PMID- 35625855 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230916 IS - 2227-9059 (Print) IS - 2227-9059 (Electronic) IS - 2227-9059 (Linking) VI - 10 IP - 5 DP - 2022 May 11 TI - Impact of Delta(9)-Tetrahydrocannabinol on Rheumatoid Arthritis Synovial Fibroblasts Alone and in Co-Culture with Peripheral Blood Mononuclear Cells. LID - 10.3390/biomedicines10051118 [doi] LID - 1118 AB - delta9-Tetrahydrocannabinol (THC) has demonstrated anti-inflammatory effects in animal models of arthritis, but its mechanism of action and cellular targets are still unclear. The purpose of this study is to elucidate the effects of THC (0.1-25 microM) on synovial fibroblasts from patients with rheumatoid arthritis (RASF) and peripheral blood mononuclear cells (PBMC) from healthy donors in respect to proliferation, calcium mobilization, drug uptake, cytokine and immunoglobulin production. Intracellular calcium and drug uptake were determined by fluorescent dyes Cal-520 and PoPo3, respectively. Cytokine and immunoglobulin production were evaluated by ELISA. Cannabinoid receptors 1 and 2 (CB(1) and CB(2)) were detected by flow cytometry. RASF express CB(1) and CB(2) and the latter was increased by tumor necrosis factor (TNF). In RASF, THC (>/=5 microM) increased intracellular calcium levels/PoPo3 uptake in a TRPA1-dependent manner and reduced interleukin-8 (IL-8) and matrix metalloprotease 3 (MMP-3) production at high concentrations (25 microM). Proliferation was slightly enhanced at intermediate THC concentrations (1-10 microM) but was completely abrogated at 25 microM. In PBMC alone, THC decreased interleukin-10 (IL-10) production and increased immunoglobulin G (IgG). In PBMC/RASF co-culture, THC decreased TNF production when cells were stimulated with interferon-gamma (IFN-gamma) or CpG. THC provides pro- and anti-inflammatory effects in RASF and PBMC. This is dependent on the activating stimulus and concentration of THC. Therefore, THC might be used to treat inflammation in RA but it might need titrating to determine the effective concentration. FAU - Lowin, Torsten AU - Lowin T AUID- ORCID: 0000-0001-7368-2776 AD - Poliklinik, Funktionsbereich & Hiller Forschungszentrum fur Rheumatologie, University Hospital Duesseldorf, 40225 Duesseldorf, Germany. FAU - Kok, Christina AU - Kok C AD - Poliklinik, Funktionsbereich & Hiller Forschungszentrum fur Rheumatologie, University Hospital Duesseldorf, 40225 Duesseldorf, Germany. FAU - Smutny, Sophie AU - Smutny S AD - Poliklinik, Funktionsbereich & Hiller Forschungszentrum fur Rheumatologie, University Hospital Duesseldorf, 40225 Duesseldorf, Germany. FAU - Pongratz, Georg AU - Pongratz G AD - Poliklinik, Funktionsbereich & Hiller Forschungszentrum fur Rheumatologie, University Hospital Duesseldorf, 40225 Duesseldorf, Germany. LA - eng PT - Journal Article DEP - 20220511 PL - Switzerland TA - Biomedicines JT - Biomedicines JID - 101691304 PMC - PMC9138512 OTO - NOTNLM OT - PBMC OT - TRPA1 OT - calcium OT - cannabinoid receptors OT - cannabis OT - cytokines OT - rheumatoid arthritis OT - synovial fibroblast OT - tetrahydrocannabinol COIS- The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results. EDAT- 2022/05/29 06:00 MHDA- 2022/05/29 06:01 PMCR- 2022/05/11 CRDT- 2022/05/28 01:08 PHST- 2022/04/08 00:00 [received] PHST- 2022/05/06 00:00 [revised] PHST- 2022/05/09 00:00 [accepted] PHST- 2022/05/28 01:08 [entrez] PHST- 2022/05/29 06:00 [pubmed] PHST- 2022/05/29 06:01 [medline] PHST- 2022/05/11 00:00 [pmc-release] AID - biomedicines10051118 [pii] AID - biomedicines-10-01118 [pii] AID - 10.3390/biomedicines10051118 [doi] PST - epublish SO - Biomedicines. 2022 May 11;10(5):1118. doi: 10.3390/biomedicines10051118.