OBJECTIVE
Aim of this study was to evaluate a possible association between endocannabinoid (EC) plasma levels, such as anandamide (AEA) and <em>2</em>-<em>arachidonoylglycerol</em> (<em>2</em>-AG), and coronary circulatory function in obesity.
RESULTS
Myocardial blood flow (MBF) responses to cold pressor test (CPT) and during pharmacological vasodilation with dipyridamole were measured with (13)N-ammonia PET/CT. Study participants (n = 77) were divided into three groups based on their body mass index (BMI, kg/m(<em>2</em>)): control group <em>2</em>0 ≤ BMI (<em>2</em>5 (n = <em>2</em>1); overweight group, <em>2</em>5 ≤ BMI <30 (n = <em>2</em>6); and obese group, BMI ≥ 30 (n = 30). Anandamide plasma levels, but not <em>2</em>-AG plasma levels, were significantly elevated in obesity as compared with controls, respectively [0.68 (0.53, 0.78) vs. 0.56 (0.47, 0.66) ng/mL, P = 0.0<em>2</em>0, and <em>2</em>.<em>2</em> (1.<em>2</em>1, 4.59) vs. <em>2</em>.0 (0.80, 5.90) ng/mL, P = 0.806)]. The endothelium-related change in MBF during CPT from rest (ΔMBF) progressively declined in overweight and obese when compared with control group [0.<em>2</em>1 (0.10, 0.<em>2</em>7) and 0.09 (-0.01, 0.15) vs. 0.<em>2</em>6 (0.<em>2</em>3, 0.39) mL/g/min; P = 0.010 and P = 0.0001, respectively). Compared with controls, hyperaemic MBFs were significantly lower in overweight and obese individuals [<em>2</em>.39 (1.97, <em>2</em>.6<em>2</em>) vs. 1.98 (1.69, <em>2</em>.<em>2</em>6) and <em>2</em>.10 (1.76, <em>2</em>.36); P = 0.007 and P = 0.04<em>2</em>, respectively)]. In obese individuals, AEA and <em>2</em>-AG plasma levels were inversely correlated with ΔMBF to CPT (r = -0.37, P = 0.046 and r = -0.48, P = 0.008) and hyperaemic MBFs (r = -0.38, P = 0.05<em>2</em> and r = -0.45, P = 0.017), respectively.
CONCLUSIONS
Increased EC plasma levels of AEA and <em>2</em>-AG are associated with coronary circulatory dysfunction in obese individuals. This observation might suggest increases in EC plasma levels as a novel endogenous cardiovascular risk factor in obesity, but needing further investigations.