25/04/2025
Exosomal formulation of cannabidiol (CBD) inhibits lung cancer proliferation and enhances uptake and tumor targeting
Lung cancer remains a leading cause of cancer-related deaths, with treatment specificity posing a major challenge. Thus, we aim to repurpose cannabidiol (CBD) as an antitumor agent, delivered via tumor-targeted exosomes (Exo). We demonstrated that oral CBD administration inhibited orthotopic lung tumor growth by ∼60% (p < 0.01), with enhanced efficacy (∼80%; p < 0.001) achieved using folic acid-functionalized exosomes loaded with CBD. We hypothesized that the enhanced antitumor efficacy is due to 1) increased accumulation at the tumor site due to FA-targeting; 2) improved cellular uptake of CBD via exosomal delivery; and 3) modulation of mechanistic pathways by CBD. To evaluate tumor targeting, FA-Exo labeled with Alexa Fluor-750 (AF750) were administered orally to tumor-bearing mice. Single doses of free AF750, Exo-AF750, and FA-Exo-AF750 were compared (n=3 per group). After 12 hr, mice were euthanized and imaged ex vivo using Odyssey LiCor Imager. For bioavailability studies, female C57BL/6 mice were given a single oral dose of 40 mg/kg CBD or ExoCBD, and tissue CBD levels were quantified 4 hr post-administration. Additionally, ER stress modulation by CBD was assessed in A549 lung cancer cells through analysis of key markers. FA-Exo-AF750 exhibited 3-fold higher signal in tumor tissues compared to non-functionalized exosomes (p