.79 and 18.00 M, respectively (supplemental Fig. S2, B and C). Additionally, like WIN55,212-2, we found that initiating treatment of HMVEC-lung with NADA anytime starting 2 h before and up to 2 h after adding FSL-1 strongly reduced the up-regulation of both IL-6 and IL-8 (supplemental Fig. S2, D and E). Using flow cytometry, we also determined that NADA reduces the surface expression of E-selectin on HUVEC activated with either FSL-1, LPS, or TNF␣, suggesting that NADA may reduce the adhesion of leukocytes to the endothelium ( Fig. 8 and supplemental Fig. S3). To test this, we performed a neutrophil adhesion assay (55). We observed that NADA dose-dependently reduces the adhesion of primary human neutrophils to HMVEC-lung monolayers activated by any of the inflammatory agonists (Fig. 9, A-C). These results indicate that NADA can directly dampen the activation of human ECs by both exogenous and endogenous inflammatory mediators.
NADA and WIN55,212-2 Do Not Reduce the Permeability of HMVEC-Lung Monolayers-Increased permeability of the vascular endothelium is a hallmark of acute inflammatory disorders such as sepsis, and it is believed to contribute to the pathogenesis of organ injury and failure (19,23). We utilized ECIS to quantify the effects of NADA and WIN55,212-2 on endothelial permeability induced either by FSL-1, LPS, or TNF␣. ECIS uses TER to measure electrical current as a surrogate for endothelial permeability. A reduction in TER is consistent with increased permeability. We did not find that treatment of HMVEC-lung monolayers either with NADA or WIN55,212-2 prevents FSL-1-, LPS-, or TNF␣-induced decreases in TER (data not shown). Together, these results suggest that NADA and WIN55,212-2 may not modulate inflammation-induced endothelial permeability. It is also possible that we were unable to detect NADA-or WIN55,212-2-induced changes in TER under our chosen experimental conditions.
Effects of CB 1 R/CB 2 R and TRPV1 Inhibition on the Anti-inflammatory Properties of NADA-NADA is an agonist for CB 1 R and CB 2 R with differing affinities and can activate the TRPV1 channel (i.e. induce cation influx) (33,34,52). We analyzed the effects of the CB 1 R/CB 2 R inhibitors CP945598/SR144528 (0.1, 1, and 10 M) on the LPS-induced up-regulation of IL-6 and IL-8 in HMVEC-lung in the presence of NADA. We found that

Cannabinoid receptor agonists/antagonists used in experiments
ϩϩ, agonist activity Ͻ100 nM; ϩ, agonist activity 100 nM to 10 M; 0, no effect; Ϫ, antagonist activity; ϭ, inverse agonist; (in), indirect; (?), uncertain. Note: the discrepancies in binding specificities reported for individual compounds are due primarily to the different assays utilized in the studies (1). Abn-CBD, abnormal cannabidiol; NAGly, N-arachidonoylglycine; ND, no data (reported in good faith); ACEA, arachidonoyl-2'-chloroethylamide; CAP, capsaicin; CBD, cannabidiol. a AEA is the inhibitor of TRPM8 (115). b CBD is the agonist for the 5-HT 1A (serotonin) receptor (157). 0.1 and 1 M CP945598/SR144528 strongly abated the NADAdependent decrease in IL-6 and IL-8 secretion in LPS-treated HMVEC-lung, whereas at the higher concentrations (10 M) they actually facilitated the NADA-dependent reduction in cytokine secretion in LPS-activated ECs (Fig. 10, A and B). Because CP945598 and SR144528 display subnanomolar potency in binding and functional assays, the effects at 0.1 and 1 M may reflect specific inhibition of CB 1 and CB 2 receptors, whereas the outcomes observed at 10 M may represent offtarget effects (65)(66)(67). Therefore, the anti-inflammatory effects of NADA may be at least partially due to agonism at CB 1 R and/or CB 2 R. We next analyzed the effects of the TRPV1 antagonist AMG9810 (0.1, 1, and 10 M) on the LPS-induced up-regulation of IL-6 and IL-8 in HMVEC-lung pretreated with NADA. We found that in the presence of 10 M AMG9810, the NADA-dependent decreases in IL-6 and IL-8 secretion were further reduced in LPS-treated HMVEC-lung. Conversely, in the absence of NADA, the LPS-induced inflammatory response was exacerbated in the presence of 10 M AMG9810 (Fig. 10, C  and D). This suggests that TRPV1 promotes inflammation in the presence of NADA but inhibits inflammation in its absence. Like our studies with WIN55,212-2, we did not observe significant effects of AMG9810 at concentrations Ͻ10 M, again suggesting that these outcomes may be due to the inhibition of another endothelial TRP channel such as TRPA1, -M8, -V3, and -V4 (61,62). However, we found that NADA dose-dependently induces Ca 2ϩ influx into HMVEC-lung (Fig. 10E). In these experiments, 10 M ATP was used as a positive control (68). This indicates that NADA is an agonist for endothelial TRPV1 because to date NADA has not been shown to activate any other ion channels.

