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内源性大麻素系统在成纤维细胞和肌筋膜组织中的表达。

Expression of the endocannabinoid system in fibroblasts and myofascial tissues.

作者信息

McPartland John M

机构信息

Department of Osteopathic Manipulative Medicine, Michigan State University, East Lansing, MI, USA.

出版信息

J Bodyw Mov Ther. 2008 Apr;12(2):169-82. doi: 10.1016/j.jbmt.2008.01.004. Epub 2008 Feb 14.

Abstract

The endocannabinoid (eCB) system, like the better-known endorphin system, consists of cell membrane receptors, endogenous ligands and ligand-metabolizing enzymes. Two cannabinoid receptors are known: CB(1) is principally located in the nervous system, whereas CB(2) is primarily associated with the immune system. Two eCB ligands, anandamide (AEA) and 2-arachidonoylglycerol (2-AG), are mimicked by cannabis plant compounds. The first purpose of this paper was to review the eCB system in detail, highlighting aspects of interest to bodyworkers, especially eCB modulation of pain and inflammation. Evidence suggests the eCB system may help resolve myofascial trigger points and relieve symptoms of fibromyalgia. However, expression of the eCB system in myofascial tissues has not been established. The second purpose of this paper was to investigate the eCB system in fibroblasts and other fascia-related cells. The investigation used a bioinformatics approach, obtaining microarray data via the GEO database (www.ncbi.nlm.nih.gov/geo/). GEO data mining revealed that fibroblasts, myofibroblasts, chondrocytes and synoviocytes expressed CB(1), CB(2) and eCB ligand-metabolizing enzymes. Fibroblast CB(1) levels nearly equalled levels expressed by adipocytes. CB(1) levels upregulated after exposure to inflammatory cytokines and equiaxial stretching of fibroblasts. The eCB system affects fibroblast remodeling through lipid rafts associated with focal adhesions and dampens cartilage destruction by decreasing fibroblast-secreted metalloproteinase enzymes. In conclusion, the eCB system helps shape biodynamic embryological development, diminishes nociception and pain, reduces inflammation in myofascial tissues and plays a role in fascial reorganization. Practitioners wield several tools that upregulate eCB activity, including myofascial manipulation, diet and lifestyle modifications, and pharmaceutical approaches.

摘要

内源性大麻素(eCB)系统,与更为人熟知的内啡肽系统一样,由细胞膜受体、内源性配体和配体代谢酶组成。已知有两种大麻素受体:CB(1)主要位于神经系统,而CB(2)主要与免疫系统相关。两种eCB配体,花生四烯乙醇胺(AEA)和2-花生四烯酸甘油酯(2-AG),可被大麻植物化合物模拟。本文的首要目的是详细综述eCB系统,重点介绍对身体治疗师有意义的方面,尤其是eCB对疼痛和炎症的调节作用。有证据表明,eCB系统可能有助于解决肌筋膜触发点并缓解纤维肌痛症状。然而,eCB系统在肌筋膜组织中的表达尚未得到证实。本文的第二个目的是研究成纤维细胞和其他与筋膜相关细胞中的eCB系统。该研究采用生物信息学方法,通过GEO数据库(www.ncbi.nlm.nih.gov/geo/)获取微阵列数据。GEO数据挖掘显示,成纤维细胞、肌成纤维细胞、软骨细胞和滑膜细胞表达CB(1)、CB(2)和eCB配体代谢酶。成纤维细胞CB(1)水平几乎与脂肪细胞表达的水平相当。暴露于炎性细胞因子和成纤维细胞等轴拉伸后,CB(1)水平上调。eCB系统通过与粘着斑相关的脂筏影响成纤维细胞重塑,并通过减少成纤维细胞分泌的金属蛋白酶来减轻软骨破坏。总之,eCB系统有助于塑造生物动力学胚胎发育,减轻伤害感受和疼痛,减少肌筋膜组织中的炎症,并在筋膜重组中发挥作用。从业者有多种上调eCB活性的工具,包括肌筋膜手法治疗、饮食和生活方式调整以及药物治疗方法。

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