RT Journal Article T1 Contribution of Altered Endocannabinoid System to Overactive mTORC1 Signaling in Focal Cortical Dysplasia A1 García Rincón, Daniel A1 Díaz Alonso, Javier A1 Paraíso Luna, Juan A1 Otega, Zaira A1 Aguareles Gorines, José A1 Salas Quiroga, Adán de A1 Jou, Cristina A1 Prada, Inmaculada de A1 Martínez Cerdeño, Verónica A1 Aronica, Eleonora A1 Guzmán, Manuel A1 Pérez-Jiménez, María Ángeles A1 Galve Roperh, Ismael AB Alterations of the PI3K/Akt/mammalian target of rapamycin complex 1 (mTORC1) signaling pathway are causally involved in a subset of malformations of cortical development (MCDs) ranging from focal cortical dysplasia (FCD) to hemimegalencephaly and megalencephaly. These MCDs represent a frequent cause of refractory pediatric epilepsy. The endocannabinoid system -especially cannabinoid CB1 receptor- exerts a neurodevelopmental regulatory role at least in part via activation of mTORC1 signaling. Therefore, we sought to characterize the possible contribution of endocannabinoid system signaling to FCD. Confocal microscopy characterization of the CB1 receptor expression and mTORC1 activation was conducted in FCD Type II resection samples. FCD samples were subjected to single nucleotide polymorphism screening for endocannabinoid system elements, as well as CB1 receptor gene sequencing. Cannabinoid CB1 receptor levels were increased in FCD with overactive mTORC1 signaling. CB1 receptors were enriched in phospho-S6-positive cells including balloon cells (BCs) that co-express aberrant markers of undifferentiated cells and dysplastic neurons. Pharmacological regulation of CB1 receptors and the mTORC1 pathway was performed in fresh FCD-derived organotypic cultures. HU-210-evoked activation of CB1 receptors was unable to further activate mTORC1 signaling, whereas CB1 receptor blockade with rimonabant attenuated mTORC1 overactivation. Alterations of the endocannabinoid system may thus contribute to FCD pathological features, and blockade of cannabinoid signaling might be a new therapeutic intervention in FCD. PB Frontiers Media SN 1663-9812 YR 2019 FD 2019-01 LK https://hdl.handle.net/20.500.14352/13503 UL https://hdl.handle.net/20.500.14352/13503 LA eng NO Unión Europea. H2020 NO Ministerio de Economía y Competitividad (MINECO)/FEDER NO Instituto de Salud Carlos III NO Ministerio de Educación, Cultura y Deporte (MECD) NO Fundación Tatiana Pérez de Guzmán el Bueno DS Docta Complutense RD 11 abr 2025