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<article xml:lang="en" article-type="research-article" dtd-version="1.4"><processing-meta base-tagset="archiving" mathml-version="3.0" table-model="xhtml" tagset-family="jats"><restricted-by>pmc</restricted-by></processing-meta><front><journal-meta><journal-id journal-id-type="nlm-ta">Front Endocrinol (Lausanne)</journal-id><journal-id journal-id-type="iso-abbrev">Front Endocrinol (Lausanne)</journal-id><journal-id journal-id-type="pmc-domain-id">1753</journal-id><journal-id journal-id-type="pmc-domain">frontendo</journal-id><journal-id journal-id-type="nlm-id">101555782</journal-id><journal-id journal-id-type="publisher-id">Front. Endocrinol.</journal-id><journal-title-group><journal-title>Frontiers in Endocrinology</journal-title></journal-title-group><issn pub-type="epub">1664-2392</issn><?publisher_abbrev frontiers?><publisher><publisher-name>Frontiers Media SA</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmcid">PMC8564136</article-id><article-id pub-id-type="pmcid-ver">PMC8564136.1</article-id><article-id pub-id-type="pmcaid">8564136</article-id><article-id pub-id-type="pmcaiid">8564136</article-id><article-id pub-id-type="pmid">34745007</article-id><article-id pub-id-type="doi">10.3389/fendo.2021.740913</article-id><article-version article-version-type="pmc-version">1</article-version><article-categories><subj-group subj-group-type="heading"><subject>Endocrinology</subject><subj-group><subject>Original Research</subject></subj-group></subj-group></article-categories><title-group><article-title>Optimization of the Heterologous Expression of the Cannabinoid Type-1 (CB<sub>1</sub>) Receptor</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Horváth</surname><given-names initials="VB">Viktória B.</given-names></name><xref rid="aff1" ref-type="aff">
<sup>1</sup>
</xref><uri xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="https://loop.frontiersin.org/people/1444686"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Soltész-Katona</surname><given-names initials="E">Eszter</given-names></name><xref rid="aff1" ref-type="aff">
<sup>1</sup>
</xref><xref rid="aff2" ref-type="aff">
<sup>2</sup>
</xref><uri xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="https://loop.frontiersin.org/people/1412312"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Wisniewski</surname><given-names initials="É">Éva</given-names></name><xref rid="aff1" ref-type="aff">
<sup>1</sup>
</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Rajki</surname><given-names initials="A">Anikó</given-names></name><xref rid="aff1" ref-type="aff">
<sup>1</sup>
</xref><xref rid="aff2" ref-type="aff">
<sup>2</sup>
</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Halász</surname><given-names initials="E">Eszter</given-names></name><xref rid="aff1" ref-type="aff">
<sup>1</sup>
</xref><xref rid="aff2" ref-type="aff">
<sup>2</sup>
</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Enyedi</surname><given-names initials="B">Balázs</given-names></name><xref rid="aff1" ref-type="aff">
<sup>1</sup>
</xref><xref rid="aff3" ref-type="aff">
<sup>3</sup>
</xref><xref rid="aff4" ref-type="aff">
<sup>4</sup>
</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Hunyady</surname><given-names initials="L">László</given-names></name><xref rid="aff1" ref-type="aff">
<sup>1</sup>
</xref><xref rid="aff2" ref-type="aff">
<sup>2</sup>
</xref><uri xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="https://loop.frontiersin.org/people/694300"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Tóth</surname><given-names initials="AD">András Dávid</given-names></name><xref rid="aff2" ref-type="aff">
<sup>2</sup>
</xref><xref rid="aff5" ref-type="aff">
<sup>5</sup>
</xref><uri xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="https://loop.frontiersin.org/people/1368771"/></contrib><contrib contrib-type="author" corresp="yes"><name name-style="western"><surname>Szanda</surname><given-names initials="G">Gergő</given-names></name><xref rid="aff1" ref-type="aff">
<sup>1</sup>
</xref><xref rid="aff2" ref-type="aff">
<sup>2</sup>
</xref><xref rid="fn001" ref-type="author-notes">
<sup>*</sup>
</xref><uri xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="https://loop.frontiersin.org/people/278639"/></contrib></contrib-group><aff id="aff1">
<sup>1</sup>
<institution>Department of Physiology, Semmelweis University</institution>, <addr-line>Budapest</addr-line>, <country>Hungary</country>
</aff><aff id="aff2">
<sup>2</sup>
<institution>MTA-SE Laboratory of Molecular Physiology, Eötvös Loránd Research Network</institution>, <addr-line>Budapest</addr-line>, <country>Hungary</country>
</aff><aff id="aff3">
<sup>3</sup>
<institution>MTA-SE Lendület Tissue Damage Research Group, Hungarian Academy of Sciences and Semmelweis University</institution>, <addr-line>Budapest</addr-line>, <country>Hungary</country>
</aff><aff id="aff4">
<sup>4</sup>
<institution>HCEMM-SE Inflammatory Signaling Research Group, Department of Physiology, Semmelweis University</institution>, <addr-line>Budapest</addr-line>, <country>Hungary</country>
</aff><aff id="aff5">
<sup>5</sup>
<institution>Department of Internal Medicine and Haematology, Semmelweis University</institution>, <addr-line>Budapest</addr-line>, <country>Hungary</country>
</aff><author-notes><fn fn-type="edited-by"><p>Edited by: Marta Letizia Hribal, University of Catanzaro, Italy</p></fn><fn fn-type="edited-by"><p>Reviewed by: Miles Douglas Thompson, University of California, San Diego, United States; Shupeng Li, Peking University, China</p></fn><corresp id="fn001">*Correspondence: Gergő Szanda, <email xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="mailto:szanda.gergo@med.semmelweis-univ.hu">szanda.gergo@med.semmelweis-univ.hu</email>
</corresp><fn fn-type="other" id="fn002"><p>This article was submitted to Cellular Endocrinology, a section of the journal Frontiers in Endocrinology</p></fn></author-notes><pub-date pub-type="epub"><day>20</day><month>10</month><year>2021</year></pub-date><pub-date pub-type="collection"><year>2021</year></pub-date><volume>12</volume><issue-id pub-id-type="pmc-issue-id">375195</issue-id><elocation-id>740913</elocation-id><history><date date-type="received"><day>13</day><month>7</month><year>2021</year></date><date date-type="accepted"><day>21</day><month>9</month><year>2021</year></date></history><pub-history><event event-type="pmc-release"><date><day>01</day><month>01</month><year>2021</year></date></event><event event-type="pmc-live"><date><day>04</day><month>11</month><year>2021</year></date></event><event event-type="pmc-last-change"><date iso-8601-date="2026-04-12 22:25:13.393"><day>12</day><month>04</month><year>2026</year></date></event></pub-history><permissions><copyright-statement>Copyright © 2021 Horváth, Soltész-Katona, Wisniewski, Rajki, Halász, Enyedi, Hunyady, Tóth and Szanda</copyright-statement><copyright-year>2021</copyright-year><copyright-holder>Horváth, Soltész-Katona, Wisniewski, Rajki, Halász, Enyedi, Hunyady, Tóth and Szanda</copyright-holder><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/" specific-use="textmining" content-type="ccbylicense">https://creativecommons.org/licenses/by/4.0/</ali:license_ref><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</license-p></license></permissions><self-uri xmlns:xlink="http://www.w3.org/1999/xlink" content-type="pmc-pdf" xlink:href="fendo-12-740913.pdf"><?pdf-name fendo-12-740913.pdf?><?pdf-size 5198621?><?pdf-md5 b85c63ab4b04d5653a63dedfcd55fefd?><?pdf-image-server-status NEVER_LOAD?><?pdf-cloudpmc-urn urn:app:e5af/8564136/b85c63ab4b04/fendo-12-740913.pdf?></self-uri><abstract><p>The G protein-coupled type 1 cannabinoid receptor (CB<sub>1</sub>R) mediates virtually all classic cannabinoid effects, and both its agonists and antagonists hold major therapeutic potential. Heterologous expression of receptors is vital for pharmacological research, however, overexpression of these proteins may fundamentally alter their localization pattern, change the signalling partner preference and may also spark artificial clustering. Additionally, recombinant CB<sub>1</sub>Rs are prone to intense proteasomal degradation, which may necessitate substantial modifications, such as N-terminal truncation or signal sequence insertion, for acceptable cell surface expression. We report here that tuning down the expression intensity of the full-length CB<sub>1</sub>R reduces proteasomal degradation and offers receptor levels that are comparable to those of endogenous CB<sub>1</sub> receptors. As opposed to high-efficiency expression with conventional promoters, weak promoter-driven CB<sub>1</sub>R expression provides ERK 1/2 and p38 MAPK signalling that closely resemble the activity of endogenous CB<sub>1</sub>Rs. Moreover, weakly expressed CB<sub>1</sub>R variants exhibit plasma membrane localization, preserve canonical G<sub>i</sub>-signalling but prevent CB<sub>1</sub>R-G<sub>s</sub> coupling observed with high-expression variants. Based on these findings, we propose that lowering the expression level of G protein-coupled receptors should always be considered in heterologous expression systems in order to reduce the pressure on the proteasomal machinery and to avoid potential signalling artefacts.</p></abstract><kwd-group><kwd>CB<sub>1</sub> receptor</kwd><kwd>receptor degradation</kwd><kwd>cannabinoids</kwd><kwd>weak promoters</kwd><kwd>heterologous expression</kwd><kwd>non-canonical signaling</kwd></kwd-group><funding-group><award-group><funding-source id="cn001"><institution-wrap><institution>Nemzeti Kutatási Fejlesztési és Innovációs Hivatal
