<?xml version="1.0" encoding="UTF-8"?><article xml:lang="en" article-type="research-article"><front><journal-meta><journal-id journal-id-type="pmc-domain-id">2034</journal-id><journal-id journal-id-type="pmc-domain">biomther</journal-id><journal-title-group><journal-title>Biomolecules &amp; Therapeutics</journal-title><abbrev-journal-title>Biomol Ther (Seoul)</abbrev-journal-title></journal-title-group><publisher><publisher-name>Korean Society of Applied Pharmacology</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmcid">PMC4428713</article-id><article-id pub-id-type="pmcaid">4428713</article-id><article-id pub-id-type="pmcaiid">4428713</article-id><article-id pub-id-type="pmid">25995819</article-id><article-id pub-id-type="doi">10.4062/biomolther.2014.137</article-id><title-group><article-title>A Cannabinoid Receptor Agonist <italic>N</italic>-Arachidonoyl Dopamine Inhibits Adipocyte Differentiation in Human Mesenchymal Stem Cells</article-title></title-group><contrib-group content-type="author"><contrib><name name-style="western"><surname>Ahn</surname><given-names initials="S">Seyeon</given-names></name><xref ref-type="aff" rid="af1-bt-23-218">1</xref><xref ref-type="aff" rid="af2-bt-23-218">2</xref></contrib><contrib><name name-style="western"><surname>Yi</surname><given-names initials="S">Sodam</given-names></name><xref ref-type="aff" rid="af3-bt-23-218">3</xref></contrib><contrib><name name-style="western"><surname>Seo</surname><given-names initials="WJ">Won Jong</given-names></name><xref ref-type="aff" rid="af3-bt-23-218">3</xref></contrib><contrib><name name-style="western"><surname>Lee</surname><given-names initials="MJ">Myeong Jung</given-names></name><xref ref-type="aff" rid="af3-bt-23-218">3</xref></contrib><contrib><name name-style="western"><surname>Song</surname><given-names initials="YK">Young Keun</given-names></name><xref ref-type="aff" rid="af3-bt-23-218">3</xref></contrib><contrib><name name-style="western"><surname>Baek</surname><given-names initials="SY">Seung Yong</given-names></name><xref ref-type="aff" rid="af3-bt-23-218">3</xref></contrib><contrib><name name-style="western"><surname>Yu</surname><given-names initials="J">Jinha</given-names></name><xref ref-type="aff" rid="af1-bt-23-218">1</xref></contrib><contrib><name name-style="western"><surname>Hong</surname><given-names initials="SH">Soo Hyun</given-names></name><xref ref-type="aff" rid="af1-bt-23-218">1</xref><xref ref-type="aff" rid="af2-bt-23-218">2</xref></contrib><contrib><name name-style="western"><surname>Lee</surname><given-names initials="J">Jinyoung</given-names></name><xref ref-type="aff" rid="af1-bt-23-218">1</xref><xref ref-type="aff" rid="af2-bt-23-218">2</xref></contrib><contrib><name name-style="western"><surname>Shin</surname><given-names initials="DW">Dong Wook</given-names></name><xref ref-type="aff" rid="af4-bt-23-218">4</xref></contrib><contrib><name name-style="western"><surname>Jeong</surname><given-names initials="LS">Lak Shin</given-names></name><xref ref-type="aff" rid="af1-bt-23-218">1</xref></contrib><contrib><name name-style="western"><surname>Noh</surname><given-names initials="M">Minsoo</given-names></name><xref ref-type="aff" rid="af1-bt-23-218">1</xref><xref ref-type="aff" rid="af2-bt-23-218">2</xref><xref rid="c1-bt-23-218" ref-type="author-notes">*</xref></contrib></contrib-group><aff id="af1-bt-23-218"><label>1</label>Collge of Pharmacy</aff><aff id="af2-bt-23-218"><label>2</label>Natural Products Research Institute, Seoul National University, Seoul 151-742</aff><aff id="af3-bt-23-218"><label>3</label>Seoul Science High School, Seoul, 110-530</aff><aff id="af4-bt-23-218"><label>4</label>Bioscience Research Institute, Amorepacific Corporation R&amp;D Center, Yongin 446-729, 
Republic of Korea</aff><author-notes><fn id="c1-bt-23-218"><label>*</label><p>Corresponding Author: E-mail: <email>minsoonoh@snu.ac.kr</email>, Tel: +82-2-880-2481, Fax: +82-2-880-2482</p></fn></author-notes><pub-date><day>1</day><month>5</month><year>2015</year></pub-date><volume>23</volume><issue>3</issue><fpage>218</fpage><page-range>218–224</page-range><pub-history><event event-type="pmc-release"><date><day>20</day><month>5</month><year>2015</year></date></event></pub-history><permissions><copyright-statement>Copyright ©2015, The Korean Society of Applied Pharmacology</copyright-statement><license><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/" ext-link-type="uri">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><self-uri xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="bt-23-218.pdf" content-type="pmc-pdf"><?cloudpmc-path dea8/4428713/61a56a76ad49/bt-23-218.pdf?><?cloudpmc-bucket app?><?size 1650291?