Gliomas (tumors in the brain) are especially aggressive malignant forms
of cancer, often resulting in the death of affected patients within one
to two years following diagnosis. There is no cure for gliomas and most
available treatments provide only minor symptomatic relief.
A review of the modern scientific literature reveals numerous
preclinical studies and one pilot clinical study demonstrating
cannabinoids’ ability to act as antineoplastic agents, particularly on
glioma cell lines.
Writing in the September 1998 issue of the journal FEBS Letters,
investigators at Madrid’s Complutense University, School of Biology,
first reported that delta-9-THC induced apoptosis (programmed cell
death) in glioma cells in culture.[1] Investigators followed up their
initial findings in 2000, reporting that the administration of both THC
and the synthetic cannabinoid agonist WIN 55,212-2 “induced a
considerable regression of malignant gliomas” in animals.[2]
Researchers again confirmed cannabinoids’ ability to inhibit tumor
growth in animals in 2003.[3]
That same year, Italian investigators at the University of Milan,
Department of Pharmacology, Chemotherapy and Toxicology, reported that
the non-psychoactive cannabinoid, cannabidiol (CBD), inhibited the
growth of various human glioma cell lines in vivo and in vitro in a dose
dependent manner. Writing in the November 2003 issue of the Journal of
Pharmacology and Experimental Therapeutics Fast Forward, researchers
concluded, “Non-psychoactive CBD … produce[s] a significant anti-tumor
activity both in vitro and in vivo, thus suggesting a possible
application of CBD as an antineoplastic agent.”[4]
In 2004, Guzman and colleagues reported that cannabinoids inhibited
glioma tumor growth in animals and in human glioblastoma multiforme
(GBM) tumor samples by altering blood vessel morphology (e.g., VEGF
pathways). Writing in the August 2004 issue of Cancer Research,
investigators concluded, “The present laboratory and clinical findings
provide a novel pharmacological target for cannabinoid-based
therapies.”[5]
More recently, investigators at the California Pacific Medical Center
Research Institute reported that the administration of THC on human
glioblastoma multiforme cell lines decreased the proliferation of
malignant cells and induced cell death more rapidly than did the
administration of WIN 55,212-2. Researchers also noted that THC
selectively targeted malignant cells while ignoring healthy ones in a
more profound manner than the synthetic alternative.[6]
Most recently, Guzman and colleagues reported that THC administration
decreases recurrent glioblastoma multiforme tumor growth in patients
diagnosed with recurrent GBM. In the first ever pilot clinical trial
assessing the use of cannabinoids and GBM, investigators found that the
intratumoral administration of THC was associated with reduced tumor
cell proliferation in two of nine subjects. "The fair safety profile of
THC, together with its possible anti-proliferative action on tumor
cells reported here and in other studies, may set the basis for future
trials aimed at evaluating the potential antitumoral activity of
cannabinoids," investigators concluded.[7] Several additional
investigators have also recently called for further exploration of
cannabis-based therapies for the treatment of glioma.[8-10]
In addition to cannabinoids’ ability to moderate glioma cells, separate
studies demonstrate that cannabinoids and endocannabinoids can also
inhibit the proliferation of other various cancer cell lines, including
breast carcinoma,[11-14] prostate carcinoma,[15-17] colorectal
carcinoma,[18] gastric adenocarcinoma,[19] skin carcinoma,[20] leukemia
cells,[21-22] nueroblastoma,[23] lung carcinoma,[24-25] uterus
carcinoma,[26] thyroid epithelioma,[27] pancreatic
adenocarcinoma,[28-29], cervical carcinoma[30] and lymphoma.[31]
Many experts now believe that cannabinoids “may represent a new class of
anticancer drugs that retard cancer growth, inhibit angiogenesis and
the metastatic spreading of cancer cells,”[32] and have recommended that
at least one cannabinoid, cannabidiol, now be utilized in cancer
therapy.[33]
REFERENCES
[1] Guzman et al. 1998. Delta-9-tetrahydrocannabinol induces apoptosis in C6 glioma cells. FEBS Letters 436: 6-10.
[2] Guzman et al. 2000. Anti-tumoral action of cannabinoids: involvement
of sustained ceramide accumulation and extracellular signal-regulated
kinase activation. Nature Medicine 6: 313-319.
[3] Guzman et al. 2003. Inhibition of tumor angiogenesis by cannabinoids. The FASEB Journal 17: 529-531.
