Anti-tumour actions of cannabinoids

Br J Pharmacol. 2019 May;176(10):1384-1394. doi: 10.1111/bph.14426. Epub 2018 Aug 7.

Abstract

The endocannabinoid system has emerged as an important target for the treatment of many diverse diseases. In addition to the well-established palliative effects of cannabinoids in cancer therapy, phytocannabinoids, synthetic cannabinoid compounds and inhibitors of endocannabinoid degradation have attracted attention as possible systemic anticancer drugs. Results emerging from preclinical studies suggest cannabinoids elicit effects at different levels of cancer progression, including inhibition of proliferation, neovascularization, invasion and chemoresistance, induction of apoptosis and autophagy as well as enhancement of tumour immune surveillance. Although the clinical use of cannabinoid receptor ligands is limited by their psychoactivity, non-psychoactive compounds, such as cannabidiol, have gained attention due to preclinically established anticancer properties and a favourable risk-to-benefit profile. Thus, cannabinoids may complement the currently used collection of chemotherapeutic agents, as a broadly diversified option for cancer treatment, while counteracting some of their severe side effects. LINKED ARTICLES: This article is part of a themed section on 8th European Workshop on Cannabinoid Research. To view the other articles in this section visit http://onlinelibrary.wiley.com/doi/10.1111/bph.v176.10/issuetoc.

Publication types

  • Review

MeSH terms

  • Angiogenesis Inhibitors / therapeutic use*
  • Animals
  • Antineoplastic Agents, Phytogenic / therapeutic use*
  • Cannabinoid Receptor Agonists / therapeutic use*
  • Cannabinoids / therapeutic use*
  • Cell Line, Tumor
  • Cell Survival / drug effects
  • Clinical Trials as Topic
  • Endocannabinoids / metabolism*
  • Humans
  • Neoplasms / drug therapy*
  • Neoplasms / metabolism
  • Neoplasms / pathology
  • Receptors, Cannabinoid / metabolism

Substances

  • Angiogenesis Inhibitors
  • Antineoplastic Agents, Phytogenic
  • Cannabinoid Receptor Agonists
  • Cannabinoids
  • Endocannabinoids
  • Receptors, Cannabinoid