Laboratorio de Investigación, Hospital Universitario Fundación Alcorcón and Centro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas (CIBERNED). C/o Budapest 1. 28922. Alcorcón, Spain.
CNS Neurol Disord Drug Targets. 2009 Dec;8(6):440-50. doi: 10.2174/187152709789824589.
Although significant advances have taken place in recent years on our understanding of the molecular mechanisms of different neurodegenerative diseases, its translation into effective therapeutic treatments has not been as successful as could be expected. There is still a dramatic lack of curative treatments for the most frequent disorders and only symptomatic relief for many others. Under this perspective, the search for novel therapeutic approaches is demanding and significant attention and efforts have been directed to studying additional neurotransmission systems including the endocannabinoid system (ECS). The neuroprotective properties of exogenous as well as endogenous cannabinoids have been known for years and the underlying molecular mechanisms have been recently unveiled. As discussed later, antioxidative, antiglutamatergic and antiinflammatory effects are now recognized as derived from cannabinoid action and are known to be of common interest for many neurodegenerative processes. Thus, these characteristics make cannabinoids attractive candidates for the development of novel therapeutic strategies [1]. The present review will focus on the existing data regarding the possible usefulness of cannabinoid agents for the treatment of relevant neurological pathologies for our society such as Alzheimer's disease, multiple sclerosis, Huntington's disease and amyotrophic lateral sclerosis.
尽管近年来我们对不同神经退行性疾病的分子机制的理解取得了重大进展,但将其转化为有效的治疗方法并没有达到预期的效果。对于最常见的疾病,仍然缺乏有效的治疗方法,而对于许多其他疾病,只能提供对症缓解。在这种情况下,寻找新的治疗方法是迫切需要的,人们已经投入了大量的关注和努力来研究包括内源性大麻素系统(ECS)在内的其他神经递质系统。外源性和内源性大麻素的神经保护特性已经为人所知多年,其潜在的分子机制最近也被揭示出来。如后面所讨论的,抗氧化、抗谷氨酸能和抗炎作用现在被认为是大麻素作用的结果,并且被认为对许多神经退行性过程具有共同的意义。因此,这些特性使大麻素成为开发新型治疗策略的有吸引力的候选药物[1]。本综述将重点介绍有关大麻素药物在治疗与我们社会相关的神经病理学方面的潜在用途的现有数据,如阿尔茨海默病、多发性硬化症、亨廷顿病和肌萎缩侧索硬化症。