Δ9-Tetrahydrocannabinol leads to endoplasmic reticulum stress and mitochondrial dysfunction in human BeWo trophoblasts

Reprod Toxicol. 2019 Aug:87:21-31. doi: 10.1016/j.reprotox.2019.04.008. Epub 2019 May 1.

Abstract

While studies have demonstrated that the main psychoactive component of cannabis, Δ9-tetrahydrocannabinol (Δ9-THC) alone induces placental insufficiency and fetal growth restriction, the underlying mechanisms remain elusive. Given that both (i) endoplasmic reticulum (ER) stress in pregnancy and (ii) gestational exposure to Δ9-THC leads to placental deficiency, we hypothesized that Δ9-THC may directly induce placental ER stress, influencing trophoblast gene expression and mitochondrial function. BeWo human trophoblast cells treated with Δ9-THC (3-30 μM) led to a dose-dependent increase in all ER stress markers and CHOP; these effects could be blocked with CB1R/CB2R antagonists. Moreover, expression of ER stress-sensitive genes ERRγ, VEGFA, and FLT-1 were increased by Δ9-THC, and abrogated with the ER stress inhibitor TUDCA. Δ9-THC also diminished mitochondrial respiration and ATP-coupling due to decreased abundance of mitochondrial chain complex proteins. Collectively, these findings indicate that Δ9-THC can directly augment ER stress resulting in aberrant placental gene expression and impaired mitochondrial function.

Keywords: 11-COOH-THC; Cannabinoid receptor; Endoplasmic reticulum stress; Estrogen related receptor (ERR)-γ; Mitochondria; Placenta; Tauroursodeoxycholic acid (TUDCA); Uncoupled protein response (UPR); Vascular endothelial growth factor (VEGF)-A; Δ9-Tetrahydrocannabinol.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cannabinoid Receptor Antagonists / pharmacology
  • Cell Line, Tumor
  • Dronabinol / toxicity*
  • Endoplasmic Reticulum Stress / drug effects*
  • Hallucinogens / toxicity*
  • Humans
  • Mitochondria / drug effects*
  • Mitochondria / metabolism
  • Receptor, Cannabinoid, CB1 / antagonists & inhibitors
  • Receptor, Cannabinoid, CB2 / antagonists & inhibitors
  • Trophoblasts / drug effects*
  • Trophoblasts / metabolism

Substances

  • Cannabinoid Receptor Antagonists
  • Hallucinogens
  • Receptor, Cannabinoid, CB1
  • Receptor, Cannabinoid, CB2
  • Dronabinol