Hypothesis
Because genetic ablation of the CB2 receptor improved mouse survival in cerebral malaria, pharmacologically blocking CB2 with the antagonist SR144528 would attenuate the disease.
What failed
In P. berghei ANKA-infected C57BL/6 mice treated daily with SR144528 (confirmed CB2 binding, Ki 2.34 nM), 30% showed partial recovery of symptoms and survival rose by 20%, but the mice ultimately succumbed to hyperparasitemia and severe anemia.
Broken assumption
Pharmacological CB2 blockade reproduces the survival benefit that genetic CB2 ablation gives in cerebral malaria.
Why
The authors conclude that although part of the disease course may be modulated by blocking CB2, other elements drive the lethal outcome, so the hypothesis could not be fully validated in this model.
From the published paper: Escartín et al. Journal of Trial and Error, 2024. ↗CC BY