Evidence map›Paper›PMID 26218440›Full record

ArticleBritish journal of pharmacology2015

Cannabidiol is a negative allosteric modulator of the cannabinoid CB1 receptor.

R B Laprairie, A M Bagher, M E M Kelly, E M Denovan-Wright

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in British journal of pharmacology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07638189 (Pilot Study Using Topical Cannabidiol), which is not on this map. Cited by 572 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
572citing papers in PubMed, 5 pooled it
36.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07638189 phase2not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Pilot Study Using Topical Cannabidiol (CBD) to Manage Osteoarthritic Knee Pain

TypeinterventionalSponsorUniversity of TennesseeRan2026 to 2028Enrolled30ConditionsOsteoarthitisArmsCannabidiol (CBD), Castor Oil (Placebo)
3 · Its place in the literature

Who cites it

572 citing papers in PubMed, 5 syntheses or guidelines pooled it, 980 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Pooled it
  5. The Role of Cannabidiol in Liver Disease: A Systemic Review.International journal of molecular sciences · 2024
    Pooled it
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Does cannabidiol reduce the adverse effects of cannabis in schizophrenia? A randomised, double-blind, cross-over trial.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
    Trial
  12. Trial
  13. The neural and psychophysiological effects of cannabidiol in youth with alcohol use disorder: A randomized controlled clinical trial.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
    Trial
  14. Evaluating the Abuse Potential of Lenabasum, a Selective Cannabinoid Receptor 2 Agonist.The Journal of pharmacology and experimental therapeutics · 2024
    Trial
  15. Acute effects of different types of cannabis on young adult and adolescent resting-state brain networks.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Trial
  16. Trial
  17. Trial
  18. Cannabidiol and ΔToxicology · 2026
    Article
  19. Review
  20. Review

512 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

R B LaprairieDepartments of Pharmacology, Dalhousie University, Halifax, NS, Canada.
A M BagherDepartments of Pharmacology, Dalhousie University, Halifax, NS, Canada.
M E M KellyDepartments of Pharmacology, Dalhousie University, Halifax, NS, Canada.
E M Denovan-WrightDepartments of Pharmacology, Dalhousie University, Halifax, NS, Canada.
Dalhousie University · CA

Funding

Canadian Institutes of Health Research MOP-97768
6 · The paper itself

Abstract

background and purposeCannabidiol has been reported to act as an antagonist at cannabinoid CB1 receptors. We hypothesized that cannabidiol would inhibit cannabinoid agonist activity through negative allosteric modulation of CB1 receptors. EXPERIMENTAL APPROACH: Internalization of CB1 receptors, arrestin2 recruitment, and PLCβ3 and ERK1/2 phosphorylation, were quantified in HEK 293A cells heterologously expressing CB1 receptors and in the STHdh(Q7/Q7) cell model of striatal neurons endogenously expressing CB1 receptors. Cells were treated with 2-arachidonylglycerol or Δ(9)-tetrahydrocannabinol alone and in combination with different concentrations of cannabidiol. KEY

resultsCannabidiol reduced the efficacy and potency of 2-arachidonylglycerol and Δ(9)-tetrahydrocannabinol on PLCβ3- and ERK1/2-dependent signalling in cells heterologously (HEK 293A) or endogenously (STHdh(Q7/Q7)) expressing CB1 receptors. By reducing arrestin2 recruitment to CB1 receptors, cannabidiol treatment prevented internalization of these receptors. The allosteric activity of cannabidiol depended upon polar residues being present at positions 98 and 107 in the extracellular amino terminus of the CB1 receptor. CONCLUSIONS AND IMPLICATIONS: Cannabidiol behaved as a non-competitive negative allosteric modulator of CB1 receptors. Allosteric modulation, in conjunction with effects not mediated by CB1 receptors, may explain the in vivo effects of cannabidiol. Allosteric modulators of CB1 receptors have the potential to treat CNS and peripheral disorders while avoiding the adverse effects associated with orthosteric agonism or antagonism of these receptors.

Indexed as

AnimalsArrestinsCannabidiolCannabinoid Receptor ModulatorsCell LineHEK293 CellsHumansMAP Kinase Signaling SystemMicePhospholipase C betaReceptor, Cannabinoid, CB1ArrestinsCannabidiolCannabinoid Receptor ModulatorsPhospholipase C betaPLCB3 protein, humanReceptor, Cannabinoid, CB1

Identifiers

PMID26218440
PMCPMC4621983
OpenAlexW1945751328

What OpenQuestion holds

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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.