></self-uri><abstract id="abstract1"><title>Abstract</title><p>Endocannabinoids can affect multiple cellular targets, such as cannabinoid (CB) receptors, transient receptor potential cation channel, subfamily V, member 1 (TRPV1) and peroxisome proliferator-activated receptor γ (PPARγ). The stimuli to induce adipocyte differentiation in hBM-MSCs increase the gene transcription of the CB<sub>1</sub> receptor, TRPV1 and PPARγ. In this study, the effects of three endocannabinoids, <italic>N</italic>-arachidonoyl ethanolamine (AEA), <italic>N</italic>-arachidonoyl dopamine (NADA) and 2-arachidonoyl glycerol (2-AG), on adipogenesis in hBM-MSCs were evaluated. The adipocyte differentiation was promoted by AEA whereas inhibited by NADA. No change was observed by the treatment of non-cytotoxic concentrations of 2-AG. The difference between AEA and NADA in the regulation of adipogenesis is associated with their effects on PPARγ transactivation. AEA can directly activate PPARγ. The effect of AEA on PPARγ in hBM-MSCs may prevail over that on the CB<sub>1</sub> receptor mediated signal transduction, giving rise to the AEA-induced promotion of adipogenesis. In contrast, NADA had no effect on the PPARγ activity in the PPARγ transactivation assay. The inhibitory effect of NADA on adipogenesis in hBM-MSCs was reversed not by capsazepine, a TRPV1 antagonist, but by rimonabant, a CB<sub>1</sub> antagonist/inverse agonist. Rimonabant by itself promoted adipogenesis in hBM-MSCs, which may be interpreted as the result of the inverse agonism of the CB<sub>1</sub> receptor. This result suggests that the constantly active CB<sub>1</sub> receptor may contribute to suppress the adipocyte differentiation of hBM-MSCs. Therefore, the selective CB<sub>1</sub> agonists that are unable to affect cellular PPARγ activity inhibit adipogenesis in hBM-MSCs.</p><sec id="kwd-group1" sec-type="kwd-group" disp-level="2"><p><bold>Keywords:</bold> Endocannabinoids, Cannbinoid type 1 (CB<sub>1</sub>) receptor, Adipogenesis, Human mesenchymal stem cells, Rimonabant</p></sec></abstract><custom-meta-group><custom-meta><meta-name>status</meta-name><meta-value>released</meta-value></custom-meta><custom-meta><meta-name>display-pdf</meta-name><meta-value>yes</meta-value></custom-meta><custom-meta><meta-name>is-olf</meta-name><meta-value>no</meta-value></custom-meta><custom-meta><meta-name>is-manuscript</meta-name><meta-value>no</meta-value></custom-meta><custom-meta><meta-name>is-preprint</meta-name><meta-value>no</meta-value></custom-meta><custom-meta><meta-name>is-journal-matter</meta-name><meta-value>no</meta-value></custom-meta><custom-meta><meta-name>is-scanned</meta-name><meta-value>no</meta-value></custom-meta><custom-meta><meta-name>is-retracted</meta-name><meta-value>no</meta-value></custom-meta></custom-meta-group></article-meta><notes notes-type="article-notes"><sec id="historyarticle-meta1" sec-type="history" disp-level="2"><p>Received 2014 Dec 10; Revised 2015 Feb 4; Accepted 2015 Feb 26; Issue date 2015 May.</p></sec></notes></front><body><sec id="sec1" disp-level="1"><title>INTRODUCTION</title><p>The discovery of a psychoactive compound in marijuana, Δ<sup>9</sup>-tetrahydrocannabinol (THC), has contributed to the identification of the endocannabinoid system in mammalian physiology (<xref rid="b6-bt-23-218" ref-type="bibr">Di Marzo and Matias, 2005</xref>; <xref rid="b11-bt-23-218" ref-type="bibr">Klein, 2005</xref>; <xref rid="b4-bt-23-218" ref-type="bibr">Cluny <italic>et al</italic>., 2011</xref>). The endocannabinoid system regulates various physiological functions such as pain sensation, appetite and inflammation (<xref rid="b21-bt-23-218" ref-type="bibr">Song <italic>et al</italic>., 2011</xref>; <xref rid="b20-bt-23-218" ref-type="bibr">Silvestri and Di Marzo, 2013</xref>). Pharmacological studies on THC and/or its synthetic analogs have identified two cannabinoid (CB) receptors that are members of the G-protein coupled receptor (GPCR) family. Physiological functions of the first cannabinoid receptor, CB<sub>1</sub>, have been mainly elucidated in central nervous system (CNS) (<xref rid="b18-bt-23-218" ref-type="bibr">Pertwee <italic>et al</italic>., 2010</xref>). Due to the neurological functions of CB<sub>1</sub>, the CB<sub>1</sub> receptor antagonists or inverse agonists have been developed as an appetite suppressing anti-obesity drugs (<xref rid="b26-bt-23-218" ref-type="bibr">Wiley <italic>et al</italic>., 2012</xref>). The CB<sub>1</sub> receptor also exists in peripheral tissues such as heart, liver, small intestine and immune cells (<xref rid="b6-bt-23-218" ref-type="bibr">Di Marzo and Matias, 2005</xref>; <xref rid="b11-bt-23-218" ref-type="bibr">Klein, 2005</xref>; <xref rid="b4-bt-23-218" ref-type="bibr">Cluny <italic>et al</italic>., 2011</xref>; <xref rid="b13-bt-23-218" ref-type="bibr">Liu <italic>et al</italic>., 2012</xref>; <xref rid="b23-bt-23-218" ref-type="bibr">Tam <italic>et al</italic>., 2014</xref>). The CB<sub>2</sub> receptor is abundantly found in spleen and is also detected in brain, muscle, heart and testis to a lower level (<xref rid="b18-bt-23-218" ref-type="bibr">Pertwee <italic>et al</italic>., 2010</xref>). Some selective CB<sub>2</sub> receptor agonists have no psychoactive effects (<xref rid="b16-bt-23-218" ref-type="bibr">Pacher and Hasko, 2008</xref>). Interestingly, a recent report suggested that some physiological stresses induced the up-regulation of the CB<sub>2</sub> receptor in brain (<xref rid="b25-bt-23-218" ref-type="bibr">Viscomi <italic>et al</italic>., 2009</xref>).