Differential effectiveness of selected non‐psychotropic phytocannabinoids on human sebocyte functions implicates their introduction in dry/seborrhoeic skin and acne treatment

Acne is a common skin disease characterized by elevated sebum production and inflammation of the sebaceous glands. We have previously shown that a non‐psychotropic phytocannabinoid ((–)‐cannabidiol [CBD]) exerted complex anti‐acne effects by normalizing ‘pro‐acne agents’‐induced excessive sebaceous lipid production, reducing proliferation and alleviating inflammation in human SZ95 sebocytes. Therefore, in this study we aimed to explore the putative anti‐acne effects of further non‐psychotropic phytocannabinoids ((–)‐cannabichromene [CBC], (–)‐cannabidivarin [CBDV], (–)‐cannabigerol [CBG], (–)‐cannabigerovarin [CBGV] and (–)‐Δ9‐tetrahydrocannabivarin [THCV]). Viability and proliferation of human SZ95 sebocytes were investigated by MTT and CyQUANT assays; cell death and lipid synthesis were monitored by DilC1(5)‐SYTOX Green labelling and Nile Red staining, respectively. Inflammatory responses were investigated by monitoring expressions of selected cytokines upon lipopolysaccharide treatment (RT‐qPCR, ELISA). Up to 10 μm, the phytocannabinoids only negligibly altered the viability of the sebocytes, whereas high doses (≥50 μm) induced apoptosis. Interestingly, basal sebaceous lipid synthesis was differentially modulated by the substances: CBC and THCV suppressed it, and CBDV had only minor effects, whereas CBG and CBGV increased it. Importantly, CBC, CBDV and THCV significantly reduced arachidonic acid (AA)‐induced ‘acne‐like’ lipogenesis. Moreover, THCV suppressed proliferation, and all phytocannabinoids exerted remarkable anti‐inflammatory actions. Our data suggest that CBG and CBGV may have potential in the treatment of dry‐skin syndrome, whereas CBC, CBDV and especially THCV show promise to become highly efficient, novel anti‐acne agents. Moreover, based on their remarkable anti‐inflammatory actions, phytocannabinoids could be efficient, yet safe novel tools in the management of cutaneous inflammations.

[1]  K. Hill Medical Marijuana for Treatment of Chronic Pain and Other Medical and Psychiatric Problems: A Clinical Review. , 2015, JAMA.

[2]  S. Dey,et al.  Endocannabinoid signaling at the periphery: 50 years after THC. , 2015, Trends in pharmacological sciences.

[3]  V. Di Marzo,et al.  Are cannabidiol and Δ9‐tetrahydrocannabivarin negative modulators of the endocannabinoid system? A systematic review , 2015, British journal of pharmacology.

[4]  E. Pagano,et al.  Colon carcinogenesis is inhibited by the TRPM8 antagonist cannabigerol, a Cannabis-derived non-psychotropic cannabinoid. , 2014, Carcinogenesis.

[5]  E. Camera,et al.  Cannabidiol exerts sebostatic and antiinflammatory effects on human sebocytes. , 2014, The Journal of clinical investigation.

[6]  M. Havenith,et al.  Similar appearance, different mechanisms: xerosis in HIV, atopic dermatitis and ageing , 2014, Experimental dermatology.

[7]  M. Picardo,et al.  Acne is an inflammatory disease and alterations of sebum composition initiate acne lesions , 2014, Journal of the European Academy of Dermatology and Venereology : JEADV.

[8]  M. Bellido,et al.  A Cannabigerol Derivative Suppresses Immune Responses and Protects Mice from Experimental Autoimmune Encephalomyelitis , 2014, PloS one.

[9]  B. Lake,et al.  p53 induces skin aging by depleting Blimp1+ sebaceous gland cells , 2014, Cell Death and Disease.

[10]  R. Paus,et al.  Protein kinase C isoforms have differential roles in the regulation of human sebocyte biology. , 2012, The Journal of investigative dermatology.

[11]  C. Zouboulis,et al.  New pharmaceutical concepts for sebaceous gland diseases: implementing today's pre-clinical data into tomorrow's daily clinical practice. , 2012, Current pharmaceutical biotechnology.

[12]  L. Petrocellis,et al.  Cannabinoid actions at TRPV channels: effects on TRPV3 and TRPV4 and their potential relevance to gastrointestinal inflammation , 2012, Acta physiologica.

[13]  L. Kemény,et al.  Studying the genetic predisposing factors in the pathogenesis of acne vulgaris. , 2011, Human immunology.

[14]  T. Bisogno,et al.  Effects of cannabinoids and cannabinoid‐enriched Cannabis extracts on TRP channels and endocannabinoid metabolic enzymes , 2011, British journal of pharmacology.

[15]  P. Saitta,et al.  An update on the presence of psychiatric comorbidities in acne patients, Part 2: Depression, anxiety, and suicide. , 2011, Cutis.

