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Table 3 In vivo studies investigating the therapeutic potential of CBD in breast Cancer models

From: Cannabidiol as a novel therapeutic agent in breast cancer: evidence from literature

Study Title

Publication Year

Animal Model

Implanted Cells & Site

Carcinogen Use

Mode & Duration of Treatment

Sample Size

Outcomes Measured

Key Findings

References

CBD Inhibits Tumor Development in Breast Cancer Models

2023

Mouse Xenograft Model

MCF-7 cells, subcutaneous implantation

No carcinogen used

Oral administration of CBD at varying doses for 6 weeks

10 mice/group

Tumor growth inhibition, metastasis reduction, apoptosis induction

CBD significantly reduced tumor growth and metastasis

[19]

CBD & THCV Overcome Doxorubicin Resistance in TNBC Xenografts

2023

Athymic Nude Mice Xenograft Model

MDA-MB-231 cells, subcutaneous implantation

No carcinogen used

CBD (10 mg/kg) + THCV (15 mg/kg) + DOX (5 mg/kg) for 6 weeks

10 mice/group

Chemosensitivity enhancement, apoptosis induction, immune modulation

CBD/THCV increased DOX cytotoxicity, downregulated PD-L1 & TGF-β, overcoming resistance

36

CB1 Inhibition Sensitizes TNBC to Ferroptosis via Fatty Acid Metabolism Regulation

2022

Mouse Xenograft Model

MDA-MB-231 cells, subcutaneous implantation

No carcinogen used

Rimonabant (CB1 antagonist) + Erastin/RSL3 for 4 weeks

8 mice/group

Tumor growth reduction, lipid peroxidation, ROS production

CB1 inhibition increased ferroptosis sensitivity and reduced tumor growth

[41]

Enhanced Therapeutic Efficacy of CBD via Nanoencapsulation & Combination with PPD

2022

Mouse Xenograft Model

4T1 cells, subcutaneous implantation

No carcinogen used

Nanoencapsulated CBD + PPD for 5 weeks

12 mice/group

Tumor inhibition, drug synergy, apoptosis induction

Nanoencapsulation improved CBD efficacy (82.2% tumor inhibition) and enhanced anticancer action with PPD

[42]

Anticancer and Chemosensitization Effects of CBD in TNBC Models

2022

Ex Vivo Organotypic Model

MDA-MB-231, MDA-MB-468, MCF-10 A (organoid cultures)

No carcinogen used

CBD (1–10 µM) + DOX (0.39-25 µM) in TNBC 2D/3D models

Not applicable (ex vivo study)

Cell viability, migration, gene expression (GADD45A, Integrins), autophagy markers

CBD improved DOX sensitivity, suppressed TNBC invasion, inhibited autophagy via Beclin1 downregulation

[38]

CBD Enhances Atezolizumab Efficacy via cGAS–STING Pathway Activation in TNBC Models

2024

Mouse Xenograft Model

MDA-MB-231 cells, subcutaneous implantation

No carcinogen used

CBD (dose not specified) + Atezolizumab for treatment duration (not specified)

Sample size not specified

PD-L1 expression, cGAS-STING activation, tumor apoptosis, immune response

CBD upregulated PD-L1 expression via cGAS-STING, enhancing atezolizumab efficacy in TNBC

[32]

Antitumor activity of abnormal cannabidiol and its analog O-1602 in taxol-resistant preclinical models of breast cancer

2019

Zebrafish xenograft model

Paclitaxel-resistant MDA-MB-231 and MCF-7 breast cancer cells

No carcinogen used

Abnormal cannabidiol (Abn-CBD) and O-1602 at varying concentrations (e.g., 2 µM)

Not specified

Cell viability, apoptosis induction, tumor growth inhibition, gene expression analysis

Abn-CBD and O-1602 significantly inhibited proliferation of Taxol-resistant breast cancer cells, induced apoptosis, and reduced tumor growth in xenograft models. Enhanced Taxol’s efficacy via non-CB1/CB2 cannabinoid receptors, suggesting a novel mechanism of action

