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Intrathecal Actions of the Cannabis Constituents Δ(9)-Tetrahydrocannabinol and Cannabidiol in a Mouse Neuropathic Pain Model.

Abstract
(1) Background: The psychoactive and non-psychoactive constituents of cannabis, Δ9-tetrahydrocannabinol (THC) and cannabidiol (CBD), synergistically reduce allodynia in various animal models of neuropathic pain. Unfortunately, THC-containing drugs also produce substantial side-effects when administered systemically. We examined the effectiveness of targeted spinal delivery of these cannabis constituents, alone and in combination. (2) Methods: The effect of acute intrathecal drug delivery on allodynia and common cannabinoid-like side-effects was examined in a mouse chronic constriction injury (CCI) model of neuropathic pain. (3) Results: intrathecal THC and CBD produced dose-dependent reductions in mechanical and cold allodynia. In a 1:1 combination, they synergistically reduced mechanical and cold allodynia, with a two-fold increase in potency compared to their predicted additive effect. Neither THC, CBD nor combination THC:CBD produced any cannabis-like side-effects at equivalent doses. The anti-allodynic effects of THC were abolished and partly reduced by cannabinoid CB1 and CB2 receptor antagonists AM281 and AM630, respectively. The anti-allodynic effects of CBD were partly reduced by AM630. (4) Conclusions: these findings indicate that intrathecal THC and CBD, individually and in combination, could provide a safe and effective treatment for nerve injury induced neuropathic pain.
AuthorsSherelle L Casey, Vanessa A Mitchell, Eddy E Sokolaj, Bryony L Winters, Christopher W Vaughan
JournalInternational journal of molecular sciences (Int J Mol Sci) Vol. 23 Issue 15 (Aug 03 2022) ISSN: 1422-0067 [Electronic] Switzerland
PMID35955774 (Publication Type: Journal Article)
Chemical References
  • Analgesics
  • Cannabinoid Receptor Agonists
  • Cannabinoids
  • Hallucinogens
  • Cannabidiol
  • Dronabinol
Topics
  • Analgesics (adverse effects)
  • Animals
  • Cannabidiol (adverse effects)
  • Cannabinoid Receptor Agonists (pharmacology)
  • Cannabinoids (adverse effects)
  • Cannabis
  • Disease Models, Animal
  • Dronabinol (adverse effects)
  • Hallucinogens (adverse effects)
  • Hyperalgesia (chemically induced, drug therapy)
  • Mice
  • Neuralgia (drug therapy)

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