</institution><institution-id institution-id-type="doi">10.13039/501100011019</institution-id></institution-wrap></funding-source><award-id award-type="contract" rid="cn001">FK_124038, K116954</award-id></award-group><award-group><funding-source id="cn002"><institution-wrap><institution>Horizon 2020
</institution><institution-id institution-id-type="doi">10.13039/501100007601</institution-id></institution-wrap></funding-source><award-id award-type="contract" rid="cn002">739593</award-id></award-group></funding-group><counts><fig-count count="4"/><table-count count="0"/><equation-count count="0"/><ref-count count="62"/><page-count count="12"/><word-count count="5623"/></counts><custom-meta-group><custom-meta><meta-name>pmc-status-qastatus</meta-name><meta-value>0</meta-value></custom-meta><custom-meta><meta-name>pmc-status-live</meta-name><meta-value>yes</meta-value></custom-meta><custom-meta><meta-name>pmc-status-embargo</meta-name><meta-value>no</meta-value></custom-meta><custom-meta><meta-name>pmc-status-released</meta-name><meta-value>yes</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-open-access</meta-name><meta-value>yes</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-olf</meta-name><meta-value>no</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-manuscript</meta-name><meta-value>no</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-legally-suppressed</meta-name><meta-value>no</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-has-pdf</meta-name><meta-value>yes</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-has-supplement</meta-name><meta-value>yes</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-pdf-only</meta-name><meta-value>no</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-suppress-copyright</meta-name><meta-value>no</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-is-real-version</meta-name><meta-value>no</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-is-scanned-article</meta-name><meta-value>no</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-preprint</meta-name><meta-value>no</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-in-epmc</meta-name><meta-value>yes</meta-value></custom-meta><custom-meta><meta-name>pmc-license-ref</meta-name><meta-value>CC BY</meta-value></custom-meta></custom-meta-group></article-meta></front><body><sec sec-type="intro" id="s1"><title>Introduction</title><p>The cannabinoid type-1 receptor (CB<sub>1</sub>R) is a G protein-coupled receptor (GPCR) that conveys both the therapeutic and the side-effects and of plant-derived phyto- and synthetic cannabinoids, and also mediates the actions of the body’s own cannabinoids (the endocannabinoids). CB<sub>1</sub>Rs play important regulatory role in virtually all central nervous areas (<xref rid="B1" ref-type="bibr">1</xref>, <xref rid="B2" ref-type="bibr">2</xref>), whereas peripheral receptors are now well-documented contributors to the development of diet-induced obesity (<xref rid="B3" ref-type="bibr">3</xref>, <xref rid="B4" ref-type="bibr">4</xref>), pancreatic β-cell dysfunction (<xref rid="B5" ref-type="bibr">5</xref>, <xref rid="B6" ref-type="bibr">6</xref>), leptin and insulin resistance (<xref rid="B7" ref-type="bibr">7</xref>, <xref rid="B8" ref-type="bibr">8</xref>) and to the complications of metabolic syndrome (<xref rid="B9" ref-type="bibr">9</xref>, <xref rid="B10" ref-type="bibr">10</xref>). By virtue of such multifaceted actions under physiological and pathological conditions, both CB<sub>1</sub>R agonists and antagonists hold considerable therapeutic promise (<xref rid="B11" ref-type="bibr">11</xref>, <xref rid="B12" ref-type="bibr">12</xref>) with encouraging new-generation ligands being under development (<xref rid="B4" ref-type="bibr">4</xref>, <xref rid="B13" ref-type="bibr">13</xref>–<xref rid="B15" ref-type="bibr">15</xref>).</p><p>The heterologous expression of recombinant receptors is often the first step of drug development. Vector-driven expression in cell lines provides invaluable knowledge of receptor function and ligand characteristics. However, caution should be taken when interpreting <italic toggle="yes">in vitro</italic> data as high expression level of recombinant receptors may lead to altered localization, artificial dimerization or clustering of receptors (<xref rid="B16" ref-type="bibr">16</xref>–<xref rid="B18" ref-type="bibr">18</xref>) and may even cause membrane deformations (<xref rid="B19" ref-type="bibr">19</xref>). Moreover, high receptor amounts may alter the receptor-G protein stoichiometry and, in turn, bring about non-canonical signalling events, as reported in the case of A<sub>1</sub> adenosine (<xref rid="B20" ref-type="bibr">20</xref>), α<sub>2</sub>-adrenergic (<xref rid="B21" ref-type="bibr">21</xref>) and, prominently, CB<sub>1</sub> receptors (<xref rid="B15" ref-type="bibr">15</xref>).</p><p>Another possible drawback of receptor overexpression may be the intense degradation of the recombinant receptor <italic toggle="yes">via</italic> proteolytic pathways that are not significantly involved in receptor turnover normally. This certainly applies for the CB<sub>1</sub>R, in which the combination of an unusually long N-terminal tail and the lack of a signal sequence impedes normal co-translational translocation across the ER membrane and marks the recombinant receptor for proteasomal degradation (<xref rid="B22" ref-type="bibr">22</xref>, <xref rid="B23" ref-type="bibr">23</xref>). This undesired degradation can be overcome by N-terminal truncation or by N-terminal insertion of a signal sequence, nevertheless, such manoeuvres may alter receptor maturation and trafficking in an unpredictable manner (<xref rid="B23" ref-type="bibr">23</xref>, <xref rid="B24" ref-type="bibr">24</xref>).</p><p>In the light of the abovementioned pitfalls, heterologous expression of the CB<sub>1</sub>R and of other GPCRs ought to be optimized on a regular basis so as to minimize the risk of signalling artefacts and the overload of the proteasomal machinery. We speculated that simply lowering the expression level of the CB<sub>1</sub>R to close-to-endogenous amounts may provide such benefits. We report here that, in fact, reducing the transcription level of the recombinant CB<sub>1</sub>R is sufficient to reduce proteasomal degradation <italic toggle="yes">and</italic> to eliminate non-canonical signalling events without the need to modulate the receptor sequence itself.</p></sec><sec sec-type="materials|methods" id="s2"><title>Materials and Methods</title><sec id="s2_1"><title>Materials and Pharmacons</title><p>Unless otherwise noted, drugs were dissolved in sterile dimethyl sulfoxide (DMSO) (To avoid water absorption into the solvent, the sterile filtered DMSO was stored in small aliquots at -20°C.) The stock solutions were split into small aliquots and a maximum of 2 freeze-thaw cycles were allowed. In all experiments, the final concentration of DMSO was limited to 0.15%. (For the origin of chemicals, final concentrations and for further methodological details see <xref rid="SM1" ref-type="supplementary-material">
<bold>Supplementary Table I</bold>
