Jackson Karen, Shabat-Simon Maytal, Bar-On Jonathan, Steckler Rafi, Khatib Soliman, Tamir Snait, Pitashny Paula Adriana
Faculty of Sciences and Technology, Tel-Hai College, Tel-Hai 1220800, Israel.
MIGAL Galilee Research Institute, Kiryat Shmona 1101600, Israel.
Biomolecules. 2025 May 1;15(5):654. doi: 10.3390/biom15050654.
Epilepsy is a widespread neurological disorder that remains a critical global public health challenge. While numerous antiepileptic drugs (AEDs) are available, many patients either fail to achieve adequate seizure control or experience significant side effects. One promising alternative is pure cannabidiol (CBD), but using a whole cannabis extract may be equally effective and preferred for some patients. In the current study, we employed the pentylenetetrazole (PTZ)-induced hyperactivity model in zebrafish to compare the effects of CBD with various cannabis extracts. We evaluated three cannabis strains, each subjected to three different extraction methods, and benchmarked the results against the commercially available AED valproic acid (VPA). Our findings revealed that 5.7 µg/mL of CBD and 10 µg/mL of different extracts significantly reduced movement compared to PTZ and VPA. In addition, effective extracts produced effects similar to pure CBD despite containing much lower molecule levels. These results reinforced and expanded previous evidence supporting the clinical potential of both CBD and whole cannabis extracts for seizure control while suggesting a possible entourage effect. Further research is necessary to determine which patients may benefit more from pure CBD versus those who might prefer whole cannabis extracts.
癫痫是一种广泛存在的神经系统疾病,仍然是全球重大的公共卫生挑战。虽然有多种抗癫痫药物(AEDs)可供使用,但许多患者要么无法实现充分的癫痫发作控制,要么会出现明显的副作用。一种有前景的替代方法是使用纯大麻二酚(CBD),但对于一些患者来说,使用全大麻提取物可能同样有效且更受青睐。在当前的研究中,我们在斑马鱼中采用戊四氮(PTZ)诱导的多动模型,比较CBD与各种大麻提取物的效果。我们评估了三种大麻品种,每种品种采用三种不同的提取方法,并将结果与市售的AED丙戊酸(VPA)进行基准比较。我们的研究结果显示,与PTZ和VPA相比,5.7 µg/mL的CBD和10 µg/mL的不同提取物显著减少了运动。此外,有效的提取物尽管所含分子水平低得多,但产生的效果与纯CBD相似。这些结果加强并扩展了先前的证据,支持CBD和全大麻提取物在癫痫发作控制方面的临床潜力,同时提示可能存在协同效应。有必要进行进一步研究,以确定哪些患者可能从纯CBD中获益更多,哪些患者可能更喜欢全大麻提取物。