Cannabidiol (CBD) is a phytocannabinoid that is naturally present in plants from genus Cannabis. Despite its growing popularity, CBD's molecular mechanisms of action are not fully understood yet. Toxic effects of ∆9-tetrahydrocannabinol (THC) have been known for a while now, meanwhile possible effects of CBD on the developing brain remain unexplained. The aim of our study was to investigate possible influences of cannabidiol on cortical fetal human astrocytes in culture. We hypothesized that CBD exerts cytotoxic effects, decreases cell metabolism and interacts with endocannabinoid system (ECS) of astrocytes. Cells were incubated with 0,5; 1 or 5 µM CBD over different time intervals (1 to 24 h). To evaluate potential cytotoxic effects, we employed a cell viability test AlamarBlue®, lactate dehydrogenase (LDH) activity assay and caspase-3/7 activity assay, as well as measurments of protein content in cells. All CBD concentrations caused a decrease in cell viability. LDH activity was increased at higher concentrations of CBD (1 and 5 µM), suggesting the cell membrane integrity was compromised, which is a sign of necroptosis or necrosis. Furthermore, the same CBD concentrations caused a decrease of cellular protein content and an increase of caspase-3/7 activity, pointing to apoptosis. In order to assess the influences of CBD on cell metabolism, we measured intracellular ATP content and changes in mitochondrial membrane potential (∆Ψm). CBD induced a rapid ATP depletion and a decrease in ∆Ψm after 24 h of exposure. To determine whether CBD interacts with ECS, we concluded a gene expression analysis. Different concentrations of CBD downregulated the expression of CBN1 and CBN2, which encode CB1 and CB2 receptors, upregulated the expression of TRPV1 and MGLL, which encode TRPV1 receptor and MAGL enzyme, while having no significant influence on the expression of PPARG, DAGLA, NAPEPLD and FAAH. Based on our results, we conclude that CBD has cytotoxic effects, lowers cell metabolism and affects the function of ECS in fetal human astrocytes.
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