</p><p>Many endogenous ligands for CB receptors, also called as endocannabinoids, have been identified, such as <italic>N</italic>-arachidonoyl ethanolamine (anandamide, AEA), 2-arachidonoyl glycerol (2-AG) and <italic>N</italic>-arachidonoyl dopamine (NADA) (<xref rid="b9-bt-23-218" ref-type="bibr">Huang <italic>et al</italic>., 2002</xref>; <xref rid="b6-bt-23-218" ref-type="bibr">Di Marzo and Matias, 2005</xref>). Endocannabinoids play roles as neurotransmitters and/or neuromodulators in the CNS and also function as autocrine or paracrine mediators in peripheral tissues (<xref rid="b2-bt-23-218" ref-type="bibr">Bermúdez-Siva <italic>et al</italic>.., 2006</xref>; <xref rid="b16-bt-23-218" ref-type="bibr">Pacher and Hasko, 2008</xref>; <xref rid="b18-bt-23-218" ref-type="bibr">Pertwee <italic>et al</italic>., 2010</xref>). In addition, endocannabinoids, AEA, 2-AG and NADA can activate the transient receptor potential cation channel subfamily V member 1 (TRPV1) which is important in nociception (<xref rid="b16-bt-23-218" ref-type="bibr">Pacher and Hasko, 2008</xref>).</p><p>Recently, CB<sub>1</sub> antagonists like rimonabant have been developed as centrally acting anti-obesity drugs (<xref rid="b26-bt-23-218" ref-type="bibr">Wiley <italic>et al</italic>., 2012</xref>). The CB receptors exist in various peripheral tissues, in this regard, it is important to understand the extraneural effects of the CB receptor antagonists on peripheral tissues. Recently, the direct effect of THC on adipogenesis of murine preadipocyte cell line 3T3-L1 was reported (<xref rid="b24-bt-23-218" ref-type="bibr">Teixeira <italic>et al</italic>., 2010</xref>). THC promotes the gene transcription of both peroxisome proliferator-activated receptor γ (PPARγ) and adiponectin during adipogenesis in 3T3-L1 cells, suggesting the physiological role of endocannabinoids in adipose tissue. In addition, a synthetic CB<sub>1</sub> receptor antagonist, rimonabant, was reported to increase adiponectin mRNA expression in the adipose tissue of obese fa/fa rats (<xref rid="b8-bt-23-218" ref-type="bibr">Gary-Bobo <italic>et al</italic>., 2006</xref>). The increase in the adiponectin level can be interpreted as either the increase in the number of adipocytes in adipose tissues or the improvement of insulin sensitivity (<xref rid="b12-bt-23-218" ref-type="bibr">Lindsay <italic>et al</italic>., 2002</xref>). Because the CB agonist THC promotes adipogenesis, the pharmacological outcomes by the rimonabant-induced up-regulation of adiponectin during adipogenesis are still controversial. Currently, the effects of endocannabinoids on mammalian adipogenesis or on adipose tissue metabolism has not been fully understood. In this study, we examined the effects of three endocannabinoids, AEA, 2-AG and NADA on adipogenesis in human bone marrow mesenchymal stem cells (hBM-MSCs).</p></sec><sec id="sec2" disp-level="1"><title>MATERIALS AND METHODS</title><sec id="sec3" disp-level="2"><title>Cell culture and differentiation of hBM-MSCs</title><p>hBM-MSCs were purchased from Lonza, Inc. (Walkersville, MD, USA). hBM-MSCs were cultured according to the manufacturer’s instructions with minor modifications. hBM-MSCs were maintained in Dulbecco’s modified eagle’s medium (DMEM) with low glucose (1 g/L glucose) containing 10% fetal bovine serum (FBS) (Lonza), supplemented with antibiotics and Glutamax<sup>TM</sup> (Invitrogen, Carlsbad, CA, USA). To induce adipogenesis, hBM-MSCs were cultured to 100% confluence. Three days after the confluence, the medium was exchanged with DMEM with high glucose (4.5 g/L glucose) supplemented with 10% FBS, 10 μg/ml insulin, 1 μM dexamethasone, 0.5 mM 3-isobutyl-1-methylxanthine (IBMX) (IDX medium). After inducing adipogenesis in hBM-MSCs, IDX media were exchanged at every 72 hours. For the treatment of endocannabinoids, AEA, 2-AG and NADA were freshly added to the IDX medium during the medium exchange. AEA, 2-AG, NADA, capsazepine, rimonabant, glibenclamide, aspirin and troglitazone were purchased from Sigma-Aldrich (Sigma Aldrich, St. Louis, MO, USA).</p></sec><sec id="sec4" disp-level="2"><title>Cell viability tests</title><p>Viability of hBM-MSCs was evaluated using the WST-1 assay according to the manufacturer’s instructions (Roche, Indianapolis, IN, USA). 4-3-[4-lodophenyl]-2-4(4-nitrophenyl)-2H-5-tetrazolio-1,3-benzene disulfonate (WST-1; 10 μM pure solution) was treated in hBM-MSCs in culture and further incubated for 2 hours. The absorbance of the samples at 450 nm (A450) was determined.