[29]

Appraising the Entourage Effect: Antitumor Action of a Pure Cannabinoid Versus a Botanical Drug Preparation in Preclinical Models of Breast Cancer

2018

Mouse xenograft model

Breast cancer cell lines implanted subcutaneously

No carcinogen used

Pure cannabinoid and botanical drug preparation administered at varying doses

Not specified

Tumor growth inhibition, apoptosis induction, and gene expression analysis

Botanical drug preparation demonstrated enhanced antitumor activity compared to pure cannabinoid, supporting the entourage effect hypothesis

[28]

Novel Role of Cannabinoid Receptor 2 in Inhibiting EGF/EGFR and IGF-I/IGF-IR Pathways in Breast Cancer

2016

Mouse xenograft model

ERα + and ERα- breast cancer cells implanted subcutaneously

No carcinogen used

JWH-015 (CNR2 agonist) administered at varying doses

Not specified

Tumor growth inhibition, reduced migration and invasion, suppression of EGFR and IGF-IR signaling pathways

CNR2 activation suppressed breast cancer growth through novel mechanisms by inhibiting EGF/EGFR and IGF-I/IGF-IR signaling axes

[27]

Modulation of Breast Cancer Cell Viability by a Cannabinoid Receptor 2 Agonist, JWH-015, is Calcium Dependent

2016

Mouse xenograft model

Murine 4T1 and human MCF-7 breast cancer cells implanted subcutaneously

No carcinogen used

JWH-015 (CNR2 agonist) administered at varying doses

Not specified

Tumor growth inhibition, apoptosis induction, calcium-dependent signaling, MAPK/ERK pathway modulation

JWH-015 significantly reduced tumor burden and metastasis in vivo, induced apoptosis in vitro, and modulated calcium-dependent MAPK/ERK signaling pathways

[26]

Bone Cell-Autonomous Contribution of Type 2 Cannabinoid Receptor to Breast Cancer-Induced Osteolysis

2015

Mouse xenograft model

Bone-tropic human and mouse breast cancer cells implanted in bone

No carcinogen used

CB2 agonists (e.g., HU308, JWH133) administered at varying doses

Not specified

Tumor-induced osteolysis, bone remodeling, osteoblast and osteoclast activity

CB2 activation reduced osteolysis and tumor burden, highlighting its role in regulating tumor-bone interactions and bone remodeling

[25]

Cannabinoids Reduce ErbB2-Driven Breast Cancer Progression Through Akt Inhibition

2010

MMTV-neu mouse model

ErbB2-positive breast cancer cells implanted subcutaneously

No carcinogen used

Δ9-THC and JWH-133 (CB2 agonist) administered at varying doses

Not specified

Tumor growth inhibition, reduced metastasis, apoptosis induction, angiogenesis impairment

Cannabinoids significantly reduced tumor growth, metastasis, and angiogenesis. Their antitumor effects were mediated through Akt pathway inhibition, providing strong preclinical evidence for cannabinoid-based therapies in ErbB2-positive breast cancer

[24]

Synthetic Cannabinoid Receptor Agonists Inhibit Tumor Growth and Metastasis of Breast Cancer

2009

Mouse xenograft model

MDA-MB-231 and MDA-MB-468 breast cancer cells implanted subcutaneously

No carcinogen used

JWH-133 (CB2 agonist) and WIN-55,212-2 (CB1/CB2 agonist) administered at varying doses

Not specified

Tumor growth inhibition, reduced metastasis, apoptosis induction, COX-2/prostaglandin E2 pathway modulation

JWH-133 and WIN-55,212-2 significantly reduced tumor growth (40-50%) and lung metastasis (65-80%) in vivo. Effects were mediated through CB1/CB2 receptors and involved COX-2/prostaglandin E2 signaling pathways

[23]