Cannabidiol Alleviates Chronic Prostatitis and Chronic Pelvic Pain Syndrome via CB2 Receptor Activation and TRPV1 Desensitization

Purpose: This study elucidates the mechanism of the physiological effect of cannabidiol (CBD) by assessing its impact on lipopolysaccharide (LPS)-induced inflammation in RWPE-1 cells and prostatitis-induced by 17β-estradiol and dihydrotestosterone in a rat model, focusing on its therapeutic potent...

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Main Authors: Jun Jie Piao, Soomin Kim, Dongho Shin, Hwa Jong Lee, Kyung-Hwa Jeon, Wen Jie Tian, Kyung Jae Hur, Jong Soo Kang, Hyun-Je Park, Joo Young Cha, Aeri Song, Sang-Hyuck Park, Mahadevan Rajasekaran, Woong Jin Bae, Sungjoo Kim Yoon, Sae Woong Kim
Format: Article
Language:English
Published: Korean Society for Sexual Medicine and Andrology 2025-01-01
Series:The World Journal of Men's Health
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author Jun Jie Piao
Soomin Kim
Dongho Shin
Hwa Jong Lee
Kyung-Hwa Jeon
Wen Jie Tian
Kyung Jae Hur
Jong Soo Kang
Hyun-Je Park
Joo Young Cha
Aeri Song
Sang-Hyuck Park
Mahadevan Rajasekaran
Woong Jin Bae
Sungjoo Kim Yoon
Sae Woong Kim
author_facet Jun Jie Piao
Soomin Kim
Dongho Shin
Hwa Jong Lee
Kyung-Hwa Jeon
Wen Jie Tian
Kyung Jae Hur
Jong Soo Kang
Hyun-Je Park
Joo Young Cha
Aeri Song
Sang-Hyuck Park
Mahadevan Rajasekaran
Woong Jin Bae
Sungjoo Kim Yoon
Sae Woong Kim
author_sort Jun Jie Piao
collection DOAJ
description Purpose: This study elucidates the mechanism of the physiological effect of cannabidiol (CBD) by assessing its impact on lipopolysaccharide (LPS)-induced inflammation in RWPE-1 cells and prostatitis-induced by 17β-estradiol and dihydrotestosterone in a rat model, focusing on its therapeutic potential for chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). Materials and Methods: RWPE-1 cells were stratified in vitro into three groups: (1) controls, (2) cells with LPS-induced inflammation, and (3) cells with LPS-induced inflammation and treated with CBD. Enzyme-linked immunosorbent assays and western blots were performed on cellular components and supernatants after administration of CBD. Five groups of six Sprague– Dawley male rats were assigned: (1) control, (2) CP/CPPS, (3) CP/CPPS and treated with 50 mg/kg CBD, (4) CP/CPPS and treated with 100 mg/kg CBD, and (5) CP/CPPS and treated with 150 mg/kg CBD. Prostatitis was induced through administration of 17β-estradiol and dihydrotestosterone. After four weeks of CBD treatment, a pain index was evaluated, and prostate tissue was collected for subsequent histologic examination and western blot analysis. Results: CBD demonstrated efficacy in vivo for CP/CPPS and in vitro for inflammation. It inhibited the toll-like receptor 4 (TLR4)/nuclear factor-kappa B (NF-κB) pathway by activating the CB2 receptor, reducing expression of interleukin-6, tumor necrosis factor-alpha, and cyclooxygenase-2 (COX2) (p<0.01). CBD exhibited analgesic effects by activating and desensitizing the TRPV1 receptor. Conclusions: CBD inhibits the TLR4/NF-κB pathway by activating the CB2 receptor, desensitizes the TRPV1 receptor, and decreases the release of COX2. This results in relief of inflammation and pain in patients with CP/CPPS, indicating CBD as a potential treatment for CP/CPPS.
