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There have been many
studies that show that marijuana kills certain kinds of cancer. But even if
it doesn't, the fact that it helps patients eat better and sleep better is
very important: eating and sleeping are important components of the healing
process.
It's always good to
start with studies that governments have commissioned, so here's a link to a
bunch of good ones:
www.medmjscience.org
Studies about cancer
and marijuana:
http://cebp.aacrjournals.org/cgi/content/abstract/15/10/1829
http://www.canorml.org/healthfacts/tashkinlungcancer.html
Publication date: July
25, 2002
Source: Reuters
Author: Faith Reidenbach
NEW YORK (Reuters Health) Jul 25 - Delta-9-tetrahydrocannibinol (THC), the
major component of marijuana, and other cannabinoids induce apoptosis in
murine tumors of immune origin, according to researchers at Virginia
Commonwealth University in Richmond.
Like other immune cells, cancers of the immune system express a cannabinoid
receptor known as CB2, Dr. Mitzi Nagarkatti explained in an interview with
Reuters Health. Compounds that bind CB2 receptors selectively induce
apoptosis in these cancer cells, she said. Moreover, "compounds that
interact with CB2 will not exhibit psychotropic effects."
In a series of in vitro experiments, Dr. Nagarkatti and her colleagues
exposed murine lymphoma and mastocytoma cells to four cannabinoid receptor
agonists. THC and two of the others significantly reduced cell viability and
increased apoptosis, they report in the July 15th issue of Blood.
In vivo experiments confirmed the effect of THC. Ten days after mice were
injected with lymphoma cells, cells collected from animals treated with the
highest dose of THC showed 77.3% apoptosis. Two weeks of THC treatment cured
25% of lymphoma-bearing mice.
"It is possible that the immunosuppressive effects of THC may have
interfered with the host's antitumor immunity, which may account for a lower
percentage of cures," the researchers comment. They are currently conducting
murine dose-ranging studies.
The research group also demonstrated that three human leukemia and lymphoma
cell lines expressed CB2 and not CB1. Three cannabinoids, including THC,
induced apoptosis in these cell lines in vitro, and THC showed the same
effect when cultured with cells from patients diagnosed with acute
lymphoblastic leukemia.
"Recently, however, we identified a human cell line that was resistant," Dr.
Nagarkatti's team reports. "Further studies are in progress to address
whether this cell line lacks physical or functional cannabinoid receptors
and/or signaling molecules that trigger apoptosis."
In addition, the research team is currently "screening a large number of CB2
analogs to identify compounds that are highly efficacious in killing the
cancer cells," Dr. Nagarkatti said. "We are also investigating whether
endogenous cannabinoids can exert antitumor activity."
Blood 2002;100:627-634.
Phoenix Tears -
http://www.phoenixtears.ca/index.html
Research
Findings on Medicinal Properties of Marijuana: Part I
Zeese, Kevin B. Part I. Research Findings on Medicinal Properties of
Marijuana. Falls Church: Common Sense for Drug Policy; January 1997.
PART I |
Bibliography & Notes
Background to the Medical Marijuana Debate
With the passage of initiatives in California and Arizona the debate about
the medical utility of marijuana is in the spotlight once again.
(1) On December 30, 1996, the
federal government announced that it intends to use their authority to stop
doctors from recommending or prescribing marijuana to their patients and is
planning a public relations campaign to demonstrate marijuana has no medical
value.
The memorandum describing their policy stated that: a practitioner's action
of recommending or prescribing Schedule I substances is not consistent with
the public interest' (as that phrase is used in the federal Controlled
Substances Act) and will lead to administrative action by the Drug
Enforcement Administration to revoke the practitioner's registration."(2)
Further if a physician does not have a bona fide doctor patient relationship
when recommending or prescribing marijuana they will face criminal
prosecution.(3)
In addition to threatening doctors for giving medical advice to their
patients the Clinton Administration is undertaking a public-relations
offensive" which will include a campaign to discredit the notion that
smoking marijuana has medicinal benefits."(4)
In their December 30 memorandum, the Administration described a public
relations effort with medical associations and the public reenforcing the
message that marijuana has no medical value.(5)
On December 29, 1996 retired General Barry McCaffrey, the nation's drug
czar, claimed in a column syndicated by the Scripps-Howard News Service that
No clinical evidence demonstrates that smoked marijuana is good medicine."(6)
He has consistently described medical marijuana as Cheech and Chong
medicine."
