Wang Zihan, Zheng Haoran, Yang Hui, Song Huifang, Lian Jingjing, Peng Chao, Wang Han, Zhang Hanbo, Zheng Yulin, Wang Qiufeng, Lan Lan, Duan Guifang, Ma Lin, Peng Xiaodong, Huang Zhuo
State Key Laboratory of Natural and Biomimetic Drugs, Department of Molecular and Cellular Pharmacology, School of Pharmaceutical Sciences, Peking University Health Science Center, Beijing 100191, China.
Hanyi Bio-technology Company Ltd, Beijing 100026, China.
Fundam Res. 2024 Apr 20;4(6):1357-1364. doi: 10.1016/j.fmre.2023.05.023. eCollection 2024 Nov.
The approval of Epidiolex, an anti-epileptic drug containing cannabidiol (CBD) as its active component, has brought hope to patients with refractory epilepsy. However, the anti-seizure effect of full-spectrum hemp extract (HE), a CBD-enriched hemp oil, remains unclear. In this study, we investigated the anti-seizure effect of HE using drug-induced seizure models. Our findings revealed that HE significantly reduced seizure susceptibility comparable to CBD at the same doses. Moreover, we explored the pharmacokinetic properties of CBD in HE and observed improved characteristics such as faster oral absorption, enhanced brain distribution, and slower elimination. We further assessed the anti-seizure effects of the other five main non-addictive components in HE. Among these components, cannabichromene (CBC) and cannabinol (CBN) showed significant anti-seizure effects. To gain insights into the mechanisms of CBC and CBN, we investigated their allosteric modulation on the GABA receptor. Our results revealed that CBC enhanced GABA-induced currents in both Xenopus laevis oocytes and mouse primary cortical neurons. Additionally, we identified V436 in the β2 subunit of the GABA receptor as a critical binding site for CBC. These findings provide compelling evidence for the anti-seizure activities of HE and shed light on its underlying mechanisms. Our study provides insights into the broader therapeutic potential of hemp extracts and suggests their possible development as anti-seizure treatments.
一种以大麻二酚(CBD)为活性成分的抗癫痫药物 Epidiolex 的获批,给难治性癫痫患者带来了希望。然而,富含 CBD 的大麻油——全谱大麻提取物(HE)的抗癫痫效果仍不明确。在本研究中,我们使用药物诱导的癫痫模型研究了 HE 的抗癫痫作用。我们的研究结果显示,在相同剂量下,HE 与 CBD 相比能显著降低癫痫易感性。此外,我们探究了 HE 中 CBD 的药代动力学特性,观察到其具有口服吸收更快、脑内分布增强以及消除更慢等改善的特性。我们进一步评估了 HE 中其他五种主要非成瘾性成分的抗癫痫作用。在这些成分中,大麻色烯(CBC)和大麻酚(CBN)显示出显著的抗癫痫作用。为深入了解 CBC 和 CBN 的作用机制,我们研究了它们对 GABA 受体的变构调节。我们的结果显示,CBC 在非洲爪蟾卵母细胞和小鼠原代皮层神经元中均增强了 GABA 诱导的电流。此外,我们确定 GABA 受体β2 亚基中的 V436 是 CBC 的关键结合位点。这些发现为 HE 的抗癫痫活性提供了有力证据,并揭示了其潜在机制。我们的研究为大麻提取物更广泛的治疗潜力提供了见解,并表明它们有可能被开发为抗癫痫治疗药物。