Abstract
Cannabis sativa has been used for improving sleep for long history. Cannabidiol (CBD) has drown much attention as a non-addictive psychoactive component in Cannabis sativa extract. However, the effects of CBD on sleep architecture and it’s acting mechanism remains unclear. In the present study, we evaluated the sedative-hypnotic effect of cannabidiol (CBD), assessed the effects of CBD on sleep using a wireless physiological telemetry system. We further explored the therapeutic effects of CBD using 4-chloro-dl-phenylalanine (PCPA) induced insomnia model and changes in sleep latency, sleep duration and intestinal flora were evaluated. CBD shortened sleep latency and increases sleep duration in both normal and insomnia mice, and those effects were blocked by 5-HT1A receptor antagonist WAY100635. We determined that CBD increases 5-HT1A receptors expression and 5-HT content in the hypothalamus of PCPA-pretreated mice and affects tryptophan metabolism in the intestinal flora. These results showed that activation of 5-HT1A receptors is one of the potential mechanisms underlying the sedative-hypnotic effect of CBD. This study validated the effects of CBD on sleep and evaluated its potential therapeutic effects on insomnia.
Similar content being viewed by others
Data Availability
The data presented in this study are available on request from the corresponding author. The gut microbiota data can be download at: http://www.ncbi.nlm.nih.gov/bioproject/1029818.
References
Perlis ML, Posner D, Riemann D, Bastien CH, Teel J, Thase M (2022) Insomnia Lancet 400:1047–1060. https://doi.org/10.1016/S0140-6736(22)00879-0
Perlis ML, Pigeon WR, Grandner MA, Bishop TM, Riemann D, Ellis JG, Teel JR, Posner DA (2021) Why Treat Insomnia? J Prim Care Community Health 12:21501327211014084. https://doi.org/10.1177/21501327211014084
Bollu PC, Kaur H (2019) Sleep Medicine: Insomnia and Sleep. Mo Med 116:68–75
Babson KA, Sottile J, Morabito D (2017) Cannabis, cannabinoids, and Sleep: a review of the literature. Curr Psychiatry Rep 19:23. https://doi.org/10.1007/s11920-017-0775-9
Devinsky O, Cilio MR, Cross H, Fernandez-Ruiz J, French J, Hill C, Katz R, Di Marzo V, Jutras-Aswad D, Notcutt WG, Martinez-Orgado J, Robson PJ, Rohrback BG, Thiele E, Whalley B, Friedman D (2014) Cannabidiol: pharmacology and potential therapeutic role in epilepsy and other neuropsychiatric disorders. Epilepsia 55:791–802. https://doi.org/10.1111/epi.12631
Melas PA, Scherma M, Fratta W, Cifani C, Fadda P (2021) Cannabidiol as a potential treatment for anxiety and Mood disorders: molecular targets and epigenetic insights from Preclinical Research. Int J Mol Sci 22:1863. https://doi.org/10.3390/ijms22041863
D DG, Rj M, R O-S LP, M L-C JE (2019) Cannabidiol modulates serotonergic transmission and reverses both allodynia and anxiety-like behavior in a model of neuropathic pain. Pain 160(1):136. https://doi.org/10.1097/j.pain.0000000000001386
Lavender I, McGregor IS, Suraev A, Grunstein RR, Hoyos CM (2022) Cannabinoids, Insomnia, and other Sleep disorders. Chest 162:452–465. https://doi.org/10.1016/j.chest.2022.04.151
Kirkland AE, Fadus MC, Gruber SA, Gray KM, Wilens TE, Squeglia LM (2022) A sco** review of the use of cannabidiol in psychiatric disorders. Psychiatry Res 308:114347. https://doi.org/10.1016/j.psychres.2021.114347
Linares IMP, Guimaraes FS, Eckeli A, Crippa ACS, Zuardi AW, Souza JDS, Hallak JE, Crippa JAS (2018) No Acute effects of Cannabidiol on the sleep-wake cycle of healthy subjects: a Randomized, Double-Blind, Placebo-Controlled, crossover study. Front Pharmacol 9:315. https://doi.org/10.3389/fphar.2018.00315
