Pain and beyond: fatty acid amides and fatty acid amide hydrolase inhibitors in cardiovascular and metabolic diseases

Drug Discov Today. 2009 Dec;14(23-24):1098-111. doi: 10.1016/j.drudis.2009.08.002. Epub 2009 Aug 27.

Abstract

Fatty acid amide hydrolase (FAAH) is responsible for the hydrolysis of several important endogenous fatty acid amides (FAAs), including anandamide, oleoylethanolamide and palmitoylethanolamide. Because specific FAAs interact with cannabinoid and vanilloid receptors, they are often referred to as 'endocannabinoids' or 'endovanilloids'. Initial interest in this area, therefore, has focused on developing FAAH inhibitors to augment the actions of FAAs and reduce pain. However, recent literature has shown that these FAAs - through interactions with unique receptors (extracellular and intracellular) - can induce a diverse array of effects that include appetite suppression, modulation of lipid and glucose metabolism, vasodilation, cardiac function and inflammation. This review gives an overview of FAAs and diverse FAAH inhibitors and their potential therapeutic utility in pain and non-pain indications.

Publication types

  • Review

MeSH terms

  • Amides / metabolism*
  • Amidohydrolases / antagonists & inhibitors*
  • Animals
  • Cannabinoid Receptor Modulators / metabolism*
  • Cardiovascular Diseases / drug therapy*
  • Cardiovascular Diseases / metabolism
  • Central Nervous System Diseases / drug therapy
  • Central Nervous System Diseases / metabolism
  • Fatty Acids / metabolism*
  • Humans
  • Metabolic Diseases / drug therapy*
  • Metabolic Diseases / metabolism
  • Obesity / drug therapy
  • Obesity / metabolism
  • Pain / drug therapy*
  • Pain / metabolism
  • Receptors, Cannabinoid / metabolism

Substances

  • Amides
  • Cannabinoid Receptor Modulators
  • Fatty Acids
  • Receptors, Cannabinoid
  • Amidohydrolases
  • fatty-acid amide hydrolase