The purpose of this compilation is to provide policy makers, health
professionals and the public with the published literature and reports filed
with the Food and Drug Administration that demonstrates that doctors have a
basis for recommending marijuana as a medicine to their patients.
The Long History of Marijuana as Medicine
Marijuana has long been recognized as having medical properties. Indeed its
medical use predates recorded history. The earliest written reference is to
be found in the fifteenth century B.C., Chinese Pharmacopeia, the Ry-Ya.(7)
Between 1840 and 1900, more than 100 articles on the therapeutic use of
cannabis were published in medical journals.(8)
The federal government in its 1974 report Marihuana and Health states:
The modern phase of therapeutic use of cannabis began about 140 years ago
when O'Shaughnessy reported on its effectiveness as an analgesic and
anticonvulsant. At about the same time Moreau de Tours described its use in
melancholia and other psychiatric illnesses. Those who saw favorable results
observed that cannabis produced sleep, enhanced appetite and did not cause
physical addiction.(9)
The 1975 report of the federal government began its discussion of medical
marijuana by stating Cannabis is one of the most ancient healing drugs." The
report further noted: One should not, however, summarily dismiss the
possibility of therapeutic usefulness simply because the plant is the
subject of current sociopolitical controversy."(10)
The list of medical uses of cannabis from historical references includes:(11)
Anorexia,
Asthma, Nausea,
Pain, Peptic Ulcer, Alcoholism
Glaucoma, Epilepsy, Depression
Migraine, Anxiety, Inflammation
Hypertension, Insomnia, Cancer
Interestingly, relief of many of the symptoms marijuana was used for in
these illnesses are many of the same symptoms that have been proven in
modern research. This should not be surprising unless we want to assume that
all of the experience of thousands of years did not have some factual basis.
Modern Research Findings on Medical Marijuana
As can see from this compilation there has been a tidal wave of published
research demonstrating marijuana's medical usefulness. Indeed, it is stated
in the research studies conducted by various states under FDA protocol that
the research being conducted was in the final phase of approval by the FDA.(12)
When the federal government stopped research on the medical use of marijuana
in 1992 the drug had nearly completed the requirements for new drug
approval.
Drug Czar Barry McCaffrey's assertion in his Scripps-Howard News Service
column that No clinical evidence demonstrates that smoked marijuana is good
medicine" is inconsistent with the facts. Whether this is an intentional
deception, as part of the federal government's stated public relations
offensive against medical marijuana, or whether it is based on ignorance
does not matter. The reality is General McCaffrey's statements are not
consistent with the facts.
The research reprinted in this compilation includes randomized,
double-blind, placebo controlled studies, research using a variety of
objective and subjective measurements and a range of research protocols.
Doctors have a sound basis on which to recommend marijuana for use by their
patients. Indeed, physicians are well aware of the medical value of
marijuana. One study, a scientific survey of oncologists found that almost
one half (48 percent) of the cancer specialists responding would prescribe
marijuana to some of their patients if it were legal. In fact, over 44
percent reported having recommended the illegal use of marijuana for the
control of nausea and vomiting.(13)
This publication addresses research that has been published in three areas:
cancer, glaucoma and muscle spasticity. All of the materials herein were
published after 1970. The materials enclosed are either published in peer
review journals, government publications or are reports submitted to the
federal government by state agencies.(14)
A. Published Research Studies
There have been several studies which have been published which focus on the
medical value of smoked marijuana and cancer therapy. These include:
 |
Vinciguerra et al., Inhalation Marijuana as an Antiemetic for Cancer
Chemotherapy," The New York State Journal of Medicine, pgs., 525-527,
October 1988 involved 56 patients who had no improvement with standard
antiemetics. When treated with marijuana 78 percent demonstrated a
positive response. No serious negative side effects were seen.