Almeida CMO, Brito MMC, Bosaipo NB, Pimentel AV, Tumas V, Zuardi AW, Crippa JAS, Hallak JEC, Eckeli AL (2021) Cannabidiol for Rapid Eye Movement Sleep Behavior Disorder. Mov Disord 36:1711–1715. https://doi.org/10.1002/mds.28577
Kaul M, Zee PC, Sahni AS (2021) Effects of cannabinoids on Sleep and their therapeutic potential for Sleep disorders. Neurotherapeutics 18:217–227. https://doi.org/10.1007/s13311-021-01013-w
Orsolini L, Chiappini S, Volpe U, Berardis DD, Latini R, Papanti GD, Corkery AJM (2019) Use of Medicinal Cannabis and Synthetic cannabinoids in post-traumatic stress disorder (PTSD): a systematic review. Med (Kaunas) 55:525. https://doi.org/10.3390/medicina55090525
Lucas CJ, Galettis P, Schneider J (2018) The pharmacokinetics and the pharmacodynamics of cannabinoids. Br J Clin Pharmacol 84:2477–2482. https://doi.org/10.1111/bcp.13710
Bi G-H, Galaj E, He Y, ** Z-X (2020) Cannabidiol inhibits sucrose self-administration by CB1 and CB2 receptor mechanisms in rodents. Addict Biol 25:e12783. https://doi.org/10.1111/adb.12783
Laprairie RB, Bagher AM, Kelly MEM, Denovan-Wright EM (2015) Cannabidiol is a negative allosteric modulator of the cannabinoid CB1 receptor. Br J Pharmacol 172:4790–4805. https://doi.org/10.1111/bph.13250
Barata L, de Hoz-Rivera M, Romero A, Martínez M, Silva L, Villa M, Campa L, Jiménez-Sánchez L, Martínez-Orgado J (2022) Role of 5HT1A receptors in the neuroprotective and behavioral effects of Cannabidiol in hypoxic-ischemic newborn piglets. Front Pharmacol 13:925740. https://doi.org/10.3389/fphar.2022.925740
Balachandran P, Elsohly M, Hill KP (2021) Cannabidiol Interactions with medications, Illicit substances, and Alcohol: a Comprehensive Review. J Gen Intern Med 36:2074–2084. https://doi.org/10.1007/s11606-020-06504-8
McCartney D, Benson MJ, Desbrow B, Irwin C, Suraev A, McGregor IS (2020) Cannabidiol and sports performance: a narrative review of relevant evidence and recommendations for Future Research. Sports Med Open 6:27. https://doi.org/10.1186/s40798-020-00251-0
Fogaça MV, Reis FMCV, Campos AC, Guimarães FS (2014) Effects of intra-prelimbic prefrontal cortex injection of cannabidiol on anxiety-like behavior: involvement of 5HT1A receptors and previous stressful experience. Eur Neuropsychopharmacol 24:410–419. https://doi.org/10.1016/j.euroneuro.2013.10.012
Dong Y-J, Jiang N-H, Zhan L-H, Teng X, Fang X, Lin M-Q, **e Z-Y, Luo R, Li L-Z, Li B, Zhang B-B, Lv G-Y, Chen S-H (2021) Soporific effect of modified Suanzaoren Decoction on mice models of insomnia by regulating Orexin-A and HPA axis homeostasis. Biomed Pharmacother 143:112141. https://doi.org/10.1016/j.biopha.2021.112141
Zhong Y, Zheng Q, Hu P, Huang X, Yang M, Ren G, Li J, Du Q, Liu S, Zhang K, Wu L, Zhu L, Guo Y, Li W, **ao S, Shuai S, Zhang M (2021) Sedative and hypnotic effects of Perilla frutescens essential oil through GABAergic system pathway. J Ethnopharmacol 279:113627. https://doi.org/10.1016/j.jep.2020.113627
Liu Y, Wang Z, Wang C, Si H, Yu H, Li L, Fu S, Tan L, Li P, Liu J, Zhao Y (2021) Comprehensive phytochemical analysis and sedative-hypnotic activity of two Acanthopanax species leaves. Food Funct 12:2292–2311. https://doi.org/10.1039/d0fo02814b
Zhang X, Yan H, Luo Y, Huang Z, Rao Y (2018) Thermoregulation-Independent Regulation of Sleep by Serotonin revealed in mice defective in Serotonin Synthesis. Mol Pharmacol 93:657–664. https://doi.org/10.1124/mol.117.111229
