**Background:** Synthetic cannabinoids (SCs) like MAM-2201 and its analogue AM-2201 are potent CB1/CB2 receptor agonists found in 'spice' products and 'synthacaine'. Despite reports of intoxication, impaired driving, and psychotic symptoms, the in vivo pharmacodynamic profile of MAM-2201 was poorly characterized. This study aimed to compare the in vitro and in vivo effects of MAM-2201 and AM-2201 in mice, focusing on sensorimotor, motor, sensory gating, and memory functions.
**Methods:** In vitro, competition binding and cAMP assays were performed on human and murine CB1/CB2 receptors. In vivo, male CD-1 mice received acute i.p. injections of MAM-2201 (0.01–6 mg/kg) or AM-2201 (0.01–1 mg/kg). Sensorimotor tests (visual object, visual placing, acoustic, tactile reflexes) were assessed over 5 h. Spontaneous locomotion was measured via ANY-maze for 240 min. Prepulse inhibition (PPI) of acoustic startle was tested at 15 and 120 min post-injection. Novel object recognition (NOR) memory was evaluated at 2 h (short-term) and 24 h (long-term) after drug administration. Antagonism studies used AM-251 (6 mg/kg) 20 min before MAM-2201.
**Key Results:** In vitro, both compounds showed nanomolar affinity for CB1 and CB2 receptors, with MAM-2201 slightly higher (e.g., human CB1 Ki = 1.11 ± 0.12 nM vs. 1.66 ± 0.13 nM for AM-2201). In vivo, MAM-2201 dose-dependently impaired all sensorimotor responses (e.g., visual object: F5,336=376.2, p<0.0001; acoustic: F5,336=297.2, p<0.0001; tactile: F5,336=404.4, p<0.0001). ED50 values for MAM-2201 were lower than AM-2201 for visual object (1.140 vs. 1.976 mg/kg), visual placing (0.291 vs. 0.500 mg/kg), and overall tactile (1.861 vs. 2.120 mg/kg). AM-251 fully prevented these impairments (p<0.001). MAM-2201 (1 and 6 mg/kg) reduced distance traveled and increased immobility time (F4,720=12.95, p<0.0001). PPI was significantly reduced at 0.1 and 1 mg/kg at 15 and 120 min (e.g., 68 dB prepulse: F3,36=11.38, p<0.0001). NOR memory was impaired at 2 h and 24 h for both compounds (MAM-2201: F3,36=45.99, p<0.0001 at 2 h; AM-2201: F3,36=56.13, p<0.0001 at 2 h), with RI reversal at 1 mg/kg. Total object exploration was reduced only at 1 mg/kg.
**Clinical Implications:** MAM-2201 produces profound, CB1-mediated deficits in sensorimotor processing, motor coordination, sensory gating, and working memory in mice, often at doses that spare general locomotion. These effects mirror human intoxication cases (e.g., impaired driving, confusion, motor skill disturbance). The long-lasting memory impairment (up to 24 h) and PPI disruption suggest risks for psychosis and cognitive dysfunction. The findings underscore the public health burden of SCs, particularly for driving under the influence and occupational safety, where even low doses may impair critical functions without obvious motor sedation.