Flavonoid Derivative of <em>Cannabis</em> Demonstrates Therapeutic Potential in Preclinical Models of Metastatic Pancreatic Cancer
Figure S1
Structures of Cannabis flavonoids and the unnatural molecule FBL-03G. Through a bioactivity guided isolation approach, Cannflavin B (10) was isolated from a flavonoid rich fraction of Cannabis using flash chromatography along with 10 other compounds and characterized by NMR and MS spectroscopic methods. The spectroscopic data were similar to the data of the following 11 compounds previously isolated and characterized from the Cannabis plant; apigenin (1), Chrysoeriol (2), kaempferol (3), luteolin (4), quercetin (5), vitexin (6), isovitexin (7), orientin (8) and prenylated flavonoids including Cannflavin A (9), Cannflavin B (10), and Cannflavin C (11).
Abstract
Pancreatic cancer is particularly refractory to modern therapies, with a 5-year survival rate for patients at a dismal 8%. One of the significant barriers to effective treatment is the immunosuppressive pancreatic tumor microenvironment and development of resistance to treatment. New treatment options to increase both the survival and quality of life of patients are urgently needed. This study reports on a new non-cannabinoid, non-psychoactive derivative of cannabis, termed FBL-03G, with the potential to treat pancreatic cancer. In vitro results show major increase in apoptosis and consequential decrease in survival for two pancreatic cancer models- Panc-02 and KPC pancreatic cancer cells treated with varying concentrations of FBL-03G and radiotherapy. Meanwhile, in vivo results demonstrate therapeutic efficacy in delaying both local and metastatic tumor progression in animal models with pancreatic cancer when using FBL-03G sustainably delivered from smart radiotherapy biomaterials. Repeated experiments also showed significant (P < 0.0001) increase in survival for animals with pancreatic cancer compared to control cohorts. The findings demonstrate the potential for this new cannabis derivative in the treatment of both localized and advanced pancreatic cancer, providing impetus for further studies toward clinical translation.
Acknowledgments
We thank all the members at Ngwa's lab at Dana Farber Cancer Institute and Harvard Medical School, Boston, Massachusetts for their support, and Servicebio Inc., Woburn, Massachusetts for technical support. Bio-Tech R&D Institute, University of the West Indies, Mona, Jamaica is also acknowledged for its technical support.
Footnotes
Funding. Funding support for this work is acknowledged from the USA National Institutes of Health (NIH), grant number R21CA205094 and Flavocure Biotech Inc.
References
- 1. Ryan DP, Hong TS, Bardeesy N. Pancreatic adenocarcinoma. N Engl J Med. (2014) 371:1039–49. 10.1056/NEJMra1404198 [] [[PubMed]
- 2. Lowe H, Toyang NJ. Therapeutic Agents Containing Cannabis Flavonoid Derivatives Targeting Kinases, Sirtuins and Oncogenic Agents for the Treatment of Cancers. Virginia USA Patent Application 15/778, 899, Alexandria (2018). [PubMed]
- 3. Hidalgo M. Pancreatic cancer. New Engl J Med. (2010) 362:1605–17. 10.1056/NEJMra0901557 [] [[PubMed]
- 4. Gnoni A, Licchetta A, Scarpa A, Azzariti A, Brunetti AE, Simone G, et al. . Carcinogenesis of pancreatic adenocarcinoma: precursor lesions. Int J Mol Sci. (2013) 14:19731–62. 10.3390/ijms141019731 ] [
- 5. Yasmin-Karim S, Bruck PT, Moreau M, Kunjachan S, Chen GZ, Kumar R, et al. . Radiation and local anti-CD40 generate an effective in situ vaccine in preclinical models of pancreatic cancer. Front Immunol. (2018) 9:2030. 10.3389/fimmu.2018.02030 ] [