Refs
Human ECs Express the Dopamine Biosynthetic Enzyme DDC but Endogenous NADA Was Not Detected in HMVEC-Lung-Two potential biosynthetic routes have been postulated to be responsible for the production of NADA in cells (34,69,70). One route requires the direct ligation of dopamine to AA. The other route first requires the ligation of tyrosine to AA to form N-arachidonoyl tyrosine. The tyrosine moiety is subsequently converted to L-DOPA by TH to generate N-arachidonoyl-DOPA, and then the L-DOPA moiety is converted to dopamine by DDC to produce NADA (supplemental Fig. S4A). Using qPCR expression analysis, we determined that both HUVEC and HMVEC-lung express DDC, but not TH, although PBMCs express neither and, as expected, adrenal tissue express high levels of both DDC and TH (supplemental Fig. S4, B and C). These results suggest that in human ECs only the first biosynthetic route for NADA is possible. However, because TH has been detected in murine liver sinusoidal ECs, the mechanisms of NADA synthesis may vary in different EC niches or species (64). We next attempted to quantify endogenous NADA in lysates of HMVEC-lung. Using an LC-MS/MS method developed at Cayman Chemical Co., NADA was not detected in HMVEC-lung lysates either before or after activation by FSL-1, LPS, or TNF␣ (data not shown). This result indicates either that HMVEC-lung do not endogenously express NADA, as the levels were below the detection limit of ϳ0.25 ng/ml, or NADA was not efficiently isolated from HMVEClung lysates, degraded prior to LC-MS/MS analysis, or was not detected for alternative technical reasons.

DISCUSSION
In this report, we have identified the endocannabinoid/endovanilloid NADA and the synthetic cannabinoid WIN55,212-2 as potent modulators of the inflammatory activation of the endothelium. Other eCBs, including AEA and 2-AG, did not exhibit this immunomodulatory property. Both NADA and WIN55,212-2 reduce the secretion of pro-inflammatory cytokines and the adherence of neutrophils to HMVEC-lung activated by bacterial TLR agonists or TNF␣. Importantly, our expression profiling data show that primary human ECs express CBRs, TRPV1, and all of the eCB metabolic enzymes that have been identified to date. These results strongly support the hypothesis that the endothelial eCB system represents a were quantified in supernatants of HMVEC-lung that were pretreated for 1 h with 10 M of the indicated CBR agonist/antagonist and then treated with either 10 g/ml FSL-1 or LPS or with 100 ng/ml TNF␣ for an additional 6 h while in the continuous presence of inhibitor. The relative viability of HUVEC or HMVEC-lung was determined by an MTT assay after incubation with 10 M of the indicated CBR agonist/antagonist, DMSO, or ethanol control for 7 h. To calculate the inflammatory indices, the relative inflammatory index in each independent experiment for each CBR agonist/antagonist was first calculated (i.e. the average cytokine concentration for the samples treated with both the inflammatory agonist (FSL-1, LPS, or TNF␣) and CBR agonist/antagonist divided by the average cytokine concentration for the samples treated with inflammatory agonist alone; n ϭ 3 minimum). Then, the means of these relative indices for each CBR agonist/antagonist were plotted on the graph (n ϭ 4 -5; see supplemental Table S3 for the n value breakdowns for the different inflammatory agonists). The MTT viability indices were calculated in the same manner. The region of interest (shaded gray area) indicates CBR agonists/antagonists that decrease or increase cytokine expression by more than 20% versus control (those compounds with inflammatory indices Ͻ0.8 and Ͼ1.2, respectively) and do not decrease or increase viability by more than 20% versus control (those compounds with viability indices between 0.8 and 1.2). *, CBR agonists/antagonists that have a significant (p Ͻ 