[4] Massi et al. 2004. Antitumor effects of cannabidiol, a
non-psychotropic cannabinoid, on human glioma cell lines. Journal of
Pharmacology and Experimental Therapeutics Fast Forward 308: 838-845.
[5] Guzman et al. 2004. Cannabinoids inhibit the vascular endothelial
growth factor pathways in gliomas (PDF). Cancer Research 64: 5617-5623.
[6] Allister et al. 2005. Cannabinoids selectively inhibit proliferation
and induce death of cultured human glioblastoma multiforme cells.
Journal of Neurooncology 74: 31-40.
[7] Guzman et al. 2006. A pilot clinical study of
delta-9-tetrahydrocannabinol in patients with recurrent glioblastoma
multiforme. British Journal of Cancer (E-pub ahead of print).
[8] Parolaro and Massi. 2008. Cannabinoids as a potential new drug
therapy for the treatment of gliomas. Expert Reviews of
Neurotherapeutics 8: 37-49
[9] Galanti et al. 2007. Delta9-Tetrahydrocannabinol inhibits cell cycle
progression by downregulation of E2F1 in human glioblastoma multiforme
cells. Acta Oncologica 12: 1-9.
[10 Calatozzolo et al. 2007. Expression of cannabinoid receptors and
neurotrophins in human gliomas. Neurological Sciences 28: 304-310.
[11] Cafferal et al. 2006. Delta-9-Tetrahydrocannabinol inhibits cell
cycle progression in human breast cancer cells through Cdc2 regulation.
Cancer Research 66: 6615-6621.
[12] Di Marzo et al. 2006. Anti-tumor activity of plant cannabinoids
with emphasis on the effect of cannabidiol on human breast carcinoma.
Journal of Pharmacology and Experimental Therapeutics Fast Forward
(E-pub ahead of print).
[13] De Petrocellis et al. 1998. The endogenous cannabinoid anandamide
inhibits human breast cancer cell proliferation. Proceedings of the
National Academy of Sciences of the United States of America 95:
8375-8380.
[14] McAllister et al. 2007. Cannabidiol as a novel inhibitor of Id-1
gene expression in aggressive breast cancer cells. Molecular Cancer
Therapeutics 6: 2921-2927.
[15] Sarfaraz et al. 2005. Cannabinoid receptors as a novel target for
the treatment of prostate cancer. Cancer Research 65: 1635-1641.
[16] Mimeault et al. 2003. Anti-proliferative and apoptotic effects of
anandamide in human prostatic cancer cell lines. Prostate 56: 1-12.
[17] Ruiz et al. 1999. Delta-9-tetrahydrocannabinol induces apoptosis in
human prostate PC-3 cells via a receptor-independent mechanism. FEBS
Letters 458: 400-404.
[18] Pastos et al. 2005. The endogenous cannabinoid, anandamide, induces
cell death in colorectal carcinoma cells: a possible role for
cyclooxygenase-2. Gut 54: 1741-1750.
[19] Di Marzo et al. 2006. op. cit
[20] Casanova et al. Inhibition of skin tumor growth and angiogenesis in
vivo by activation of cannabinoid receptors. 2003. Journal of Clinical
Investigation 111: 43-50.
[21] Powles et al. 2005. Cannabis-induced cytotoxicity in leukemic cell lines. Blood 105: 1214-1221
[22] Jia et al 2006. Delta-9-tetrahydrocannabinol-induced apoptosis is
jurkat leukemic T cells in regulated by translocation of Bad to
mitochondria. Molecular Cancer Research 4: 549-562.
[23] Manuel Guzman. 2003. Cannabinoids: potential anticancer agents (PDF). Nature Reviews Cancer 3: 745-755.
[24] Ibid.
[25] Preet et al. 2008. Delta9-Tetrahydrocannabinol inhibits epithelial
growth factor-induced lung cancer cell migration in vitro as well as its
growth and metastasis in vivo. Oncogene 10: 339-346.
[26] Manuel Guzman. 2003. Cannabinoids: potential anticancer agents (PDF). Nature Reviews Cancer 3: 745-755.
[27] Baek et al. 1998. Antitumor activity of cannabigerol against human
oral epitheloid carcinoma cells. Archives of Pharmacal Research: 21:
353-356.
[28] Carracedo et al. 2006. Cannabinoids induce apoptosis of pancreatic
tumor cells via endoplasmic reticulum stress-related genes. Cancer
Research 66: 6748-6755.
