Table 2.
Potential use of cannabinoids in cancer treatment: pro and cons evidence
| Tumour (cell type) | Cannabinoid (concentration or dose) | Anticancer effect | Procancer effect | Mechanism of action | References | 
|---|---|---|---|---|---|
| Bronchial epithelium | THC |  | + | Molecular abnormalities and histopatological alterations | Barsky et al. (1998) | 
| Murine hepatoma cell line (Hepa) | THC (2–10 μg/ml) |  | + | Induction of CYP1A1 | Roth et al. (2001) | 
| Lung cancer cell line (A549) | THC |  | + | Inhibition of Fas-induced caspase-3 activity | Sarafian et al. (2001) | 
| Endothelial cell line | THC (1.77 or 3.95%) |  | + | Increased ROS generation | Sarafian et al. (1999) | 
| Murine Lewis lung carcinoma (3LL); alveolar cell carcinoma (L1C2) | THC (5–40 mg/kg) |  | + | In vivo, decreased production of cytokines and/or CB2-mediated immune suppression | Zhu et al. (2000) | 
|  | CBD (⩾5 μg/ml) |  | + |  | Srivastava et al. (1998) | 
| Human breast cancer cell lines (MCF7; EFM-19) | AEA (2–10 μM) 2-AG (2–10 μM) HU210 (⩾4 μM) | + |  | Inhibition of the mitogen-induced stimulation of the G0/G1–S phase | De Petrocellis et al. (1998) | 
|  | AEA (⩾2 μM) | + |  |  | Melck et al. (2000) | 
|  | 2-AG, HU210 (⩾1 μM) |  |  |  |  | 
| Human breast cancer cell lines (MCF7; MDA-MB-231) Mouse mammary carcinoma (4T1) | THC (⩽5 μM) |  | + | Increased tumour growth and metastasis; in vivo, decreased antitumour immune response | McKallip et al. (2005) | 
| Androgen-independent prostate cancer cells (PC3, DU145) | AEA, R-(+)-MET (⩾2 μM) | + |  | Inhibition of mitogen-induced proliferation, G1 arrest | Mimeault et al. (2003) Melck et al. (2000) | 
|  | THC (1 μM) | + |  | Apoptosis | Ruiz et al. (1999) | 
| Androgen-dependent prostate cancer cells (LNCaP) | AEA, R-(+)-MET (⩾2 μM) | + |  | Inhibition of mitogen-induced proliferation, G1 arrest | Mimeault et al. (2003) | 
| Androgen-dependent prostate cancer cells (LNCaP) | WIN-55,212-2 (⩾2.5 μM) | + |  | Dose- and time-dependent induction of apoptosis; decreased expression of AR and PSA | Sarfaraz et al. (2005) | 
| Androgen-dependent prostate cancer cells (LNCaP) | R-(+)-MET (0.1–0.2 μM) |  | + | Increased proliferation and AR expression | Sanchez et al. (2003) | 
| Rat glioma cell line (C6) | THC (1 μM) | + |  | Apoptosis via ceramide de novo synthesis In vivo, regression of C6-derived glioma | Galve-Roperh et al. (2000) | 
|  | JWH133, WIN-55,212-2 (0.1 μM) | + |  | Apoptosis via ceramide de novo synthesis | Sanchez et al. (2001a, 2001b) | 
|  | WIN-55,212-2 (15 μM) | + |  | Apoptosis via activation of caspase cascade | Ellert-Miklaszewska et al. (2005) | 
| Human astrocitoma (grade IV) | JWH-133 (50 μg/die) | + |  | In vivo, inhibited growth of tumours induced in deficient mice | Sanchez et al. (2001a, 2001b) | 
| Human glioblastoma multiforme cell line (GBM) | THC (1 μM) WIN-55,212-2 | + |  | Decreased proliferation and increased cell death | McAllister et al. (2005) | 
| K-ras-transformed FRTL-5 thyroid cells (KiMol) | Met-F-AEA (0.5 ng/kg/dose) | + |  | In vivo, inhibited growth of tumours induced in nude mice | Bifulco et al. (2001) | 
| Mouse skin carcinoma cells (PDV-C57) | JWH-133, WIN-55,212-2 (1.58 μg) | + |  | In vivo, inhibited growth of tumours induced in nude mice | Casanova et al. (2003) | 
| Human umbilical vein endothelial cells (HUVEC) | JWH-133 (25 nM) | + |  | Induction of apoptosis, inhibited migration | Blazquez et al. (2003) | 
| Lung cancer cells (NCI-H292) | THC (0.1–0.3 μM) |  | + | Increased proliferation | Hart et al. (2004) | 
| Glioblastoma cell line (U373-MG) |  |  |  |  |  | 
| Human breast cancer cell line (MDA-MB-231) | Met-F-AEA (10 μM and | + |  | Inhibition of adhesion and migration | Grimaldi et al. (2006) | 
| Mouse breast cancer cell line (TSA-E1) | 0.5 mg/kg/dose) | In vivo, reduction of number and dimension of metastatic nodes |