- 6. Guzman M. Cannabinoids: potential anticancer agents. Nat Rev Cancer. (2003) 3:745–55. 10.1038/nrc1188 [] [[PubMed]
- 7. Scott KA, Dalgleish AG, Liu WM. The combination of cannabidiol and Delta9-tetrahydrocannabinol enhances the anticancer effects of radiation in an orthotopic murine glioma model. Mol Cancer Ther. (2014) 13:2955–67. 10.1158/1535-7163.MCT-14-0402 [] [[PubMed]
- 8. Yasmin-Karim S, Moreau M, Mueller R, Sinha N, Dabney R, Herman A, et al. . Enhancing the therapeutic efficacy of cancer treatment with cannabinoids. Front Oncol. (2018) 8:114. 10.3389/fonc.2018.00114 ] [
- 9. Grotenhermen F. Pharmacokinetics and pharmacodynamics of cannabinoids. Clin Pharmacokinet. (2003) 42:327–60. 10.2165/00003088-200342040-00003 [] [[PubMed]
- 10. Abrams DI, Guzman M. Cannabis in cancer care. Clin Pharmacol Ther. (2015) 97:575–86. 10.1002/cpt.108 [] [[PubMed]
- 11. Whiting PF, Wolff RF, Deshpande S, Di Nisio M, Duffy S, Hernandez AV, et al. . Cannabinoids for medical use: a systematic review and meta-analysis. JAMA. (2015) 313:2456–73. 10.1001/jama.2015.6358 [] [[PubMed]
- 12. Andre CM, Hausman JF, Guerriero G. Cannabis sativa: the plant of the thousand and one molecules. Front Plant Sci. (2016) 7:19. 10.3389/fpls.2016.00019 ] [
- 13. Mole RH. Whole body irradiation; radiobiology or medicine?Br J Radiol. (1953) 26:234–41. 10.1259/0007-1285-26-305-234 [] [[PubMed]
- 14. Demaria S, Ng B, Devitt ML, Babb JS, Kawashima N, Liebes L, et al. . Ionizing radiation inhibition of distant untreated tumors (abscopal effect) is immune mediated. Int J Radiat Oncol Biol Phys. (2004) 58:862–70. 10.1016/j.ijrobp.2003.09.012 [] [[PubMed]
- 15. Ngwa W, Irabor OC, Schoenfeld JD, Hesser J, Demaria S, Formenti SC. Using immunotherapy to boost the abscopal effect. Nat Rev Cancer. (2018) 18:313–22. 10.1038/nrc.2018.6 ] [
- 16. Radwan MM, Ross SA, Slade D, Ahmed SA, Zulfiqar F, Elsohly MA. Isolation and characterization of new Cannabis constituents from a high potency variety. Planta Med. (2008) 74:267–72. 10.1055/s-2008-1034311 ] [
- 17. Radwan MM, Elsohly MA, Slade D, Ahmed SA, Khan IA, Ross SA. Biologically active cannabinoids from high-potency Cannabis sativa. J Nat Prod. (2009) 72:906–11. 10.1021/np900067k ] [
- 18. Crombie L, Crombie WML, Jamieson SV. Extractives of Thailand cannabis: synthesis of canniprene and isolation of new geranylatedand prenylated chrysoeriols. Tetrahedron Lett. (1980) 21:3607-10. 10.1016/0040-4039(80)80248-6 [[PubMed]
- 19. Barrett ML, Gordon D, Evans FJ. Isolation from Cannabis sativa L. of cannflavin–a novel inhibitor of prostaglandin production. Biochem Pharmacol. (1985) 34:2019–24. 10.1016/0006-2952(85)90325-9 [] [[PubMed]
- 20. Barrett ML, Scutt AM, Evans FJ. Cannflavin A and B, prenylated flavones from Cannabis sativa L. Experientia. (1986) 42:452–3. 10.1007/BF02118655 [] [[PubMed]
- 21. Choi YH, Hazekamp A, Peltenburg-Looman AM, Frederich M, Erkelens C, Lefeber AW, et al. . NMR assignments of the major cannabinoids and cannabiflavonoids isolated from flowers of Cannabis sativa. Phytochem Anal. (2004) 15:345–54. 10.1002/pca.787 [] [[PubMed]
- 22. Moreau M, Yasmin-Karim S, Kunjachan S, Sinha N, Gremse F, Kumar R, et al. . Priming the abscopal effect using multifunctional smart radiotherapy biomaterials loaded with immunoadjuvants. Front Oncol. (2018) 8:56. 10.3389/fonc.2018.00056 ] [
- 23. Ngwa W, Kumar R, Moreau M, Dabney R, Herman A. Nanoparticle drones to target lung cancer with radiosensitizers and cannabinoids. Front Oncol. (2017) 7:208. 10.3389/fonc.2017.00208 ] [