Cannabichromene (CBC), a non-psychoactive phytocannabinoid derived from Cannabis sativa, has emerged as a promising candidate for cancer therapy. Below is a synthesis of its anti-cancer properties and mechanisms based on recent studies:
Anticancer Mechanisms
Induction of Cell Death Pathways:
Apoptosis: CBC activates caspase-3/8/9, triggering programmed cell death in pancreatic, breast, and bladder cancer cells
Ferroptosis: Upregulates ferroptosis-related genes (e.g., HMOX1) and depletes glutathione, leading to lipid peroxidation in pancreatic cancer models
Autophagy: Modulates LC3-II and Beclin-1 expression, promoting cancer cell self-destruction
Receptor Modulation:
TRPV1/CB2 Activation: CBC binds to TRPV1 (a transient receptor potential channel) and CB2 receptors, enhancing apoptosis and inhibiting tumor growth
ER/AR Downregulation: In ER+/AR+ breast cancer, CBC reduces estrogen receptor (ER) and androgen receptor (AR) protein levels, disrupting hormone-driven proliferation .
Anti-Inflammatory & Anti-Angiogenic Effects:
Suppresses NF-κB and COX-2 pathways, reducing pro-inflammatory cytokines (e.g., TNF-α, IL-6) that promote tumor microenvironment growth
Inhibits VEGF and matrix metalloproteinases (MMPs), blocking angiogenesis and metastasis
Efficacy Across Cancer Types
| Cancer Type | Effects | Key Findings |
| Pancreatic Cancer | Induces apoptosis and ferroptosis; reduces xenograft tumor growth by 60% | Synergizes with TRPV1/CB2 activation |
| Breast Cancer (ER+) | Inhibits cell proliferation by 70%; downregulates ER and aromatase | Combines ER/AR targeting with ferroptosis induction |
| Bladder Cancer | Synergizes with THC to cause S-phase arrest and reduce migration by 50% | Inhibits F-actin cytoskeleton integrity, impairing invasion |
| Skin Cancer | Reduces UV-induced inflammation; blocks tumor promotion in mice | Lowers pro-inflammatory cytokines (IL-1α, TNF-α) in sebocytes |
Synergistic Effects with Other Cannabinoids
CBC + THC:
Enhances cytotoxicity in bladder cancer via CB2 receptor activation and apoptosis
Reduces cell migration and invasiveness in breast cancer models
CBC + CBD:
Modulates GPR55 and TRPV1 pathways, amplifying anti-proliferative effects
Challenges and Future Directions
Limitations:
Low bioavailability due to rapid metabolism.
Limited clinical data; most studies are preclinical (in vitro/vivo).
Research Priorities:
Clinical Trials: Validate efficacy in human trials (e.g., Phase I/II for pancreatic cancer).
Formulation Optimization: Develop lipid-based carriers to improve stability and delivery.
Combination Therapies: Explore CBC with chemotherapy (e.g., gemcitabine) or immunotherapy.
Notable Studies
Pancreatic Cancer (2025): CBC upregulates ferroptosis genes (HMOX1, ACSL4) and induces caspase-mediated apoptosis in MiaPaCa-2 cells
Breast Cancer (2025): CBC downregulates ERα and AR protein levels by 80%, suppressing luminal A subtype growth .
Bladder Cancer (2021): CBC + THC reduces T24 cell viability by 65% via S-phase arrest and F-actin disorganization
Conclusion
Cannabichromene (CBC) exhibits multifaceted anti-cancer activity through apoptosis induction, receptor modulation, and anti-inflammatory effects. While preclinical data are robust, clinical translation requires further exploration of its pharmacokinetics and synergistic potential. Future studies should prioritize patient stratification (e.g., ER+/HER2- breast cancer) and novel delivery systems to maximize therapeutic benefits.
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