</xref>).</p></sec><sec id="s2_2"><title>Cell Culture, Transfection and Cell Stimulation</title><p>GT1-7 cells (<xref rid="B25" ref-type="bibr">25</xref>) were from Sigma Aldrich, Neuro 2a and HEK 293 cells were from American Type Culture Collection (ATCC). All cells were cultured in Dulbecco’s Modified Eagle Medium (DMEM) containing 10% foetal bovine serum and supplemented with 100 μg/ml streptomycin and 100 U/ml penicillin (“complete DMEM”). (1.5 g/L NaHCO<sub>3</sub> formulations were used exclusively to achieve pH 7.4 at 5% CO<sub>2</sub> and 37°C.) Cells were plated into poly-L-lysine-coated 6-well or 12-well plates at a density of 6-7.5-10×10<sup>4</sup>/cm<sup>2</sup> (GT1-7), 3-4×10<sup>4</sup>/cm<sup>2</sup> (Neuro 2a) or 2-3×10<sup>4</sup>/cm<sup>2</sup> (HEK 293) on day 1. GT1-7 cells were electroporated (1350 V, 30 ms; 1x) on the day of plating with the Neon Transfection system (Invitrogen) following the manufacturer’s protocol or transfected in Ultra-MEM with Lipofectamine 2000 (0.3 µL/cm<sup>2</sup>) for 6 h on day 2 and subsequently on day 3 with Lipofectamine LTX + Plus Reagent (0.5 µL/cm<sup>2</sup> Lipofectamine LTX + 0.67 µL/µg total DNA Plus Reagent) in complete DMEM. HEK 293 cells were transfected on day 2 in Ultra-MEM with Lipofectamine 2000 (0.2-0.3 µL/cm<sup>2</sup>) or in complete DMEM with Lipofectamine LTX + Plus Reagent (0.6 µL/cm<sup>2</sup> Lipofectamine LTX + 0.5 µL/µg total DNA Plus Reagent). Neuro 2a cells were transfected in complete DMEM using Lipofectamine LTX + Plus Reagent (0.6 µL/cm<sup>2</sup> Lipofectamine LTX + 0.5 µL/µg total DNA Plus Reagent). Transfection of siRNA into Neuro 2a cells was performed as follows: on day 2 cells were treated with siRNA in Ultra-MEM for 6 h in the presence of Lipofectamine RNAiMAX (0.5 µL/cm<sup>2</sup>). Then, on day 3, cells were treated again with siRNA in complete DMEM for 6 h with Lipofectamine RNAiMax. Unless otherwise indicated, siRNA concentration was 20 nM and construct DNA amount was 0.05-0.07 µg/cm<sup>2</sup>/construct. Serum deprivation was performed by changing the complete medium to empty DMEM 14 h (GT1-7) or 4 h (Neuro 2a and HEK293) prior to experimentation. One hour prior to stimulation, medium was changed to DMEM + HEPES (Pan-Biotech) and cell stimulation was carried out in this incubation medium. In most of the experiments, 6-well plates and 12-well plates were snap frozen with liquid nitrogen and stored at -80°C until analysis. Passages numbers 4–30 were used. At all steps, bicarbonate-containing media were equilibrated at 37°C and 5% CO<sub>2</sub> for at least 6 h before application.</p></sec><sec id="s2_3"><title>Constructs, siRNA</title><p>Human wild-type CB<sub>1</sub>R and Δ64 CB<sub>1</sub>R [lacking the N-terminal 1-64 amino acids (<xref rid="B22" ref-type="bibr">22</xref>)] were expressed in pcDNA3.1 vectors (driven by the early-immediate CMV promoter for high-level expression; sequence of the CMV promoter: <italic toggle="yes">
<sc>CGCCCCATTGACGCAAATGGGCGGTAGGCGTGTACGGTGGGAGGTCTATATAAGCAGAGCTGGTTTAGTGAACCGTCAGATC</sc>
</italic>. For mild heterologous expression a pEYFP-N1 backbone was modified by omitting YFP and changing the promoter to the human herpes simplex virus thymidine kinase (TK) promoter (in order to gain moderate expression of the transgene). Sequence of the thymidine kinase promoter was: <italic toggle="yes">ATGACACAAACCCCGCCCAGCGTCTTGTCATTGGCGAATTCGAACACGCAGATGCAGTCGGGGCGGCGCGGTCCCAGGTCCACTTCGCATATTAAGGTGACGCGTGTGGCCTCGAACACCGAGCGACCCTGCAGCGACCCGCTTAA</italic>. The cloning was performed with the help of the following enzymes: HindIII, AgeI, BamHI (Thermo Fisher Scientific). For fluorescent labelling, human wild-type and Δ64 CB<sub>1</sub>Rs were inserted into pEGFP-N1, or promoter modified (CMV to TK) pEYFP-N1 or promoter modified pEGFP expression vectors. Control (non-silencing) dsRNA sequences were designed based on the “C9-11” method (<xref rid="B26" ref-type="bibr">26</xref>). For dsRNA sequences, please refer to <xref rid="SM1" ref-type="supplementary-material">
<bold>Supplementary Table 2</bold>
</xref>.</p></sec><sec id="s2_4"><title>Western Blotting</title><p>The cultured cells were suspended in 4°C complete lysis buffer (<italic toggle="yes">v.i.</italic>) in a volume of 150-200 µL/9.5 cm<sup>2</sup> growth area. After a 30 min incubation period on ice, insoluble material was removed by centrifugation at ~20.000 g (4°C for 10 min) and protein concentration was determined with BCA Assay (Thermo Fisher Scientific). The complete lysis buffer was based on a modified RIPA buffer containing: 150 mM NaCl, 1% sodium deoxycholate, 1% Triton X-100, 0.1% SDS, 1 mM EGTA 1 mM EDTA and 20 mM Tris-HCl (pH 7.35 at 4°C). This modified RIPA buffer was supplemented with 1 mM sodium orthovanadate, 1 mM phenylmethylsulfonyl fluoride, aprotinin, protease inhibitor cocktail, phosphatase inhibitor cocktail 1 and 2 (all 1:100). After the addition of 4x Laemmli sample buffer (Bio-Rad), proteins were separated in reducing mini or midi format Tris-glycine polyacrylamide gradient gels (4-15%, Bio-Rad). (Final concentration of β-mercaptoethanol in the samples was set to 5%). Alternatively, 2x Laemmli sample buffer with 10% of β-mercaptoethanol was used to suspend the cultured cells, so that the samples were directly loaded to the Tris-glycine polyacrylamide gradient gels. Proteins were then blotted onto nitrocellulose membranes using the Transblot-cell semi-dry transfer system with the fitting transfer packs (Bio-Rad).</p><p>Membranes were blocked with Tris buffered saline + 0.1% Tween-20 (TBST) supplemented with 5% milk and incubated overnight at 4°C with primary antibodies in TBST + 5% BSA + 0.1% sodium azide (for the list of antibodies, please see <xref rid="SM1" ref-type="supplementary-material">
<bold>Supplementary Table 3</bold>
</xref>). Horseradish peroxidase conjugated secondary antibodies (PerkinElmer) were diluted in TBST + 5% milk and incubated at room temperature for 1 h. Luminescence was measured with Azure 600 (Azure Biosystems, Dublin, CA, USA) chemiluminescence imaging device. West Pico Plus (ThermoFisher) or custom-made solution (100 mM Tris-Cl, 0.2 mM p-coumaric acid, 1.1 mM luminol, 2.6 mM H<sub>2</sub>O<sub>2</sub>, pH 8.5) was used as substrate for the peroxidase.</p><p>For densitometry, captured images were background subtracted with the apt module of Image J (NIH). The integrated density of individual protein bands was measured also with the Image J software and the ratio of phosphorylated to total protein (p/t ratio) was regarded as the degree of activation. Representative images were brightness and contrast adjusted with the appropriate modules of Image J (NIH) and blots were aligned in Adobe Illustrator. (Since chemiluminescent images have 16-bit depth, when needed, both high and low contrast versions of the same raw image are presented to provide a better representation. Please also note that western blots images comparing phosphorylated and total protein amounts of ERK1/2 and p38 MAPKs were exposed to identical conditions throughout the entire immunoblot process including image capture and brightness/contract adjustments. Therefore, phospho- and total blot images of different CB<sub>1</sub>R constructs within the same cell type are directly comparable.) Unless otherwise specified, data were normalized to the vehicle treated or the lowest agonist concentration treated TK-CB<sub>1</sub>R group.</p></sec><sec id="s2_5"><title>Protease Inhibition and ER-Stress Measurements</title><p>For the assessment of CB<sub>1</sub>R degradation, cells were treated with various protease and proteasome inhibitors or vehicle for 8 h in serum-free DMEM on day 4. For further details on pharmacons, please see <xref rid="SM1" ref-type="supplementary-material">
<bold>Supplementary Table 1</bold>
</xref>. To evaluate the intact-to-cleaved receptor relationship, the ratio of integrated densities between 50 to 100 kDa to that below 40 kDa was calculated.</p></sec><sec id="s2_6"><title>Measurement of Cytosolic [cAMP]</title><p>For BRET measurements, Neuro 2a or HEK 293 cells were transfected in suspension using Lipofectamine 2000 (Invitrogen; 0.5 μl/well) and plated on white poly-L-lysine coated 96-well plates in 50.000 cells/well density. The DNA amounts were 0.175 μg Epac-BRET sensor/well (<xref rid="B27" ref-type="bibr">27</xref>, <xref rid="B28" ref-type="bibr">28</xref>) and 0.25 μg CB<sub>1</sub> receptor construct/well. Before the BRET measurement, cells were serum starved for 3 hours. Experiments were performed on adherent cells 24 hours after the transfection using a Varioskan Flash multimode plate reader (Thermo Scientific, Waltham, MA). Prior to stimulation, the medium was changed to a modified Krebs-Ringer buffer containing 120 mM NaCl, 4.7 mM KCl, 1.2 mM CaCl<sub>2</sub>, 0.7 mM MgSO4, 10 mM glucose, and Na-HEPES 10 mM, pH 7.4, experiments were carried out at 37°C. The BRET measurements were started by adding cell-permeable coelenterazine <italic toggle="yes">h</italic> (Regis Technologies, Morton Grove, IL) to the wells at a final concentration of 5 μM. The luminescence intensities were recorded at 530 nm and 480 nm using filters (0.5 s/well). Since within the Epac-BRET sensor the intramolecular BRET <italic toggle="yes">decreases</italic> with the increase of [cAMP] (<xref rid="B27" ref-type="bibr">27</xref>), the 485 to 530 nm emission intensity ratio (BRET ratio) was regarded as a measure of [cAMP] (as opposed to the conventional 530:480 nm ratio). BRET ratios were normalized to the average of baseline (<italic toggle="yes">i.e.