Evidence map›Paper›PMID 41444755›Full record

ArticleScientific reports2025

Cannabidiol perturbs macrophage polarization by interfering with the metabolic flux and PI3K/Akt pathway.

Thadaphong Sukdee, Benjawan Wongprom, Thitiporn Pattarakarnkul, Asada Leelahavanichkul, Awirut Charoensappakit, Kritsanawan Sae-Khow, Phanomsak Yukhet, Tirayut Vilaivan, Tanapat Palaga

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Medical Cannabis and the Hallmarks of Cancer: A Critical Narrative Review.International journal of molecular sciences · 2026
    Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Thadaphong SukdeeMedical Microbiology, Interdisciplinary Program, Graduate School, Chulalongkorn University, Bangkok, 10330, Thailand.
Benjawan WongpromCenter of Excellence in Immunology and Immune‑Mediated Diseases, Chulalongkorn University, Bangkok, 10330, Thailand.
Thitiporn PattarakarnkulCenter of Excellence in Immunology and Immune‑Mediated Diseases, Chulalongkorn University, Bangkok, 10330, Thailand.
Asada LeelahavanichkulCenter of Excellence on Translational Research in Inflammation and Immunology (CETRII), Bangkok, Thailand.
Awirut CharoensappakitDepartment of Clinical Microscopy, Faculty of Allied Health Sciences, Chulalongkorn University, Bangkok, 10330, Thailand.
Kritsanawan Sae-KhowCenter of Excellence on Translational Research in Inflammation and Immunology (CETRII), Bangkok, Thailand.
Phanomsak YukhetDepartment of Chemistry, Faculty of Science, Chulalongkorn University, Bangkok, 10330, Thailand.
Tirayut VilaivanDepartment of Chemistry, Faculty of Science, Chulalongkorn University, Bangkok, 10330, Thailand.
Tanapat PalagaMedical Microbiology, Interdisciplinary Program, Graduate School, Chulalongkorn University, Bangkok, 10330, Thailand. tanapat.p@chula.ac.th.

Funding

National Research Council of Thailand (NRCT) and Chulalongkorn University N42A680063Thailand Science Research and Innovation Fund Chulalongkorn University FF68The 90th Anniversary Chulalongkorn University Fund Ratchadaphiseksomphot Endowment Fundthe Program Management Unit for Human Re¬sources & Institutional Development, Research and Innovation B16F640117
6 · The paper itself

Abstract

Cannabinoids are increasingly used for medical application, yet the impact of specific cannabinoids on innate immune cells and the underlying molecular mechanisms remain controversial. In this study, we investigated the effect of cannabinoid, cannabidiol (CBD) on macrophage polarization toward M1 and M2 using murine bone marrow-derived macrophages (BMDM). CBD markedly inhibited IL-6 production and nitric oxide production without affecting TNF-α production in M1 polarized (LPS + IFN-γ-treated) macrophages. CBD treatment of M1 macrophages, however, increased expression of MHC II and CD86. On the other hand, CBD decreased key M2 markers, including CD206 and arginase-1, in IL-4-treated M2 macrophages. Mechanistically, CBD did not alter signaling downstream of TLR4 or IFN-γR (NF-κB, MAPK, and STAT1 pathways) but inhibited Akt phosphorylation in M1 macrophages. Metabolic flux analysis further revealed that CBD significantly enhanced glycolysis in M1 macrophages while reducing oxidative phosphorylation (OXPHOS) in M2 macrophages. Collectively, our findings revealed the multi-faceted effect of CBD on macrophage polarization by interfering with PI3K/Akt signaling and altering the metabolic flux. Taken together, our findings provide mechanistic insights into how CBD interferes with innate immune functions during macrophage polarization that may inform future therapeutic strategies utilizing cannabinoids.

Indexed as

CannabidiolMacrophagesPhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktSignal TransductionAnimalsCell PolarityInterleukin-6Macrophage ActivationMiceNitric OxideCannabidiolInterleukin-6Nitric OxidePhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktCannabidiolM1/M2 polarizationMacrophageMetabolic flux

Identifiers

PMID41444755
PMCPMC12847766

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.