</p></sec><sec id="sec5" disp-level="2"><title>Oil Red O staining</title><p>Adipogenesis-induced hBM-MSCs were washed in PBS, fixed for 30 minutes in 10 % formalin solution in PBS. Fixed cells were washed in 60% isopropyl alcohol and stained at room temperature with Oil Red O (ORO) in 60% isopropyl alcohol. After 5 minute-ORO staining, cells were quickly washed in distilled water. To determine the adipogenic level, adsorbed ORO dissolved with 100% isopropyl alcohol and absorbance was measured at 500 nm.</p></sec><sec id="sec6" disp-level="2"><title>Total RNA isolation and quantitative real-time reverse transcription polymerase chain reaction (Q-RT-PCR)</title><p>Q-RT-PCR was performed using Assays-on-Demand<sup>TM</sup> Gene Expression kits (Applied Biosystems, Foster City, CA, USA). cDNA samples were analyzed for CB<sub>1</sub> receptor (CNR1, Hs01038522_s1), CB<sub>2</sub> receptor (CNR2, Hs00275635_m1), TRPV1 (Hs0021 8912_m1), adiponectin (ADIPOQ, Hs00605917_m1), fatty acid binding protein 4 (FABP4, Hs00609791_m1) and peroxisome proliferator activated receptor gamma (PPARγ, Hs00233423_m1). Glyceraldehyde-3-phosphate dehydrogenase (GAPDH, 4333764F) was analyzed as control. The cDNA from the reverse transcription reaction was amplified by PCR to measure the FAM fluorescence of each PCR cycle using ABI7500 Real Time PCR System (Applied Biosystems).</p></sec><sec id="sec7" disp-level="2"><title>Enzyme linked immunosorbent assay (ELISA)</title><p>Adiponectin levels in hBM-MSC culture supernatants were measured by ELISA. Adiponectin ELISA was performed according to the manufacturer’s instructions (R&amp;D systems, Minneapolis, MN, USA).</p></sec><sec id="sec8" disp-level="2"><title>PPARγ transactivation assay</title><p>A luciferase reporter gene assay was performed as previously reported (<xref rid="b19-bt-23-218" ref-type="bibr">Shin <italic>et al</italic>., 2009</xref>). Briefly, CV-1 cells were transfected with a DNA mixture containing PPARγ responsive elements (PPRE)-luciferase reporter plasmid, pcDNA3-hPPARγ, and internal control plasmid pRL-SV-40, using the TransFast<sup>TM</sup> transfection reagent (Promega, Madison, WI, USA). After 24 hours of transfection, cells were treated with troglitazone, rimonabant or endocannabinoids for additional 24 hours. The activity of luciferase in each cell lysate was measured using the Dual-Luciferase<sup>®</sup> Reporter Assay System (Promega), according to the manufacturer’s instructions.</p></sec><sec id="sec9" disp-level="2"><title>Statistical analyses</title><p>All statistical analyses were performed with MINITAB<sup>®</sup> software (Minitab Inc. State College, PA, USA). One ANOVA was used and Bonferroni’s post-tests were used for further analysis. The threshold of significance was set at <italic>p</italic>&lt;0.05.</p></sec></sec><sec id="sec10" disp-level="1"><title>RESULTS</title><sec id="sec11" disp-level="2"><title>The CNR1 and TRPV1 were up-regulated by the induction of adipogenesis in hBM-MSCs</title><p>To evaluate the effects of endocannabinoids on adipogenesis in hBM-MSCs in culture, we first determined whether the receptors for endocannabinoids were expressed in differentiated adipocytes. The mRNA levels of the CB<sub>1</sub> receptor (CNR1) were upregulated during the adipogenesis of hBM-MSCs in progress (<xref rid="f1-bt-23-218" ref-type="fig">Fig. 1A</xref>). However, the signal of the CB<sub>2</sub> receptor (CNR2) expression was undetected (<xref rid="f1-bt-23-218" ref-type="fig">Fig. 1A</xref>). In addition, TRPV1 gene transcription was also upregulated as the number of differentiated adipocytes in hBM-MSC culture was increased (<xref rid="f1-bt-23-218" ref-type="fig">Fig. 1B</xref>). Therefore, hBM-MSCs can express both CB<sub>1</sub> receptor and TRPV1 by the induction of adipogenesis.</p><fig id="f1-bt-23-218" position="float"><?disp-level 3?><label>Fig. 1.</label><caption><p>Transcriptional expression profile of CNR1, CNR2 and TRPV1 during adipogenesis in hBM-MSCs. Adipocyte differentiation was induced in hBM-MSCs by exchanging culture media supplemented with 1 μg/ml insulin, 0.1 μM dexamethasone and 0.5 mM isobutylmethylxanthine (IDX). At the seventh day after the induction of adipogenesis, total RNA was extracted and Q-RT-PCR analysis was performed for (A) CNR1 and (B) TRPV1. Values represent the mean expression ± SE of the mRNA of the various genes relative to human GAPDH expression (n=3), *<italic>p</italic>≤0.05, **<italic>p</italic>≤0.01.</p></caption><alternatives><graphic xmlns:xlink="http://www.w3.org/1999/xlink" content-type="image" xlink:href="bt-23-218f1.jpg"><?cloudpmc-path blobs/dea8/4428713/c98f0baaac5d/bt-23-218f1.jpg?><?cloudpmc-bucket cdn?><?image-server-status LOAD_COMPLETED?><?original-height 1066?><?original-width 1534?><?scaled-height 533?><?scaled-width 767?