|
 |
Chang et al., Delta-9-Tetrahydrocannabinol as an Antiemetic in
Cancer Patients Receiving High Dose Methotrexate," Annals of Internal
Medicine, Volume 91, Number 6, pg. 819-824, December 1979 is a
randomized, double-blind, placebo controlled trial of THC and smoked
marijuana which found a 72 percent reduction in nausea and vomiting. The
research found that smoked THC (marijuana) was more reliable than oral
THC. |
 |
Foltin, R.W., Brady, J.V. and Fischman, M.W. 1986. Behavioral
analysis of marijuana effects on food intake in humans. Pharmacology,
Biochemistry and Behavior. 25: 577-582 and Foltin, R.W. et al., 1988
Effects of Smoked Marijuana on Food Intake and Body Weight of Humans
Living in a Residential Laboratory," Appetite 11:1-14; Greenberg, et al.
1976 Effects of Marijuana use on Body Weight and Caloric Intake in
Humans," Psychopharmacology 49: 79-84. All demonstrate that marijuana
increases appetite and food intake. |
 |
Doblin et al., Marijuana as Antiemetic Medicine: A Survey of
Oncologists' Experiences and Attitudes," Journal of Clinical Oncology,
Vol. 9, No. 7, July 1991. A random survey of clinical oncologists found
that 44 percent of respondents report recommending the (illegal) use of
marijuana for the control of emesis and 48 percent would prescribe
marijuana to some patients if it were legal. |
 |
Sallan, S.E., Zinberg, N.E. and Frei, D., Antiemetic Effect of
Delta-9-tetrahydrocannabinol in Patients Receiving Cancer Chemotherapy,"
New England Journal of Medicine, 293(16): 795-797 (1975). The
researchers conducting this study of THC noticed that some patients were
dropping out of the research and choosing to use marijuana from the
street instead. They followed up on these patients. In their conclusion
they reported on the marijuana patients and stated that natural
marijuana was more successful than synthetic THC for some patients.
|
The cancer
research is relevant to marijuana as a useful therapy for AIDS patients. The
same symptoms are needed to be controlled among AIDS patients: appetite,
nausea and vomiting. There have been recent reports of AIDS and marijuana in
the literature.(15)
A study with THC found relief of nausea and significant weight gain in 70
percent of patients. However, one- fifth of the patients did not like the
psychoactive effective of synthetic THC,
(16) indicating marijuana is
likely to be preferred by AIDS patients. This is consistent with a survey of
people with AIDS conducted by a researcher in Hawaii in 1996. The survey
found that 98.4 percent of AIDS patients were aware of the medical value of
marijuana and 36.9 percent had used it as a antiemetic. Of those that had
used is 80 percent preferred it over prescription drugs including synthetic
THC.(17)
A study being conducted in Australia of HIV patients found that those who
use marijuana had a better quality of life. In particular, those that were
HIV positive for over ten years found marijuana to be critical. One patient
told the researcher that he considered marijuana to his savior."(18)
Regarding glaucoma, there have been published studies which consistently
show that marijuana is effective in lowering intraocular eye pressure.(19)
Heightened intraocular eye pressure is the cause of glaucoma. Thus published
evidence indicates marijuana preserves the vision of people with glaucoma.
Finally, regarding the control of muscle spasm there is published literature
demonstrating marijuana to be effective in controlling convulsions.(20)
The control of muscle spasm is important to patients with multiple
sclerosis, epilepsy, spinal cord injury, paraplegia and quadriplegia.
B. State Health Department Studies
In addition to the published research there have been a series of six
studies conducted by state health departments under research protocols
approved by the U.S. Food and Drug Administration.The focus of these
studies, conducted by six state health agencies was the use of marijuana as
an anti-emetic for cancer patients. The studies, conducted in California,
Georgia, New Mexico, New York, Michigan and Tennessee, compared marijuana to
antiemetics available by prescription, including the synthetic THC pill,
Marinol. Marijuana was found to be an effective and safe antiemetic in each
of the studies and more effective than other drugs for many patients.
