Gliomas (tumors in the brain) are especially aggressive malignant forms  of cancer, often resulting in the death of affected patients within one  to two years following diagnosis.  There is no cure for gliomas and most  available treatments provide only minor symptomatic relief.
A review of the modern scientific literature reveals numerous  preclinical studies and one pilot clinical study demonstrating  cannabinoids’ ability to act as antineoplastic agents, particularly on  glioma cell lines. 
Writing in the September 1998 issue of the journal FEBS Letters,  investigators at Madrid’s Complutense University, School of Biology,  first reported that delta-9-THC induced apoptosis (programmed cell  death) in glioma cells in culture.[1]  Investigators followed up their  initial findings in 2000, reporting that the administration of both THC  and the synthetic cannabinoid agonist WIN 55,212-2 “induced a  considerable regression of malignant gliomas” in animals.[2]   Researchers again confirmed cannabinoids’ ability to inhibit tumor  growth in animals in 2003.[3]
That same year, Italian investigators at the University of Milan,  Department of Pharmacology, Chemotherapy and Toxicology, reported that  the non-psychoactive cannabinoid, cannabidiol (CBD), inhibited the  growth of various human glioma cell lines in vivo and in vitro in a dose  dependent manner.  Writing in the November 2003 issue of the Journal of  Pharmacology and Experimental Therapeutics Fast Forward, researchers  concluded, “Non-psychoactive CBD … produce[s] a significant anti-tumor  activity both in vitro and in vivo, thus suggesting a possible  application of CBD as an antineoplastic agent.”[4]
In 2004, Guzman and colleagues reported that cannabinoids inhibited  glioma tumor growth in animals and in human glioblastoma multiforme  (GBM) tumor samples by altering blood vessel morphology (e.g., VEGF  pathways).  Writing in the August 2004 issue of Cancer Research,  investigators concluded, “The present laboratory and clinical findings  provide a novel pharmacological target for cannabinoid-based  therapies.”[5]
More recently, investigators at the California Pacific Medical Center  Research Institute reported that the administration of THC on human  glioblastoma multiforme cell lines decreased the proliferation of  malignant cells and induced cell death more rapidly than did the  administration of WIN 55,212-2.  Researchers also noted that THC  selectively targeted malignant cells while ignoring healthy ones in a  more profound manner than the synthetic alternative.[6]
Most recently, Guzman and colleagues reported that THC administration  decreases recurrent glioblastoma multiforme tumor growth in patients  diagnosed with recurrent GBM.  In the first ever pilot clinical trial  assessing the use of cannabinoids and GBM, investigators found that the  intratumoral administration of THC was associated with reduced tumor  cell proliferation in two of nine subjects.  "The fair safety profile of  THC, together with its possible anti-proliferative action on tumor  cells reported here and in other studies, may set the basis for future  trials aimed at evaluating the potential antitumoral activity of  cannabinoids," investigators concluded.[7] Several additional  investigators have also recently called for further exploration of  cannabis-based therapies for the treatment of glioma.[8-10]
In addition to cannabinoids’ ability to moderate glioma cells, separate  studies demonstrate that cannabinoids and endocannabinoids can also  inhibit the proliferation of other various cancer cell lines, including  breast carcinoma,[11-14] prostate carcinoma,[15-17] colorectal  carcinoma,[18] gastric adenocarcinoma,[19] skin carcinoma,[20] leukemia  cells,[21-22] nueroblastoma,[23] lung carcinoma,[24-25] uterus  carcinoma,[26] thyroid epithelioma,[27] pancreatic  adenocarcinoma,[28-29], cervical carcinoma[30]  and lymphoma.[31]
Many experts now believe that cannabinoids “may represent a new class of  anticancer drugs that retard cancer growth, inhibit angiogenesis and  the metastatic spreading of cancer cells,”[32] and have recommended that  at least one cannabinoid, cannabidiol, now be utilized in cancer  therapy.[33]
REFERENCES
[1] Guzman et al. 1998. Delta-9-tetrahydrocannabinol induces apoptosis in C6 glioma cells. FEBS Letters 436: 6-10.
[2] Guzman et al. 2000. Anti-tumoral action of cannabinoids: involvement  of sustained ceramide accumulation and extracellular signal-regulated  kinase activation. Nature Medicine 6: 313-319.
[3] Guzman et al. 2003. Inhibition of tumor angiogenesis by cannabinoids. The FASEB Journal 17: 529-531.