0.05) effect on IL-6 and IL-8 secretion, without significantly (p Ͼ 0.05) affecting viability (e.g. NADA and WIN55,212-2). Note: solutions of AEA in ethanol and Tocrisolveா were tested with similar results. The calculated results, including mean, S.E., and p values, are shown in supplemental Table S3. abnCBD, abnormal CBD.  3). NS, not significant; **, p Ͻ 0.01; FSL-1 versus FSL-1 plus WIN55,212-2. D, MTT assay was performed on HMVEC-lung that were treated for 7 h at the indicated concentrations of WIN55,212-2. Control samples were incubated with a concentration of DMSO equivalent to that present in the WIN55,212-2-treated samples. NS, not significant. E, HMVEC-lung were pretreated for 1 h with the indicated concentrations of WIN55,212-2 and then treated with 10 g/ml FSL-1 for an additional 3 h while in the continuous presence of WIN55,212-2. The HMVEC-lung were then washed, and calcein AM-labeled primary human neutrophils were allowed to adhere for 20 min. Nonadherent neutrophils were subsequently removed, and the percentage of remaining adherent neutrophils was calculated (n ϭ 3). **, p Ͻ 0.01; ANOVA. F, levels of IL-8 were quantified in the supernatants of HMVEC-lung that were pretreated for 30 min with either 0.1, 1, or 10 M CP945598/SR144528 and then incubated for another 30 min with 4 M WIN55,212-2 in the presence of CP945598/SR144528. ECs were then treated with 10 g/ml LPS for an additional 6 h while in the continuous presence of CP945598/SR144528 and/or WIN55,212-2 (n ϭ 3). Crystal violet readings between samples were not significantly different. G, cells were treated and analyzed similarly as F, except using the TRPV1 inhibitor AMG9810 (n ϭ 4). Crystal violet readings for the samples treated with AMG9810 (10 M) displayed a significant decrease in cell adherence (p Ͻ 0.01). F and G, t tests (black): NS, not significant; *, p Ͻ 0.05; **, p Ͻ 0.01; ***, p Ͻ 0.001; LPS versus LPS plus CP945598/SR144528 or AMG9810 and/or WIN55,212-2. ANOVA (red): NS, not significant; **, p Ͻ 0.01, LPS plus WIN55,212-2 versus LPS plus WIN55,212-2 and CP945598/SR144528 or AMG9810. WIN55,212-2 ELISAs were performed three times, and the MTT and neutrophil adhesion assays were performed two times. novel immune regulatory system that could be exploited therapeutically to ameliorate the deleterious effects of dysregulated inflammation in a variety of disorders, including sepsis and noninfectious inflammatory syndromes.
We transcriptionally detected the expression of CNR1, GPR18, GPR55, and TRPV1 in all five EC types tested. CNR2, however, was only detected at low levels in HUVEC, HMVECbrain, and HCAEC by only one of the two primer sets tested (assay 2). However, we were unable to detect CB 2 R in ECs by immunoblot, suggesting that if present the CB 2 R is expressed at extremely low levels. The expression of CB 1 R in ECs is fairly well documented, but the expression of CB 2 R in ECs is more controversial (71)(72)(73)(74)(75)(76). For example, other investigators have reported the expression of CB 2 R in HCAEC and HMVEC-brain but not in HUVEC, and interestingly, inflammatory agonists and 2-AG have been observed to induce CB 2 R up-regulation in HMVEC-brain (73, 76 -79). Therefore, the detection of CB 2 R in EC cultures may depend on several factors, including the EC niche, detection method, and inflammatory state, and on the health, passage number, or growth conditions of the ECs. Nonetheless, the synthetic CB 2 R agonists JWH133, HU-308, and O-1966 have been reported to reduce the LPS-and TNF␣-induced inflammatory activation of both HCAEC and HMVEC-brain and protect barrier function in LPS-treated HMVEC-brain (73,77). Consistent with these results, we observed an anti-inflammatory trend with HU-308 when administered to activated HMVEC-lung. Based upon this information, an anti-inflammatory role for CB 2 R in ECs cannot be excluded.
