Cannabinoids inhibit fibrogenesis in diffuse systemic sclerosis fibroblasts
Abstract
OBJECTIVE: It has been demonstrated that the endocannabinoid system is up-regulated in pathologic fibrosis and that modulation of the cannabinoid receptors might limit the progression of uncontrolled fibrogenesis. The aim of this study was to investigate whether the synthetic cannabinoid receptor agonist WIN55,212-2 could modulate fibrogenesis in an in vitro model of dcSSc. METHODS: The expression of cannabinoid receptors CB1 and CB2 was assessed in dcSSc fibroblasts and healthy control fibroblasts. To investigate the effect of WIN55,212-2 on dcSSc fibrogenesis, we studied type I collagen, profibrotic cytokines, fibroblast transdifferentiation into myofibroblasts, apoptotic processes and activation of the extracellular signal-related kinase 1/2 pathway prior to and after the treatment with the synthetic cannabinoid at increasing concentrations. RESULTS: Both CB1 and CB2 receptors were over-expressed in dcSSc fibroblasts compared with healthy controls. WIN55,212-2 caused a reduction in extracellular matrix deposition and counteracted several behavioural abnormalities of scleroderma fibroblasts including transdifferentiation into myofibroblasts and resistance to apoptosis. The anti-fibrogenic effect of WIN55,212-2 was not reverted by selective cannabinoid antagonists. CONCLUSIONS: Our preliminary findings suggest that cannabinoids are provided with an anti-fibrotic activity, thereby possibly representing a new class of agents targeting fibrosis diseases.
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Stimulation of SSc skin fibroblasts with WIN55,212-2 lowers matrix production, myofibroblast formation, and production of TGFβ, CTGF, and IL-6.
“Stimulation of SSc skin fibroblasts with the synthetic cannabinoid WIN55,212-2 lowers matrix production, myofibroblast formation, and production of TGFβ, CTGF, and IL-6 (204).”
From Unraveling SSc Pathophysiology; The Myofibroblast (2018) · cites this paper as [204]
Skin fibroblasts express CBr2, and this expression is increased in SSc.
“Skin fibroblasts express CBr2, and this expression is increased in SSc (204).”
From Unraveling SSc Pathophysiology; The Myofibroblast (2018) · cites this paper as [204]
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- Authors
- Garcia-Gonzalez, E., Selvi, E., Balistreri, E., Lorenzini, S., Maggio, R., Natale, M.-R., Capecchi, P.-L., Lazzerini, P.-E., Bardelli, M., Laghi-Pasini, F., & Galeazzi, M.
- Affiliations
- University of Siena (IT)
- Venue
- Rheumatology
- Publisher
- Oxford University Press (OUP)
- Published
- 2009-07-09
- Volume
- 48
- Issue
- 9
- Pages
- 1050-1056
- ISSN
- 1462-0324 (ISSN-L)
- 1462-0332
- OpenAlex
- W2143882368
- Cited by
- 63
- References
- 40
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 3 · 2023: 3 · 2022: 6 · 2021: 8 · 2020: 10 · 2019: 5 · 2018: 7 · 2017: 1 · 2016: 3 · 2015: 4 · 2012: 5
- FWCI
- 2.36
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Lara D. Veeken (publishedVersion)
- PubMed (publishedVersion)
- Use Siena air (University of Siena) (submittedVersion)
- Funders
- Università degli Studi di Siena
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Systemic Sclerosis and Related Diseases
- Health Sciences › Medicine › Pharmacology › Cannabis and Cannabinoid Research
- Health Sciences › Medicine › Rheumatology › Dupuytren's Contracture and Treatments
- Keywords
- diffuse cutaneous systemic sclerosis, fibrogenesis, cannabinoids, WIN 55,212-2, CB1 receptor, CB2 receptor, endocannabinoid system, myofibroblast transdifferentiation, apoptosis resistance, extracellular matrix deposition, type I collagen, ERK signaling, profibrotic cytokines, antifibrotic therapy
- MeSH terms
- Interleukin-6 Inhibitors, Aged, Cannabinoids, Cell Survival, Cells, Cultured, Drug Evaluation, Preclinical, Female, Fibroblasts, Gene Expression Regulation, Humans, Male, Middle Aged, Morpholines, Naphthalenes, Phosphorylation, RNA, Messenger, Skin, Interleukin-6, Transforming Growth Factor beta, Apoptosis, Mitogen-Activated Protein Kinase 1, Collagen Type I, Receptors, Cannabinoid, Scleroderma, Diffuse, Mitogen-Activated Protein Kinase 3, Benzoxazines, Connective Tissue Growth Factor, Cannabinoid Receptor Agonists
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