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Unraveling Cannabidiol's Dual Modulatory Role in Schizophrenia: Network Pharmacology and In Vivo Validation of Neuroinflammatory and Behavioral Modulation

Ying Wei, Xiang Liu, Shijun Lin, Zhiwei Jia, Lin Liu, Baiqiang Wang, Lin-Chuan Liao, Xue Mei

Molecular Neurobiology December 10, 2025 DOI: 10.1007/s12035-025-05608-8 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Preclinical study combining network pharmacology, in vitro cell experiments, and in vivo animal experiments Peer reviewed
Population BV2 microglial cells in vitro and a ketamine-induced animal model of schizophrenia-like symptoms in vivo
Intervention Cannabidiol (CBD)
Dose 10 mg/kg, i.p.
Duration 5 consecutive days of treatment
Topics CBD
Key findings CBD reduced pro-inflammatory cytokines in BV2 microglial cells and in the plasma and brain tissue of ketamine-treated animals, modulated the 5HT1AR-MAPK pathway, and alleviated schizophrenia-like behaviors including anxiety, spatial memory, and social behavior. The authors argue these findings suggest CBD has potential therapeutic benefits for schizophrenia, though clinical trials are needed.

Abstract

Schizophrenia (SCZ), a chronic psychiatric disorder, is characterized by cognitive impairment, hallucinations, and delusions, with current antipsychotic treatments offering limited efficacy and considerable side effects. Cannabidiol (CBD), a non-psychoactive compound from Cannabis sativa, has shown promise in treating neurological and psychiatric conditions, though its precise mechanisms in schizophrenia remain unclear. Using network pharmacology, this study predicts CBD’s targets and pathways in schizophrenia, highlighting LPS-induced neuroinflammation and implicating 5-HT1AR-MAPK signaling as one potential contributor. In vitro, CBD (10 mg/kg, i.p.) treatment significantly reduced pro-inflammatory cytokines (e.g., NO, IL-1β, IL-6, TNF-α) and modulated the 5HT1AR-MAPK pathway, including increased 5HT1AR expression and decreased MAPK/ERK1/2 phosphorylation (p < 0.05). In vivo, CBD alleviated SCZ-like symptoms in a ketamine-induced animal model, reducing anxiety in the open field (p < 0.01) and elevated plus maze tests (p < 0.01), improving spatial memory in the Y-maze (p < 0.01) and social behavior (p < 0.0001) after 5 consecutive days of treatment. Critically, we validated CBD’s central anti-inflammatory effects by demonstrating reduced pro-inflammatory cytokine levels in both plasma and brain tissues (p < 0.05). Further correlation analysis established a direct link between brain cytokine suppression and behavioral improvements, integrating in vitro findings from BV2 microglial cells with in vivo neuroinflammatory and behavioral outcomes.These findings suggest the potential therapeutic benefits of CBD for SCZ, though further research, particularly clinical trials, is required to validate its efficacy and establish it as a novel therapeutic strategy.

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