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. 2021 Jul 14;147(9):2507–2534. doi: 10.1007/s00432-021-03710-7

Table 1.

Pre-clinical in vitro studies encompassing various cannabinoids in cancer models

Cancer Cell line Cannabinoid (s) Inhibitory concentrations In vitro actions References
PDAC MIA PaCa2, PANC-1, Capan-2, BxPC-3 Δ9-THC, SR141716, SR144528 0–5 µM Apoptosis via CB2 and p8, ATF4 and TRIB3 and caspase-3 activation Carracedo et al. (2006)
AsPC-I, HPFA-II, PANC-I, BxPC-3 CBD 0–10 µM Antiproliferative effects via GPR55 Ferro et al. (2018)
BRAIN Human Glioblastoma, U373-MG Δ9-THC, AEA, HU-210, WIN 55,212–2 100 nM–10 µM Accelerated cell proliferation via EGFR and MMP McAllister et al. (2011)
Human Glioblastoma, U878MG, U373MG CBD, SR141716, SR144528 5–40 µM Antiproliferative effects correlated to induction of apoptosis Singer et al. (2015)

Human Glioblastoma multiforme,

SF126, U87-MG, U251, SF188, U373-MG, Human GBM cultures

Δ9-THC, WIN 55,212–2 0.1 nM-2 µM Antiproliferative effects and increase of apoptosis Ellert-Miklaszewska et al. (2021)
Rat C6 glioma cells WIN 55,212–2, WIN 55,212–3 1–30 µM Cell viability reduction, morphological changes to cells Matas et al. (2007)
Rat C6 glioma cells Δ9-THC, CBD, CBD-A, CBG, CBC, AM251, JWH-133, AM630, SR141716A, SR144528 0–50 µM CBD most potent. CBD, CBG and CBD-A activated TRPV1 Ligresti et al. (2006)
Murine Neuroblastoma, N18TG2 AEA 1–5 µM Apoptosis and decrease in cleavage of PARP-1 Marcu et al. (2010)
Human Astrocytoma, U87MG Δ9-THC, SR141716 1–10 µM Apoptosis and autophagy via ER stress Salazar et al. (2009)
Human Glioma cancer, U251, SF126, U87 Δ9-THC, CBD 0.1–10 µM Inhibition of cell proliferation, apoptosis Qamri et al. (2009)
Human Glioblastoma, U87-MG, T98G CBD 0–20 µM Decrease in cell invasion via MMP-9, TIMP-1, TIMP-4, u-PA, PAI-1, VEGF Solinas et al. (2013)
Human Glioma, T98G, U87MG, Murine Glioma, GL261 CBD, Δ9-THC (Pure and BDS) 0–20 µM Increase in radiosensitivity associated with increase in apoptosis and autophagy Scott et al. (2014)

Human Glioblastoma, U251, 3832, 387

Primary glioma stem cells (GSC) lines

CBD 0–5 µM Activation of p-p38 pathway, downregulation of key stem cell regulators; Sox2, Id1 and p-STAT3 Singer et al. (2015)
Human Neuroblastoma, SK-N-SH, IMR-32, NUB-6 and LAN-1 Δ9-THC, CBD 0–50 µg/mL Cell viability reduction and apoptosis Fisher et al. (2016)
Human Glioblastoma, U87MG, Glioblastoma patient derived stem cell like cells (GIC) Δ9-THC, CBD 0–5 µM Very significant reduction of the GIC population, induction of apoptosis López-Valero et al. (2018)
Human Glioma cells, U87MG (U87), A172, SW1783, U373MG (U373), T98G (T98), SW1088, and LN405 Δ9-THC, CBD, SR141716, SR144528 0.9–3 µmol/L Reduction in cell viability and induction of apoptosis and autophagy Torres et al. (2011)
Human Glioma cells, GOS3, U87 MG (U87), A172, SW1783, U118 MG (U118), U373 MG (U373), T98G (T98), SW1088, CCF-STTG1 (CCF) and LN405 Δ9-THC, SR141716, SR144528 0–2.5 µM

Sensitive and resistance cell line determined via reduction in cell viability

Increased Mdk expression confers resistance of glioma cells to Δ9-THC pro-autophagic and antitumoural action

