Evidence map›Paper›PMID 33864076›Full record

ArticleNeuro-oncology2021

Cannabidiol converts NF-κB into a tumor suppressor in glioblastoma with defined antioxidative properties.

Marie N M Volmar, Jiying Cheng, Haitham Alenezi, Sven Richter, Alisha Haug, Zonera Hassan, Maria Goldberg, Yuping Li, Mengzhuo Hou, Christel Herold-Mende and 13 more

Open access · hybridAbstract read
In one paragraph

Article in Neuro-oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 4% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Pooled it
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  15. Cannabinoids in the treatment of glioblastoma.Pharmacological reports : PR · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors at 10 institutions in 1 country.

Marie N M VolmarNeurosurgical Research, Department of Neurosurgery, University Hospital, LMU Munich, Munich, Germany.
Jiying ChengNeurosurgical Research, Department of Neurosurgery, University Hospital, LMU Munich, Munich, Germany.
Haitham AleneziNeurosurgical Research, Department of Neurosurgery, University Hospital, LMU Munich, Munich, Germany.
Sven RichterNeurosurgical Research, Department of Neurosurgery, University Hospital, LMU Munich, Munich, Germany.
Alisha HaugNeurosurgical Research, Department of Neurosurgery, University Hospital, LMU Munich, Munich, Germany.
Zonera HassanDepartment of Medicine II, Klinikum rechts der Isar, Technische Universität München, Munich, Germany.
Maria GoldbergNeurosurgical Research, Department of Neurosurgery, University Hospital, LMU Munich, Munich, Germany.
Yuping LiNeurosurgical Research, Department of Neurosurgery, University Hospital, LMU Munich, Munich, Germany.
Mengzhuo HouNeurosurgical Research, Department of Neurosurgery, University Hospital, LMU Munich, Munich, Germany.
Christel Herold-MendeDepartment of Neurosurgery, Division of Experimental Neurosurgery, Heidelberg University Hospital, Heidelberg, Germany.
Cecile L MaireDepartment of Neurosurgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Katrin LamszusDepartment of Neurosurgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Charlotte FlühDepartment of Neurosurgery, University Hospital Center Schleswig Holstein, Kiel, Germany.
Janka Held-FeindtDepartment of Neurosurgery, University Hospital Center Schleswig Holstein, Kiel, Germany.
Gaetano GargiuloMolecular Oncology, Max Delbrück Center for Molecular Medicine in the Helmholtz Association, Berlin, Germany.
Geoffrey J ToppingDepartment of Nuclear Medicine, School of Medicine, Technical University of Munich, Munich, Germany.
Franz SchillingDepartment of Nuclear Medicine, School of Medicine, Technical University of Munich, Munich, Germany.
Dieter SaurDepartment of Medicine II, Klinikum rechts der Isar, Technische Universität München, Munich, Germany.
Günter SchneiderDepartment of Medicine II, Klinikum rechts der Isar, Technische Universität München, Munich, Germany.
Michael SynowitzDepartment of Neurosurgery, University Hospital Center Schleswig Holstein, Kiel, Germany.
Joel A SchickGenetics and Cellular Engineering Group, Institute of Molecular Toxicology and Pharmacology, Helmholtz Zentrum Munich, Neuherberg, Germany.
Roland E KälinNeurosurgical Research, Department of Neurosurgery, University Hospital, LMU Munich, Munich, Germany.
Rainer GlassNeurosurgical Research, Department of Neurosurgery, University Hospital, LMU Munich, Munich, Germany.
Ludwig-Maximilians-Universität München · DELMU Klinikum · DETechnical University of Munich · DEUniversity of Lübeck · DEUniversität Hamburg · DEGerman Cancer Research Center · DEHelmholtz Zentrum München · DEKlinikum rechts der Isar · DEMax Delbrück Center · DEUniversity Hospital Heidelberg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe transcription factor NF-κB drives neoplastic progression of many cancers including primary brain tumors (glioblastoma [GBM]). Precise therapeutic modulation of NF-κB activity can suppress central oncogenic signaling pathways in GBM, but clinically applicable compounds to achieve this goal have remained elusive.

methodsIn a pharmacogenomics study with a panel of transgenic glioma cells, we observed that NF-κB can be converted into a tumor suppressor by the non-psychotropic cannabinoid cannabidiol (CBD). Subsequently, we investigated the anti-tumor effects of CBD, which is used as an anticonvulsive drug (Epidiolex) in pediatric neurology, in a larger set of human primary GBM stem-like cells (hGSC). For this study, we performed pharmacological assays, gene expression profiling, biochemical, and cell-biological experiments. We validated our findings using orthotopic in vivo models and bioinformatics analysis of human GBM datasets.

resultsWe found that CBD promotes DNA binding of the NF-κB subunit RELA and simultaneously prevents RELA phosphorylation on serine-311, a key residue that permits genetic transactivation. Strikingly, sustained DNA binding by RELA-lacking phospho-serine 311 was found to mediate hGSC cytotoxicity. Widespread sensitivity to CBD was observed in a cohort of hGSC defined by low levels of reactive oxygen species (ROS), while high ROS content in other tumors blocked CBD-induced hGSC death. Consequently, ROS levels served as a predictive biomarker for CBD-sensitive tumors.

conclusionsThis evidence demonstrates how a clinically approved drug can convert NF-κB into a tumor suppressor and suggests a promising repurposing option for GBM therapy.

Indexed as

CannabidiolGlioblastomaTumor Suppressor ProteinsAntioxidantsApoptosisCell Line, TumorGene Expression Regulation, NeoplasticHumansNF-kappa BTranscription Factor RelAAntioxidantsCannabidiolNF-kappa BRELA protein, humanTranscription Factor RelATumor Suppressor ProteinsGBM therapyNF-κB (nuclear factor kappa-light-chain enhancer of activated B cells)preclinical studyRELA (v-rel avian reticuloendotheliosis viral oncogene homolog A; also designated p65 or NF-κB3)stem-like GBM cells

Identifiers

PMID33864076
PMCPMC8563328
OpenAlexW3156813361

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.