We found that the hydrolases FAAH, FAAH2, MAGL, and ABHD4, -6, and -12 are expressed in ECs. Because these enzymes are involved in catabolism of the eCBs AEA and 2-AG, both of which have been reported to reduce inflammation, and NADA has been reported to inhibit both FAAH and MAGL, the observed anti-inflammatory properties of NADA may be indirectly due to increases in either AEA or 2-AG levels (26, 33, 80 -86). Furthermore, these hydrolases may catabolize NADA to its constituents AA and dopamine, which themselves could potentially diminish EC activation. However, we did not observe a significant change in IL-6 and IL-8 secretion from ECs treated with inflammatory mediators in the presence of either AEA or 2-AG (Fig. 4). In fact, 2-AG exhibited a proinflammatory trend with IL-8, which is consistent with findings in several published reports (87)(88)(89). Additionally, AA also appears to augment inflammation, suggesting that the breakdown of NADA is not a prerequisite for the observed inflammatory reduction. Therefore, it is unlikely that NADA exerts its immunomodulatory effects via the production of AEA and 2-AG or through its catabolism to AA and dopamine, although it is possible that the exogenous application of AA, AEA, or 2-AG to ECs in vitro does not replicate their in vivo effects on the endothelium.
We observed that NADA concentrations of Ն1 M were necessary to elicit its immunomodulatory properties in vitro. Although these levels of NADA are unlikely to be present in the circulation, the observed activity of NADA at this concentration may be functionally significant for several reasons. First, many of NADA's targets are intracellular, including its binding site on TRPV1 (39, 90 -92). This suggests that NADA must be imported into the cell prior to acting on its receptors when added exogenously. The anandamide (or endocannabinoid) membrane transporter has been reported to facilitate NADA transport into the cell. Therefore, higher exogenous NADA concentrations may be necessary to efficiently overcome this rate-limiting step or, alternatively, the activity of the anandamide membrane transporter may not be optimal in vitro (52,(93)(94)(95). Second, the lack of a concurrently activated allosteric pathway (e.g. PKC) or allosteric mediators (e.g. ATP or low pH), or low expression level of the effectors themselves, may reduce the efficacy of NADA in vitro (96 -99). These instances indicate that higher concentrations of NADA would be necessary to induce activation of its effectors. Third, relatively high exogenous concentration of NADA may be necessary to overcome its metabolism to a less active form, such as a 3-O-methyl derivative (34). Finally, the concentrations of NADA used in our studies are consistent with, or even lower than, those typically used to elicit the effects of histamine on ECs in vitro, a compound known to directly activate and induce permeability of the endothelium in vivo (100 -105).
NADA and WIN55,212-2 have been reported to activate CB 1 R and CB 2 R on cells (1,33,51). Therefore, we determined the contribution of these receptors to the anti-inflammatory properties of NADA and WIN55,212-2 in ECs. The combination of the CB 1 R antagonist and CB 2 R inverse agonist abrogated the anti-inflammatory properties of NADA,  The HMVEC-lung were then washed, and calcein AM-labeled primary human neutrophils were allowed to adhere for 20 min. Nonadherent neutrophils were subsequently removed, and the percentage of remaining adherent neutrophils was calculated (n ϭ 3). NS, not significant; *, p Ͻ 0.05; **, p Ͻ 0.01, inflammatory agonist versus inflammatory agonist plus NADA. Representative images of calcein-labeled neutrophils bound to HMVEC-lung are shown to the right of the bar graphs. Fluorescence images taken with a fluorescein filter set are shown in the left-hand column, and translucent light microscopy images of the same field of reference are shown in the right-hand column. Images were taken at ϫ10 magnification on an Olympus IX51 inverted microscope equipped with a Retiga 2000R camera (Q imaging). The neutrophil adhesion assays were performed two times.