Lorente et al. (2011)
BREAST Human Breast adenocarcinoma, MDA-MB-231, MCF-7, murine mammary carcinoma, 4T1 Δ9-THC 0- 20 µM No decrease observed in cell viability for all cell lines and low level of cannabinoid receptors McKallip et al. (2005)
Human Breast adenocarcinoma, EVSA-T Δ9-THC 3 and 5 µM Antiproliferative effects rely on JunD activity and participation of p8 Caffarel et al. (2008)
Human Breast adenocarcinoma, MDA-MB-231, T47D, murine breast cancer, TSAE-1 Met-F-AEA, SR141716A 2.5–20 µM Reduction in cell viability in dose-dependent manner and decrease of tyrosine phosphorylation of FAK and Src Santoro et al. (2009)
Human Breast adenocarcinoma, MDA-MB-231, T47D, MCF-7 SR141716 0.1–1 µM

Cell cycle arrest, decreased expression of cyclins D and E

Antiproliferative effect requires lipid raft/caveolae integrity to occur

Sarnataro et al. (2005)
Human Breast adenocarcinoma, EVSA-T, MDA-MB-231, MDA-MB-468, SKBR3, MCF-7, T-47D Δ9-THC, SR141716, SR144528 1–12 µmol/L Reduction in cell proliferation via the CB2 receptor, cell cycle arrest, induction of apoptosis Caffarel et al. (2006)
Human Breast adenocarcinoma, MDA-MB-231, MCF-7 Δ9-THC, CBD, CBG, CBC, AM251, JWH-133, AM630, SR141716A, SR144528 0–50 µM CBD apoptotic effect via activation of the CB2 receptor and TRPV1 Ligresti et al. (2006)
Human Breast adenocarcinoma, MDA-MB-231, MDA-MB-231-Luc, MDA-MB-468 WIN 55,212–2, JWH-133, AM251, SR144528 0–10 µM

All cell lines express both CB1 and CB2 receptors

Inhibition of cell proliferation and migration via COX-2 signalling and apoptosis

Hirao-Suzuki et al. (2020)

Human Breast adenocarcinoma, MDA-MB231

Murine mammary carcinoma, 4T1.2

CBD 1.5 µM Inhibition of cell proliferation and invasion through modulation of ERK and ROS, downregulation of Id-1 expression and upregulation of Id-2 Nallathambi et al. (2018)
Human Breast adenocarcinoma, MDA-MB-231, SKBR3, MCF-7, ZR-75–1 CBD, AM251, AM630, Capazepine 0–10 µM Decrease in cell viability, autophagy and apoptosis via ER stress, inhibition of Akt, mTOR signalling Lin et al. (2019)
Human Breast adenocarcinoma, SUM159, MDA-MB-231-SCP2, MVT-1, murine mammary carcinoma, 4T1.2 CBD 3–15 µM Cell proliferation decreased, inhibition of the epidermal growth factor (EGF)-induced cell proliferation, migration, and invasion Grimaldi et al. (2006)
Human Breast adenocarcinoma, MCF-7, Murine mammary carcinoma, 4T1 JWH-015, SR141716, SR144528 0–10 µM Decrease in cell viability, apoptosis and reduced ERK1/2 levels, effects were dependent in a non-Gαi -mediated, calcium-dependency McAllister et al. (2011)
Human Breast adenocarcinoma, MDA-MB-231 AEA, AM251 0–0.5 µM Reduction in CD44+/CD24−/low/ESA+ cancer stem cell (CSC) invasiveness Mohammadpour et al. (2017)
Human Breast adenocarcinoma, MDA-MB-231 CBDA, GSK0660, GW501516, ST-247 1–50 µM CBDA inhibits PPARβ/δ mediated transcriptional activation and AP-1 Gazzerro et al. (2010)
Human Breast Cancer, MDA-MB-231, MCF-7 CBD 1–50 µM Co-administration of CBDsol and paclitaxel or docetaxel showed a synergistic effect Fraguas-Sánchez et al. (2020)
GASTROINTESTINAL Human Colon cancer, DLD-1, CaCo-2, SW620 SR141716 0.1–20 µM Reduction in cell proliferation and cell cycle arrest Aviello et al. (2012)
Human Colon adenocarcinoma, Caco-2, HCT 116 CBG, AM251, AM630, AMTB (TRPM8 antagonist), CBD, CBDV, CBC 1–50 µM Apoptosis, increase in ROS production and upregulation of CHOP expression Borelli et al. (2014)
Human Colorectal carcinoma, DLD-1, HCT116 CBD BS (botanical substance), CBD, AM630, SR141716, SR144528 0.3–5 µM Antiproliferative effects, no effect on cell viability Romano et al. (2014)
Human Colorectal cancer, Caco-2 CBD 0.1–10 µM PhysO2 cells significantly more sensitive to antiproliferative effects of CBD than AtmosO2 Macpherson et al. 2014
Human Colon cancer, DLD-1 SR141716 0.1–10 µM Inhibition of cell proliferation at higher concentrations Gazzerro et al. (2010)
Human Colon cancer, SW480 CBD, WIN 55,212–2 0–15 µM Induction of cellular ACPP, DUSP1, DUSP10, cleavage of PARP, Apoptosis De Petrocellis et al. (2013)
Human colorectal carcinoma, Caco-2, HCT116 CBD, SR141716, AM251, SR144528, AM630, GW9662, Capsazepine 0.01–10 µM Reduction in cell viability and expression of phospho-Akt Aviello et al. (2012)
Human Colon cancer, HCT116, SW48 SR141716 0–20 µM Inhibition of cell growth, increase of caspase-3 and cleavage of PARP Proto et al. (2017)