></graphic><graphic xmlns:xlink="http://www.w3.org/1999/xlink" content-type="thumb" xlink:href="bt-23-218f1.gif"><?cloudpmc-path blobs/dea8/4428713/2ffb39c7f656/bt-23-218f1.gif?><?cloudpmc-bucket cdn?></graphic></alternatives></fig></sec><sec id="sec12" disp-level="2"><title>NADA inhibited adipogenesis in hBM-MSCs whereas AEA promoted</title><p>The cell viability was tested for various concentrations of three major endocannabinoids, NADA, AEA and 2-AG, in hBM-MSC culture to determine the non-cytotoxic concentration. All three endocannabinoids exhibited cytotoxicity in hBM-MSC culture at the 60 μM concentration (<xref rid="f2-bt-23-218" ref-type="fig">Fig. 2A–C</xref>). At the noncytotoxic concentration (10 μM), the effects of NADA, AEA or 2-AG were evaluated during adipogenesis in hBM-MSCs (<xref rid="f2-bt-23-218" ref-type="fig">Fig. 2</xref>). In ORO staining analysis, we found that NADA significantly inhibited adipogenesis in hBM-MSCs compared to that in the IDX control (<xref rid="f2-bt-23-218" ref-type="fig">Fig. 2D</xref>, <xref rid="f2-bt-23-218" ref-type="fig">2E</xref>). In contrast, AEA promoted adipogenesis in hBM-MSCs, although its pharmacological activity was far lower than that of troglitazone (<xref rid="f2-bt-23-218" ref-type="fig">Fig. 2D</xref>, <xref rid="f2-bt-23-218" ref-type="fig">2E</xref>). 2-AG had no effect on adipogenesis in hBM-MSCs (<xref rid="f2-bt-23-218" ref-type="fig">Fig. 2</xref>). In further analysis, 30 μM of 2-AG unaffected the adipocyte differentiation of hBM-MSCs (data not shown).</p><fig id="f2-bt-23-218" position="float"><?disp-level 3?><label>Fig. 2.</label><caption><p>Effects of endocannabinoids on adipogenesis in hBM-MSCs. hBM-MSCs were cultured in 24 well plates. When confluent, the cell viability effects of endocannabinoids were evaluated in hBM-MSCs. NADA (A), AEA (B) and 2-AG (C), were treated for 72 hours in hBM-MSC culture. The cell viability was determined with a detecting reagent, 10 μM of WST-1. Adipogenesis was induced in hBM-MSCs under the presence of the IDX adipocyte differentiation inducing medium. After treating NADA, AEA and 2-AG, in every two or three day, media were exchanged. At the 7<sup>th</sup> days in culture, lipid droplets in differentiated adipocytes were stained with Oil Red O (ORO) (D). After dissolving the ORO in isopropyl alcohol, the level of staining was quantified at 500 nm using a spectrometer. Data were normalized by setting the control as 1 (E). Results are the mean ± standard deviation (SD) of three measurements using independent hBM-MSCs from three different donors (n=3). *<italic>p</italic>≤0.05 and **<italic>p</italic>≤0.01.</p></caption><alternatives><graphic xmlns:xlink="http://www.w3.org/1999/xlink" content-type="image" xlink:href="bt-23-218f2.jpg"><?cloudpmc-path blobs/dea8/4428713/2aab705d0a32/bt-23-218f2.jpg?><?cloudpmc-bucket cdn?><?image-server-status LOAD_COMPLETED?><?original-height 2541?><?original-width 2428?><?scaled-height 725?><?scaled-width 693?></graphic><graphic xmlns:xlink="http://www.w3.org/1999/xlink" content-type="thumb" xlink:href="bt-23-218f2.gif"><?cloudpmc-path blobs/dea8/4428713/6600c97803a9/bt-23-218f2.gif?><?cloudpmc-bucket cdn?></graphic></alternatives></fig></sec><sec id="sec13" disp-level="2"><title>NADA decreased the expression of adipocyte differentiation markers in a concentration-dependent manner</title><p>The mRNA levels of major adipocyte differentiation markers, PPARγ, FABP4 and adiponectin, were measured in hBM-MSCs treated with NADA, AEA or 2-AG (<xref rid="f3-bt-23-218" ref-type="fig">Fig. 3</xref>). AEA upregulated the expression of PPARγ and FABP4, which was correlated to the ORO staining data (<xref rid="f2-bt-23-218" ref-type="fig">Fig. 2D</xref>). AEA showed the tendency to increase mRNA level of adiponectin, however, the statistical significance was not observed (<xref rid="f3-bt-23-218" ref-type="fig">Fig. 3</xref>). NADA significantly decreased the gene transcription of both FABP4 and adiponectin during adipogenesis in hBM-MSCs (<xref rid="f3-bt-23-218" ref-type="fig">Fig. 3</xref>). Although the <italic>p</italic> value for the difference in the PPARγ expression was greater than 0.05, the mRNA level in the NADA treated cells was 32% lower than that in the control (<xref rid="f3-bt-23-218" ref-type="fig">Fig. 3A</xref>). As the ORO staining result, no effect on the adipocyte marker expression was observed by the 2-AG treatment (<xref rid="f3-bt-23-218" ref-type="fig">Fig. 3</xref>). The protein level of adiponectin expression was also measured hBM-MSC culture supernatants by ELISA (<xref rid="f4-bt-23-218" ref-type="fig">Fig. 4</xref>). As consistent with the mRNA level, AEA upregulated adiponectin production during adipogenesis in hBM-MSCs whereas NADA decreased (<xref rid="f4-bt-23-218" ref-type="fig">Fig. 4A</xref>).</p><fig id="f3-bt-23-218" position="float"><?disp-level 3?><label>Fig. 3.