which suggests that CB 1 R and/or CB 2 R are necessary to elicit the anti-inflammatory properties of NADA in LPS-activated HMVEC-lung. In contrast, the inhibitors did not reduce the anti-inflammatory properties of WIN55,212-2, which is unexpected given the high affinity of WIN55,212-2 for both CB 1 R and CB 2 R (106). Possible explanations are that these inhibitors do not prevent the high affinity binding of WIN55,212-2 to CB 1 R and/or CB 2 R or that WIN55,212-2 modulates inflammatory activation of ECs via alternative mechanisms.
To determine the role of TRPV1 in EC inflammation, we utilized AMG9810, a competitive antagonist of TRPV1. Although AMG9810 further reduces the LPS-induced inflammatory activation of ECs in the presence of either WIN55,212-2 or NADA, AMG9810 augments inflammation in their absence. This suggests that cannabinoids may switch the role of TRPV1 from an anti-inflammatory to a pro-inflammatory receptor in ECs, and in conjunction with NADA, TRPV1 may regulate endothelial inflammatory homeostasis. Indeed, we observed that NADA causes a dose-dependent transient increase in calcium levels in ECs, which may promote inflammatory signaling pathways, consistent with its role in activating endothelial TRPV1, the only known ion channel known to be ligand-gated by NADA (34,52,(107)(108)(109)(110). Our results suggest that WIN55,212-2 does not exert its endothelial anti-inflammatory properties via its reported inhibition of TRPV1, as the TRPV1 antagonist augments the antiinflammatory effects of WIN55,212-2 (53,54). However, these previous studies were performed primarily in neurons, and the modulation of TRPV1 by WIN55,212-2 may differ between neurons and ECs. It is also possible that our observations were due to the effects of AMG9810 on other TRP channels (61,62).
Studies in neurons have shown that the NADA-dependent activation of CB 1 R/CB 2 R and TRPV1 can exhibit disparate outcomes within the same cell (91). The canonical pathway activated downstream of CB 1 R/CB 2 R leads to the inhibition of protein kinase A (PKA) through the G i/o proteins (122). However, the PKA-dependent phosphorylation of TRPV1 augments its sensitization, and correspondingly, a reduction in PKA activity will lead to its inactivation, opposing the agonist activity of NADA at TRPV1 (123). Therefore, NADA may diametrically regulate the influx of cations into the cell by either inducing or reducing cation influx via TRPV1 and CB 1 R/CB 2 R, respectively, to modulate neuronal homeostasis (91). This dual modulatory effect of NADA has previously been proposed to finetune the transmission of glutamate onto dopamine neurons and explain such observations that NADA has both pro-and anti-nociceptive properties (39,41). Based on our observations that NADA may reduce inflammation through CB 1 R/CB 2 R, but promote inflammation through TRPV1, a logical conclusion is that NADA may also fine-tune the inflammatory activation of ECs (124). A model based on our observations with NADA in LPS-treated HMVEC-lung is shown in Fig. 10F, and a summation can be found in the figure legend.