New Mexico: This study involved 250 patients.The study compared marijuana to
THC capsules. The research protocol was approved by the FDA in 1978. In
order to participate in the research the patient had to be referred by a
physician and had to have failed on at least three other antiemetics.
Patients were permitted to choose marijuana or the THC pill. Both objective
(e.g., frequency of vomiting, amount of vomiting, muscle biofeedback, blood
samples and patient observation) and subjective measures were made to
determine the effectiveness of the drug.
The study concluded that marijuana was not only an effective antiemetic but
also far superior to the best available conventional drug, Compazine, and
clearly superior to synthetic THC pill." The study found that [m]ore than
ninety percent of the patients who received marijuana . . . reported
significant or total relief from nausea and vomiting." The study found no
major adverse side effects. Only three patients reported adverse reactions,
none of these reactions involved marijuana alone. The 1984 report concluded
. . . the data accumulated over all five years of the program's operation do
show that marijuana smoked resulted in a higher percentage of success than
does THC ingested."(21)
Michigan:
The Michigan research compared marijuana to Torecan. It involved 165
patients. Upon admission to the program patients were randomized into
control groups with some randomized on the conventional antiemetic Torecan
and the remainder randomized to marijuana. When failure on the initial
randomized drug occurred, patients could elect to crossover to the alternate
therapy. This procedure allowed the Michigan Department of Health to
evaluate how well patients responded to both drugs and allowed patients to
register their preference.
The Michigan study reported 71.1 percent of the patients who received
marijuana reported no emesis to moderate nausea. Ninety percent of the
patients receiving marijuana elected to remain on marijuana. Only 8 of 83
patients randomized to marijuana chose to alter their mode of antiemetic
therapy. This was almost the inverse of patients randomized to Torecan,
there more than 90 percent - 22 out of 23 patients - elected to discontinue
use of Torecan and switched to marijuana.(22)
Very few serious side effects were found related to marijuana use. The most
common side effect was increased appetite - reported by 32.3 percent of
patients - this was a positive effect. The most common negative effects were
sleepiness, reported by 21 patients and sore throat, reported by 13
patients.
Tennessee:
This study involved an evaluation of 27 patients. The patients had all
failed on other forms of antiemetic therapy including oral THC. The study
found an overall success rate of 90.4 percent for marijuana inhalation
therapy. In comparison it found a 66.7 percent success rate for THC
capsules. In the under 40 age group, the study found a 100 percent success
rate for marijuana inhalation therapy.
The report concludes:
We found
both marijuana smoking and THC capsules to be effective anti-emetics. We
found an approximate 23 percent higher success rate among those patients
administered THC capsules. We found no significant differences in success
rates by age group. We found that the major reason for smoking failure was
smoking intolerance; while the major reason for THC capsule failure was
nausea and vomiting so severe that patient could not retain the capsule.(23)
New
York:
In describing the purpose of the marijuana research program the New York
Department of Health stated: [t]he program is a large-scale (Phase III)
cooperative clinical trial . . . ."(24)
The central question addressed is [h]ow effective is inhalation marijuana in
preventing nausea and vomiting due to chemotherapy in patients . . . who
have failed to respond to previous antiemetic therapy?"
By 1985, the New York program had extended marijuana therapy to 208 patients
through 55 practitioners. Of that, 199 patients were evaluated. These
patients had received a total of 6,044 NIDA-supplied marijuana cigarettes
which were provided to patients during 514 treatment episodes.
In percentage terms the results were stunning:
 |
North Shore Hospital reported marijuana
was effective at reducing emesis 92.9 percent of the time; |
 |
Columbia Memorial Hospital reported
efficacy of 89.7 percent; |
 |
Upstate Medical Center, St. Joseph's
Hospital and Jamestown General Hospital reported 100 percent of the
patients smoking marijuana gained significant benefit. |
The report
concludes: Patient evaluations have indicated that approximately
ninety-three (93) percent of marijuana inhalation treatment episodes are
reported to be effective' or highly effective' when compared to other
antiemetics." The New York study reports no serious adverse side effects. No
patient receiving marijuana required hospitalization or any other form of
medical intervention. See, Evaluation of the Antiemetic Properties of
Inhalation Marijuana in Cancer Patients Receiving Chemotherapy Treatment,"
New York Department of Health, Office of Public Health (Annual Reports).(25)
Georgia:
The Georgia program evaluated 119 patients. It compared THC to standardized
smoking of marijuana and with patient-controlled smoking. To enter the
program a patient had to have failed on other antiemetics. Patients were
randomized to either patient-controlled smoking of marijuana, standardized
smoking of marijuana or THC pills.