Xu C, Chang T, Du Y, Yu C, Tan X, Li X (2019) Pharmacokinetics of oral and intravenous cannabidiol and its antidepressant-like effects in chronic mild stress mouse model. Environ Toxicol Pharmacol 70:103202. https://doi.org/10.1016/j.etap.2019.103202
Zhong Y, Zheng Q, Hu P, Huang X, Yang M, Ren G, Du Q, Luo J, Zhang K, Li J, Wu H, Guo Y, Liu S (2019) Sedative and hypnotic effects of compound Anshen essential oil inhalation for insomnia. BMC Complement Altern Med 19:306. https://doi.org/10.1186/s12906-019-2732-0
Sun J, Li H, ** Y, Yu J, Mao S, Su K-P, Ling Z, Liu J (2021) Probiotic Clostridium butyricum ameliorated motor deficits in a mouse model of Parkinson’s disease via gut microbiota-GLP-1 pathway. Brain Behav Immun 91:703–715. https://doi.org/10.1016/j.bbi.2020.10.014
Shi R, Han Y, Yan Y, Qiao H-Y, He J, Lian W-W, **a C-Y, Li T-L, Zhang W-K, Xu J-K (2019) Loganin exerts sedative and hypnotic effects via Modulation of the Serotonergic System and GABAergic neurons. Front Pharmacol 10:409. https://doi.org/10.3389/fphar.2019.00409
Chemaly N, Nehlig A, Chiron C, Nabbout R (2018) Electrocorticographic telemetric recording in unrestrained mouse pups. J Neurosci Methods 305:17–27. https://doi.org/10.1016/j.jneumeth.2018.04.020
Kjaerby C, Andersen M, Hauglund N, Untiet V, Dall C, Sigurdsson B, Ding F, Feng J, Li Y, Weikop P, Hirase H, Nedergaard M (2022) Memory-enhancing properties of sleep depend on the oscillatory amplitude of norepinephrine. Nat Neurosci 25:1059–1070. https://doi.org/10.1038/s41593-022-01102-9
Wang L-X, Zhao Q, Zhang Y, Xue R, Li S, Li Y, Yu J-J, Li J-C, Zhang Y-Z (2023) Network pharmacology and pharmacological evaluation for deciphering novel indication of Sishen Wan in Insomnia treatment. Phytomedicine 108:154500. https://doi.org/10.1016/j.phymed.2022.154500
Lv Y-B, Zhou Q, Yan J-X, Luo L-S, Zhang J-L (2021) Enzymolysis peptides from Mauremys mutica plastron improve the disorder of neurotransmitter system and facilitate sleep-promoting in the PCPA-induced insomnia mice. J Ethnopharmacol 274:114047. https://doi.org/10.1016/j.jep.2021.114047
Li Z-H, Ma P-K, Huang Y-F, Zhang Z, Zheng W, Chen J-H, Guo C-E, Chen N, Bi X-N, Zhang Y-J (2021) Jiaotai Pill () Alleviates Insomnia through regulating Monoamine and Organic Cation transporters in rats. Chin J Integr Med 27:183–191. https://doi.org/10.1007/s11655-021-3284-y
Cy S, Jj LW, Jg Z (2020) Targets and underlying mechanisms related to the sedative and hypnotic activities of saponin extracts from semen Ziziphus jujube. Food Funct 11(5):3895–3903. https://doi.org/10.1039/d0fo00098a
Ma S-R, Yu J-B, Fu J, Pan L-B, Yu H, Han P, Zhang Z-W, Peng R, Xu H, Wang Y (2021) Determination and application of Nineteen monoamines in the Gut Microbiota Targeting Phenylalanine, Tryptophan, and glutamic acid metabolic pathways. Molecules 26:1377. https://doi.org/10.3390/molecules26051377
**ao F, Shao S, Zhang H, Li G, Piao S, Zhao D, Li G, Yan M (2022) Neuroprotective effect of Ziziphi Spinosae Semen on rats with p-chlorophenylalanine-induced insomnia via activation of GABAA receptor. Front Pharmacol 13:965308. https://doi.org/10.3389/fphar.2022.965308
Gao T, Wang Z, Dong Y, Cao J, Chen Y (2021) Melatonin-mediated Colonic Microbiota Metabolite Butyrate prevents Acute Sleep Deprivation-Induced Colitis in mice. Int J Mol Sci 22:11894. https://doi.org/10.3390/ijms222111894