[4] Massi et al. 2004. Antitumor effects of cannabidiol, a  non-psychotropic cannabinoid, on human glioma cell lines. Journal of  Pharmacology and Experimental Therapeutics Fast Forward 308: 838-845.
[5] Guzman et al. 2004. Cannabinoids inhibit the vascular endothelial  growth factor pathways in gliomas (PDF). Cancer Research 64: 5617-5623.
[6] Allister et al. 2005. Cannabinoids selectively inhibit proliferation  and induce death of cultured human glioblastoma multiforme cells.  Journal of Neurooncology 74: 31-40.
[7] Guzman et al. 2006. A pilot clinical study of  delta-9-tetrahydrocannabinol in patients with recurrent glioblastoma  multiforme. British Journal of Cancer (E-pub ahead of print).
[8] Parolaro and Massi. 2008. Cannabinoids as a potential new drug  therapy for the treatment of gliomas. Expert Reviews of  Neurotherapeutics 8: 37-49
[9] Galanti et al. 2007. Delta9-Tetrahydrocannabinol inhibits cell cycle  progression by downregulation of E2F1 in human glioblastoma multiforme  cells. Acta Oncologica 12: 1-9.
[10 Calatozzolo et al. 2007. Expression of cannabinoid receptors and  neurotrophins in human gliomas. Neurological Sciences 28: 304-310.
[11] Cafferal et al. 2006. Delta-9-Tetrahydrocannabinol inhibits cell  cycle progression in human breast cancer cells through Cdc2 regulation.  Cancer Research 66: 6615-6621.
[12] Di Marzo et al. 2006. Anti-tumor activity of plant cannabinoids  with emphasis on the effect of cannabidiol on human breast carcinoma.  Journal of Pharmacology and Experimental Therapeutics Fast Forward  (E-pub ahead of print).
[13] De Petrocellis et al. 1998. The endogenous cannabinoid anandamide  inhibits human breast cancer cell proliferation. Proceedings of the  National Academy of Sciences of the United States of America 95:  8375-8380.
[14] McAllister et al. 2007. Cannabidiol as a novel inhibitor of Id-1  gene expression in aggressive breast cancer cells. Molecular Cancer  Therapeutics 6: 2921-2927.
[15] Sarfaraz et al. 2005. Cannabinoid receptors as a novel target for  the treatment of prostate cancer. Cancer Research 65: 1635-1641.
[16] Mimeault et al. 2003. Anti-proliferative and apoptotic effects of  anandamide in human prostatic cancer cell lines. Prostate 56: 1-12.
[17] Ruiz et al. 1999. Delta-9-tetrahydrocannabinol induces apoptosis in  human prostate PC-3 cells via a receptor-independent mechanism. FEBS  Letters 458: 400-404.
[18] Pastos et al. 2005. The endogenous cannabinoid, anandamide, induces  cell death in colorectal carcinoma cells: a possible role for  cyclooxygenase-2. Gut 54: 1741-1750.
[19] Di Marzo et al. 2006. op. cit
[20] Casanova et al. Inhibition of skin tumor growth and angiogenesis in  vivo by activation of cannabinoid receptors. 2003.  Journal of Clinical  Investigation 111: 43-50.
[21] Powles et al. 2005. Cannabis-induced cytotoxicity in leukemic cell lines. Blood 105: 1214-1221
[22] Jia et al 2006. Delta-9-tetrahydrocannabinol-induced apoptosis is  jurkat leukemic T cells in regulated by translocation of Bad to  mitochondria. Molecular Cancer Research 4: 549-562.
[23] Manuel Guzman. 2003. Cannabinoids: potential anticancer agents (PDF). Nature Reviews Cancer 3: 745-755.
[24] Ibid.
[25] Preet et al. 2008. Delta9-Tetrahydrocannabinol inhibits epithelial  growth factor-induced lung cancer cell migration in vitro as well as its  growth and metastasis in vivo. Oncogene 10: 339-346.
[26] Manuel Guzman. 2003. Cannabinoids: potential anticancer agents (PDF). Nature Reviews Cancer 3: 745-755.
[27] Baek et al. 1998. Antitumor activity of cannabigerol against human  oral epitheloid carcinoma cells. Archives of Pharmacal Research: 21:  353-356.
[28] Carracedo et al. 2006. Cannabinoids induce apoptosis of pancreatic  tumor cells via endoplasmic reticulum stress-related genes. Cancer  Research 66: 6748-6755.