The report found that both THC and marijuana were effective in providing
antiemetic relief for patients who were previously unresponsive to
antiemetics. The rate of success was 73.1 percent. Patient controlled
smoking of marijuana was successful in 72.2 percent, standardized smoking
was successful in 65.4 percent and THC was effective in 76 percent of the
cases. In comparing the reasons for failure between marijuana and THC the
report found:
The primary reasons for failure of THC capsules were due to either adverse
reaction (6 out of 18) or failure to improve nausea and vomiting (9 out of
18). The primary reason for failure of smoking marijuana were due to smoking
intolerance (6 out of 14) or failure to improve the nausea and vomiting (3
out of 14).(26)
California:
California conducted a series of studies from 1981 through 1989. Annual
reports were submitted to the FDA, state legislature and Governor. Each year
approximately 90 to 100 patients received marijuana. The California research
was described as a Phase III trial."(27)
The study protocol preferred THC pills by making it much easier for patients
to enter that portion of the study. Patients who received marijuana had to
be over 15 years of age (the THC pill patients had to be over 5 years of
age); had to be marijuana experienced, use the drug on an in-patient basis
(patients could only use marijuana in the hospital and not take the medicine
home) and had to be receiving rarely used and severe forms of chemotherapy.
Thus, the design of the study did not favor marijuana.
Even with this built in bias against marijuana, the study consistently found
marijuana to be an effective antiemetic. In 1981 the California Research
Advisory Panel reported: Over 74 percent of the cancer patients treated in
the program have reported that marijuana is more effective in relieving
their nausea and vomiting than any other drug they have tried." In 1982, a
78.9 percent effectiveness rate was found for smoked marijuana. By 1983 the
report was conclusory in its findings, stating:
The
California Program also has met its research objectives. Marijuana has been
shown to be effective for many cancer chemotherapy patients, safe dosage
levels have been established and a dosage regimen which minimizes
undesirable side effects has been devised and tested.
The
California Research Advisory Panel continued to review data on marijuana
until 1989 with similar results.(28)
C. Studies of Marijuana Constituents
In addition to research on smoked marijuana there has been a host of
research on constituents of marijuana. This research is relevant in
measuring the effectiveness of marijuana.
The drug for which there has been the most research is the THC pill. This
pill contains pure delta-9- tetrahydrocannabinol in sesame seed oil. This
substance is now scheduled in Schedule II of the Controlled Substances Act.
When the drug was rescheduled the Food and Drug Administration acknowledged:
The effects of pure THC are essentially similar to those of cannabis
containing THC in equivalent amounts." Thus, the federal government has
acknowledged that THC, which is available as a medicine, adequately emulates
the effectiveness to marijuana. In fact, the research described above shows
that marijuana is in fact a more effective medicine than the THC pill.
The research which compares marijuana to the THC pill found that patients
preferred marijuana to THC and that marijuana was more effective at treating
symptoms. State studies in Michigan and New Mexico found that most patients
who tried THC chose to use marijuana instead. The most common reasons for
this choice was because THC was more psychoactive, erratic and
unpredictable. Patients found they had more control and a quicker response
with smoked marijuana than with oral THC. Patients found it difficult to
swallow the pill when they were nauseous. Patients were also able to limit
their use of marijuana to only the amount needed when it was smoked. For
many cancer and AIDS patients this can involve smoking a very small quantity
of the drug. With the THC pill the patient must ingest the whole pill and
therefore cannot control the dose.
