Anticancer activity of ∆9 -tetrahydrocannabinol and cannabinol in vitro and in human lung cancer xenograft.

Objective: To investigate the effects of ∆⁹ -tetrahydrocannabinol, the principal psychoactive compound of Cannabis sativa, and cannabinol, a ∆⁹ -tetrahydrocannabinol degradative product, on human non-small cell lung cancer cells. Methods: ∆⁹ -Tetrahydrocannabinol and cannabinol were tested for anticancer activity in human non-small cell lung cancer (A549) cells. The effects on cell proliferation, apoptosis, and phosphorylation profiles were examined. The effects of ∆⁹ -tetrahydrocannabinol and cannabinol on tumor growth were also investigated using a xenograft nude mouse model. Apoptosis and targeted phosphorylation were verified by immunohistochemistry. Results: ∆⁹ -Tetrahydrocannabinol and cannabinol significantly inhibited cell proliferation and increased the number of apoptotic cells in a concentration-dependent manner. The ∆⁹ -tetrahydrocannabinol- and cannabinol-treated cells had lower levels of phosphorylated protein kinase B [AKT (S473)], glycogen synthase kinase 3 alpha/beta, and endothelial nitric oxide synthase compared to the controls. The study of xenograft mice revealed that tumors treated with 15 mg/kg ∆⁹ -tetrahydrocannabinol or 40 mg/kg cannabinol were significantly smaller than those of the control mice. The tumor progression rates in mice treated with 15 mg/kg ∆⁹ -tetrahydrocannabinol or 40 mg/kg cannabinol were significantly slower than in the control group. Conclusions: These findings indicate that ∆⁹ -tetrahydrocannabinol and cannabinol inhibit lung cancer cell growth by inhibiting AKT and its signaling pathways, which include glycogen synthase kinase 3 alpha/beta and endothelial nitric oxide synthase. [ABSTRACT FROM AUTHOR]