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内源性大麻素系统在精神疾病中的作用。

Role of endocannabinoid system in mental diseases.

作者信息

Manzanares Jorge, Urigüen Leyre, Rubio Gabriel, Palomo Tomás

机构信息

Servicio de Psiquiatría y Unidad de Investigación, Hospital 12 de Octubre, Edificio Materno-Infantil, Planta 6a, 613-A, Avenida de Córdoba s/n. 28041 Madrid, Spain.

出版信息

Neurotox Res. 2004;6(3):213-24. doi: 10.1007/BF03033223.

Abstract

In the last decade, a large number of studies using Delta9-tetrahydrocannabinol (THC), the main active principle derivative of the marijuana plant, or cannabinoid synthetic derivatives have substantially contributed to advance the understanding of the pharmacology and neurobiological mechanisms produced by cannabinoid receptor activation. Cannabis has been historically used to relieve some of the symptoms associated with central nervous system disorders. Nowadays, there are anecdotal evidences for the use of cannabis in many patients suffering from multiple sclerosis or chronic pain. Following the historical reports of the use of cannabis for medicinal purposes, recent research has highlighted the potential of cannabinoids to treat a wide variety of clinical disorders. Some of these disorders that are being investigated are pain, motor dysfunctions or psychiatric illness. On the other hand, cannabis abuse has been related to several psychiatric disorders such as dependence, anxiety, depression, cognitive impairment, and psychosis. Considering that cannabis or cannabinoid pharmaceutical preparations may no longer be exclusively recreational drugs but may also present potential therapeutic uses, it has become of great interest to analyze the neurobiological and behavioral consequences of their administration. This review attempts to link current understanding of the basic neurobiology of the endocannabinoid system to novel opportunities for therapeutic intervention and its effects on the central nervous system.

摘要

在过去十年中,大量使用大麻植物的主要活性成分衍生物Δ9-四氢大麻酚(THC)或大麻素合成衍生物的研究,极大地推动了对大麻素受体激活所产生的药理学和神经生物学机制的理解。大麻在历史上一直被用于缓解一些与中枢神经系统疾病相关的症状。如今,有传闻证据表明大麻在许多患有多发性硬化症或慢性疼痛的患者中得到使用。继大麻用于医疗目的的历史报道之后,最近的研究突出了大麻素治疗多种临床疾病的潜力。正在研究的一些此类疾病包括疼痛、运动功能障碍或精神疾病。另一方面,大麻滥用与多种精神疾病有关,如依赖、焦虑、抑郁、认知障碍和精神病。鉴于大麻或大麻素药物制剂可能不再仅仅是娱乐性药物,还可能具有潜在的治疗用途,分析其给药的神经生物学和行为后果已变得非常有趣。本综述试图将目前对内源性大麻素系统基本神经生物学的理解与治疗干预的新机会及其对中枢神经系统的影响联系起来。

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