[29] Michalski et al. 2007. Cannabinoids in pancreatic cancer:
correlation with survival and pain. International Journal of Cancer
(E-pub ahead of print).
[30] Ramer and Hinz. 2008. Inhibition of cancer cell invasion by
cannabinoids via increased cell expression of tissue inhibitor of matrix
metalloproteinases-1. Journal of the National Cancer Institute 100:
59-69.
[31] Gustafsson et al. 2006. Cannabinoid receptor-mediated apoptosis
induced by R(+)-methanandamide and Win55,212 is associated with ceramide
accumulation and p38 activation in Mantle Cell Lymphoma. Molecular
Pharmacology (E-pub ahead of print).
[32] Natalya Kogan. 2005. Cannabinoids and cancer. Mini-Reviews in Medicinal Chemistry 5: 941-952.
[33] Di Marzo et al. 2006. op. cit.
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http://www.alternet.org/drugreporter/86256/
Can Pot Extend Ted Kennedy's Life? Too Bad It's Illegal
By Paul Armentano, NORML. Posted May 23, 2008.
Scientific studies indicate that marijuana can halt the spread of
numerous cancer cells, including the type that Kennedy suffers from.
In the 14 years I've worked in marijuana law reform, few events have
struck me as so needlessly tragic as the federal government's consistent
and deliberate stifling of medical cannabis research. Nowhere is the
Fed's refusal to allow this science more overt and inhumane than as it
pertains to the investigation of cannabinoids as anti-cancer agents,
particularly in the treatment of gliomas.
As noted in today's wire stories regarding Sen. Edward Kennedy's
diagnosis, glioma is an aggressive form of cancer that affects an
estimated 10,000 Americans annually. Standard treatments for the cancer
include radiation and chemotherapy, though neither procedure has proven
particularly effective -- the disease kills approximately half its
victims within one year and all within three years.
But what if there was an alternative treatment for gliomas that could
selectively target the cancer while leaving healthy cells intact? And
what if federal bureaucrats were aware of this treatment, but
deliberately withheld this information from the public?
Sadly, the above questions are not hypothetical. As I originally wrote
in a 2004 essay for Alternet.org, titled Pot Shows Promise as a Cancer
Cure":
In fact, the first experiment documenting pot's anti-tumor effects
took place in 1974 at the Medical College of Virginia at the behest of
the U.S. government. The results of that study, reported in an Aug. 18,
1974, Washington Post newspaper feature, were that marijuana's
psychoactive component, THC, "slowed the growth of lung cancers, breast
cancers and a virus-induced leukemia in laboratory mice, and prolonged
their lives by as much as 36 percent."
Despite these favorable preliminary findings, U.S. government
officials banished the study and refused to fund any follow-up research
until conducting a similar -- though secret -- clinical trial in the
mid-1990s. That study, conducted by the U.S. National Toxicology Program
to the tune of $2 million, concluded that mice and rats administered
high doses of THC over long periods had greater protection against
malignant tumors than untreated controls.
However, rather than publicize their findings, government
researchers shelved the results, which only became public after a draft
copy of its findings were leaked in 1997 to a medical journal which in
turn forwarded the story to the national media.
In the years since the completion of the National Toxicology trial,
the U.S. government has yet to fund a single additional study examining
the drug's potential anti-cancer properties. Is this a case of federal
bureaucrats putting politics over the health and safety of patients? You
be the judge.
Fortunately, in the past 10 years scientists overseas have generously
picked up where U.S. researchers so abruptly left off, reporting that
cannabinoids can halt the spread of numerous cancer cells -- including
prostate cancer, breast cancer, lung cancer, pancreatic cancer, and in
one human clinical trial, brain cancer.
Writing earlier this year in the journal Expert Review of
Neurotherapeutics, Italian researchers reiterated, "(C)annabinoids have
displayed a great potency in reducing glioma tumor growth either in
vitro or in animal experimental models. (They) appear to be selective
antitumoral agents as they kill glioma cells without affecting the
viability of nontransformed counterparts." Not one mainstream media
outlet reported their findings. Perhaps now they'll pay better
attention.
What possible advancements in the treatment of cancer may have been
achieved over the past 34 years had U.S. government officials chosen to
advance -- rather than suppress -- clinical research into the
anti-cancer effects of cannabis? It's a shame we have to speculate; it's
even more tragic that the families of Senator Kennedy and thousands of
others must suffer while we do.
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