</italic> prior to the addition of any drug or vehicle).</p></sec><sec id="s2_7"><title>Confocal Microscopy</title><p>Cells expressing various GFP-tagged CB<sub>1</sub>R constructs were imaged on a spinning disk confocal imaging setup at room temperature (~26°C) using a Nikon Eclipse Ti2 microscope equipped with a CFI SR HP Plan Apochromat Lambda S 100XC silicon immersion objective lens, a Yokogawa CSU-W1 Spinning Disk unit, a Photometrics Prime BSI sCMOS camera and an Omicron LightHUB+ diode laser light engine. EGFP fluorescence was excited using the 488 laser line and emission was collected using a 525/20 bandpass filter (Chroma). Up to 70 Z-stack slices with a resolution of 0.3 µm were acquired per field of view with the NIS-Elements software (Nikon). Plasma membrane and cytosolic CB<sub>1</sub>R fluorescence in non-processed raw images were determined at approx. the bottom 1/3 in the z-axis (<italic toggle="yes">i.e.</italic> closer to the cell-coverslip interface) along a profile running through the cell. The first peak above the cell-free background was interpreted as plasmalemmal fluorescence whereas cytosolic florescence was defined as the intensity ‘below’ the plasma membrane, at a position exactly 1 µm towards the cell centre. For the purpose of demonstration, background subtraction and brightness/contrast adjustments were performed with Image J (NIH) on representative images.</p></sec><sec id="s2_8"><title>Data Analysis and Statistics</title><p>Means + s.e.m. or ± s.e.m. are shown, unless indicated otherwise. Data were obtained from at least 3 independent experiments or specified otherwise. In some experiments, minimal and maximal values have been uniformly excluded in all groups based on the ROUT method. For calculating significance of differences, one and two-way parametric or non-parametric ANOVA and post-hoc tests were applied, as appropriate. Concentration-response curves were fitted using the 3-parameter log[agonist] – response equation [(Y=Bottom + (Top-Bottom)/(1 + 10<sup>(LogEC50-X)</sup>)]. Data were analysed with Microsoft Excel (Microsoft), Image J (NIH) and GraphPad Prism 5 (GraphPad Software Inc.) software.</p></sec></sec><sec sec-type="results" id="s3"><title>Results</title><sec id="s3_1"><title>Weak Promoter-Driven Expression of the Full-Length CB<sub>1</sub>R Provides Close-to-Endogenous Receptor Levels</title><p>In order to study the effect of expression level and the long N-terminal tail on CB<sub>1</sub> receptor abundance in heterologous systems, we cloned the full-length and the N-terminally truncated (Δ64) human CB<sub>1</sub>R into vectors that use either the conventional, strong early-immediate CMV (cytomegalovirus) or the weak HSV (herpes simplex virus) thymidine kinase (TK) promoter for transcription initiation (<xref rid="f1" ref-type="fig">
<bold>Figure 1A</bold>
</xref>). We transfected the constructs into 3 different cell types, namely into HEK 293 cells, into undifferentiated Neuro 2a neuroblasts (<xref rid="B29" ref-type="bibr">29</xref>) and into highly-differentiated GT1-7 neurons (<xref rid="B30" ref-type="bibr">30</xref>). Neuro 2a cells express functional CB<sub>1</sub>Rs (<xref rid="SF1" ref-type="supplementary-material">
<bold>Supplementary Figure 1A</bold>
</xref> and <xref rid="SF2" ref-type="supplementary-material">
<bold>Supplementary Figure 2A</bold>
</xref>), therefore, non-transfected Neuro 2a cells served as endogenous CB<sub>1</sub>R controls. As expected, TK promoter-driven CB<sub>1</sub>R expression was about 1-1.5 order of magnitude lower than that provided by the conventional CMV promoter (<xref rid="f1" ref-type="fig">
<bold>Figures 1B, C</bold>
</xref>). In all 3 cell types, shortening the long N-terminal tail (<xref rid="B22" ref-type="bibr">22</xref>) by 64 amino acids also enhanced receptor expression by approx. 2 to 5-fold independently of the promoter (<xref rid="f1" ref-type="fig">
<bold>Figures 1B, C</bold>
</xref>). Most importantly, however, the expression of the full-length TK-CB<sub>1</sub>R was comparable to that of endogenous receptors (<xref rid="f1" ref-type="fig">
<bold>Figures 1B, C</bold>
</xref>) suggesting that this construct may be sufficient to provide close-to-physiological receptor levels in heterologous systems.</p><fig position="float" id="f1" orientation="portrait"><label>Figure 1</label><caption><p>
<italic toggle="yes">Effect of promoter and N-terminal truncation on CB<sub>1</sub>R expression.</italic>
<bold>(A)</bold> Schematic representation of the various CB<sub>1</sub>R clones used throughout the study. (For GFP-tagged versions, see <italic toggle="yes">Supplementary Figure 3A</italic>.) <bold>(B)</bold> Western blot analysis of the expression of various CB<sub>1</sub>R constructs in Neuro 2a, HEK 293 and GT1-7 cells. Cells were transfected with different CB<sub>1</sub>R constructs or with empty plasmid (pcDNA3.1(+); ‘non-transfected’); in order to perceive the differences in expression better, both low and high contrast representations of the same 16-bit raw images are presented. <bold>(C)</bold> Statistical analysis of immunoblots shown on <italic toggle="yes">Panel (B)</italic>. CB<sub>1</sub>R to actin expression ratios were normalized to that obtained in TK-CB<sub>1</sub>R expressing samples. From left to right n= 9-13-14-12-11 (Neuro 2a); 14-13-11-10 (HEK 293) and 11-9-10-10 (GT1-7); *p &lt; 0.0003, <sup>$</sup>p = 0.0152, <sup>$$</sup>p &lt; 0.0001 and <sup>#</sup>p &lt; 0.0001 as compared to pertinent TK-CB<sub>1</sub>R group (Kruskal-Wallis ANOVA followed by Dunn’s multiple comparisons test).</p></caption><graphic xmlns:xlink="http://www.w3.org/1999/xlink" position="float" orientation="portrait" xlink:href="fendo-12-740913-g001.jpg"><?image-name fendo-12-740913-g001.jpg?><?image-size 125926?><?image-md5 c6eb77f0e12fcd13e6c8e75c48656bf9?><?image-image-server-status LOAD_COMPLETED?><?image-original-height 1549?><?image-original-width 1550?><?image-scaled-height 775?><?image-scaled-width 775?><?image-cloudpmc-urn urn:cdn:blobs/e5af/8564136/c6eb77f0e12f/fendo-12-740913-g001.jpg?><?thumb-name fendo-12-740913-g001.gif?><?thumb-size 15540?><?thumb-md5 f3c891a66e533734f7c81de9e6a0b6ba?><?thumb-image-server-status NEVER_LOAD?><?thumb-scaled-height 100?><?thumb-scaled-width 100?><?thumb-cloudpmc-urn urn:cdn:blobs/e5af/8564136/f3c891a66e53/fendo-12-740913-g001.gif?></graphic></fig></sec><sec id="s3_2"><title>Tuning Down CB<sub>1</sub>R Expression Is Sufficient to Prevent Its Overt Proteasomal Degradation</title><p>The instability of CB<sub>1</sub>R in heterologous expression systems has been primarily attributed to the receptor’s long N-terminal tail that complicates receptor positioning across the ER membrane and thus triggers rapid proteasomal degradation (<xref rid="B22" ref-type="bibr">22</xref>). Indeed, in harmony with previous reports (<xref rid="B22" ref-type="bibr">22</xref>), N-terminal ablation eliminated the sensitivity of the CMV-CB<sub>1</sub>R construct to the proteasome inhibitor Mg-132 (<xref rid="SF1" ref-type="supplementary-material">
<bold>Supplementary Figure 1C</bold>
</xref>) indicating that the full-length CMV-CB<sub>1</sub>R is in fact prone to ubiquitination and subsequent proteasomal degradation. Similar observations were made in HEK 293 cells as well (data not shown). However, no significant proteasomal degradation was observed with the low-expression TK-CB<sub>1</sub>R variants (<xref rid="SF1" ref-type="supplementary-material">
<bold>Supplementary Figure 1D</bold>
</xref>). Instead, these low expression receptors displayed sensitivity to chloroquine (<xref rid="SF1" ref-type="supplementary-material">
<bold>Supplementary Figure 1D</bold>
</xref>), an inhibitor of endolysosomal degradation, similarly to that observed for the endogenous CB<sub>1</sub> receptor (<xref rid="SF1" ref-type="supplementary-material">
<bold>Supplementary Figure 1B</bold>
</xref>). Interestingly, despite the substantial proteasomal degradation of the CMV-CB<sub>1</sub> receptor, caused most likely by abnormal folding (<xref rid="B22" ref-type="bibr">22</xref>), none of the constructs induced measurable ER unfolded protein response, as assessed by the phosphorylation of eukaryotic initiation factor 2 subunit α (eIF2α) (<xref rid="SF1" ref-type="supplementary-material">