</label><caption><p>Effects of endocannabinoids on adipocyte differentiation marker expression during adipogenesis in hBM-MSCs. When hBM-MSCs were in confluent state, adipogenesis was induced by exchanging media with the IDX adipogenic cocktail. At the 7<sup>th</sup> days in culture, total RNA samples were extracted and Q-RT-PCR was performed for PPARγ (A), FABP4 (B) and adiponectin (C). GAPDH was used as an internal control for Q-RT-PCR standardization. Values represent the mean expression ± standard deviation (SD) (n=3). *<italic>p</italic>≤0.05 and **<italic>p</italic>≤0.01.</p></caption><alternatives><graphic xmlns:xlink="http://www.w3.org/1999/xlink" content-type="image" xlink:href="bt-23-218f3.jpg"><?cloudpmc-path blobs/dea8/4428713/ce12becbcaae/bt-23-218f3.jpg?><?cloudpmc-bucket cdn?><?image-server-status LOAD_COMPLETED?><?original-height 1161?><?original-width 3373?><?scaled-height 258?><?scaled-width 749?></graphic><graphic xmlns:xlink="http://www.w3.org/1999/xlink" content-type="thumb" xlink:href="bt-23-218f3.gif"><?cloudpmc-path blobs/dea8/4428713/f8f1b1f26e27/bt-23-218f3.gif?><?cloudpmc-bucket cdn?></graphic></alternatives></fig><fig id="f4-bt-23-218" position="float"><?disp-level 3?><label>Fig. 4.</label><caption><p>Effects of endocannabinoids on adiponectin production during adipogenesis in hBM-MSCs. When hBM-MSCs were in confluent state, adipogenesis was induced by exchanging media with the IDX adipogenic cocktail. ELISA was performed to measure the concentration of adiponectin (A) accumulated in cell culture supernatants for 48 hours after the last medium exchange. The concentration-dependent effect of arachidonyl dopamine (NADA) on the inhibition of adipogenesis was evaluated (B). Values represent the mean expression ± standard deviation (SD) (n=3). *<italic>p</italic>≤0.05 and **<italic>p</italic>≤0.01.</p></caption><alternatives><graphic xmlns:xlink="http://www.w3.org/1999/xlink" content-type="image" xlink:href="bt-23-218f4.jpg"><?cloudpmc-path blobs/dea8/4428713/c903f4d40820/bt-23-218f4.jpg?><?cloudpmc-bucket cdn?><?image-server-status LOAD_COMPLETED?><?original-height 2041?><?original-width 1030?><?scaled-height 1359?><?scaled-width 686?></graphic><graphic xmlns:xlink="http://www.w3.org/1999/xlink" content-type="thumb" xlink:href="bt-23-218f4.gif"><?cloudpmc-path blobs/dea8/4428713/f44057bea297/bt-23-218f4.gif?><?cloudpmc-bucket cdn?></graphic></alternatives></fig><p>Both AEA and NADA are classified as endocannabinoids, however, they showed opposite effects on adipogenesis in hBM-MSCs. AEA was reported to increase PPARγ transactivation in murine 3T3-L1 preadipocytes (<xref rid="b3-bt-23-218" ref-type="bibr">Bouaboula <italic>et al</italic>., 2005</xref>). Therefore, the effect of AEA on adipogenesis was also confirmed in human cells (<xref rid="f2-bt-23-218" ref-type="fig">Fig. 2</xref>–<xref rid="f4-bt-23-218" ref-type="fig">4</xref>). To confirm the effect of NADA, the concentration-effect analysis was performed for NADA. NADA inhibited adipogenesis in hBM-MSCs in a concentration-dependent manner (<xref rid="f4-bt-23-218" ref-type="fig">Fig. 4</xref>).</p></sec><sec id="sec14" disp-level="2"><title>The NADA-induced inhibition of adipogenesis was antagonized by the CB<sub>1</sub> receptor antagonist rimonabant</title><p>NADA can activate cellular signaling pathways triggered by both CB receptors and TRPV1 (<xref rid="b16-bt-23-218" ref-type="bibr">Pacher and Hasko, 2008</xref>). To investigate whether NADA inhibited adipogenesis by the receptor-mediated effect, the CB<sub>1</sub> antagonist, rimonabant, and the TRPV1 antagonist, capsazepine, were co-treated with NADA during adipogenesis in hBM-MSCs (<xref rid="f5-bt-23-218" ref-type="fig">Fig. 5</xref>). The non-cytotoxic concentrations were determined for rimonabant and capsazepine (<xref rid="f5-bt-23-218" ref-type="fig">Fig. 5A, B</xref>). At the non-cytotoxic concentration, rimonabant (10 μM) significantly antagonized the NADA-induced effect on hBM-MSCs (<xref rid="f5-bt-23-218" ref-type="fig">Fig. 5C</xref>) whereas casazepine had no effect (<xref rid="f5-bt-23-218" ref-type="fig">Fig. 5D</xref>). Therefore, the inhibitory effect of NADA on adipogenesis in hBM-MSCs is affected by the CB<sub>1</sub> receptor-mediated signal transduction and not by the TRPV1-induced activity.</p><fig id="f5-bt-23-218" position="float"><?disp-level 3?><label>Fig. 5.</label><caption><p>Effects of rimonabant and capsazepine on the NADA-dependent inhibition of adipogenesis in hBM-MSCs. hBM-MSCs were cultured in 24 well plates. When confluent, the cell viability effects were evaluated for rimonabant (A) and capsazepine (B), both of which were treated for 72 hours in hBM-MSC culture. The cell viability was determined by WST-1 assay. For testing the effects of capsazepine (C) and rimonabant (D) on the NADA-induced inhibition on the adipogenesis in hBM-MSCs, cell culture supernatants were harvested for the measurement of adiponectin by ELISA at the 7<sup>th</sup> days after exchanging media containing with IDX. Values represent the mean expression ± standard deviation (SD) (n=3). *<italic>p</italic> ≤0.05 and **<italic>p</italic>≤0.01.