Authors

Model

Experimental Model

CBD dose & Route of administration

Cardiac & Chemical Outcomes

Other Findings (Proposed mechanism of action)

1) Durst et al. 2007

Induction of myocardial infarction and reperfusion in rats

Male Sprague Dawley rats were operated with LAD occlusion for 30 min and then released

In vivo: intraperitoneal CBD 5 mg/kg one hour prior to surgery and once a day for the next 7 days

Infarct size significantly reduced in the CBD group (66% reduction)

Lower inflammatory response in the CBD group.

Immunomodulatory effect (IL6-lowering effects)

Activation of adenosine receptors

2) Feng et al. 2015

Induction of

myocardial

infarction

and

reperfusion

in rabbits

Ischemia Reperfusion Model. Through surgery, the the circumflex artery is occluded for 90 minutes.

CBD 100 µm/kg intravenously 10 minutes before occlusion and 10 minutes before reperfusion.

Significantly less Trop I in rabbits treated with CBD

Significant improvement in lateral wall thickness

Significant increase in coronary flow to the region of the infarct

Minor zones of microvascular occlusion

The smaller size of the infarct area

Fewer areas of hemorrhage, fewer leukocytes, and less apoptosis

Increased adenosine, increased NO levels

CBD binds to PPARÉ£ which decreases the expression of inducible ON synthase

It has also been seen to decrease monocyte adhesion and transmigration (atherosclerosis)

3) Castillo et al. 2021

Induction of ischemia/ reperfusion in rats

Male Wistar rats were divided into 3 groups. Surgery to ligate the LAD and cause ischemia for 45 minutes.

Control (SHAM for I/R surgery)

Group with I/R

I/R group treated with CBD 5 mg/kg intraperitoneal for 10 days prior to surgery

Better hemodynamic parameters in the hearts of rats treated with CBD

Significant reduction of the infarct zone

Increased expression of AT2, without elevation of AT1 in rats treated with CBD

Increased expression of Akt and ERK

Activation of AT2 could explain RISK activation, the latter has been found to be decreased in heart failure and I/R injury

4) Walsh et al. 2010

Induction of arrhythmias during reperfusion injury in rats

Surgery to occlude the LDA for 30 minutes and then reperfusion for 2 hours in male Sprague Dawley rats

Intravenous, 2 doses 10 and 50 µg/kg 10 minutes before occlusion and 10 minutes before reperfusion

Treatment with 50 µg/kg CBD prior to occlusion significantly reduced VT and ventricular ectopic beats. The administration of 50 µg/kg CBD prior to ischemia and prior to reperfusion decreased the size of the infarct

50 µg/kg CBD reduced platelet aggregation ex vivo

CBD decreased VT when given before ischemia, but not before reperfusion. CBD can have a PPAR gamma effect and through this effect be anti-inflammatory. GPR55 receptor antagonist. CBD improves Ca homeostasis through NCX.

5) Gonca et al. 2015

Induction of arrhythmias during reperfusion injury in male rats

Albino Wistar rats. Surgery to tie the LAD for 6 minutes and then untie for another 6 minutes.

4 experimental groups

Control

CBD 50 µg/kg IV 10 minutes before occlusion

DPCPX selective A1 receptor antagonist 15 minutes before occlusion

CBD followed by DPCPX 10 and 15 minutes before IV occlusion

CBD alone decreased arrhythmias, VT duration time.

Co-administration of both did not reduce arrhythmias. None of the drugs affected the QT.

Effect of CBD by inhibiting rectifying current K channels, which prolongs the action potential and QT interval and suppresses arrhythmias in ischemia animals.

Activation of the A1 receptor through inhibition of adenosine uptake by ENT.