<bold>Supplementary Figure 1E</bold>
</xref>). Thus, weak promoter-driven, low-level expression of the full-length CB<sub>1</sub>R precludes drastic proteasomal degradation without the need for truncation of the receptor. Additionally, weakly expressed CB<sub>1</sub>R variants retain endolysosomal processing resembling endogenous CB<sub>1</sub>Rs in this respect.</p></sec><sec id="s3_3"><title>Parallel MAPK Signalling Cascades Exhibit Different Sensitivity to CB<sub>1</sub>R Abundancy</title><p>Next, we assessed whether changes in expression level translates into different signalling behaviour of the CB<sub>1</sub>R. To this end, we first monitored the phosphorylation of ERK1/2 (p42/44 MAPK) by western blotting. HEK 293, Neuro 2a and GT1-7 cells were stimulated with increasing concentrations of the CB<sub>1</sub>R specific anandamide analogue arachidonyl-2-chloroethylamide (ACEA) (<xref rid="B31" ref-type="bibr">31</xref>), which brings about ERK 1/2 activation in a CB<sub>1</sub>R dependent manner (<xref rid="SF2" ref-type="supplementary-material">
<bold>Supplementary Figure 2A</bold>
</xref>). In non-transfected HEK and GT1-7 cells, ACEA failed to induce ERK1/2 or p38 MAPK phosphorylation (data not shown). In Neuro 2a cells, the full length TK-CB<sub>1</sub>R variant produced a stimulus-response curve that practically overlapped with that produced by endogenous CB<sub>1</sub> receptors in non-transfected cells (<xref rid="f2" ref-type="fig">
<bold>Figures 2A, B</bold>
</xref>). On the other hand, CMV promoter-driven high expression CB<sub>1</sub>R variants increased the basal phosphorylation of ERK1/2 and tended to shift the dose-response curve to the left. Congruent ERK 1/2 activation data were obtained in HEK 293 cells (but not in GT1-7 neurons) (<xref rid="f2" ref-type="fig">
<bold>Figure 2A, B</bold>
</xref>). In contrast, ACEA-induced activation of p38 MAPK, another downstream target of CB<sub>1</sub>Rs that may be recruited independently of ERK1/2 (<xref rid="B32" ref-type="bibr">32</xref>, <xref rid="B33" ref-type="bibr">33</xref>), proved to be much less sensitive to CB<sub>1</sub>R abundance or N-terminal Δ64 truncation than observed for ERK1/2 phosphorylation (<xref rid="SF2" ref-type="supplementary-material">
<bold>Supplementary Figures 2B, C</bold>
</xref>).</p><fig position="float" id="f2" orientation="portrait"><label>Figure 2</label><caption><p>
<italic toggle="yes">ERK 1/2 activation by CMV or TK promoter-driven full-length and Δ64-CB<sub>1</sub> receptor variants.</italic>
<bold>(A)</bold> Western blot analysis of ERK 1/2 phosphorylation mediated by the various CMV and TK promoter-driven or endogenous CB<sub>1</sub> receptors stimulated with ACEA. Neuro 2a, HEK 293 and GT1-7 cells expressing the indicated CB<sub>1</sub>R variants or endogenous receptors (Neuro 2a) were stimulated with various concentrations of ACEA in at 37°C in DMEM + HEPES for 5 min. Representative western blots are shown; please note that, although presented as separate blots, p-ERK and t-ERK membranes were actually developed under identical conditions (incl. exposure times) so these images may be directly compared within the pertinent cell type. <bold>(B)</bold> Dose-response analysis of ACEA-evoked p-ERK 1/2 signals from western blot experiments as the one presented on <italic toggle="yes">Panel (A)</italic>. Phospho- to total ERK 1/2 values were normalized to the minimum response of the TK-CB<sub>1</sub>R group and the 3-parametered log[agonist] – response equation was used to fit concentration-response curves. Number of observations was 3-8/construct/ACEA concentration; *p = 0.036 for the effect of CMV promoter on basal ERK activity and p = 0.19 for the effect of CMV promoter on EC<sub>50</sub> when compared to TK promoter in Neuro 2a cells; <sup>#</sup>p = 0.0002 for the effect of CMV promoter on basal phosphorylation and <sup>$</sup>p = 0.0288 for the effect of CMV promoter on EC<sub>50</sub> value vs. TK promoter in HEK 293 cells (2-way ANOVA).</p></caption><graphic xmlns:xlink="http://www.w3.org/1999/xlink" position="float" orientation="portrait" xlink:href="fendo-12-740913-g002.jpg"><?image-name fendo-12-740913-g002.jpg?><?image-size 137262?><?image-md5 b51108daae18c3a4c1b8ecae6b77da7b?><?image-image-server-status LOAD_COMPLETED?><?image-original-height 1416?><?image-original-width 1690?><?image-scaled-height 566?><?image-scaled-width 676?><?image-cloudpmc-urn urn:cdn:blobs/e5af/8564136/b51108daae18/fendo-12-740913-g002.jpg?><?thumb-name fendo-12-740913-g002.gif?><?thumb-size 16936?><?thumb-md5 3838377c373f09a8fd2d26f4303bd6f7?><?thumb-image-server-status NEVER_LOAD?><?thumb-scaled-height 84?><?thumb-scaled-width 100?><?thumb-cloudpmc-urn urn:cdn:blobs/e5af/8564136/3838377c373f/fendo-12-740913-g002.gif?></graphic></fig><p>Confocal microscopy in Neuro 2a and HEK 293 cells revealed that the ability to increase basal ERK1/2 activity corresponds well to the cell surface expression of CB<sub>1</sub>R constructs, with CMV-CB<sub>1</sub>R variants having around an order of magnitude higher plasmalemmal abundance than their TK-CB<sub>1</sub>R counterparts (<xref rid="f3" ref-type="fig">
<bold>Figures 3A, B</bold>
</xref>). Intriguingly, whereas Δ64 truncation improved plasma membrane targeting of CB<sub>1</sub>Rs under high-expression conditions, the same ablation did not enhance cell surface localization of weakly expressing TK-CB<sub>1</sub>R variants. These data together imply that CB<sub>1</sub>R-activated parallel MAPK signalling pathways display different sensitivity to supraphysiological CB<sub>1</sub>R expression, and that weak-expression recombinant CB<sub>1</sub> receptor variants mimic the behaviour of the endogenous receptors more closely than conventional high-expression CB<sub>1</sub>R constructs.</p><fig position="float" id="f3" orientation="portrait"><label>Figure 3</label><caption><p>
<italic toggle="yes">Confocal microscopic assessment of the localization of various CB<sub>1</sub>R mutants.</italic> Images of Neuro 2a <bold>(A)</bold> and HEK 293 <bold>(B)</bold> cells expressing GFP-tagged versions of the pertinent CB<sub>1</sub> receptor variants were acquired with spinning disk confocal microscopy along the entire z-axis of the cell. Slices positioned at the bottom 1/3 (<italic toggle="yes">i.e.</italic> close to the cell-coverslip interface) are presented and show an area of approx. 100 x 100 µm. (Please note that due to the significant differences in expression, the brightness of images showing TK promoter-driven receptor variants was increased to a higher extent.) Bar graphs show average plasma membrane and cytosolic fluorescent intensity after background subtraction. In all groups n=16; *p &lt; 0.05 when compared to TK-CB<sub>1</sub>R PM (one-way ANOVA followed by Dunn’s or Holm-Sidak’s multiple comparisons test for Neuro 2a and HEK 293, respectively), <sup>$</sup>p = 0.012 <italic toggle="yes">vs</italic>. TK-CB<sub>1</sub>R-cyto (one-way ANOVA and Dunn’s test), for the comparison between CMV-CB<sub>1</sub>R-cyto and CMV-Δ64-CB<sub>1</sub>R-cyto one-way ANOVA and Holm-Sidak’s test were applied.</p></caption><graphic xmlns:xlink="http://www.w3.org/1999/xlink" position="float" orientation="portrait" xlink:href="fendo-12-740913-g003.jpg"><?image-name fendo-12-740913-g003.jpg?><?image-size 180363?><?image-md5 c0716900db67d8341bed9d854dc17af1?><?image-image-server-status LOAD_COMPLETED?><?image-original-height 1507?><?image-original-width 1177?><?image-scaled-height 1004?><?image-scaled-width 784?><?image-cloudpmc-urn urn:cdn:blobs/e5af/8564136/c0716900db67/fendo-12-740913-g003.jpg?><?thumb-name fendo-12-740913-g003.gif?><?thumb-size 17612?><?thumb-md5 ec916332c6ea9f7dc37675a5557a0b93?><?thumb-image-server-status NEVER_LOAD?><?thumb-scaled-height 128?><?thumb-scaled-width 100?><?thumb-cloudpmc-urn urn:cdn:blobs/e5af/8564136/ec916332c6ea/fendo-12-740913-g003.gif?></graphic></fig></sec><sec id="s3_4"><title>Low CB<sub>1</sub>R Expression Levels Ensure Predominant G<sub>i/o</sub> Coupling</title><p>The coupling preference of CB<sub>1</sub>Rs may be swayed from G<sub>i/o</sub> proteins towards the G<sub>s</sub> pathway by several factors (<xref rid="B34" ref-type="bibr">34</xref>–<xref rid="B36" ref-type="bibr">36</xref>) including the expression level of the receptor itself (<xref rid="B15" ref-type="bibr">15</xref>). Therefore, we tested the effect of ACEA and the CB<sub>1</sub>R full agonist WIN 55,212-2 on cytosolic cAMP in Neuro 2a neuroblasts and HEK 293 cells expressing various CB<sub>1</sub>R clones. In Neuro 2a cells expressing endogenous CB<sub>1</sub>Rs only, both ligands reduced the basal and forskolin-stimulated cAMP concentrations signifying G<sub>i/o</sub> coupling. This G<sub>i/o</sub> preference was clearly retained in Neuro 2a and HEK 293 cells transfected with either the TK-CB<sub>1</sub>R or the TK-Δ64-CB<sub>1</sub>R clones but was lost or shifted towards G<sub>s</sub> when CB<sub>1</sub>R expression was driven by the CMV promoter (<xref rid="f4" ref-type="fig">