</p></caption><alternatives><graphic xmlns:xlink="http://www.w3.org/1999/xlink" content-type="image" xlink:href="bt-23-218f5.jpg"><?cloudpmc-path blobs/dea8/4428713/52767276f3e2/bt-23-218f5.jpg?><?cloudpmc-bucket cdn?><?image-server-status LOAD_COMPLETED?><?original-height 1940?><?original-width 2380?><?scaled-height 646?><?scaled-width 793?></graphic><graphic xmlns:xlink="http://www.w3.org/1999/xlink" content-type="thumb" xlink:href="bt-23-218f5.gif"><?cloudpmc-path blobs/dea8/4428713/87b47cc26a5f/bt-23-218f5.gif?><?cloudpmc-bucket cdn?></graphic></alternatives></fig></sec><sec id="sec15" disp-level="2"><title>Rimonabant promoted adipogenesis in hBM-MSCs in a concentration dependent manner</title><p>Notably, rimonabant significantly promoted adiponectin production when co-treated with the IDX adipogenic medium (<xref rid="f5-bt-23-218" ref-type="fig">Fig. 5C</xref>). The adipogenesis promoting effect of rimonabant was compared with those of other drugs, such as troglitazone, glibenclamide and aspirin by measuring adiponectin concentrations in hBM-MSC culture supernatants (<xref rid="f6-bt-23-218" ref-type="fig">Fig. 6A</xref>). The adipogenesis promoting activity of rimonabant showed the concentration dependency and was more potent than that of aspirin (<xref rid="f6-bt-23-218" ref-type="fig">Fig. 6A</xref>). However, the maximum activity reached by the treatment of rimonabant was less than those of troglitazone, a PPARγ agonist, and glibenclamide, a sulfonylurea anti-diabetic drug, suggesting that their intrinsic activity of rimonabant is regulated by the different molecular pathway in hBM-MSCs.</p><fig id="f6-bt-23-218" position="float"><?disp-level 3?><label>Fig. 6.</label><caption><p>The effects of rimonabant on adipogenesis in hBM-MSCs and PPARγ transactivation. (A) The concentration-dependent effect of rimonabant on adipogenesis in hBM-MSCs was evaluated in 24 well plates. The effect of rimonabant was compared with those of aspirin, glibenclamide and troglitazone. Cell culture supernatants were harvested for the measurement of adiponectin by ELISA at the 7<sup>th</sup> days after exchanging media containing with IDX. (B) CV-1 cells were transiently cotransfected with the PPARγ expression vector and the PPRE-TK-Luciferase reporter, and then treated with vehicle, rimonabant (RIMO), AEA, NADA and 2-AG (1, 3, and 10 μM) or troglitazone (TRO, 1 μM). Values represent the mean expression ± standard deviation (SD) (n=3). *<italic>p</italic>≤0.05 and **<italic>p</italic>≤0.01.</p></caption><alternatives><graphic xmlns:xlink="http://www.w3.org/1999/xlink" content-type="image" xlink:href="bt-23-218f6.jpg"><?cloudpmc-path blobs/dea8/4428713/a228e99d6d23/bt-23-218f6.jpg?><?cloudpmc-bucket cdn?><?image-server-status LOAD_COMPLETED?><?original-height 1237?><?original-width 3386?><?scaled-height 275?><?scaled-width 752?></graphic><graphic xmlns:xlink="http://www.w3.org/1999/xlink" content-type="thumb" xlink:href="bt-23-218f6.gif"><?cloudpmc-path blobs/dea8/4428713/b41a915e3518/bt-23-218f6.gif?><?cloudpmc-bucket cdn?></graphic></alternatives></fig><p>Because it has been reported that endocannabinoids affect the cellular PPARγ activity (<xref rid="b17-bt-23-218" ref-type="bibr">Pertwee, 2005</xref>; <xref rid="b7-bt-23-218" ref-type="bibr">Fong and Heymsfield, 2009</xref>), an <italic>in vitro</italic> PPARγ transactivation assay was performed to determine whether the effect of rimonabant or other endocannabinoids was mediated by affecting the PPARγ activity (<xref rid="f6-bt-23-218" ref-type="fig">Fig. 6B</xref>). AEA significantly increased the PPARγ transactivation signal in a concentratin dependent manner. However, rimonabant, NADA and 2-AG had no effect on the PPARγ transactivation (<xref rid="f6-bt-23-218" ref-type="fig">Fig. 6B</xref>).</p></sec></sec><sec id="sec16" disp-level="1"><title>DISCUSSION</title><p>The cellular expression of the CB<sub>1</sub> receptor and TRPV1 was upregulated during adipogenesis in hBM-MSCs (<xref rid="f1-bt-23-218" ref-type="fig">Fig. 1</xref>). This result suggests that endocannabinoids may affect physiological functions of hBM-MSCs related to the adipocyte biology. We evaluated the effects of three endocannabinoids, AEA, NADA and 2-AG, which can activate both CB receptors and TRPV1, on the adipocyte differentiation of hBM-MSCs. In this study, we found that AEA promoted adipogenesis in hBM-MSCs whereas NADA inhibited. The inhibition of NADA on adipogenesis was antagonized by rimonabant, a CB<sub>1</sub> antagonist and not by capsazepine, a TRPV1 antagonist. We also demonstrated that rimonabant promoted adipogenesis in hBM-MSCs.