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Prepublished online as a Blood First Edition Paper on April 30, 2002; DOI 10.1182/blood-2002-01-0098.
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Blood, 15 July 2002, Vol. 100, No. 2, pp. 627-634
NEOPLASIA
Targeting CB2 cannabinoid receptors as a novel therapy to treat
malignant lymphoblastic disease
Robert J. McKallip,
Catherine Lombard,
Michael Fisher,
Billy R. Martin,
Seongho Ryu,
Steven Grant,
Prakash S. Nagarkatti, and
Mitzi Nagarkatti
From the Departments of Microbiology and Immunology,
Pharmacology and Toxicology, and Medicine, Medical College of Virginia,
Virginia Commonwealth University, Richmond.
In the current study, we examined whether ligation of CB2 receptors
would lead to induction of apoptosis in tumors of immune origin and
whether CB2 agonist could be used to treat such cancers. Exposure of
murine tumors EL-4, LSA, and P815 to
delta-9-tetrahydrocannabinol (THC) in vitro led to a significant
reduction in cell viability and an increase in apoptosis. Exposure of
EL-4 tumor cells to the synthetic cannabinoid HU-210 and the endogenous
cannabinoid anandamide led to significant induction of apoptosis,
whereas exposure to WIN55212 was not effective. Treatment of EL-4
tumor-bearing mice with THC in vivo led to a significant reduction in
tumor load, increase in tumor-cell apoptosis, and increase in survival of tumor-bearing mice. Examination of a number of human leukemia and
lymphoma cell lines, including Jurkat, Molt-4, and Sup-T1, revealed
that they expressed CB2 receptors but not CB1. These human tumor cells
were also susceptible to apoptosis induced by THC, HU-210, anandamide,
and the CB2-selective agonist JWH-015. This effect was mediated at
least in part through the CB2 receptors because pretreatment with the
CB2 antagonist SR144528 partially reversed the THC-induced apoptosis.
Culture of primary acute lymphoblastic leukemia cells with THC in vitro
reduced cell viability and induced apoptosis. Together, the current
data demonstrate that CB2 cannabinoid receptors expressed on
malignancies of the immune system may serve as potential targets for
the induction of apoptosis. Also, because CB2 agonists lack
psychotropic effects, they may serve as novel anticancer agents to
selectively target and kill tumors of immune origin.

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