<bold>Figure 4</bold>
</xref>). Thus, as seen with the other cannabinoid signalling pathways and receptor degradation, the weakly expressed full-length CB<sub>1</sub>Rs satisfyingly resemble the signalling behaviour of endogenous receptors.</p><fig position="float" id="f4" orientation="portrait"><label>Figure 4</label><caption><p>
<italic toggle="yes">Effect of CB<sub>1</sub>R stimulation on cytosolic cAMP.</italic> Neuro 2a <bold>(A)</bold> and HEK 293 <bold>(B)</bold> cells expressing the EPAC-based intramolecular cAMP sensor together with the indicated CB<sub>1</sub>R variant were stimulated first with the CB<sub>1</sub>R agonists ACEA (20 µM) or WIN55,212-2 (1 µM) or vehicle (arrows) followed by the addition of forskolin (1 µM) or vehicle (arrowheads). BRET ratios were normalized to the average measured during control period. (In one experiment, the effect of the CB<sub>1</sub>R inverse agonist AM251 (2 µM) was also tested instead of CB<sub>1</sub>R agonist; average of 3 wells are shown.) Number of observations was min. 8 wells from 3 independent experiments. In some cases, to aid perceptibility, mean + or – S.E.M are presented only; in some graphs, symbols are larger than error bars and thus the latter are not visible. Data were analysed with 2-way ANOVA in combination with Dunnett’s multiple comparisons test. Symbols represent significances as follows: *: significant difference (p &lt; 0.0001) <italic toggle="yes">vs</italic>. DMSO-DMSO detected after the addition of forskolin; # and $: significant difference (p &lt; 0.0001) <italic toggle="yes">vs</italic>. DMSO-forskolin detected after the addition of forskolin; ## and $$: significant difference (p &lt; 0.05) <italic toggle="yes">vs</italic>. DMSO-forskolin detected already after the addition of the CB<sub>1</sub>R agonist and before forskolin stimulation and significance increased (p &lt; 0.0001) after the addition of forskolin.</p></caption><graphic xmlns:xlink="http://www.w3.org/1999/xlink" position="float" orientation="portrait" xlink:href="fendo-12-740913-g004.jpg"><?image-name fendo-12-740913-g004.jpg?><?image-size 142098?><?image-md5 1ac8e418c00551495dde49278cd59c14?><?image-image-server-status LOAD_COMPLETED?><?image-original-height 1342?><?image-original-width 1815?><?image-scaled-height 537?><?image-scaled-width 726?><?image-cloudpmc-urn urn:cdn:blobs/e5af/8564136/1ac8e418c005/fendo-12-740913-g004.jpg?><?thumb-name fendo-12-740913-g004.gif?><?thumb-size 15968?><?thumb-md5 99d63170762c9a1d014ba78525e7a0c3?><?thumb-image-server-status NEVER_LOAD?><?thumb-scaled-height 80?><?thumb-scaled-width 108?><?thumb-cloudpmc-urn urn:cdn:blobs/e5af/8564136/99d63170762c/fendo-12-740913-g004.gif?></graphic></fig></sec></sec><sec sec-type="discussion" id="s4"><title>Discussion</title><p>Meticulous characterization of receptor-ligand interactions is vital for pharmacological research and can reduce the risk of severe side-effects and idiosyncratic drug reactions. This is well illustrated by the caveats in cannabinoid ligand development – brain-penetrant CB<sub>1</sub>R inverse antagonist proved to be potent anti-obesity drugs (<xref rid="B37" ref-type="bibr">37</xref>) but exerted serious psychiatric side effects and had to be eventually withdrawn (<xref rid="B38" ref-type="bibr">38</xref>, <xref rid="B39" ref-type="bibr">39</xref>). Such side effects may be hidden deeply in the pharmacological properties of drugs and thus may be hard to recognize at first. Nevertheless, meticulous pharmacological profiling can overcome these pitfalls to exploit the real therapeutic potential of future pharmacons (<xref rid="B4" ref-type="bibr">4</xref>, <xref rid="B13" ref-type="bibr">13</xref>, <xref rid="B40" ref-type="bibr">40</xref>). Artificially induced expression of GPCRs in cell lines is key to deciphering almost all aspects of receptor function, and it represents a key tool for pharmacological studies. However, overexpression of a receptor may fundamentally change its biological properties such as receptor trafficking and coupling to signalling partners (<xref rid="B15" ref-type="bibr">15</xref>–<xref rid="B18" ref-type="bibr">18</xref>, <xref rid="B41" ref-type="bibr">41</xref>, <xref rid="B42" ref-type="bibr">42</xref>).</p><p>In the present study, we explored the role of expression level on CB<sub>1</sub>R function. To this end, we changed the conventional high-efficiency CMV promoter to the less effective HSV thymidine kinase promoter. The HSV thymidine kinase promoter was shown to yield significantly reduced but still detectable fluorescent protein levels, when compared to the CMV promoter (<xref rid="B43" ref-type="bibr">43</xref>). In our hands, TK promoter-driven weak CB<sub>1</sub>R expression was still sufficient to decrease cytosolic cAMP and induce detectable ERK 1/2 and p38 MAPK signalling upon CB<sub>1</sub>R stimulation. Furthermore, the full-length TK-CB<sub>1</sub>R construct was functional in 3 different cell types – HEK 293 cells, a general model of mammalian cells widely used in pharmacological research, in Neuro 2a murine neuroblasts (<xref rid="B29" ref-type="bibr">29</xref>) with high differentiation potential (<xref rid="B44" ref-type="bibr">44</xref>), and also in highly differentiated GnRH-secreting GT1-7 neurons (<xref rid="B30" ref-type="bibr">30</xref>).</p><p>CB<sub>1</sub>Rs are known to couple to several parallel downstream signal transduction pathways (<xref rid="B5" ref-type="bibr">5</xref>, <xref rid="B33" ref-type="bibr">33</xref>, <xref rid="B45" ref-type="bibr">45</xref>). Amongst these, reduction of cytosolic cAMP <italic toggle="yes">via</italic> the recruitment of the G<sub>i/o</sub> heterotrimeric G-protein was the first recognized intracellular effect of cannabinoids (<xref rid="B46" ref-type="bibr">46</xref>) and it is still appreciated as a crucial signalling step conveying many of the therapeutic effects (or side-effects) of cannabinoids (<xref rid="B13" ref-type="bibr">13</xref>, <xref rid="B47" ref-type="bibr">47</xref>). However, preference of CB<sub>1</sub>Rs may be shifted towards the G<sub>s</sub> pathway by several factors (<xref rid="B34" ref-type="bibr">34</xref>) (<xref rid="B35" ref-type="bibr">35</xref>, <xref rid="B36" ref-type="bibr">36</xref>), including the expression level of the receptor itself (<xref rid="B15" ref-type="bibr">15</xref>). Indeed, whereas endogenous receptors and low-expression recombinant CB<sub>1</sub>R variants displayed G<sub>i/o</sub> engagement predominantly, the G protein preference of CMV-driven CB<sub>1</sub>Rs was switched to the non-canonical G<sub>s</sub> pathway in our cAMP paradigm. This shift in cAMP signalling of cannabinoids was recognized early on (<xref rid="B41" ref-type="bibr">41</xref>, <xref rid="B48" ref-type="bibr">48</xref>) and was further characterized in an elegant recent study (<xref rid="B15" ref-type="bibr">15</xref>). Finlay and co-workers used HEK 293 cell lines stably expressing the CB<sub>1</sub>R with either high or low efficiency to show an analogous shift in G protein preference (<xref rid="B15" ref-type="bibr">15</xref>). Although stable cell lines offer several advantages over transient expression, this strategy can be laborious, and it can hardly be applied for mutational analysis of the receptor, when numerous permutations are usually examined.</p><p>It is noteworthy that a change in G protein preference is not a unique feature of the CB<sub>1</sub>R, as coupling of several GPCRS to G proteins is sensitive to the receptor - G protein ratio (<xref rid="B20" ref-type="bibr">20</xref>, <xref rid="B21" ref-type="bibr">21</xref>), to the available G protein pool, to net receptor density (<xref rid="B49" ref-type="bibr">49</xref>, <xref rid="B50" ref-type="bibr">50</xref>) and possibly to the applied ligand (<xref rid="B34" ref-type="bibr">34</xref>, <xref rid="B42" ref-type="bibr">42</xref>, <xref rid="B45" ref-type="bibr">45</xref>). For instance the luteinizing hormone receptor, the V<sub>2</sub> vasopressin receptor, the β<sub>1</sub>- and β<sub>2</sub>-adrenergic receptors were shown to induce inositol trisphosphate formation at high receptor counts only (<xref rid="B51" ref-type="bibr">51</xref>). Our present findings complement these literary data well and they together underline that receptor density, ligand properties and cell type must all be taken into account to draw reliable conclusions about physiological receptor signalling.