Human Colon cancer, HCT116 and DLD-1

Organoids

SR141716 0.1–20 µM Reduction in colon CSCs proliferation and tumour differentiated cells Fiore et al. (2018)
Human Hepatocellular carcinoma, HepG2, HuH-7 Δ9-THC, JWH-015, SR141716, SR144528 1–8 µM Reduction in cell viability occurred via CB2 receptor and autophagy Vara et al. (2011)
Human Hepatocellular carcinoma, BEL7402 WIN 55, 212–2, AM630, JWH-015 0, 5 or 10 µM CB2 mediated downregulation of phosphorylated ERK1/2 Xu et al. (2016)
Human Gastric adenocarcinoma, AGS AEA, Meth-AEA (R- ( +)), CP 55,940 0.5–5 µM Concentration-dependent effects in cell morphology and loss changes Ortega et al. (2016)
Gastric cancer, SGC7901, AGS cells WIN 55,212–2 5 µM Inhibition of cell migration, invasion and EMT Xian et al. (2016)
PROSTATE Human Prostate Cancer, PC-3 Δ9-THC, AM251, WIN55,212–2 0.5–10 µM Reduction in cell viability and apoptosis Ruiz et al. (1999)
Human Prostate Cancer, LNCaP, DU145, PC-3 AEA 1–10 µM Decrease of EGFR levels in all cell lines via CB1 leading to an inhibition of EGF-stimulated growth Mimeault et al. (2003)
Human Prostate Cancer, LNCaP MET-AEA, HU-210, JWH-015, SR141716, SR144528 0.05–5 µM Involvement of PI3K pathway and modification of androgen receptor expression Sanchez et al. (2003)
Human Prostate carcinoma, LNCaP, PC3 WIN-55,212–2, SR141716, SR144528 1–30 µM Induction in p27/KIP1 and downregulation in cyclin and CDK levels. Upregulation of ERK1/2 and inhibition of PI3k/Akt pathways Sarfaraz et al. (2006)
Human Prostate cancer, LNCaP, 22RV1, DU-145, PC-3 CBC, CBD, CBG, CBN, CBDA, CBGA, CBDV, CBGV, THC, THCA, THCV, THCVA 1–10 µM Decrease in cell viability and activation of the intrinsic apoptotic pathway De Petrocellis et al. (2013)
Human Prostate adenocarcinoma, PC-3, Primary cultures; BPH, LGG, HGG, PrC AEA, 2-AG, Methanandamide (AM-356), SR141716 2.5, 5 and 10 µM Cell cycle arrest and induction of apoptosis Orellana-Serradell et al. (2015)
Human Prostate cancer, LNCaP, PC-3 WIN 55,212–2, SR141716, SR144528 0- 10 µM WIN prevents neuroendocrine differentiation by downregulation of PI3K/Akt/mTOR signalling Morell et al. (2016)
LUNG Human Lung carcinoma, NCI-H292 Δ9-THC, AEA, HU-210, WIN 55,212–2 0.1–10 µM Increase in cell proliferation dependent on EGFR and MMP Hart et al. (2004)
Human NSCLC, EGF-induced, A549, SW-1573 Δ9-THC 1–20 µM Apoptosis and inhibition of proliferation via EGF-induced phosphorylation of ERK1/2, JNK1/1 and Akt Preet et al. (2008)

