Preprint Article Version 1 This version is not peer-reviewed

CBD-X Extracts in Asthma Management: Reducing Th2-Driven Cytokine Secretion and Neutrophil/Eosonophil Activity

Version 1 : Received: 11 September 2024 / Approved: 12 September 2024 / Online: 12 September 2024 (05:35:21 CEST)

How to cite: Aswad, M.; Pechkovsky, A.; Ghanayiem, N.; Dotan, Y.; Louria-Hayon, I. CBD-X Extracts in Asthma Management: Reducing Th2-Driven Cytokine Secretion and Neutrophil/Eosonophil Activity. Preprints 2024, 2024090963. https://doi.org/10.20944/preprints202409.0963.v1 Aswad, M.; Pechkovsky, A.; Ghanayiem, N.; Dotan, Y.; Louria-Hayon, I. CBD-X Extracts in Asthma Management: Reducing Th2-Driven Cytokine Secretion and Neutrophil/Eosonophil Activity. Preprints 2024, 2024090963. https://doi.org/10.20944/preprints202409.0963.v1

Abstract

Background/Objectives: Asthma is a chronic inflammatory disorder of the airways affecting over 10% of the global population. It is characterized by airway inflammation, mucus hypersecretion, and bronchial hyperresponsiveness, driven predominantly by type 2 helper T cells (Th2) and type 2 innate lymphoid cells (ILC2s) in a subset of patients. However, a significant portion of asthmatic individuals present with "type 2-low" asthma, often refractory to standard inhaled corticosteroid (ICS) therapy. Therefore, developing innovative therapeutic strategies has become essential. Recent studies have highlighted cannabidiol (CBD) as a promising anti-inflammatory agent capable of modulating immune responses. This study investigates the therapeutic potential of a high-CBD extract (CBD-X) in asthma; Methods: We evaluated the effects of CBD-X on cells involved in asthma pathogenesis using primary human Th2 cells, neutrophils and asthma mouse model; Results: Our findings indicate that CBD-X extract inhibits Th2 differentiation and reduces the secretion of IL-5 and IL-13, which are crucial cytokines in asthma. Additionally, CBD-X significantly reduces pro-inflammatory cytokines IL-8 and IL-6 in neutrophils and impairs their migration, a critical step in airway inflammation. In a murine asthma model, CBD-X administration led to marked downregulation of IgE and pro-asthmatic cytokines, along with reduced leukocyte, eosinophil, and neutrophil infiltration in lung tissues; Conclusions: These results suggest that CBD-X extract could offer a novel, complementary approach to managing both type 2-high and type 2-low asthma by targeting key inflammatory pathways and modulating immune cell behavior.

Keywords

CBD extracts; asthma; type 2 helper T cells (Th2); neutrophil; Eosonophil; OVA-Induced Asthmatic mouse model; cytokines; migration; IgE

Subject

Biology and Life Sciences, Immunology and Microbiology

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