Department of Neurology, Medical College of Georgia, Augusta University, Augusta, GA 30912, USA.
Department of Oral Biology and Diagnostic Sciences, Dental College of Georgia, Augusta University, Augusta, GA 30912, USA.
Int J Mol Sci. 2024 Nov 1;25(21):11764. doi: 10.3390/ijms252111764.
Alzheimer's disease (AD) is a challenging medical issue that requires efficacious treatment options to improve long-term quality of life. Cannabidiol (CBD) is a cannabis-derived phytocannabinoid with potential health benefits, including reports from our laboratory and others showing a therapeutic role in the pre-clinical treatment of AD; however, the mechanisms whereby CBD affects AD progression remain undefined. Innate lymphoid cells (ILCs) are recently discovered immune cells that initiate and orchestrate inflammatory responses. ILC2, a sub-class of ILCs, is proposed to have a role in cognitive function via unknown mechanisms. In this present study, we explored whether CBD ameliorates AD symptoms via the enhancement of acetylcholine (ACh), a cholinergic neurotransmitter involved in cognition that may regulate ILC2. 5xFAD mice were chronically treated by inhalation of a formulation of broad-spectrum CBD for seven months. ACh production, ILC2s profile, brain histopathology, and long-term behavior were assessed. Together, our studies showed that long-term inhalation of CBD improved cognitive function and reduced senile plaques in a murine AD model, effects that were associated with enhanced ACh production and altered ILC2s distribution within the CNS. These findings indicate that inhaled CBD could offer a cost-effective, non-invasive, and effective treatment for managing AD. The beneficial effects of CBD inhalation may be linked to increased ACh production and an altered distribution of ILC2s, highlighting the need for further research in this area.
阿尔茨海默病(AD)是一个具有挑战性的医学问题,需要有效的治疗方案来提高长期生活质量。大麻二酚(CBD)是一种源自大麻的植物大麻素,具有潜在的健康益处,包括我们实验室和其他实验室的报告显示,它在 AD 的临床前治疗中具有治疗作用;然而,CBD 影响 AD 进展的机制仍未定义。先天淋巴细胞(ILC)是最近发现的免疫细胞,它们启动和协调炎症反应。ILC2,一种 ILC 的亚类,被认为通过未知机制在认知功能中发挥作用。在本研究中,我们探讨了 CBD 是否通过增强乙酰胆碱(ACh)来改善 AD 症状,ACh 是一种参与认知的胆碱能神经递质,可能调节 ILC2。5xFAD 小鼠通过吸入广谱 CBD 制剂进行长达七个月的慢性治疗。评估了 ACh 产生、ILC2 谱、脑组织病理学和长期行为。总之,我们的研究表明,长期吸入 CBD 可改善认知功能并减少 AD 小鼠模型中的老年斑,这些效果与 ACh 产生增加和中枢神经系统内 ILC2 分布改变有关。这些发现表明,吸入 CBD 可能为 AD 的管理提供一种具有成本效益、非侵入性和有效的治疗方法。CBD 吸入的有益效果可能与 ACh 产生增加和 ILC2 分布改变有关,这凸显了该领域进一步研究的必要性。