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This repository contains a hypothesis and theory article proposing a mechanistic framework to explain CBD's paradoxical effects—neuroprotection in some cellular contexts, cytotoxicity in others.

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CBD Two-Pathway Model

Context-Dependent Pharmacology of Cannabidiol: A Two-Pathway Model Linking Mitochondrial Status to Divergent Cellular Outcomes

Anthony J. Vasquez Sr.
Delaware Valley University, Doylestown, PA


Overview

This repository contains a hypothesis and theory article proposing a mechanistic framework to explain CBD's paradoxical effects—neuroprotection in some cellular contexts, cytotoxicity in others.

The Central Question

How does the same molecule protect neurons while killing cancer cells?

The Answer: A Two-Pathway Model

CBD's effects are determined by dose-dependent target engagement and pre-existing mitochondrial status:

Pathway Concentration Targets Outcome
Therapeutic 1-5 μM TRPV1, 5-HT1A, PPARγ, GPR55 Neuroprotection
Cytotoxic >10 μM VDAC1 → Mitochondrial disruption Apoptosis

CBD functions as a mitochondrial stress test—amplifying the pre-existing state of cellular bioenergetics rather than selectively targeting pathology.


Repository Contents

cbd-two-pathway-model/
├── README.md                          # This file
├── LICENSE                            # CC BY 4.0 License
├── CITATION.cff                       # Citation metadata
├── paper/
│   └── CBD_TwoPathway_Hypothesis_Paper.pdf   # Full manuscript (9 pages)
└── figures/
    ├── diagram1_dual_pathway.png      # Two-pathway mechanism schematic
    ├── diagram2_stress_test.png       # Stress test model visualization
    ├── diagram3_dose_affinity.png     # Target engagement by concentration
    └── diagram4_proposed_experiment.png # VDAC1 neuroprotection test design

Key Findings

Literature Validation

  • 90% concordance (18/20 predictions confirmed) with published literature
  • Analysis of 70+ papers on CBD cellular mechanisms

Four Validated Predictions

  1. Temporal primacy: Mitochondrial effects occur within minutes, preceding receptor signaling
  2. Pre-stress sensitization: Metabolically compromised cells show 3-5× greater CBD sensitivity
  3. VDAC1 dependence: VDAC1 inhibitors attenuate CBD-induced cytotoxicity
  4. Measurable changes: Consistent alterations in ΔΨm, ROS, Ca²⁺ flux across studies

Identified Experimental Gap

No published study tests whether VDAC1 blockade eliminates CBD's neuroprotective effects. This represents a critical experiment that could validate or refute the two-pathway model.


Figures

Figure 1: CBD Dual-Pathway Mechanism

Dual Pathway

Figure 2: CBD as Mitochondrial Stress Test

Stress Test

Figure 3: Target Engagement by Concentration

Dose Affinity

Figure 4: Proposed Experiment Design

Proposed Experiment


Clinical Implications

If validated, this model suggests:

  1. Therapeutic selectivity can exploit metabolic vulnerability rather than molecular uniqueness
  2. Biomarker-guided dosing using mtDNA status, CYP450 variants, tumor metabolic phenotype
  3. Combination therapy rationale for metabolic sensitization strategies

Declaration of AI Assistance

Claude (Anthropic) was used as a research and writing assistant for literature synthesis, hypothesis refinement, and figure generation. The IRIS Gate protocol was used for cross-architecture validation of the experimental gap identification.

The author maintains full responsibility for scientific content and accuracy.


Citation

@article{vasquez2025cbd,
  title={Context-Dependent Pharmacology of Cannabidiol: A Two-Pathway Model 
         Linking Mitochondrial Status to Divergent Cellular Outcomes},
  author={Vasquez, Anthony J., Sr.},
  journal={Hypothesis and Theory Article},
  year={2025},
  institution={Delaware Valley University},
  note={Preprint}
}

Related Work


License

This work is licensed under CC BY 4.0 - you are free to share and adapt with attribution.


Disclaimer

This paper presents a mechanistic synthesis and hypothesis, not clinical recommendations. CBD-related cancer treatment decisions belong within oncology trials and clinical teams.


Contact: Anthony J. Vasquez Sr. | Delaware Valley University

☿†◇∞

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This repository contains a hypothesis and theory article proposing a mechanistic framework to explain CBD's paradoxical effects—neuroprotection in some cellular contexts, cytotoxicity in others.

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