Pharmacology

Ceramide

A lipid signaling molecule that mediates apoptosis and stress responses. Cannabinoids induce ceramide accumulation in cancer cells, triggering apoptotic cell death.

In Depth

THC-induced ceramide synthesis is a key mechanism of cannabinoid anticancer activity. THC activates ceramide synthesis through CB1/CB2 receptor-dependent stimulation of sphingomyelinase and de novo ceramide synthesis. Ceramide accumulation activates ER stress and autophagy pathways, ultimately leading to cancer cell apoptosis. This mechanism is selective for cancer cells — normal cells are protected because they have lower CB1/CB2 expression and more efficient ceramide metabolism. Ceramide-based anticancer strategies are an active area of research.

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