Recent findings using TRPV1 knock-out mice in sepsis models indicate a protective role for TRPV1, which is consistent with our observations that inhibition of TRPV1 in ECs augments the LPS-induced inflammatory response in the absence of cannabinoids (Figs. 5G and 10, C, D, and F) (125,126). In these published studies, the loss of TRPV1 exacerbates the inflammatory response to infection. This is analogous to the reported effects of deleting the nicotinic acetylcholine receptor ␣7 subunit (␣7nAChR), another cation channel (127). The vagus nerve transmits action potentials via the ganglia to peripheral nerves that terminate in organs, where they stimulate the release of the neurotransmitter acetylcholine (ACh) from T-cells (128). The ACh-induced activation of ␣7nAChR on leukocytes inhibits pro-inflammatory signaling pathways in these cells (129). Because endogenous NADA has thus far only been detected in various parts of the central and peripheral nervous systems, it is conceivable that it may be a component of the inflammatory reflex arc that regulates EC inflammation, analogous to the role of ACh and ␣7nAChR in leukocyte inflammatory regulation (34,39,130). Interestingly, in the brain there is a close association of ECs and perivascular nerves within the neurovascular unit (131,132). In such areas, the secretion of NADA from perivascular nerves onto brain microvascular ECs may directly modulate neuroinflammation. We speculate that a similar process may occur within visceral organs, whereby the release of NADA from varicosities on innervating efferent nerve axons directly regulates the inflammatory activation of microvascular ECs. Analogous to neuromuscular junctions on smooth muscle, these putative neuroendothelial junctions would not require specialized structures on FIGURE 10. CB 1 R/CB 2 R mediate the anti-inflammatory effects of NADA, whereas TRPV1 counters the anti-inflammatory properties of NADA in ECs. A and B, levels of IL-6 (A) and IL-8 (B) were quantified in the supernatants of HMVEC-lung that were pretreated for 30 min with either 0.1, 1, or 10 M of CP945598/SR144528 and then incubated for another 30 min with 10 M NADA in the presence of CP945598/SR144528. ECs were then treated with 10 g/ml LPS for an additional 6 h while in the continuous presence of CP945598/SR144528 and/or NADA (n ϭ 3). Crystal violet readings between samples were not significantly different. C and D, cells were treated and analyzed similarly as A and B, except using the TRPV1 inhibitor AMG9810 (n ϭ 4). Crystal violet readings between samples were not significantly different. A-D, t tests (black): NS, not significant; *, p Ͻ 0.05; **, p Ͻ 0.01; ***, p Ͻ 0.001; LPS versus LPS plus CP945598/SR144528 or AMG9810 and/or NADA. ANOVA (red): NS, not significant; **, p Ͻ 0.01, LPS plus NADA versus LPS plus NADA and CP945598/SR144528 or AMG9810. E, NADA induces Ca 2ϩ influx into HMVEC-lung. ECs were grown to confluency, and Ca 2ϩ influx was measured as described under "Experimental Procedures." Cells were treated with either ethanol, ATP (10 M), or NADA at the indicated concentrations, and Ca 2ϩ influx was measured for 3 min. The time points at which NADA induced significant influx are enclosed with a red border: t test, *, p Ͻ 0.05; NADA versus ethanol for each time point. F, proposed model depicting the role of CB 1 R/CB 2 R and TRPV1 in modulating LPS-induced endothelial inflammation by NADA. In the absence of NADA, TRPV1 displays protective (i.e. anti-inflammatory) properties in LPS-treated HMVEC-lung. However, in the presence of NADA, TRPV1 appears to promote inflammation (i.e. TRPV1 switches from a protective to a pro-inflammatory role). NADA can reduce inflammation via CB 1 R/CB 2 R, but the downstream pathways have not yet been fully delineated, nor has the existence of parallel anti-inflammatory pathways induced by NADA been determined in ECs (as indicated by a question mark). Together with TRPV1, NADA may serve to regulate endothelial inflammatory homeostasis. CP945598, CB 1 R antagonist; SR144528, CB 2 R inverse agonist; AMG 9810, TRPV1 antagonist. ELISAs and Ca 2ϩ influx experiments were performed two times. the endothelial cells (133). This highly speculative model additionally predicts that localized, physiologically relevant concentrations of NADA may be achieved at neuroendothelial junctions.
In conclusion, our studies indicate that the eCB/endovanilloid NADA and the synthetic cannabinoid WIN55,212-2 potently reduce the activation of human ECs in response to endogenous and exogenous inflammatory agonists. Furthermore, our results identify the endothelial eCB system as a novel regulator of endothelial inflammatory activation. Although further studies are required to thoroughly elucidate the mechanisms of eCB function in ECs, our observations may have important implications for a variety of acute inflammatory disorders that are characterized by endothelial activation and dysfunction and cause organ injury and failure, such as sepsis and ischemia-reperfusion injury.