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spelling doaj-art-61089c63b778456d901a75fd93d667f82025-01-03T06:42:46ZengKorean Society for Sexual Medicine and AndrologyThe World Journal of Men's Health2287-42082287-46902025-01-0143122823810.5534/wjmh.230352Cannabidiol Alleviates Chronic Prostatitis and Chronic Pelvic Pain Syndrome via CB2 Receptor Activation and TRPV1 DesensitizationJun Jie Piao0https://orcid.org/0000-0002-8223-7487Soomin Kim1https://orcid.org/0000-0003-4834-9941Dongho Shin2https://orcid.org/0000-0001-8496-8825Hwa Jong Lee3https://orcid.org/0000-0002-0907-6533Kyung-Hwa Jeon4https://orcid.org/0009-0000-1201-6956Wen Jie Tian5https://orcid.org/0000-0002-6037-1319Kyung Jae Hur6https://orcid.org/0000-0002-4080-5466Jong Soo Kang7https://orcid.org/0000-0002-0172-0021Hyun-Je Park8https://orcid.org/0009-0008-3632-947XJoo Young Cha9https://orcid.org/0000-0002-3679-9059Aeri Song10https://orcid.org/0000-0003-4541-3004Sang-Hyuck Park11https://orcid.org/0000-0003-3611-8011Mahadevan Rajasekaran12https://orcid.org/0000-0003-4188-1628Woong Jin Bae13https://orcid.org/0000-0001-7703-1161Sungjoo Kim Yoon14https://orcid.org/0000-0003-2497-729XSae Woong Kim15https://orcid.org/0000-0002-9127-9400Department of Urology, College of Medicine, The Catholic University of Korea, SeoulDepartment of Urology, College of Medicine, The Catholic University of Korea, SeoulDepartment of Urology, Catholic Kwandong University College of Medicine, IncheonGreen Medicine Co., Ltd, BusanCollege of Pharmacy, Ewha Womans University, SeoulDepartment of Urology, The Second Hospital of Jilin University, ChangchunDepartment of Urology, Daegu Fatima Hospital, DaeguYuhan Care Co., Ltd., SeoulYuhan Natural Product R&D Center, Yuhan Care Co., Ltd., YonginYuhan Natural Product R&D Center, Yuhan Care Co., Ltd., YonginYuhan Natural Product R&D Center, Yuhan Care Co., Ltd., YonginInstitute of Cannabis Research, Colorado State University–Pueblo, Pueblo, CODepartment of Urology, San Diego VA Health Care System & University of California, San Diego, CADepartment of Urology, College of Medicine, The Catholic University of Korea, SeoulDepartment of Biomedicine & Health Sciences, The Catholic University of Korea, SeoulDepartment of Urology, College of Medicine, The Catholic University of Korea, SeoulPurpose: This study elucidates the mechanism of the physiological effect of cannabidiol (CBD) by assessing its impact on lipopolysaccharide (LPS)-induced inflammation in RWPE-1 cells and prostatitis-induced by 17β-estradiol and dihydrotestosterone in a rat model, focusing on its therapeutic potential for chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). Materials and Methods: RWPE-1 cells were stratified in vitro into three groups: (1) controls, (2) cells with LPS-induced inflammation, and (3) cells with LPS-induced inflammation and treated with CBD. Enzyme-linked immunosorbent assays and western blots were performed on cellular components and supernatants after administration of CBD. Five groups of six Sprague– Dawley male rats were assigned: (1) control, (2) CP/CPPS, (3) CP/CPPS and treated with 50 mg/kg CBD, (4) CP/CPPS and treated with 100 mg/kg CBD, and (5) CP/CPPS and treated with 150 mg/kg CBD. Prostatitis was induced through administration of 17β-estradiol and dihydrotestosterone. After four weeks of CBD treatment, a pain index was evaluated, and prostate tissue was collected for subsequent histologic examination and western blot analysis. Results: CBD demonstrated efficacy in vivo for CP/CPPS and in vitro for inflammation. It inhibited the toll-like receptor 4 (TLR4)/nuclear factor-kappa B (NF-κB) pathway by activating the CB2 receptor, reducing expression of interleukin-6, tumor necrosis factor-alpha, and cyclooxygenase-2 (COX2) (p<0.01). CBD exhibited analgesic effects by activating and desensitizing the TRPV1 receptor. Conclusions: CBD inhibits the TLR4/NF-κB pathway by activating the CB2 receptor, desensitizes the TRPV1 receptor, and decreases the release of COX2. This results in relief of inflammation and pain in patients with CP/CPPS, indicating CBD as a potential treatment for CP/CPPS.cannabidiolprostatitisreceptor; cannabinoid; cb2toll-like receptor 4trpv1 receptor
spellingShingle Jun Jie Piao
Soomin Kim
Dongho Shin
Hwa Jong Lee
Kyung-Hwa Jeon
Wen Jie Tian
Kyung Jae Hur
Jong Soo Kang
Hyun-Je Park
Joo Young Cha
Aeri Song
Sang-Hyuck Park
Mahadevan Rajasekaran
Woong Jin Bae
Sungjoo Kim Yoon
Sae Woong Kim
Cannabidiol Alleviates Chronic Prostatitis and Chronic Pelvic Pain Syndrome via CB2 Receptor Activation and TRPV1 Desensitization
The World Journal of Men's Health
cannabidiol
prostatitis
receptor; cannabinoid; cb2
toll-like receptor 4
trpv1 receptor
title Cannabidiol Alleviates Chronic Prostatitis and Chronic Pelvic Pain Syndrome via CB2 Receptor Activation and TRPV1 Desensitization
title_full Cannabidiol Alleviates Chronic Prostatitis and Chronic Pelvic Pain Syndrome via CB2 Receptor Activation and TRPV1 Desensitization
title_fullStr Cannabidiol Alleviates Chronic Prostatitis and Chronic Pelvic Pain Syndrome via CB2 Receptor Activation and TRPV1 Desensitization
title_full_unstemmed Cannabidiol Alleviates Chronic Prostatitis and Chronic Pelvic Pain Syndrome via CB2 Receptor Activation and TRPV1 Desensitization
title_short Cannabidiol Alleviates Chronic Prostatitis and Chronic Pelvic Pain Syndrome via CB2 Receptor Activation and TRPV1 Desensitization
title_sort cannabidiol alleviates chronic prostatitis and chronic pelvic pain syndrome via cb2 receptor activation and trpv1 desensitization
topic cannabidiol
prostatitis
receptor; cannabinoid; cb2
toll-like receptor 4
trpv1 receptor
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