PMID- 30076848 OWN - NLM STAT- MEDLINE DCOM- 20190708 LR - 20190708 IS - 1873-2968 (Electronic) IS - 0006-2952 (Linking) VI - 157 DP - 2018 Nov TI - EHP-101, an oral formulation of the cannabidiol aminoquinone VCE-004.8, alleviates bleomycin-induced skin and lung fibrosis. PG - 304-313 LID - S0006-2952(18)30317-4 [pii] LID - 10.1016/j.bcp.2018.07.047 [doi] AB - Systemic sclerosis (SSc) or scleroderma is a chronic multi-organ autoimmune disease characterized by vascular, immunological, and fibrotic abnormalities. The etiology of SSc is unknown, but there is growing evidence that dysfunction of the endocannabinoid system (ECS) plays a critical role in its development. Since the semi-synthetic cannabinoquinoid VCE-004.8 could alleviate bleomycin (BLM)-induced skin fibrosis, we have investigated an oral lipid formulation (EHP-101) of this dual PPARgamma/CB(2) receptors activator for the prevention of skin- and lung fibrosis and of collagen accumulation in BLM challenged mice. Immunohistochemistry analysis of the skin showed that EHP-101 could prevent macrophage infiltration as well as the expression of Tenascin C (TNC), vascular cell adhesion molecule 1 (VCAM1), and the alpha-smooth muscle actin (SMA). EHP-101 could also prevent the reduced expression of vascular CD31 typical of skin fibrosis. RNAseq analysis of skin biopsies showed a clear effect of EHP-101 in the inflammatory and epithelial-mesenchymal transition transcriptomic signatures. TGF-beta-regulated genes [matrix metalloproteinase-3 (Mmp3), cytochrome b-245 heavy chain (Cybb), lymphocyte antigen 6E (Ly6e), vascular cell adhesion molecule-1 (Vcam1) and Integrin alpha-5 (Itga5)] were induced in BLM mice and repressed by EHP-101 treatment. By intersecting differentially expressed genes in EHP-101-treated mice with a dataset of human scleroderma intrinsic genes, 53 overlapped genes were discovered, including biomarkers of SSc like the C-C motif chemokine 2 (Ccl2) and the interleukin 13 receptor subunit alpha 1 (IL-13Ra1) genes. Taken together, these data provide a rationale for further developing VCE-004.8 as an orally active agent to alleviate scleroderma and, possibly, other fibrotic diseases as well. CI - Copyright (c) 2018 Elsevier Inc. All rights reserved. FAU - Garcia-Martin, Adela AU - Garcia-Martin A AD - Vivacell Biotechnology Espana, Cordoba, Spain. FAU - Garrido-Rodriguez, Martin AU - Garrido-Rodriguez M AD - Innohealth Group, Madrid, Spain. FAU - Navarrete, Carmen AU - Navarrete C AD - Vivacell Biotechnology Espana, Cordoba, Spain. FAU - Del Rio, Carmen AU - Del Rio C AD - Instituto Maimonides de Investigacion Biomedica de Cordoba (IMIBIC), Cordoba, Spain; Departamento de Biologia Celular, Fisiologia e Inmunologia, Universidad de Cordoba, Cordoba, Spain; Hospital Universitario Reina Sofia, Cordoba, Spain. FAU - Bellido, Maria L AU - Bellido ML AD - Vivacell Biotechnology Espana, Cordoba, Spain; Emerald Health Pharmaceuticals, San Diego, USA. FAU - Appendino, Giovanni AU - Appendino G AD - Dipartimento di Scienze del Farmaco, Universita del Piemonte Orientale, Novara, Italy. FAU - Calzado, Marco A AU - Calzado MA AD - Instituto Maimonides de Investigacion Biomedica de Cordoba (IMIBIC), Cordoba, Spain; Departamento de Biologia Celular, Fisiologia e Inmunologia, Universidad de Cordoba, Cordoba, Spain; Hospital Universitario Reina Sofia, Cordoba, Spain. FAU - Munoz, Eduardo AU - Munoz E AD - Instituto Maimonides de Investigacion Biomedica de Cordoba (IMIBIC), Cordoba, Spain; Departamento de Biologia Celular, Fisiologia e Inmunologia, Universidad de Cordoba, Cordoba, Spain; Hospital Universitario Reina Sofia, Cordoba, Spain. Electronic address: fi1muble@uco.es. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180802 PL - England TA - Biochem Pharmacol JT - Biochemical pharmacology JID - 0101032 RN - 0 (Quinones) RN - 11056-06-7 (Bleomycin) RN - 19GBJ60SN5 (Cannabidiol) RN - 9007-34-5 (Collagen) SB - IM MH - Administration, Oral MH - Animals MH - Bleomycin MH - Blood Vessels/drug effects MH - Cannabidiol/*analogs & derivatives MH - Collagen/analysis MH - Female MH - Fibrosis MH - Lung/drug effects/*pathology MH - Mice, Inbred BALB C MH - Phenotype MH - Quinones/administration & dosage/therapeutic use MH - Skin/blood supply/drug effects/metabolism/*pathology MH - Transcriptome/drug effects OTO - NOTNLM OT - Bleomycin OT - Cannabinoids OT - Inflammation OT - Systemic fibrosis OT - Transcriptomic signature EDAT- 2018/08/05 06:00 MHDA- 2019/07/10 06:00 CRDT- 2018/08/05 06:00 PHST- 2018/06/09 00:00 [received] PHST- 2018/07/31 00:00 [accepted] PHST- 2018/08/05 06:00 [pubmed] PHST- 2019/07/10 06:00 [medline] PHST- 2018/08/05 06:00 [entrez] AID - S0006-2952(18)30317-4 [pii] AID - 10.1016/j.bcp.2018.07.047 [doi] PST - ppublish SO - Biochem Pharmacol. 2018 Nov;157:304-313. doi: 10.1016/j.bcp.2018.07.047. Epub 2018 Aug 2.