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cbd for diverticulitis

Cbd for diverticulitis

Our first main finding was that during inflammatory conditions, the phytocannabinoids THC and CBD both enhanced TEER recovery over time in a concentration-dependent fashion. Cannabinoids have previously been shown to reverse increases in permeability in other models. For example, in a co-culture of endothelial cells and astrocytes, CP55940 and ACEA, both synthetic CB1 receptor agonists, inhibited HIV-1-induced or substance P-induced decreases in epithelial permeability (Lu et al., 2008). Rajesh et al. (2007) also found that CBD attenuates the effects of high glucose-associated increased cellular permeability in human coronary endothelial cells. Furthermore, CBD treatment has been shown to significantly reduce vascular hyperpermeability in the diabetic retina (El-Remessy et al., 2006), improve type I diabetes-induced cardiac dysfunction and inflammation (Rajesh et al., 2010a) and attenuates TNFα signalling, inflammation and kidney dysfunction in a nephropathy model (Pan et al., 2009).

Activation of cannabinoid receptors decreases emesis, inflammation, gastric acid secretion and intestinal motility. The ability to modulate intestinal permeability in inflammation may be important in therapy aimed at maintaining epithelial barrier integrity. The aim of the present study was to determine whether cannabinoids modulate the increased permeability associated with inflammation in vitro.

To test the hypothesis that locally produced AEA and 2-AG partly mediates the increase in permeability caused by cytokines, and whether these effects, if any, are mediated by CB1 receptors, URB597 or JZL 184 (1 µM each) were applied apically at the same time as cytokine application either alone or with AM251 (100 nM). When applied at the same time as cytokines, URB597 alone caused a further drop in TEER (i.e. increased permeability) than cytokine application alone, and this effect was inhibited by AM251 ( Figure 7A and B ). Similarly, JZL 184 application led to a decrease in TEER, and this effect was also inhibited by AM251 ( Figure 7C and D ).

Concentration–response curves to THC (A), CBD (B), AEA (C) and 2-AG (D) applied apically on the fall in TEER caused by cytokine application. Data are given as means with error bars representing SEM. (n= 3, *P < 0.05, **P < 0.01, ***P < 0.001, anova ).

CB1 antagonism reduces the increased permeability associated with cytokines

The effect of the FAAH inhibitor URB597 (1 µM, A) and MGL inhibitor JZL 184 (1 µM, C) applied apically alone, or in combination with AEA or 2-AG on the fall in TEER values caused by inflammatory cytokines. (B, D) Integrated response over time (area under curve). Data are given as means with error bars representing SEM. (n= 3, *P < 0.05, **P < 0.01, ***P < 0.001, compared with vehicle group; ## P < 0.01, ### P < 0.001, compared with endocannabinoid alone, anova ).

Finally, we found that inhibiting 2-AG synthesis significantly reduced the increased permeability associated with cytokines, demonstrating a role for the local production of 2-AG during inflammation. Unfortunately, no commercially available inhibitor of AEA synthesis exists, so we were unable to test whether a similar reduction might be observed. However, taken together, our data strongly suggest that local release of endocannabinoids, acting via the CB1 receptor, and potentially via changes in tight junction proteins (Alhamoruni et al., 2010) underlie the changes in intestinal epithelial permeability associated with inflammation.

All chemicals were purchased from Sigma-Aldrich (Poole, UK) unless otherwise stated. IFNγ and TNFα were purchased from Invitrogen (Paisley, UK), and further dilutions in BSA stored at −80°C for IFNγ and −20°C for TNFα. All cannabinoids and antagonists were purchased from Tocris Bioscience (Bristol, UK) except THC and capsazepine, which were obtained from Sigma UK. CBD, THC, capsazepine, AEA and 2-AG were dissolved in ethanol to a stock concentration of 10 mM with further dilutions made in distilled water. GW9662, AM251 and AM630 were dissolved in DMSO to 10 mM, with further dilutions made in distilled water. URB597, JZL 184 and Orlistat were dissolved in DMSO to 10 mM, with further dilutions made in fresh media.


Cannabinoids have been used to treat various disorders of the gastrointestinal tract, such as vomiting, anorexia, abdominal pain, gastroenteritis, diarrhoea, intestinal inflammation and diabetic gastroparesis (Coutts and Izzo, 2004,Duncan et al., 2005; Sanger, 2007; Izzo and Camilleri, 2008). Many of these digestive disorders are associated with acute or chronic inflammatory processes, and with alterations in intestinal permeability. Our data show that cannabinoids have the ability to both positively and negatively modulate permeability through the CB1 receptor. Specifically, endocannabinoids seem to be involved in the increase in permeability associated with the development of inflammation, while phytocannabinoids can inhibit or restore increased permeability after cytokine application.

The effects of phytocannabinoids (THC and CBD, 10 µM, A) and endocannabinoids (AEA and 2-AG, 10 µM, C) applied apically on the fall in TEER values caused by the inflammatory cytokines (IFNγ and TNFα, 10 ng·mL −1 ). Integrated response over time (area under curve) to THC and CBD (C) and AEA and 2-AG (D) on the fall in TEER values caused by the inflammatory cytokines. Data are given as means with error bars representing SEM. (n= 3, *P < 0.05, **P < 0.01, ***P < 0.001, anova ).

Cbd for diverticulitis

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