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Δ⁹-四氢大麻酚和大麻二酚作为癌症的潜在治疗剂:对临床前文献的批判性审视。

Delta(9) -tetrahydrocannabinol and cannabidiol as potential curative agents for cancer: A critical examination of the preclinical literature.

作者信息

Fowler C J

机构信息

Department of Pharmacology and Clinical Neuroscience, Umeå University, Umeå, Sweden.

出版信息

Clin Pharmacol Ther. 2015 Jun;97(6):587-96. doi: 10.1002/cpt.84. Epub 2015 May 2.

Abstract

An Internet search with search words "cannabis cures cancer" produce a wealth of sites claiming that cannabis has this effect. These sites are freely accessible to the general public and thus contribute to public opinion. But do delta(9) -tetrahydrocannabinol (Δ(9) -THC) and cannabidiol (CBD) cure cancer? In the absence of clinical data other than a safety study and case reports, preclinical data should be evaluated in terms of its predictive value. Using a strict approach where only concentrations and/or models relevant to the clinical situation are considered, the current preclinical data do not yet provide robust evidence that systemically administered Δ(9) -THC will be useful for the curative treatment of cancer. There is more support for an intratumoral route of administration of higher doses of Δ(9) -THC. CBD produces effects in relevant concentrations and models, although more data are needed concerning its use in conjunction with other treatment strategies.

摘要

在互联网上搜索关键词“大麻治愈癌症”会出现大量声称大麻有此功效的网站。这些网站向公众免费开放,从而影响公众舆论。但是,Δ⁹-四氢大麻酚(Δ⁹-THC)和大麻二酚(CBD)能治愈癌症吗?除了一项安全性研究和病例报告外,缺乏临床数据,因此应根据其预测价值对临床前数据进行评估。采用仅考虑与临床情况相关的浓度和/或模型的严格方法,目前的临床前数据尚未提供有力证据表明全身给药的Δ⁹-THC对癌症的治愈性治疗有用。对于高剂量Δ⁹-THC瘤内给药的支持更多。CBD在相关浓度和模型中产生作用,尽管还需要更多关于其与其他治疗策略联合使用的数据。

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