** Y, Lu L, Tu W, Luo T, Fu Z (2019) Impacts of polystyrene microplastic on the gut barrier, microbiota and metabolism of mice. Sci Total Environ 649:308–317. https://doi.org/10.1016/j.scitotenv.2018.08.353
Espejo-Porras F, Fernández-Ruiz J, Pertwee RG, Mechoulam R, García C (2013) Motor effects of the non-psychotropic phytocannabinoid cannabidiol that are mediated by 5-HT1A receptors. Neuropharmacology 75:155–163. https://doi.org/10.1016/j.neuropharm.2013.07.024
Long LE, Chesworth R, Huang X-F, McGregor IS, Arnold JC, Karl T (2010) A behavioural comparison of acute and chronic Delta9-tetrahydrocannabinol and cannabidiol in C57BL/6JArc mice. Int J Neuropsychopharmacol 13:861–876. https://doi.org/10.1017/S1461145709990605
Britch SC, Wiley JL, Yu Z, Clowers BH, Craft RM (2017) Cannabidiol-∆9-tetrahydrocannabinol interactions on acute pain and locomotor activity. Drug Alcohol Depend 175:187–197. https://doi.org/10.1016/j.drugalcdep.2017.01.046
Kumar Kalvala A, Bagde A, Arthur P, Kumar Surapaneni S, Ramesh N, Nathani A, Singh M (2022) Role of Cannabidiol and Tetrahydrocannabivarin on Paclitaxel-induced neuropathic pain in rodents. Int Immunopharmacol 107:108693. https://doi.org/10.1016/j.intimp.2022.108693
Ratano P, Everitt BJ, Milton AL (2014) The CB1 receptor antagonist AM251 impairs reconsolidation of pavlovian fear memory in the rat basolateral amygdala. Neuropsychopharmacology 39:2529–2537. https://doi.org/10.1038/npp.2014.103
Duxon MS, Starr KR, Upton N (2000) Latency to paroxetine-induced anxiolysis in the rat is reduced by co-administration of the 5-HT(1A) receptor antagonist WAY100635. Br J Pharmacol 130:1713–1719. https://doi.org/10.1038/sj.bjp.0703496
Irfan M, Schenck CH, Howell MJ (2021) NonREM disorders of Arousal and Related parasomnias: an updated review. Neurotherapeutics 18:124–139. https://doi.org/10.1007/s13311-021-01011-y
Benninghoff J, Gritti A, Rizzi M, Lamorte G, Schloesser RJ, Schmitt A, Robel S, Genius J, Moessner R, Riederer P, Manji HK, Grunze H, Rujescu D, Moeller H-J, Lesch K-P, Vescovi AL (2010) Serotonin depletion hampers survival and proliferation in neurospheres derived from adult neural stem cells. Neuropsychopharmacology 35:893–903. https://doi.org/10.1038/npp.2009.181
Monti JM (2011) Serotonin control of sleep-wake behavior. Sleep Med Rev 15:269–281. https://doi.org/10.1016/j.smrv.2010.11.003
Mijangos-Moreno S, Poot-Aké A, Arankowsky-Sandoval G, Murillo-Rodríguez E (2014) Intrahypothalamic injection of cannabidiol increases the extracellular levels of adenosine in nucleus accumbens in rats. Neurosci Res 84:60–63. https://doi.org/10.1016/j.neures.2014.04.006
Jurič DM, Bulc Rozman K, Lipnik-Štangelj M, Šuput D, Brvar M (2022) Cytotoxic effects of Cannabidiol on neonatal rat cortical neurons and astrocytes: potential Danger to Brain Development. Toxins (Basel) 14:720. https://doi.org/10.3390/toxins14100720
McKenna JT, Gamble MC, Anderson-Chernishof MB, Shah SR, McCoy JG, Strecker RE (2019) A rodent cage change insomnia model disrupts memory consolidation. J Sleep Res 28:e12792. https://doi.org/10.1111/jsr.12792
Cano G, Mochizuki T, Saper CB (2008) Neural circuitry of stress-induced insomnia in rats. J Neurosci 28:10167–10184. https://doi.org/10.1523/JNEUROSCI.1809-08.2008
Javad-Moosavi B-Z, Nasehi M, Vaseghi S, Jamaldini SH, Zarrindast M-R (2020) Activation and inactivation of Nicotinic receptnors in the dorsal hippocampal region restored negative effects of total (TSD) and REM sleep deprivation (RSD) on Memory Acquisition, locomotor activity and Pain Perception. Neuroscience 433:200–211. https://doi.org/10.1016/j.neuroscience.2020.03.006