[16]  P. Saitta,et al.  An update on the presence of psychiatric comorbidities in acne patients, part 1: overview of prevalence. , 2011, Cutis.

[17]  T. Bíró,et al.  “Sebocytes’ makeup” - Novel mechanisms and concepts in the physiology of the human sebaceous glands , 2011, Pflügers Archiv - European Journal of Physiology.

[18]  A. Layton Disorders of the Sebaceous Glands , 2010 .

[19]  R. Paus,et al.  Sebocytes, multifaceted epithelial cells: lipid production and holocrine secretion. , 2010, The international journal of biochemistry & cell biology.

[20]  R. Pertwee,et al.  Evidence that the plant cannabinoid cannabigerol is a highly potent α2‐adrenoceptor agonist and moderately potent 5HT1A receptor antagonist , 2010, British journal of pharmacology.

[21]  M. Picardo,et al.  New developments in our understanding of acne pathogenesis and treatment , 2009, Experimental dermatology.

[22]  C. Conrad,et al.  Interplay between keratinocytes and immune cells--recent insights into psoriasis pathogenesis. , 2009, The international journal of biochemistry & cell biology.

[23]  R. Paus,et al.  Transient receptor potential vanilloid-1 signaling as a regulator of human sebocyte biology. , 2009, The Journal of investigative dermatology.

[24]  R. Paus,et al.  Endocannabinoids enhance lipid synthesis and apoptosis of human sebocytes via cannabinoid receptor‐2‐mediated signaling , 2008, FASEB journal : official publication of the Federation of American Societies for Experimental Biology.

[25]  C. Zouboulis,et al.  The sebocyte culture: a model to study the pathophysiology of the sebaceous gland in sebostasis, seborrhoea and acne , 2008, Archives of Dermatological Research.

[26]  H. Kurzen,et al.  Frontiers in sebaceous gland biology and pathology , 2008, Experimental dermatology.

[27]  C. Zouboulis,et al.  Isotretinoin: state of the art treatment for acne vulgaris , 2007, Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG.

[28]  C. Albanesi,et al.  Resident skin cells in psoriasis: a special look at the pathogenetic functions of keratinocytes. , 2007, Clinics in dermatology.

[29]  E. Williamson,et al.  Cannabinoids inhibit human keratinocyte proliferation through a non-CB1/CB2 mechanism and have a potential therapeutic value in the treatment of psoriasis. , 2007, Journal of dermatological science.

[30]  H. Maibach,et al.  Models in Acnegenesis , 2007, Cutaneous and ocular toxicology.

[31]  C. Zouboulis,et al.  Propionibacterium acnes and lipopolysaccharide induce the expression of antimicrobial peptides and proinflammatory cytokines/chemokines in human sebocytes. , 2006, Microbes and infection.

[32]  F. Guimarães,et al.  Cannabidiol, a Cannabis sativa constituent, as an antipsychotic drug. , 2006, Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas.

[33]  C. Zouboulis The Truth behind This Undeniable Efficacy – Recurrence Rates and Relapse Risk Factors of Acne Treatment with Oral Isotretinoin , 2006, Dermatology.

[34]  S. Dursun,et al.  Cannabidiol monotherapy for treatment-resistant schizophrenia , 2006, Journal of psychopharmacology.

[35]  P. So,et al.  Nuclear receptor corepressor RIP140 regulates fat accumulation. , 2004, Proceedings of the National Academy of Sciences of the United States of America.

[36]  B. Godin,et al.  Cannabidiol-transdermal delivery and anti-inflammatory effect in a murine model. , 2003, Journal of controlled release : official journal of the Controlled Release Society.

[37]  C. Ellis,et al.  Uses and complications of isotretinoin therapy. , 2001, Journal of the American Academy of Dermatology.

[38]  C. Zouboulis,et al.  Chronological ageing and photoageing of the human sebaceous gland , 2001, Clinical and experimental dermatology.

[39]  A. Slominski,et al.  Neuroendocrinology of the skin. , 2000, Endocrine reviews.

[40]  C. Zouboulis,et al.  Establishment and Characterization of an Immortalized Human Sebaceous Gland Cell Line (SZ95)1 , 1999 .

[41]  J C Reed,et al.  Mitochondria and apoptosis. , 1998, Science.

[42]  G. Kroemer,et al.  Mitochondria as regulators of apoptosis: doubt no more. , 1998, Biochimica et biophysica acta.

[43]  V. Moiseenkova-Bell,et al.  Transient Receptor Potential (TRP) Channels. , 2018, Sub-cellular biochemistry.

[44]  C. Zouboulis,et al.  Pathogenesis and treatment of acne and rosacea , 2014 .

[45]  D. Clapham Transient Receptor Potential (TRP) Channels , 2009 .

[46]  W. Cunliffe,et al.  Pathogenesis of acne. , 1969, Lancet.