Atherosclerosis is characterized by the build up of fat, cholesterol, and immune cells in the walls of arteries to form plaques. When the surface of a plaque weakens, it can become unstable and rupture producing a heart attack or stroke, the leading cause of death in the US. The long-term goal of this research is to identify cellular mechanisms modulating atherosclerotic plaque in order to find new ways of treating atherosclerosis. Cannabinoids are compounds related to the active ingredient in marijuana and exert their effects by binding to cell surface receptors called cannabinoid receptors. Recent studies have shown cannabinoid receptors are dysregulated in a number of different inflammatory conditions, including atherosclerosis. Mice lacking the type 2 cannabinoid receptor, known as CB2, develop atherosclerotic plaques with evidence of reduced stability. However, the precise functions of CB2 in different stages of atherosclerosis are unclear, and it is unknown if targeting CB2 will trigger disease progression or provide a protective effect on plaque stability. The overall objectives of this research are to define the functions of CB2 in atherosclerosis and determine the effects of selectively targeting CB2 on plaques in atherosclerosis-prone mice. The central hypothesis is that macrophage CB2- dependent processes affect plaque stability, and that administration of CB2-selective compounds will provide beneficial effects on atherosclerosis. To test this hypothesis we propose the following specific aims: 1) Identify CB2-dependent effects on lesion stability in atherosclerosis-prone mice, 2) Identify CB2-dependent effects on atherosclerotic lesion calcification mechanisms in mice, and 3) Identify the cell types contributing to CB2-dependent effects on atherosclerosis in mice.
Each aim will be tested using atherosclerosis-prone mice which lack CB2 and by treating atherosclerosis-prone mice with compounds to selectively activate or inhibit CB2. This research is innovative because no data currently exist regarding the effects of CB2 in advanced atherosclerosis or how CB2-selective compounds will affect atherosclerosis. Ultimately, the knowledge gained from this project will advance the field of atherosclerosis research by providing information necessary to determine if CB2 is a viable target for the design of potentially new therapies to treat atherosclerosis in humans.

Public Health Relevance

With heart disease caused by atherosclerosis accounting for almost 20% of all health care related expenditures in the US, it is critical that new ways of treating this disease are found. The proposed research is relevant to public health and to the mission of NIH because: 1) learning how the type 2 cannabinoid receptor (CB2) functions in atherosclerosis in mice will provide clues as to the function of CB2 in atherosclerosis in humans, 2) learning how drugs targeting CB2 affect atherosclerosis in mice will aid the design of drugs targeting CB2 for use in humans, 3) learning the mechanism by which CB2 exerts effects on atherosclerosis in mice will open up new potential ways for altering CB2 activity to treat atherosclerosis, and 4) this work has broader application since other diseases, in addition to atherosclerosis, involve dysregulation of CB2.

National Institute of Health (NIH)
National Heart, Lung, and Blood Institute (NHLBI)
Academic Research Enhancement Awards (AREA) (R15)
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Special Emphasis Panel (ZRG1-VH-D (90))
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Hasan, Ahmed AK
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East Tennessee State University
Schools of Medicine
Johnson City
United States
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Fulmer, Makenzie L; Thewke, Douglas P (2018) The Endocannabinoid System and Heart Disease: The Role of Cannabinoid Receptor Type 2. Cardiovasc Hematol Disord Drug Targets 18:34-51
Garst, Christopher; Fulmer, Makenzie; Thewke, Doug et al. (2016) Optimized extraction of 2-arachidonyl glycerol and anandamide from aortic tissue and plasma for quantification by LC-MS/MS. Eur J Lipid Sci Technol 118:814-820
Netherland-Van Dyke, Courtney; Rodgers, Ward; Fulmer, Makenzie et al. (2015) Cannabinoid Receptor Type 2 (CB2) Dependent and Independent Effects of WIN55,212-2 on Atherosclerosis in Ldlr-null Mice. J Cardiol Ther 3:53-63