</p><p>Phosphorylation of ERK 1/2 is a canonical effect of CB<sub>1</sub>R activation (<xref rid="B33" ref-type="bibr">33</xref>, <xref rid="B52" ref-type="bibr">52</xref>), and its mechanism depends on the cell type, the agonist, on receptor internalization, β-arrestin expression pattern and on the presence of allosteric modulators (<xref rid="B53" ref-type="bibr">53</xref>–<xref rid="B55" ref-type="bibr">55</xref>). Despite this complexity, weakly overexpressed full-length and endogenous CB<sub>1</sub>Rs produced practically identical ERK 1/2 concentration-response curves suggesting that these receptors engage the same combination of signalling partners to initiate ERK signalling. The highly expressed CMV-CB<sub>1</sub>Rs, on the other hand, shifted the dose-response curves to the left, in accordance with their higher plasma membrane expression. It has to be added here that higher plasma membrane expression did not shift the concentration-response curve in all scenarios. For instance, p38 MAPK activation appeared to be less sensitive to CB<sub>1</sub>R density in Neuro 2a cells. This phenomenon lays out of the scope of the present study and remains to be elucidated.</p><p>CMV-driven high-expression CB<sub>1</sub> receptors appear to have substantial basal activity compared to weakly expressed receptor variants. This notion is supported by i) the significant increase in basal ERK 1/2 phosphorylation ii) by the smaller forskolin-induced cAMP increase in CMV-CB<sub>1</sub>R expressing cells indicating basal G<sub>s</sub> engagement iii) and by the formation of cytosolic protrusions in non-stimulated CMV-CB<sub>1</sub>R expressing Neuro 2a neuroblast (<xref rid="SF3" ref-type="supplementary-material">
<bold>Supplementary Figure 3</bold>
</xref>) that may signify increased basal CB<sub>1</sub>R activity in these cells (<xref rid="B56" ref-type="bibr">56</xref>, <xref rid="B57" ref-type="bibr">57</xref>). Basal endocannabinoid production and CB<sub>1</sub>R activity is most probably inherent to most cells (<xref rid="B58" ref-type="bibr">58</xref>, <xref rid="B59" ref-type="bibr">59</xref>) but overactive CB<sub>1</sub>R signalling under resting conditions may have several uncontrolled effects that need to be carefully considered when interpreting experimental results.</p><p>Similarly to signalling, the weakly expressed TK-CB<sub>1</sub>R also mimicked the distribution pattern of endogenous receptors. The presence of receptors in intracellular vesicle-like structures was easily notable with low-expression full length TK-CB<sub>1</sub>Rs, closely resembling the distribution of endogenous CB<sub>1</sub>Rs in Neuro 2a and primary hippocampal neurons (<xref rid="B60" ref-type="bibr">60</xref>). Intracellular receptors associate to both non-endolysosomal vesicles (<xref rid="B60" ref-type="bibr">60</xref>) and to endolysosomes as a result of internalization (<xref rid="B58" ref-type="bibr">58</xref>, <xref rid="B61" ref-type="bibr">61</xref>). In this regard, it is noteworthy to recall that weakly expressed bradykinin type-2 receptors also display higher internalization rate than highly expressed counterparts (<xref rid="B62" ref-type="bibr">62</xref>).</p><p>In an elegant series of experiments, Andersson and colleagues showed that high-expression CB<sub>1</sub>R variants exhibit substantial proteasomal degradation that can be mitigated by truncating the long N-terminal tail (<xref rid="B22" ref-type="bibr">22</xref>). Our data corroborates their findings as we also observed that Δ64 modification ameliorates proteasomal degradation and improves plasmalemmal localization of CMV-CB<sub>1</sub>R variants. We further extended this paradigm by showing that tuning down the expression level <italic toggle="yes">alone</italic> is sufficient to redirect CB<sub>1</sub> receptors from proteasomal degradation pathways towards endolysosomal processing, which is characteristic of endogenous receptors (<xref rid="B33" ref-type="bibr">33</xref>). Intriguingly, as opposed to high-expression variants, Δ64 deletion in low expression TK-CB<sub>1</sub>R variants increased the diffuse cytoplasmic fluorescence, implying that the long N-terminal tail may be a limiting factor of normal ER translocation under high-expression conditions only. Altogether, the weakly expressed full-length CB<sub>1</sub>R mimics the intracellular distribution as well as the receptor degradation properties of the endogenous receptor reasonably well.</p><p>In conclusion, our data demonstrate that using vectors with low efficiency promoters for the heterologous expression of CB<sub>1</sub>Rs is a favourable option for studying cannabinoid ligands and CB<sub>1</sub>R function. Low-level CB<sub>1</sub>R expression provides receptor distribution, G<sub>i/o</sub>, ERK 1/2 and p38 MAPK signalling that are comparable to that observed with endogenous receptors, and precludes non-canonical signalling and overt proteasomal degradation. Whether these benefits also extend to other CB<sub>1</sub>R-mediated signalling events, such as ceramide production, G<sub>q</sub> recruitment or protein-tyrosine kinase activation, needs to be elucidated by future studies.</p></sec><sec sec-type="data-availability" id="s5"><title>Data Availability Statement</title><p>The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.</p></sec><sec sec-type="author-contributions" id="s6"><title>Author Contributions</title><p>VH, AT, and GS conceived and designed the study. VH and GS performed the majority of experiments and analysed most of the data. ES-K, AT, and GS planned, carried out and analysed cAMP measurements. ÉW assisted with molecular biological work. AR and EH cultured the cells. AR performed transfection, western blot, and analytical work. BE performed confocal microscopy. LH contributed to data analysis, manuscript amendment, discussion, and proofreading. GS, AT, and VH wrote the MS. All authors read the manuscript and agreed with the final version.</p></sec><sec sec-type="funding-information" id="s7"><title>Funding</title><p>This work was supported by the following grants: National Research, Development and Innovation Office grants (NKFI-6/FK_124038) to GS and by the Scientific and Innovation Fund (26303/AOELT/2019) of the Semmelweis University, Budapest, Hungary, to GS. The laboratories were also funded by the Hungarian National Research, Development and Innovation Fund (grant numbers: NVKP_16-1-2016-0039 and NKFI K116954) to LH. BE was supported by a “Lendület” grant from the Hungarian Academy of Sciences (LP2018-13/2018) and funding form EU’s Horizon 2020 research and innovation program (grant agreement No. 739593). The Department of Physiology also received funds from Higher Education Institutional Excellence Programme (FIKP) of the Ministry of Human Capacities in Hungary, within the framework of the Molecular Biology thematic programme of the Semmelweis University.</p></sec><sec sec-type="COI-statement" id="s8"><title>Conflict of Interest</title><p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p></sec><sec sec-type="disclaimer" id="s9"><title>Publisher’s Note</title><p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p></sec></body><back><ack><title>Acknowledgments</title><p>We are indebted to Dr. András Balla and to Prof. Péter Várnai (Semmelweis University, Budapest, Hungary) for providing the cAMP-EPAC sensor, assistance with cloning and for valuable discussion.</p></ack><sec sec-type="supplementary-material" id="s10"><title>Supplementary Material</title><p>The Supplementary Material for this article can be found online at: <ext-link xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="https://www.frontiersin.org/articles/10.3389/fendo.2021.740913/full#supplementary-material" ext-link-type="uri">https://www.frontiersin.org/articles/10.3389/fendo.2021.740913/full#supplementary-material</ext-link>
</p><supplementary-material id="SF1" position="float" content-type="local-data" orientation="portrait"><label>Supplementary Figure 1</label><caption><p>
