RT Journal Article SR Electronic T1 Inhibition of Glioma Growth in Vivo by Selective Activation of the CB2 Cannabinoid Receptor JF Cancer Research JO Cancer Res FD American Association for Cancer Research SP 5784 OP 5789 VO 61 IS 15 A1 Sánchez, Cristina A1 de Ceballos, María L. A1 del Pulgar, Teresa Gómez A1 Rueda, Daniel A1 Corbacho, César A1 Velasco, Guillermo A1 Galve-Roperh, Ismael A1 Huffman, John W. A1 Ramón y Cajal, Santiago A1 Guzmán, Manuel YR 2001 UL http://cancerres.aacrjournals.org/content/61/15/5784.abstract AB The development of new therapeutic strategies is essential for the management of gliomas, one of the most malignant forms of cancer. We have shown previously that the growth of the rat glioma C6 cell line is inhibited by psychoactive cannabinoids (I. Galve-Roperh et al., Nat. Med., 6: 313–319, 2000). These compounds act on the brain and some other organs through the widely expressed CB1 receptor. By contrast, the other cannabinoid receptor subtype, the CB2 receptor, shows a much more restricted distribution and is absent from normal brain. Here we show that local administration of the selective CB2 agonist JWH-133 at 50 μg/day to Rag-2−/− mice induced a considerable regression of malignant tumors generated by inoculation of C6 glioma cells. The selective involvement of the CB2 receptor in this action was evidenced by: (a) the prevention by the CB2 antagonist SR144528 but not the CB1 antagonist SR141716; (b) the down-regulation of the CB2 receptor but not the CB1 receptor in the tumors; and (c) the absence of typical CB1-mediated psychotropic side effects. Cannabinoid receptor expression was subsequently examined in biopsies from human astrocytomas. A full 70% (26 of 37) of the human astrocytomas analyzed expressed significant levels of cannabinoid receptors. Of interest, the extent of CB2 receptor expression was directly related with tumor malignancy. In addition, the growth of grade IV human astrocytoma cells in Rag-2−/− mice was completely blocked by JWH-133 administration at 50 μg/day. Experiments carried out with C6 glioma cells in culture evidenced the internalization of the CB2 but not the CB1 receptor upon JWH-133 challenge and showed that selective activation of the CB2 receptor signaled apoptosis via enhanced ceramide synthesis de novo. These results support a therapeutic approach for the treatment of malignant gliomas devoid of psychotropic side effects. ©2001 American Association for Cancer Research.