在化疗诱导的神经病变大鼠模型中,早期口服THC:CBD制剂可预防疼痛相关行为,而不会加剧紫杉醇诱导的体重、运动和焦虑的变化。

IF 3.3 3区 医学 Q2 NEUROSCIENCES
Psychopharmacology Pub Date : 2025-09-01 Epub Date: 2025-03-31 DOI:10.1007/s00213-025-06778-y
Delia Soriano, Pablo Rodolfo Brumovsky, Marcelo José Villar, María Florencia Coronel
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引用次数: 0

摘要

理由:紫杉醇引起的神经病变是这种广泛使用的化疗药物的主要、剂量限制的副作用。长期的超敏反应和疼痛是最严重的临床表现。目前缺乏有效的预防和治疗策略。目的:我们的研究旨在评估早期口服含有植物大麻素THC和CBD的药物级制剂对紫杉醇诱导的大鼠神经病变模型的影响。方法:实验设计采用不同THC:CBD比例(THC:CBD 1:1和THC:CBD 1:20)的紫杉醇和大麻素制剂共同给药于成年雄性大鼠。评估机械和热敏感性、运动活动、垂直探索行为、焦虑相关参数、体重增加、食物和水消耗以及肝功能。结果:每日给药四氢大麻酚:CBD 1:1可有效预防紫杉醇引起的冷性异常性痛,四氢大麻酚:CBD 1:20可有效预防热性和机械性超敏反应。此外,四氢大麻酚:CBD 1:1配方恢复了饲养行为,紫杉醇显著降低了饲养行为。相反,两种大麻素制剂都不能抵消紫杉醇引起的运动障碍、减少垂直探索活动、增加焦虑样行为、减轻体重增加或减少食物和水的摄入量。然而,所采用的配方并没有在接受紫杉醇治疗的动物中引起进一步的改变或毒性,也没有检测到肝损伤的迹象。结论:我们的研究结果表明,两种THC:CBD配方对疼痛相关行为和自发活动的治疗效果不同,特别是在周围神经病变的情况下。这些配方代表了一种有前途的治疗策略,不仅可以控制疼痛,还可以增强癌症患者的日常活动和改善生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Early oral administration of THC:CBD formulations prevent pain-related behaviors without exacerbating paclitaxel-induced changes in weight, locomotion, and anxiety in a rat model of chemotherapy-induced neuropathy.

Rationale: Paclitaxel-induced neuropathy stands out as the primary, dose-limiting side effect of this extensively used chemotherapy agent. Prolonged hypersensitivity and pain represent the most severe clinical manifestations. Effective preventive and therapeutic strategies are currently lacking.

Objectives: Our study aimed to assess the impact of early oral administration of pharmaceutical-grade formulations containing the phytocannabinoids THC and CBD in a rat model of paclitaxel-induced neuropathy.

Methods: The experimental design involved the co-administration of paclitaxel and cannabinoid formulations with different THC to CBD ratios (THC:CBD 1:1 and THC:CBD 1:20) to adult male rats. Mechanical and thermal sensitivity, locomotor activity, vertical exploratory behaviors, anxiety-related parameters, weight gain, food and water consumption, and liver functionality were assessed.

Results: Daily administration of THC:CBD 1:1 successfully prevented paclitaxel-induced cold allodynia, while THC:CBD 1:20 effectively prevented both thermal and mechanical hypersensitivities. Additionally, THC:CBD 1:1 formulation restored rearing behavior, significantly reduced by paclitaxel. Conversely, neither cannabinoid formulation was able to counteract paclitaxel-induced hypo-locomotion, reduced vertical exploratory activity, increased anxiety-like behaviors, attenuated weight gain, or decreased food and water intakes. However, the formulations employed did not induce further alterations or toxicity in animals receiving paclitaxel, and no signs of liver damage were detected.

Conclusions: Our results suggest a differential therapeutic effect of two THC:CBD formulations on pain-related behaviors and spontaneous activities, particularly in the context of peripheral neuropathy. These formulations represent a promising therapeutic strategy not only to managing pain but also for enhancing daily activities and improving the quality of life for cancer patients.

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来源期刊
Psychopharmacology
Psychopharmacology 医学-精神病学
CiteScore
7.10
自引率
5.90%
发文量
257
审稿时长
2-4 weeks
期刊介绍: Official Journal of the European Behavioural Pharmacology Society (EBPS) Psychopharmacology is an international journal that covers the broad topic of elucidating mechanisms by which drugs affect behavior. The scope of the journal encompasses the following fields: Human Psychopharmacology: Experimental This section includes manuscripts describing the effects of drugs on mood, behavior, cognition and physiology in humans. The journal encourages submissions that involve brain imaging, genetics, neuroendocrinology, and developmental topics. Usually manuscripts in this section describe studies conducted under controlled conditions, but occasionally descriptive or observational studies are also considered. Human Psychopharmacology: Clinical and Translational This section comprises studies addressing the broad intersection of drugs and psychiatric illness. This includes not only clinical trials and studies of drug usage and metabolism, drug surveillance, and pharmacoepidemiology, but also work utilizing the entire range of clinically relevant methodologies, including neuroimaging, pharmacogenetics, cognitive science, biomarkers, and others. Work directed toward the translation of preclinical to clinical knowledge is especially encouraged. The key feature of submissions to this section is that they involve a focus on clinical aspects. Preclinical psychopharmacology: Behavioral and Neural This section considers reports on the effects of compounds with defined chemical structures on any aspect of behavior, in particular when correlated with neurochemical effects, in species other than humans. Manuscripts containing neuroscientific techniques in combination with behavior are welcome. We encourage reports of studies that provide insight into the mechanisms of drug action, at the behavioral and molecular levels. Preclinical Psychopharmacology: Translational This section considers manuscripts that enhance the confidence in a central mechanism that could be of therapeutic value for psychiatric or neurological patients, using disease-relevant preclinical models and tests, or that report on preclinical manipulations and challenges that have the potential to be translated to the clinic. Studies aiming at the refinement of preclinical models based upon clinical findings (back-translation) will also be considered. The journal particularly encourages submissions that integrate measures of target tissue exposure, activity on the molecular target and/or modulation of the targeted biochemical pathways. Preclinical Psychopharmacology: Molecular, Genetic and Epigenetic This section focuses on the molecular and cellular actions of neuropharmacological agents / drugs, and the identification / validation of drug targets affecting the CNS in health and disease. We particularly encourage studies that provide insight into the mechanisms of drug action at the molecular level. Manuscripts containing evidence for genetic or epigenetic effects on neurochemistry or behavior are welcome.
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