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大麻二酚:从一种无活性的大麻素到一种具有广泛作用谱的药物。

Cannabidiol: from an inactive cannabinoid to a drug with wide spectrum of action.

作者信息

Zuardi Antonio Waldo

机构信息

Department of Neurology, Psychiatry and Medical Psychology, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.

出版信息

Braz J Psychiatry. 2008 Sep;30(3):271-80. doi: 10.1590/s1516-44462008000300015.

Abstract

OBJECTIVE

The aim of this review is to describe the historical development of research on cannabidiol.

METHOD

This review was carried out on reports drawn from Medline, Web of Science and SciELO.

DISCUSSION

After the elucidation of the chemical structure of cannabidiol in 1963, the initial studies showed that cannabidiol was unable to mimic the effects of Cannabis. In the 1970's the number of publications on cannabidiol reached a first peak, having the research focused mainly on the interaction with delta9-THC and its antiepileptic and sedative effects. The following two decades showed lower degree of interest, and the potential therapeutic properties of cannabidiol investigated were mainly the anxiolytic, antipsychotic and on motor diseases effects. The last five years have shown a remarkable increase in publications on cannabidiol mainly stimulated by the discovery of its anti-inflammatory, anti-oxidative and neuroprotective effects. These studies have suggested a wide range of possible therapeutic effects of cannabidiol on several conditions, including Parkinson's disease, Alzheimer's disease, cerebral ischemia, diabetes, rheumatoid arthritis, other inflammatory diseases, nausea and cancer.

CONCLUSION

In the last 45 years it has been possible to demonstrate that CBD has a wide range of pharmacological effects, many of which being of great therapeutic interest, but still waiting to be confirmed by clinical trials.

摘要

目的

本综述旨在描述大麻二酚的研究历史发展。

方法

本综述基于从Medline、科学网和SciELO获取的报告展开。

讨论

1963年大麻二酚的化学结构被阐明后,最初的研究表明大麻二酚无法模拟大麻的作用。20世纪70年代,关于大麻二酚的出版物数量达到第一个峰值,研究主要集中在与δ9-四氢大麻酚的相互作用及其抗癫痫和镇静作用。接下来的二十年里兴趣程度较低,所研究的大麻二酚的潜在治疗特性主要是抗焦虑、抗精神病和对运动疾病的作用。过去五年里,关于大麻二酚的出版物显著增加,这主要是受其抗炎、抗氧化和神经保护作用的发现所推动。这些研究表明大麻二酚对多种病症具有广泛的潜在治疗作用,包括帕金森病、阿尔茨海默病、脑缺血、糖尿病、类风湿关节炎、其他炎症性疾病、恶心和癌症。

结论

在过去四十五年里,已能够证明大麻二酚具有广泛的药理作用,其中许多具有重大治疗意义,但仍有待临床试验证实。

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