# Protective effect of cannabinoid type II receptor ligand on bleomycin-induced pulmonary fibrosis in mice

**Authors:** Cheng Cao, Run-Lin Wang, Chen-xin Guo, Xiao-wei Xu, Jia-hui Wei, Wen-zhuo Cheng, Yi-zhe Yu, Jia-jie Shi, Zhi-wei Feng, Yan Chen

PMC · DOI: 10.1371/journal.pone.0331168 · PLOS One · 2026-02-27

## TL;DR

A new compound called COCA, found using AI, protects mice from lung fibrosis by reducing inflammation and activating protective pathways.

## Contribution

AI-driven virtual screening identified a novel CB2R ligand, COCA, that effectively mitigates pulmonary fibrosis in mice.

## Key findings

- COCA reduced inflammation and fibrosis in BLM-treated mice.
- COCA decreased serum TNF-α and IL-6 levels significantly.
- COCA upregulated Nrf2 and Smad7, suggesting activation of protective pathways.

## Abstract

This study aimed to investigate the protective effects of the CB2R ligand compound COCA (N-(3-chloro-2-methylphenyl)-5-(4-hydroxyphenyl)-1,2-oxazole-3-carboxamide) against bleomycin (BLM)-induced pulmonary fibrosis in mice. Compound COCA was identified via AI-driven virtual screening from the ChEMBL database. Forty male C57BL/6J mice were randomly divided into five groups: control, model (BLM), low-dose COCA, high-dose COCA, and pirfenidone. Pulmonary fibrosis was induced by intratracheal BLM administration in the model and treatment groups. Pathological evaluation, ELISA, immunofluorescence, and Western blot were conducted.The results showed that COCA significantly alleviated BLM-induced inflammation and fibrosis. ELISA demonstrated decreased serum levels of TNF-α and IL-6 in the treated groups compared to the BLM group (P < 0.01). Immunofluorescence indicated reduced expression of Col-I and Col-III in the treated groups (P < 0.01). Western blot analysis revealed an upregulation of CB2R in the BLM group, and enhanced expressions of Nrf2 and Smad7 in the treated groups (P < 0.01).In conclusion, AI-driven virtual screening enabled the identification of the CB2R ligand COCA, which binds to CB2R, activates the Nrf2/Smad7 pathway, downregulates related cytokines, and plays a therapeutic and protective role in pulmonary fibrosis.

## Linked entities

- **Genes:** GABPA (GA binding protein transcription factor subunit alpha) [NCBI Gene 2551], SMAD7 (SMAD family member 7) [NCBI Gene 4092]
- **Proteins:** Cnr2 (cannabinoid receptor 2), TNF (tumor necrosis factor), IL6 (interleukin 6)
- **Chemicals:** COCA (PubChem CID 446220), bleomycin (PubChem CID 5360373), pirfenidone (PubChem CID 40632)
- **Diseases:** pulmonary fibrosis (MONDO:0002771)

## Full-text entities

- **Genes:** Gpbar1 (G protein-coupled bile acid receptor 1) [NCBI Gene 227289] {aka BG37, GPCR, GPR131, M-BAR, TGR5}, Cnr2 (cannabinoid receptor 2) [NCBI Gene 12802] {aka CB-2, CB2, CB2-R}, Gapdh (glyceraldehyde-3-phosphate dehydrogenase) [NCBI Gene 14433] {aka Gapd}, Akt1 (Akt serine/threonine kinase 1) [NCBI Gene 11651] {aka Akt, LTR-akt, PKB, PKB/Akt, PKBalpha, Rac}, Stat3 (signal transducer and activator of transcription 3) [NCBI Gene 20848] {aka 1110034C02Rik, Aprf}, Tgfb1 (transforming growth factor, beta 1) [NCBI Gene 21803] {aka TGF-beta1, TGFbeta1, Tgfb, Tgfb-1}, Tnf (tumor necrosis factor) [NCBI Gene 21926] {aka DIF, TNF-a, TNF-alpha, TNFSF2, TNFalpha, Tnfa}, Smad7 (SMAD family member 7) [NCBI Gene 17131] {aka Madh7}, Il6 (interleukin 6) [NCBI Gene 16193] {aka Il-6}, Pik3r1 (phosphoinositide-3-kinase regulatory subunit 1) [NCBI Gene 18708] {aka PI3K, p50alpha, p55alpha, p85alpha}, Nfe2l2 (nuclear factor, erythroid derived 2, like 2) [NCBI Gene 18024] {aka Nrf2}, Nfkb1 (nuclear factor of kappa light polypeptide gene enhancer in B cells 1, p105) [NCBI Gene 18033] {aka NF-KB1, NF-kappaB, NF-kappaB1, p105, p50, p50/p105}
- **Diseases:** Pulmonary fibrosis (MESH:D011658), interstitial lung disease (MESH:D017563), neuropathic pain (MESH:D009437), tissue injury (MESH:D017695), necrosis (MESH:D009336), weight loss (MESH:D015431), IPF (MESH:D054990), pulmonary inflammation (MESH:D011014), respiratory distress (MESH:D012128), fibrosis (MESH:D005355), inflammation (MESH:D007249), lung injury (MESH:D055370), cancer (MESH:D009369)
- **Chemicals:** endocannabinoid (MESH:D063388), lipid (MESH:D008055), paraformaldehyde (MESH:C003043), DAPI (MESH:C007293), nintedanib (MESH:C530716), formalin (MESH:D005557), PVDF (MESH:C024865), eosin (MESH:D004801), hematoxylin (MESH:D006416), sodium citrate (MESH:D000077559), COCA (-), Pirfenidone (MESH:C093844), urethane (MESH:D014520), SDS (MESH:D012967), BLM (MESH:D001761), saline (MESH:D012965), Paraffin (MESH:D010232)
- **Species:** Homo sapiens (human, species) [taxon 9606], Rattus norvegicus (brown rat, species) [taxon 10116], Mus musculus (house mouse, species) [taxon 10090]
- **Cell lines:** /6J — Homo sapiens (Human), Cutaneous melanoma, Cancer cell line (CVCL_W797), C57BL/6J — Mus musculus (Mouse), Transformed cell line (CVCL_C0MW)

## Full text

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## Figures

7 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12948094/full.md

## References

34 references — full list in the complete paper: https://tomesphere.com/paper/PMC12948094/full.md

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Source: https://tomesphere.com/paper/PMC12948094