PMID- 30825431 OWN - NLM STAT- MEDLINE DCOM- 20200108 LR - 20201231 IS - 1873-2968 (Electronic) IS - 0006-2952 (Linking) VI - 163 DP - 2019 May TI - Cannabinoid derivatives acting as dual PPARgamma/CB2 agonists as therapeutic agents for systemic sclerosis. PG - 321-334 LID - S0006-2952(19)30077-2 [pii] LID - 10.1016/j.bcp.2019.02.029 [doi] AB - The endocannabinoid system (ECS) may play a role in the pathophysiology of systemic sclerosis (SSc). Cannabinoids acting as dual PPARgamma/CB(2) agonists, such as VCE-004.8 and Ajulemic acid (AjA), have been shown to alleviate skin fibrosis and inflammation in SSc models. Since both compounds are being tested in humans, we compared their activities in the bleomycin (BLM) SSc model. Specifically, the pharmacotranscriptomic signature of the compounds was determined by RNA-Seq changes in the skin of BLM mice treated orally with AjA or EHP-101, a lipidic formulation of VCE-004.8. While both compounds down-regulated the expression of genes involved in the inflammatory and fibrotic components of the disease and the pharmacotranscriptomic signatures were similar for both compounds in some pathways, we found key differences between the compounds in vasculogenesis. Additionally, we found 28 specific genes with translation potential by comparing with a list of human scleroderma genes. Immunohistochemical analysis revealed that both compounds prevented fibrosis, collagen accumulation and Tenascin C (TNC) expression. The endothelial CD31(+)/CD34(+) cells and telocytes were reduced in BLM mice and restored only by EHP-101 treatment. Finally, differences were found in plasmatic biomarker analysis; EHP-101, but not AjA, enhanced the expression of some factors related to angiogenesis and vasculogenesis. Altogether the results indicate that dual PPARgamma/CB2 agonists qualify as a novel therapeutic approach for the treatment of SSc and other fibrotic diseases. EHP-101 demonstrated unique mechanisms of action related to the pathophysiology of SSc that could be beneficial in the treatment of this complex disease without current therapeutic options. CI - Copyright (c) 2019 Elsevier Inc. All rights reserved. FAU - Garcia-Martin, Adela AU - Garcia-Martin A AD - Emerald Health Biotechnology Espana, Cordoba, Spain. FAU - Garrido-Rodriguez, Martin AU - Garrido-Rodriguez M AD - Innohealth Group, Madrid, Spain. FAU - Navarrete, Carmen AU - Navarrete C AD - Emerald Health Pharmaceuticals, San Diego, CA, USA. FAU - Caprioglio, Diego AU - Caprioglio D AD - Dipartimento di Scienze del Farmaco, Universita del Piemonte Orientale, Novara, Italy. FAU - Palomares, Belen AU - Palomares B AD - Maimonides Biomedical Research Institute of Cordoba, Spain; Departament of Cellular Biology, Physiology and Immunology, University of Cordoba, Spain; Universitary Hospital Reina Sofia, Cordoba, Spain. FAU - DeMesa, Jim AU - DeMesa J AD - Emerald Health Pharmaceuticals, San Diego, CA, USA. FAU - Rollland, Alain AU - Rollland A AD - Emerald Health Pharmaceuticals, San Diego, CA, USA. FAU - Appendino, Giovanni AU - Appendino G AD - Dipartimento di Scienze del Farmaco, Universita del Piemonte Orientale, Novara, Italy. FAU - Munoz, Eduardo AU - Munoz E AD - Maimonides Biomedical Research Institute of Cordoba, Spain; Departament of Cellular Biology, Physiology and Immunology, University of Cordoba, Spain; Universitary Hospital Reina Sofia, Cordoba, Spain. Electronic address: fi1muble@uco.es. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190227 PL - England TA - Biochem Pharmacol JT - Biochemical pharmacology JID - 0101032 RN - 0 (Biomarkers) RN - 0 (Cannabinoids) RN - 0 (Hydroquinones) RN - 0 (PPAR gamma) RN - 0 (Receptor, Cannabinoid, CB2) RN - 11056-06-7 (Bleomycin) RN - 7J8897W37S (Dronabinol) RN - OGN7X90BT8 (lenabasum) SB - IM MH - Animals MH - Biomarkers MH - Bleomycin/toxicity MH - Cannabinoids/*pharmacology MH - Dronabinol/administration & dosage/*analogs & derivatives/pharmacology MH - Female MH - Fibrosis/chemically induced MH - Gene Expression Regulation/*drug effects MH - Hydroquinones/administration & dosage/*pharmacology MH - Mice MH - Mice, Inbred BALB C MH - PPAR gamma/*agonists/genetics/metabolism MH - Pulmonary Fibrosis MH - Receptor, Cannabinoid, CB2/*agonists/genetics/metabolism MH - Scleroderma, Systemic/*drug therapy MH - Skin/drug effects/pathology OTO - NOTNLM OT - Bleomycin OT - Cannabinoids OT - Inflammation OT - Systemic fibrosis OT - Transcriptomic signature OT - Vasculopathy EDAT- 2019/03/03 06:00 MHDA- 2020/01/09 06:00 CRDT- 2019/03/03 06:00 PHST- 2019/01/16 00:00 [received] PHST- 2019/02/26 00:00 [accepted] PHST- 2019/03/03 06:00 [pubmed] PHST- 2020/01/09 06:00 [medline] PHST- 2019/03/03 06:00 [entrez] AID - S0006-2952(19)30077-2 [pii] AID - 10.1016/j.bcp.2019.02.029 [doi] PST - ppublish SO - Biochem Pharmacol. 2019 May;163:321-334. doi: 10.1016/j.bcp.2019.02.029. Epub 2019 Feb 27.