Abstract

Background and PurposeCannabidiol (CBD) has been shown to differentially regulate the mechanistic target of rapamycin complex 1 (mTORC1) in preclinical models of disease, where it reduces activity in models of epilepsies and cancer and increases it in models of multiple sclerosis (MS) and psychosis. Here, we investigate the effects of phytocannabinoids on mTORC1 and define a molecular mechanism.Experimental ApproachA novel mechanism for phytocannabinoids was identified using the tractable model system, Dictyostelium discoideum. Using mouse embryonic fibroblasts, we further validate this new mechanism of action. We demonstrate clinical relevance using cells derived from healthy individuals and from people with MS (pwMS).Key ResultsBoth CBD and the more abundant cannabigerol (CBG) enhance mTORC1 activity in D. discoideum. We identify a mechanism for this effect involving inositol polyphosphate multikinase (IPMK), where elevated IPMK expression reverses the response to phytocannabinoids, decreasing mTORC1 activity upon treatment, providing new insight on phytocannabinoids' actions. We further validated this mechanism using mouse embryonic fibroblasts. Clinical relevance of this effect was shown in primary human peripheral blood mononuclear cells, where CBD and CBG treatment increased mTORC1 activity in cells derived from healthy individuals and decreased mTORC1 activity in cells derived from pwMS.Conclusion and ImplicationsOur findings suggest that both CBD and the abundant CBG differentially regulate mTORC1 signalling through a mechanism dependent on the activity of the upstream IPMK signalling pathway, with potential relevance to the treatment of mTOR‐related disorders, including MS.

Highlights

  • Spasticity associated with multiple sclerosis (MS) (Zettl, Rommer, Hipp, & Patejdl, 2016) can be treated with a combination of phytocannabinoids, containing the non-euphoric compound cannabidiol (CBD) and the euphoric Δ9-tetrahydrocannabinol (THC)

  • Because we have proposed a mechanism for CBG and CBD in the regulation of mechanistic target of rapamycin complex 1 (mTORC1) signalling dependent upon inositol polyphosphate multikinase (IPMK) in D. discoideum (Figure 6a), we aimed to translate this effect into mammalian cells

  • CBD has been shown to be effective in preclinical models of psychosis (Renard et al, 2016; Renard, Norris, Rushlow, & Laviolette, 2017), breast cancer (Sultan et al, 2018) and tuberous sclerosis complex (Serra et al, 2019)

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Summary

| INTRODUCTION

Spasticity associated with multiple sclerosis (MS) (Zettl, Rommer, Hipp, & Patejdl, 2016) can be treated with a combination of phytocannabinoids, containing the non-euphoric compound cannabidiol (CBD) and the euphoric Δ9-tetrahydrocannabinol (THC). The model system Dictyostelium discoideum has been instrumental in identifying molecular mechanisms of action of a range of drugs and natural products (Chang et al, 2012; Kelly, Sharma, Wilkinson, & Williams, 2018; Perry et al, 2019) This organism contains many human protein orthologues and conserved signalling pathways linked to disease-related processes (Schaf, Damstra-Oddy, & Williams, 2019) and enables a range of advantageous research approaches, including the ability to screen mutant libraries providing an unbiased approach to identifying cellular mechanism of action of drugs (Chang et al, 2012; Kelly et al, 2018; Schaf et al, 2019), including effects of CBD on cell growth and folate one-carbon metabolism (Perry et al, 2019). Cells from people with MS (pwMS) show elevated mTORC1 activity that is reduced following phytocannabinoid treatment

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