<bold>(A)</bold> Neuro 2a cells express CB<sub>1</sub>R endogenously as assessed by siRNA-mediated knock-down. Cells were transfected with siRNA directed against murine cnr1 or with a minimally-altered non-silencing double-stranded RNA (control dsRNA) and with various CB<sub>1</sub>R mutants or empty plasmid as indicated. Actin immunoreactivity was used as loading control. Representative for 3 independent experiments (p &lt; 0.05 for the effect of siRNA on CB<sub>1</sub>R expression; ANOVA and Holm-Sidak’s test). <bold>(B)</bold> Endogenous CB<sub>1</sub>Rs in Neuro 2a cells are primarily processed/degraded in the endolysosome system. Neuro 2a cells were treated with the proteasome inhibitor MG-132, the lysosomal inhibitor chloroquine (200 µM) or with DMSO (vehicle) for 8 h, as indicated, and CB<sub>1</sub>R protein expression was evaluated with immunoblotting. Bar graph represents the ratio of CB<sub>1</sub>R band density between ~50-100 kDa to that below 40 kDa. n = 4 in all groups; *p &lt; 0.05 when compared to vehicle (Kruskal-Wallis ANOVA followed by Dunn’s multiple comparisons test). <bold>(C)</bold> The high-expression CMV-CB<sub>1</sub>R variant exhibits high turnover proteasomal degradation while TK promoter-driven receptors are processed in the endolysosomal system. GT1-7 neurons transfected with the CMV (left and middle blots) or TK (right blots) promoter-driven full-length or Δ64-CB<sub>1</sub> receptor variants were exposed to the lysosomal inhibitor chloroquine (200 µM), the proteasome inhibitor Mg-132 (200 nM), the calpain and cathepsin B inhibitor MDL-28170 (25 µM), or the trypsin-like/cysteine protease inhibitors E64 (20 µM) and leupeptin (10 mg/mL) for 8 h and CB<sub>1</sub>R expression pattern was analysed by western blotting. For statistical analysis, see <italic toggle="yes">Panel D</italic>. <bold>(D)</bold> Statistical analysis of blots shown on <italic toggle="yes">Panel C</italic>; ratio of CB<sub>1</sub>R band density between ~50-100 kDa to that measured below 40 kDa were evaluated. Number of observations was 4 in all groups except for CMV-Δ64-CB<sub>1</sub>R n=3; *p &lt; 0.05 <italic toggle="yes">vs</italic>. vehicle control (one-way parametric or Kruskal-Wallis ANOVA with Holm-Sidak’s or Dunn’s post-hoc tests, respectively). <bold>(E)</bold> None of the recombinant CB<sub>1</sub>R variants induce significant ER stress response. Neuro 2a, HEK 293 and GT1-7 cells transfected with various CB<sub>1</sub>R constructs or empty plasmid (non-transfected) were analysed for ER stress by monitoring eIF2α phosphorylation with immunoblotting. As positive control, non-transfected Neuro 2a cells were exposed to 200 nM thapsigargin, an inhibitor of SERCA Ca<sup>2+</sup> pumps, for 4 h in serum-free DMEM. Number of observations from left to right, Neuro 2a n = 4-4-9-9-9-9, HEK 293 n=3 in all groups, GT1-7 n = 4-5-5-5-5; *p &lt; 0.0001 <italic toggle="yes">vs</italic>. non-transfected DMSO treated group (ANOVA and Holm-Sidak’s test).</p></caption><media xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="Image_1.tif" position="float" orientation="portrait"><?suppdata-name Image_1.tif?><?suppdata-size 1489264?><?suppdata-md5 0af781bbae214a4d086ad21be8990163?><?suppdata-image-server-status NEVER_LOAD?><?suppdata-mime-type image?><?suppdata-mime-sub-type tiff?><?suppdata-cloudpmc-urn urn:app:e5af/8564136/0af781bbae21/Image_1.tif?><caption><p>Click here for additional data file.</p></caption></media></supplementary-material><supplementary-material id="SF2" position="float" content-type="local-data" orientation="portrait"><label>Supplementary Figure 2</label><caption><p>
<bold>(A)</bold> ACEA-evoked ERK 1/2 activation requires the presence of CB<sub>1</sub>Rs. Neuro 2a cells were transfected with non-silencing dsRNA or with siRNA directed against endogenous CB<sub>1</sub>Rs or exposed to transfection reagent only (‘no dsRNA’) and were stimulated with the anandamide analogue ACEA for 3 min. Representative for 2 independent experiments; p = 0.035 for the effect of siRNA on phospho-ERK 1/2 response (Mann-Whitney test; n = 5 and 4 for dsRNA treated ACEA exposed and siRNA treated ACEA exposed). <bold>(B)</bold> Western blot analysis of p38 MAPK phosphorylation evoked by ACEA <italic toggle="yes">via</italic> the different CMV and TK promoter-driven and endogenous CB<sub>1</sub> receptors stimulated with ACEA. Neuro 2a, HEK and GT1-7 cells expressing the indicated CB<sub>1</sub>R variants or endogenous receptors (Neuro 2a) were stimulated with various doses of ACEA in at 37°C in DMEM + HEPES for 5 min. Representative western blots are shown. Please note that, although presented as separate blots, p-ERK and t-ERK membranes were actually developed under identical conditions (incl. exposure times) so these images may be directly compared within the pertinent cell type. <bold>(C)</bold> Dose-response curves for p38 MAPK activation calculated as described for Fig.2.B. Number of observations was min 3/construct/[ACEA].</p></caption><media xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="Image_2.tif" position="float" orientation="portrait"><?suppdata-name Image_2.tif?><?suppdata-size 765336?><?suppdata-md5 633abd9867913166be6eb6507b8619e2?><?suppdata-image-server-status NEVER_LOAD?><?suppdata-mime-type image?><?suppdata-mime-sub-type tiff?><?suppdata-cloudpmc-urn urn:app:e5af/8564136/633abd986791/Image_2.tif?><caption><p>Click here for additional data file.</p></caption></media></supplementary-material><supplementary-material id="SF3" position="float" content-type="local-data" orientation="portrait"><label>Supplementary Figure 3</label><caption><p>
<bold>(A)</bold> Structure of GFP-tagged CB<sub>1</sub>R constructs used in microscopic experiments. <bold>(B)</bold> CMV promoter-driven heterologous expression of CB<sub>1</sub>Rs triggers extensive filopodium formation in Neuro 2a and HEK 293 cells as compared to TK-CB<sub>1</sub>R constructs. Images along the entire z-axis of cells were obtained as described for <italic toggle="yes">Figure 3</italic>. To give a 2-dimensional representation of the entire cell, z-stacks were compressed into a single image using the ZProjection-maximal intensity algorithm of Image J (Fiji version). (Please note again that the brightness of images showing TK-CB<sub>1</sub>R variants was increased stronger than of CMV images for representative purposes).</p></caption><media xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="Image_3.tif" position="float" orientation="portrait"><?suppdata-name Image_3.tif?><?suppdata-size 1162924?><?suppdata-md5 1f5793dbd19b62de8b69546c798b77dc?><?suppdata-image-server-status NEVER_LOAD?><?suppdata-mime-type image?><?suppdata-mime-sub-type tiff?><?suppdata-cloudpmc-urn urn:app:e5af/8564136/1f5793dbd19b/Image_3.tif?><caption><p>Click here for additional data file.</p></caption></media></supplementary-material><supplementary-material id="SM1" position="float" content-type="local-data" orientation="portrait"><media xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="Table_1.xlsx" position="float" orientation="portrait"><?suppdata-name Table_1.xlsx?><?suppdata-size 14318?><?suppdata-md5 1c1aa8e49080e95a08ea769a3875a8ce?><?suppdata-image-server-status NEVER_LOAD?><?suppdata-mime-type application?><?suppdata-mime-sub-type vnd.openxmlformats-officedocument.spreadsheetml.sheet?><?suppdata-cloudpmc-urn urn:app:e5af/8564136/1c1aa8e49080/Table_1.xlsx?><caption><p>Click here for additional data file.</p></caption></media></supplementary-material><supplementary-material id="SM2" position="float" content-type="local-data" orientation="portrait"><media xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="Table_2.xlsx" position="float" orientation="portrait"><?suppdata-name Table_2.xlsx?><?suppdata-size 11045?><?suppdata-md5 392237277804eb9b7b8bb5f39063a24b?><?suppdata-image-server-status NEVER_LOAD?><?suppdata-mime-type application?><?suppdata-mime-sub-type vnd.openxmlformats-officedocument.spreadsheetml.sheet?><?suppdata-cloudpmc-urn urn:app:e5af/8564136/392237277804/Table_2.xlsx?><caption><p>Click here for additional data file.</p></caption></media></supplementary-material><supplementary-material id="SM3" position="float" content-type="local-data" orientation="portrait"><media xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="Table_3.xlsx" position="float" orientation="portrait"><?suppdata-name Table_3.xlsx?><?suppdata-size 11743?><?suppdata-md5 b9ce2d012797de253c34e9500732318b?><?suppdata-image-server-status NEVER_LOAD?><?suppdata-mime-type application?><?suppdata-mime-sub-type vnd.openxmlformats-officedocument.spreadsheetml.sheet?><?suppdata-cloudpmc-urn urn:app:e5af/8564136/b9ce2d012797/Table_3.xlsx?><caption><p>Click here for additional data file.</p></caption></media></supplementary-material></sec><ref-list><title>References</title><ref id="B1"><label>1</label><mixed-citation publication-type="journal">
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