In a recent issue of Addiction Biology, we read, with great interest, the article written by Lafaye et al describing the deregulation of circadian clock genes in BV-2 microglial cells upon cannabidiol (CBD) treatment.Specifically, the authors have observed, in the presence or absence of lipopolysaccharide stimulation, an upregulation of certain clock genes such as Bmal1, which is one of the most important elements of the core clock machinery together with increased expression of atf4, atf5, and rora as well as downregulation of another key clock gene, clock. 1 CBD derived from Cannabis sativa 2 has anti-inflammatory and antioxidant activity and shows antiproliferative activity. The induction of Bmal1 expression suggests a novel role for CBD in the control of tumor progression. A recent study showed that in melanoma cells that exhibit circadian clock disruption, the expression of most clock genes was reduced with the exception of Bmal1 that was instead overexpressed. Bmal1 overexpression was positively correlated with patient survival via enhancement of T-cell activity with consequent reduction in the expression of key DNA-repair enzymes. 3 Furthermore, high Bmal1 expression has been showed to correlate with an elevated sensitivity of colorectal cancer cells to the chemotherapeutic drug oxaliplatin, both in vitro than in vivo. 3 It is increasingly clear that the tumor microenvironment, which is largely orchestrated by the immune system, is crucial for promoting or hampering tumor growth.It has also been reported in microglia that the clock gene Bmal1 can modulate the inflammatory response in particular pathological conditions in the brain, via positive regulation of interleukin 6 (IL-6) 4,5 Furthermore, in neurodegenerative pathologies such as Alzheimer's and Parkinson's disease as well as Multiple Sclerosis, the inflammatory mediators IL-6, IL-8, and IL-33 that are responsible for neurodegeneration, can be modulated via activation of Bmal1 by CBD, thereby slowing disease progression. 6All these data suggest that Bmal1 can be a prognostic marker with clinical relevance which may also serve as a potential therapeutic target for further investigations. At the same time, it is important to consider the possible phase-shifting effects of CBD treatment on the circadian clock in vivo.The overexpression of Bmal1 can alter the basal expression of clock genes constituting the negative limb of the transcription-translation feedback loop core mechanism of the circadian clock, thereby inducing a phase advance or delay of the clock-generated circadian rhythm. This effect could compromise various physiological functions, ranging from metabolism to signal transduction. In summary, we believe that this study represents an important observation which raises the prospect of a therapeutic use of CBD as a tool to treat various circadian clock-related disorders or neoplastic and neurodegenerative diseases. ORCID Maurizio Bifulco https://orcid.org/0000-0002-1771-4531 Giovanna Navarra https://orcid.org/0000-0001-6255-6731 Chiara Laezza ...