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The expression level of CB1 and CB2 receptors determines their efficacy at inducing apoptosis in astrocytomas
Eiron Cudaback1, William Marrs, Thomas Moeller
1Department of Pharmacology, University of Washington, Seattle, Washington, United States of America.
Background:
Cannabinoids represent unique compounds for treating tumors, including astrocytomas. Whether CB(1) and CB(2) receptors mediate this therapeutic effect is unclear.
Principal Findings:
We generated astrocytoma subclones that express set levels of CB(1) and CB(2), and found that cannabinoids induce apoptosis only in cells expressing low levels of receptors that couple to ERK1/2. In contrast, cannabinoids do not induce apoptosis in cells expressing high levels of receptors because these now also couple to the prosurvival signal AKT. Remarkably, cannabinoids applied at high concentration induce apoptosis in all subclones independently of CB(1), CB(2) and AKT, but still through a mechanism involving ERK1/2.
Significance:
The high expression level of CB(1) and CB(2) receptors commonly found in malignant astrocytomas precludes the use of cannabinoids as therapeutics, unless AKT is concomitantly inhibited, or cannabinoids are applied at concentrations that bypass CB(1) and CB(2) receptors, yet still activate ERK1/2.
Insights
Cannabinoids show potential for treating astrocytomas, but receptor levels matter. High CB(1) and CB(2) receptor expression can block cannabinoid-induced apoptosis unless AKT is inhibited or high concentrations are used.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Cannabinoids are investigated for their potential in treating tumors, including astrocytomas.
- The precise role of cannabinoid receptors (CB1 and CB2) in mediating these therapeutic effects remains unclear.
Purpose of the Study:
- To investigate the role of CB1 and CB2 receptor expression levels in cannabinoid-induced apoptosis in astrocytoma cells.
- To elucidate the signaling pathways involved in cannabinoid response in astrocytoma.
Main Methods:
- Generation of astrocytoma subclones with varying expression levels of CB1 and CB2 receptors.
- Analysis of apoptosis induction by cannabinoids in relation to receptor expression and downstream signaling pathways (ERK1/2 and AKT).
Main Results:
- Cannabinoids induced apoptosis in astrocytoma cells with low CB1/CB2 receptor levels coupled to ERK1/2.
- Cells with high CB1/CB2 receptor levels, coupled to the prosurvival AKT pathway, did not undergo apoptosis.
- High concentrations of cannabinoids induced apoptosis in all cell lines, independent of CB1/CB2 and AKT, but still involving ERK1/2.
Conclusions:
- High expression of CB1 and CB2 receptors in malignant astrocytomas may limit cannabinoid efficacy.
- Therapeutic use of cannabinoids could be feasible if AKT is inhibited or if high concentrations are used to bypass receptor-dependent pathways.
- The ERK1/2 pathway remains a critical mediator of cannabinoid-induced apoptosis, even at high concentrations.
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