Breast cancer, effect of cannabinoids in animal models

Disease modelTreatmentComparatorResultsRef.
4 human breast adenocarcinoma cell lines (ER–: HCC1954; TNBC: MDA-MB-231; ER+/PR+ tumour: BT474 and T47D); s.c. xenografts, nude mice, immune-deficient

THC 45 mg/kg, p.o., 3 times a week, for 30 days;

Supra-therapeutic doses

THC-E, adjusted to THC 45 mg/kg, p.o., 3 times a week, (extract with 55% THC, 0.3% THCA, 0.4% CBG, CBD (not done);

Supra-therapeutic doses

THC < THC-E;

In all 4 animal tests pure THC inhibited tumour growth less than THC-E;

T47D, THC < THC-E;

HCC1954, THC < THC-E;

BT474, THC < THC-E;

MDA-MB-231, THC < THC-E (triple-negative cancer)

[64]
2 TNBC (murine 4T1.2, and human MVT-1), ortho-topically injected, Balb/C and FVB miceCBD 10 mg/kg peri-tumoral injection on alternate days for 3 weeks(vs. control)CBD slowed down the growth of highly aggressive, TNBC cells (4T1.2) by approximately 25% to 30% (tumour volume and weight). A similar dose-dependent inhibition of cancer growth was also seen after injection of TNBC cells (MVT-1)[65]

Murine TNBC breast cancer 4T1;

Female BALB/c mice

Lioposomes loaded with CBD (5, 15, or 45 mg/kg) and 15 mg/kg PPD, every 2nd day for 14 days20(S)-PPD-liposomes (15 mg/kg of PPD) or CBD-PPD co-loaded liposomes (CP)-liposomes or paclitaxel injection (8 mg/kg), i.v.Tumour growth inhibition was 46.8% with 15 mg/kg liposomal CBD alone, 50.8% with liposomal PPD alone, 67.4% with CBD-PPD co-loaded liposome (each component 15 mg/kg), 64.4% with paclitaxel (8 mg/kg i.v.); an increase of the CBD component to 45 mg/kg (co-loaded with 15 mg PPD) achieved the highest inhibition (82.2%), a reduction to CBD 5 mg/kg with 15 mg PPD the lowest (46.0%)[66]
Human breast cancer TNBC (MBA-MD-231), s.c. xenografts, athymic miceCBD 5 mg/kg, twice per week, intra-tumoral injection, 16 daysCBD-rich extract 6.5 mg/kg twice per week, intra-tumoral injection

CBD ≃ CBD-E;

Extracts were injected in the tumour in the inoculation region; signif. reduction of the tumour volume after both treatments, with no difference between CBD and CBD-E (~40% lower tumour volume)

[25]
Murine TNBC (4T1 cells), s.c. xenograft; BALB/c miceTHC 12.5, 25, or 50 mg/kg, i.p., every other day for 18–21 days(vs. control)25 mg/kg and 50 mg/kg THC led to a signif., dose-dependent increase in tumour mass and metastases, even more pronounced with 50 mg/kg[67]

Two TNBC models:

1st, i.v. model: mouse breast cancer (4T1) or human breast cancer cells (MDA-MB231) injected i.v., mouse

CBD 1 mg/kg i.p. daily for approximately 1 month(vs. control)CBD increased significantly survival and reduced metastasis up to 75% (EC50: 0.3 mg/kg). Effects on metastasis were dose-dependent (CBD 0.5, 1, or 10 mg/kg i.p, daily[68]
2nd, orthotopic model: mouse breast cancer cells (4T1) were injected into mammary glandsCBD 1 mg/kg i.p. per day, for approximately 1 month(vs. control)CBD reduced metastasis even when administered only three times per week. CBD did, however, not inhibit primary tumour growth[68]
Xeno-transplanted TNBC (MDA-MB-231 cells s.c.), female nude miceCBD 10 mg/kg, i.p., twice weekly, for 2 weeks

vs. control;

vs. CBD-EV

(EV loaded with CBD 5 mg/kg) vs. DOX 2 mg/kg, vs. CBD 5 mg/kg one day before DOX, vs. CBD-EV 5 mg/kg one day before DOX

After 2 weeks the tumour volumes were (estimated):

Control 8,200 mm3;

EVs 7,500 mm3;

CBD 10 mg/kg 6,800 mm3;

CBD-EV 5 mg/kg 7,000 mm3;

DOX 2 mg/kg 4,200 mm3;

CBD 5 mg/kg with DOX 1 day later 4,000 mm3;

CBD-EV with DOX 1 day later 3,500 mm3;

CBD before doxorubicin sensitized tumour cells

[69]

CBD-E: CBD-extract (synonym: CBD-BDS, CBD botanical drug substance); PPD: protopanaxadiol; DOX: doxorubicin; EVs: extracellular vesicles; p.o.: per os; i.v.: intravenous injection; signif.: significant; ≃: almost equal; ~: about