Cited by 669Cannabis and Cannabinoid ResearchNatural Compounds in Disease TreatmentRheumatoid Arthritis Research and Therapies

The nonpsychoactive cannabis constituent cannabidiol is an oral anti-arthritic therapeutic in murine collagen-induced arthritis

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Malfait, A. M., Gallily, R., Sumariwalla, P. F., Malik, A. S., Andreakos, E., Mechoulam, R., Feldmann, M.·2000·Proceedings of the National Academy of Sciences

Abstract

The therapeutic potential of cannabidiol (CBD), the major nonpsychoactive component of cannabis, was explored in murine collagen-induced arthritis (CIA). CIA was elicited by immunizing DBA/1 mice with type II collagen (CII) in complete Freund's adjuvant. The CII used was either bovine or murine, resulting in classical acute CIA or in chronic relapsing CIA, respectively. CBD was administered after onset of clinical symptoms, and in both models of arthritis the treatment effectively blocked progression of arthritis. CBD was equally effective when administered i.p. or orally. The dose dependency showed a bell-shaped curve, with an optimal effect at 5 mg/kg per day i.p. or 25 mg/kg per day orally. Clinical improvement was associated with protection of the joints against severe damage. Ex vivo, draining lymph node cells from CBD-treated mice showed a diminished CII-specific proliferation and IFN-γ production, as well as a decreased release of tumor necrosis factor by knee synovial cells. In vitro effects of CBD included a dose-dependent suppression of lymphocyte proliferation, both mitogen-stimulated and antigen-specific, and the blockade of the Zymosan-triggered reactive oxygen burst by peritoneal granulocytes. It also was found that CBD administration was capable of blocking the lipopolysaccharide-induced rise in serum tumor necrosis factor in C57/BL mice. Taken together, these data show that CBD, through its combined immunosuppressive and anti-inflammatory actions, has a potent anti-arthritic effect in CIA.

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Cited by

Sorted by citations

Authors
Malfait, A. M., Gallily, R., Sumariwalla, P. F., Malik, A. S., Andreakos, E., Mechoulam, R., & Feldmann, M.
Affiliations
Hebrew University of Jerusalem (IL)
Venue
Proceedings of the National Academy of Sciences
Published
2000-08
Volume
97
Issue
17
Pages
9561-9566
ISSN
  • 0027-8424 (ISSN-L)
  • 1091-6490
OpenAlex
W1996081689
Cited by
669
References
2
Citations by year
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FWCI
9.71
Type
journal article
Language
en
Open access
Locations
  • Proceedings of the National Academy of Sciences (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Pharmacology › Cannabis and Cannabinoid Research
  • Health Sciences › Medicine › Complementary and alternative medicine › Natural Compounds in Disease Treatment
  • Health Sciences › Medicine › Rheumatology › Rheumatoid Arthritis Research and Therapies
Keywords
cannabidiol, collagen-induced arthritis, arthritis treatment, oral administration, immunosuppression, anti-inflammatory activity, type II collagen, lymphocyte proliferation, interferon-gamma, TNF-α, granulocytes, synoviocytes
MeSH terms
Administration, Oral, Animals, Arthritis, Cannabidiol, Cannabis, Cattle, Cell Division, Collagen, Disease Models, Animal, Dose-Response Relationship, Drug, Granulocytes, Hindlimb, Interferon-gamma, Joints, Lipopolysaccharides, Lymph Nodes, Lymphocyte Activation, Male, Mice, Inbred C57BL, Mice, Inbred DBA, Peritoneum, Synovial Fluid, Tumor Necrosis Factor-alpha, Zymosan, Reactive Oxygen Species, Th1 Cells, Mice

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