[29] Michalski et al. 2007. Cannabinoids in pancreatic cancer:  correlation with survival and pain. International Journal of Cancer  (E-pub ahead of print).
[30] Ramer and Hinz. 2008. Inhibition of cancer cell invasion by  cannabinoids via increased cell expression of tissue inhibitor of matrix  metalloproteinases-1. Journal of the National Cancer Institute 100:  59-69.
[31] Gustafsson et al. 2006. Cannabinoid receptor-mediated apoptosis  induced by R(+)-methanandamide and Win55,212 is associated with ceramide  accumulation and p38 activation in Mantle Cell Lymphoma. Molecular  Pharmacology (E-pub ahead of print).
[32] Natalya Kogan. 2005. Cannabinoids and cancer. Mini-Reviews in Medicinal Chemistry 5: 941-952.
[33] Di Marzo et al. 2006. op. cit.
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http://www.alternet.org/drugreporter/86256/
Can Pot Extend Ted Kennedy's Life? Too Bad It's Illegal
By Paul Armentano, NORML. Posted May 23, 2008.
Scientific studies indicate that marijuana can halt the spread of  numerous cancer cells, including the type that Kennedy suffers from.
In the 14 years I've worked in marijuana law reform, few events have  struck me as so needlessly tragic as the federal government's consistent  and deliberate stifling of medical cannabis research. Nowhere is the  Fed's refusal to allow this science more overt and inhumane than as it  pertains to the investigation of cannabinoids as anti-cancer agents,  particularly in the treatment of gliomas.
As noted in today's wire stories regarding Sen. Edward Kennedy's  diagnosis, glioma is an aggressive form of cancer that affects an  estimated 10,000 Americans annually. Standard treatments for the cancer  include radiation and chemotherapy, though neither procedure has proven  particularly effective -- the disease kills approximately half its  victims within one year and all within three years.
But what if there was an alternative treatment for gliomas that could  selectively target the cancer while leaving healthy cells intact? And  what if federal bureaucrats were aware of this treatment, but  deliberately withheld this information from the public?
Sadly, the above questions are not hypothetical. As I originally wrote  in a 2004 essay for Alternet.org, titled Pot Shows Promise as a Cancer  Cure":
    In fact, the first experiment documenting pot's anti-tumor effects  took place in 1974 at the Medical College of Virginia at the behest of  the U.S. government. The results of that study, reported in an Aug. 18,  1974, Washington Post newspaper feature, were that marijuana's  psychoactive component, THC, "slowed the growth of lung cancers, breast  cancers and a virus-induced leukemia in laboratory mice, and prolonged  their lives by as much as 36 percent."
    Despite these favorable preliminary findings, U.S. government  officials banished the study and refused to fund any follow-up research  until conducting a similar -- though secret -- clinical trial in the  mid-1990s. That study, conducted by the U.S. National Toxicology Program  to the tune of $2 million, concluded that mice and rats administered  high doses of THC over long periods had greater protection against  malignant tumors than untreated controls.
    However, rather than publicize their findings, government  researchers shelved the results, which only became public after a draft  copy of its findings were leaked in 1997 to a medical journal which in  turn forwarded the story to the national media.
    In the years since the completion of the National Toxicology trial,  the U.S. government has yet to fund a single additional study examining  the drug's potential anti-cancer properties. Is this a case of federal  bureaucrats putting politics over the health and safety of patients? You  be the judge.
Fortunately, in the past 10 years scientists overseas have generously  picked up where U.S. researchers so abruptly left off, reporting that  cannabinoids can halt the spread of numerous cancer cells -- including  prostate cancer, breast cancer, lung cancer, pancreatic cancer, and in  one human clinical trial, brain cancer.
Writing earlier this year in the journal Expert Review of  Neurotherapeutics, Italian researchers reiterated, "(C)annabinoids have  displayed a great potency in reducing glioma tumor growth either in  vitro or in animal experimental models. (They) appear to be selective  antitumoral agents as they kill glioma cells without affecting the  viability of nontransformed counterparts." Not one mainstream media  outlet reported their findings. Perhaps now they'll pay better  attention.
What possible advancements in the treatment of cancer may have been  achieved over the past 34 years had U.S. government officials chosen to  advance -- rather than suppress -- clinical research into the  anti-cancer effects of cannabis? It's a shame we have to speculate; it's  even more tragic that the families of Senator Kennedy and thousands of  others must suffer while we do.
 
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