The Chang study published in The Annals of Internal Medicine found that
marijuana was more consistent than the oral THC pill. As they note this was
consistent with the observations of Sallan and his colleagues in their study
published in The New England Journal of Medicine, Alfred Chang et al.
stated:
Sallan and
his co-workers considered inadequate drug absorption as
READ the
entire article here:
http://www.drugpolicy.org/library/mmjcsdp.cfm
Below is the bibliography and notes for the article....always a good way to
find further studies and information.
Research Findings on Medicinal Properties of Marijuana: Bibliography &
Notes
Zeese, Kevin B. Bibliography & Notes. Research Findings on Medicinal
Properties of Marijuana. Falls Church: Common Sense for Drug Policy;
January 1997.
BIBLIOGRAPHY & NOTES
Part I Overviews of
Marijuana's Safety and Effectiveness
Beaconsfield, D., Ginsburg, J., and Rainsbury, R. (1973). Therapeutic
potential of marihuana. New Eng. J. Medicine 289, 1315.
Therapeutic Aspects. 1974. Marijuana and Health, Fourth Annual Report to the
U.S. Congress, Nat'l Institute on Drug Abuse, 134-143.
Therapeutic Aspects. 1975. Marijuana and Health, Fifth Annual Report to the
U.S. Congress, Nat'l Institute on Drug Abuse, 117-132.
Bhargave, H. (1978). Potential therapeutic application of naturally
occurring and synthetic cannabinoids. Gen. Pharmac., 9, 195-213.
For an entire listing of the bibliography and notes please click here:
http://www.drugpolicy.org/library/mmjcsdp.cfm
"Medical
Marijuana" Takes On New Meaning for Metastatic Breast Cancer

If you have
breast cancer, you may have considered the use of "medical marijuana" at
some point during your
chemo treatment. Smoking
marijuana has provided some women with relief from the nausea and vomiting
that can accompany chemo, relief that the range of normal side effect drugs
weren't able to give. Some states permit the legal use of medical marijuana;
most don't. Nevertheless, most women who want to try marijuana seem to be
able to get it. Personally, I didn't experience any severe problems with
nausea. But I was astounded at the number of people who, prior to treatment,
offered to get me a supply if I thought I needed it!
Now, doctors at the California Pacific Medical Center Research Institute in
San Francisco have released a study, in the current issue of Molecular
Cancer Therapeutics, that may in the future open the door to a much more
critical use of marijuana: stopping the spread of metastatic breast cancer.
It seems that a compound found in cannabis (the scientific name for
marijuana), CBD, has been shown (in the lab) to stop the human gene Id-1
from directing cancer cells to multiply and spread.
California Pacific Senior researcher Pierre-Yves Desprez, in an interview
with HealthDay News, noted that the
Id-1 genes "are very bad. They
push the cells to behave like embryonic cells and grow. They go crazy, they
proliferate, they migrate. We need to be able to turn them off."
http://www.healthcentral.com/breast-.../takes-cancer/

Cannabidiol
as a novel inhibitor of Id-1 gene expression
in aggressive breast cancer cells
Sean D. McAllister, Rigel T. Christian,
Maxx P. Horowitz, Amaia Garcia,
and Pierre-Yves Desprez
California Pacific Medical Center, Research Institute,
San Francisco, California
Abstract
Invasion and metastasis of aggressive breast cancer cells
is the final and fatal step during cancer progression, and
is the least understood genetically. Clinically, there are still
limited therapeutic interventions for aggressive and metastatic
breast cancers available. Clearly, effective and nontoxic
therapies are urgently required. Id-1, an inhibitor of
basic helix-loop-helix transcription factors, has recently
been shown to be a key regulator of the metastatic
potential of breast and additional cancers. Using a mouse
model, we previously determined that metastatic breast
cancer cells became significantly less invasive
in vitro
and
less
metastatic
in vivo
when Id-1 was down-regulated by
stable
transduction with antisense Id-1. It is not possible
at this
point, however, to use antisense technology to
reduce Id-1 expression in patients with metastatic breast
cancer. Here, we report that cannabidiol (CBD), a cannabinoid
with a low-toxicity profile, could down-regulate
Id-1 expression in aggressive human breast cancer cells.