Si Y, Wei W, Chen X, **e X, Guo T, Sasaki Y, Zhang Y, Wang L, Zhang F, Feng S (2022) A comprehensive study on the relieving effect of Lilium brownii on the intestinal flora and metabolic disorder in p-chlorphenylalanine induced insomnia rats. Pharm Biol 60:131–143. https://doi.org/10.1080/13880209.2021.2019283
Montgomery TL, Eckstrom K, Lile KH, Caldwell S, Heney ER, Lahue KG, D’Alessandro A, Wargo MJ, Krementsov DN (2022) Lactobacillus reuteri tryptophan metabolism promotes host susceptibility to CNS autoimmunity. Microbiome 10:198. https://doi.org/10.1186/s40168-022-01408-7
De Vadder F, Grasset E, Mannerås Holm L, Karsenty G, Macpherson AJ, Olofsson LE, Bäckhed F (2018) Gut microbiota regulates maturation of the adult enteric nervous system via enteric serotonin networks. Proc Natl Acad Sci U S A 115:6458–6463. https://doi.org/10.1073/pnas.1720017115
Szőke H, Kovács Z, Bókkon I, Vagedes J, Szabó AE, Hegyi G, Sterner M-G, Kiss Á, Kapócs G (2020) Gut dysbiosis and serotonin: intestinal 5-HT as a ubiquitous membrane permeability regulator in host tissues, organs, and the brain. Rev Neurosci 31:415–425. https://doi.org/10.1515/revneuro-2019-0095
Laslett LL, Honan C, Turner JA, Dagnew B, Campbell JA, Gill TK, Appleton S, Blizzard L, Taylor BV, van der Mei I (2022) Poor sleep and multiple sclerosis: associations with symptoms of multiple sclerosis and quality of life. J Neurol Neurosurg Psychiatr 93(11):1162–1165. https://doi.org/10.1136/jnnp-2022-329227
Zielinski MR, Systrom DM, Rose NR (2019) Fatigue, sleep, and Autoimmune and Related disorders. Front Immunol 10:1827. https://doi.org/10.3389/fimmu.2019.01827
Sobolewska-Włodarczyk A, Włodarczyk M, Talar M, Wiśniewska-Jarosińska M, Gąsiorowska A, Fichna J (2021) The association of the quality of sleep with proinflammatory cytokine profile in inflammatory bowel disease patients. Pharmacol Rep 73:1660–1669. https://doi.org/10.1007/s43440-021-00333-0
Kim TK, Park YS, Baik H-W, Jun JH, Kim EK, Sull JW, Sung HJ, Choi JW, Chung SH, Gye MC, Lim JY, Kim JB, Kim SH (2016) Melatonin modulates adiponectin expression on murine colitis with sleep deprivation. World J Gastroenterol 22:7559–7568. https://doi.org/10.3748/wjg.v22.i33.7559
Funding
This work was supported by the National Key New Drug Creation Program (2017ZX09309020).
Author information
Authors and Affiliations
Contributions
Y-M. Liu, J-C. Li: Data curation, Methodology, Writing—original draft, Writing review and editing. Y-F Gu, R-H. Qiu; J-Y. Huang: Data curation. R. Xue, S. Li, Y. Zhang, K. Zhang: Writing—review and editing. Y-Z. Zhang: Funding acquisition, Project administration, Writing—review and editing.
Corresponding author
Ethics declarations
Conflict of interest
The authors have no competing interests to declare.
Ethical approval
All experimental procedures were approved by the Insti-tutional Animal Care and Use Committee (ethics approval number: IACUC-DWZX-2022-781), and all experiments followed the National Institutes of Health Guide for the Care and Use of La-boratory Animals. All efforts were made to minimize animal suffering.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary Information
Below is the link to the electronic supplementary material.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Liu, YM., Li, JC., Gu, YF. et al. Cannabidiol Exerts Sedative and Hypnotic Effects in Normal and Insomnia Model Mice Through Activation of 5-HT1A Receptor. Neurochem Res 49, 1150–1165 (2024). https://doi.org/10.1007/s11064-024-04102-2
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11064-024-04102-2