</p><p>Both THC and AEA, CB agonists, increase the transactivation of PPARγ and adiponectin production in adipocytes and/or preadipocyte cell lines (<xref rid="b3-bt-23-218" ref-type="bibr">Bouaboula <italic>et al</italic>., 2005</xref>; <xref rid="b24-bt-23-218" ref-type="bibr">Teixeira <italic>et al</italic>., 2010</xref>). THC and AEA can directly bind to PPARγ as well as CB<sub>1</sub> (<xref rid="b15-bt-23-218" ref-type="bibr">O’Sullivan and Kendall, 2010</xref>). AEA was reported to competitively bind to PPARγ receptors (<xref rid="b3-bt-23-218" ref-type="bibr">Bouaboula <italic>et al</italic>., 2005</xref>). It was reported that rimonabant, a CB<sub>1</sub> receptor antagonist, also increases the adiponectin gene transcription in the adipose tissue of obese rats (<xref rid="b8-bt-23-218" ref-type="bibr">Gary-Bobo <italic>et al</italic>., 2006</xref>; <xref rid="b23-bt-23-218" ref-type="bibr">Tam <italic>et al</italic>., 2014</xref>). The information on CB receptors and endocannabinoids from the literature may be contradictory because both agonists and antagonists to CB receptors increase the adipogenesis in adipocytes or preadipocyte cell lines. However, due to the existence of the rimonabant-related inverse agonism for CB<sub>1</sub> (<xref rid="b17-bt-23-218" ref-type="bibr">Pertwee, 2005</xref>; <xref rid="b7-bt-23-218" ref-type="bibr">Fong and Heymsfield, 2009</xref>; <xref rid="b18-bt-23-218" ref-type="bibr">Pertwee <italic>et al</italic>., 2010</xref>), the effects of cannabinoid agonists like THC and AEA on adipogenesis in hBM-MSCs were phenotypically similar. The premise of an inverse agonist is the presence of constantly active receptors, even without the presence of their endogenous ligands (<xref rid="b14-bt-23-218" ref-type="bibr">Milligan, 2003</xref>; <xref rid="b10-bt-23-218" ref-type="bibr">Kenakin and Williams, 2014</xref>). If rimonabant promotes adipogenesis as an inverse agonist (<xref rid="b22-bt-23-218" ref-type="bibr">Tam <italic>et al</italic>., 2012</xref>), the constant activity of CB<sub>1</sub> is associated with the suppression of the adipocyte differentiation of hBM-MSCs. Endocannabinoids can affect multiple biological targets. AEA can bind to CB<sub>1</sub>, TRPV1 and PPARγ. In the present study, AEA significantly promoted adipogenesis (<xref rid="f2-bt-23-218" ref-type="fig">Fig. 2</xref>–<xref rid="f4-bt-23-218" ref-type="fig">4</xref>), suggesting that the effect of AEA on PPARγ overwhelms the AEA-activated CB<sub>1</sub> signal transduction in hBM-MSCs. NADA, an endogeneous CB<sub>1</sub> agonist, inhibited adipogenesis in hBM-MSCs. In contrast to AEA, NADA did not induce the PPARγ transactivation (<xref rid="f6-bt-23-218" ref-type="fig">Fig. 6B</xref>). In addition, the effect of NADA was antagonized by the CB<sub>1</sub> receptor antagonist/inverse agonist rimonabant. In contrast, capsazepine, a TRPV1 antagonist, did not affect the NADA-induced inhibition during adipogenesis in hBM-MSCs. Therefore, CB<sub>1</sub> has the intrinsic activity in hBM-MSCs associated with the suppression of adipogenesis. As a pure agonist, NADA may promote the effect of CB<sub>1</sub> activation, leading to the inhibition of adipogenic differentiation. This study suggests that the differential effect of endocannabinoids on CB<sub>1</sub> should be carefully considered to develop novel CB<sub>1</sub> receptor modulators to treat metabolic diseases (<xref rid="b5-bt-23-218" ref-type="bibr">D’Eon <italic>et al</italic>., 2008</xref>; <xref rid="b1-bt-23-218" ref-type="bibr">Bajzer <italic>et al</italic>., 2011</xref>).</p><p>In summary, the endocannabinoid NADA significantly inhibits adipogenesis in hBM-MSCs. As an inverse agonist, rimonabant inhibited the constantly active CB<sub>1</sub> in hBM-MSCs, which resulted in the promotion of adipocyte differentiation. Other endocannabinoids activating PPARγ like AEA may affect the intrinsic activity of CB<sub>1</sub> in hBM-MSCs, resulting in the promotion of adipogenesis. Therefore, we conclude that the CB<sub>1</sub> may constantly activate the cellular signal transduction pathway associated with the suppression of adipogenesis in hBM-MSCs.</p></sec><sec id="ack1" sec-type="ack" disp-level="1"><title>Acknowledgments</title><p>This work was partly supported by Research Resettlement Fund for the new faculty of SNU, by the R&amp;E program of Seoul Science High School in 2014 and by BK21 Plus Program in 2014.</p></sec><sec id="fn-group1" sec-type="fn-group" disp-level="1"><title>Footnotes</title><fn-group><fn id="fn1"><p><bold>CONFLICT OF INTEREST</bold></p><p>No conflict of interest is reported.</p></fn></fn-group></sec><sec id="ref-list1" sec-type="ref-list" disp-level="1"><title>REFERENCES</title><sec id="ref-list1_sec2" disp-level="2"><ref-list><ref id="b1-bt-23-218"><mixed-citation><named-content content-type="citation-string">Bajzer M, Olivieri M, Haas MK, Pfluger PT, Magrisso IJ, Foster MT, Tschöp MH, Krawczewski-Carhuatanta KA, Cota D, Obici S. 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