The CBD concentrations effective at inhibiting Id-1 expression
correlated with those used to inhibit the proliferative
and invasive phenotype of breast cancer cells. CBD was
able to inhibit Id-1 expression at the mRNA and protein
level in a concentration-dependent fashion. These effects
seemed to occur as the result of an inhibition of the
Id-1 gene at the promoter level. Importantly, CBD did
not inhibit invasiveness in cells that ectopically expressed
Id-1. In conclusion, CBD represents the first nontoxic
exogenous
agent that can significantly decrease Id-1
expression
in metastatic breast cancer cells leading to the
down-regulation of tumor aggressiveness. [Mol Cancer
Ther 2007;6(11):2921-7]
Introduction
The
development of breast cancer and its spread to other
parts of the body requires several genotypic and phenotypic
changes in the cells leading to de-differentiation,
uncontrolled proliferation, and invasion. Invasion and
metastasis to the other tissues of the body is the final and
fatal step during cancer progression and is the least
understood genetically (1). Despite all currently available
treatments, breast cancer is most often incurable once
clinically apparent metastases develops.
Id helix-loop-helix proteins are negative regulators of
basic helix-loop-helix transcription factors (2). Strong evidence
now suggests that the Id family of helix-loop-helix
proteins control cellular processes related to tumor progression
(3). We found that reducing Id-1 using antisense
technology led to significant reductions in breast cancer
cell proliferation and invasiveness
in vitro
and metastasis
in vivo
in mice
(4). Furthermore, Id-1 overexpression in
breast cancer cells was also found to be one of the most
significant genes within a gene signature set that is correlated
with the propensity of primary human breast cancer
cells to metastasize to the lung (5).
Reducing Id-1 expression could provide a rational
therapeutic strategy for the treatment of aggressive human
breast cancers. It is not possible at this point, however,
to use antisense technology to reduce Id-1 expression in
humans with metastatic breast cancer. In our search for a
nontoxic exogenous compound that could inhibit Id-1 expression,
a potential candidate agent, cannabidiol (CBD),
was discovered.
The endocannabinoid system was discovered through
research focusing on the primary psychoactive component
of Cannabis sativa, D9-tetrahydrocannabinol (D9-THC), and
other synthetic cannabinoids (6). D9-THC and additional
cannabinoid agonists have been shown to interact with two
G protein-coupled receptors named CB1 and CB2 (6). More
recent studies have shown that CB1 and CB2 receptor
agonists show promise as tumor inhibitors (7, 8). The
psychotropic effects of D9-THC and additional cannabinoid
agonists, mediated through the CB1 receptor, limit their
clinical utility. In addition to D9-THC, CBD is also present
in significant quantities in C. sativa (9). CBD does not have
appreciable affinity for CB1 or CB2 receptors and does not
have psychotropic activities (10). CBD has been shown to
inhibit breast cancer metastasis in vivo in mice (11).
However, modulation of a distinct signaling pathway that
would explain the inhibitory action of CBD on breast
TO READ THE
ENTIRE ARTICLE
http://www.letfreedomgrow.com/cmu/cbd_breast_cancer.pdf
source and
reprints
Received 6/4/07; revised 9/5/07; accepted 9/20/07.
Grant
support:
NIH
(CA102412, CA111723, DA09978, and CA82548),
the
Department of Defense (PC041013), the California Breast Cancer
Research
Program (12IB-0116), and the Research Institute at California
Pacific Medical Center.
The costs of publication of this article were defrayed in part by the
payment of page charges. This article must therefore be hereby marked
advertisement
in
accordance with 18U.S.C. Section 1734 solely to
indicate
this fact.
Requests
for reprints:
Sean D.
McAllister, California Pacific Medical
Center,
Research Institute, 475 Brannan Street, San Francisco, CA
94107.
Phone: 415-600-5926; Fax: 415-600-1725.
E-mail:
mcallis@cpmcri.org
Copyright
C 2007
American Association for Cancer Research.
doi:10.1158/1535-7163.MCT-07-0371
|