Human Lung adenocarcinoma, A549, H460

Primary non-small-cell lung carcinoma cells

CBD, AM251, AM630, Capsazepine, NS-398 0–10 µM Decrease in the viability of the cells and upregulation of COX-2 and PPAR-γ expression, PGE2, PGD2, and 15d-PGJ2 Ramer et al. (2013)
Human NSCLC; A549 (epithelial), CALU1 (mesenchymal) JWH-015, SR144528 0–5 µM Decreased migratory and invasive abilities via reduction in FAK, VCAM1, MMP2 Ravi et al. (2016)
Human Lung cancer; A549 WIN 55,212–2 5–20 µM Decline in cell viability due to apoptosis Müller et al. (2017)
BLOOD Human Leukaemia; CEM (acute lymphoblastic), HEL-92 (erythroblastic), HL60 (acute promyelocytic), MOLT-4 (acute lymphoblastic) and PBMCs Δ9-THC 0–100 µM Cell death via activation of MAPK Powles et al. (2005)
Human Leukaemia, Jurkat, MOLT-4 and murine lymphoma, EL-4 CBD, SR141716A, SR144528, CAPZ 0- 10 µM Significant reduction in cell viability and apoptosis through the CB2 receptor McKallip et al. (2006)
Human Myeloma, U266, U266-LR7, RPMI, RPMI-LR5, MM1.S, MM1.R WIN 55,212–2 5–50 µM Apoptosis Barbado et al. (2017)
Human T acute lymphoblastic leukaemia, Jurkat CBD 0.01–10 µM Reduction in cell viability and cell cycle changes Kalenderoglu et al. (2017)
SKIN Melanoma, A375, MelJuso and murine melanoma, B16 Δ9-THC, WIN-55,212–2, SR141716, SR144528 0.5–1 µM Reduction in cell viability, angiogenesis, and metastasis via CB receptors Blázquez et al. (2006)
Human Melanoma, CHL-1, A375, SK-MEL-28BD Δ9-THC, CBD 0–10 µM Decrease in cell viability Armstrong et al. (2015)
Murine squamous, non-melanoma skin cancer; JWF2 AEA, AMG9810, AM251, AM630 2.5- 40 µM Reduction in cell viability and apoptosis via ER stress Soliman et al. (2016)
Human renal carcinoma, 786-O, SMKT-R2, SMKT-R3, Caki-2, RCC-6, 769-P, Caki-1, ACHN WIN 55,212–2, JWH-133, SR141716A, AM630 0–25 µM Reduction in cell proliferation and induction of apoptosis Khan et al. (2018)
Human ovarian cancer, SKOV-3 CBD 10–50 µM Inhibition of cell proliferation Fraguas-Sánchez et al. (2020)
Rat Adrenal Gland; PC12 cells DHA-DA, AEA 0–80 µM NOS activation, increased Ca2+ signalling leading to apoptosis via GPR55 activation Akimov et al. (2021)

MET-AEA (methanandamide, non-hydrolyzable analogue of AEA), AEA (anandamide), DHA-DA (N-docosahexaenoyl dopamine), AM251 (CB1 antagonist), HU-210 (CB1 agonist), JWH-015 (CB2 agonist), JWH-133 (CB2 agonist), WIN 55,212–2 (CB1 agonist), SR141716 (CB1 inverse agonist), SR144528 (CB2 inverse agonist), N-oleoylethanolamine (NOE) (acidic ceramidase inhibitor), LY294002 (PI3K inhibitor), PD98059 (ERK inhibitor), PBMCs (peripheral blood mononuclear cells), AM630 (CB2 antagonist), GW9662 (PPAR-γ antagonist), GSK066 (PPARβ/δ antagonist), GSK501516 (PPARδ antagonist), AMG9810 (TRPV1 antagonist)