Cassano Tommaso, Calcagnini Silvio, Pace Lorenzo, De Marco Federico, Romano Adele, Gaetani Silvana
Department of Clinical and Experimental Medicine, University of Foggia Foggia, Italy.
Department of Physiology and Pharmacology, Sapienza University of Rome Rome, Italy.
Front Neurosci. 2017 Feb 2;11:30. doi: 10.3389/fnins.2017.00030. eCollection 2017.
As a consequence of an increasingly aging population, the number of people affected by neurodegenerative disorders, such as Alzheimer's disease, Parkinson's disease and Huntington's disease, is rapidly increasing. Although the etiology of these diseases has not been completely defined, common molecular mechanisms including neuroinflammation, excitotoxicity and mitochondrial dysfunction have been confirmed and can be targeted therapeutically. Moreover, recent studies have shown that endogenous cannabinoid signaling plays a number of modulatory roles throughout the central nervous system (CNS), including the neuroinflammation and neurogenesis. In particular, the up-regulation of type-2 cannabinoid (CB2) receptors has been found in a number of neurodegenerative disorders. Thus, the modulation of CB2 receptor signaling may represent a promising therapeutic target with minimal psychotropic effects that can be used to modulate endocannabinoid-based therapeutic approaches and to reduce neuronal degeneration. For these reasons this review will focus on the CB2 receptor as a promising pharmacological target in a number of neurodegenerative diseases.
由于人口老龄化加剧,受神经退行性疾病(如阿尔茨海默病、帕金森病和亨廷顿病)影响的人数正在迅速增加。尽管这些疾病的病因尚未完全明确,但包括神经炎症、兴奋性毒性和线粒体功能障碍在内的常见分子机制已得到证实,并且可以作为治疗靶点。此外,最近的研究表明,内源性大麻素信号在整个中枢神经系统(CNS)中发挥多种调节作用,包括神经炎症和神经发生。特别是,在许多神经退行性疾病中都发现了2型大麻素(CB2)受体的上调。因此,调节CB2受体信号可能是一个有前景的治疗靶点,其精神副作用最小,可用于调节基于内源性大麻素的治疗方法并减少神经元变性。基于这些原因,本综述将聚焦于CB2受体,它是多种神经退行性疾病中一个有前景的药理学靶点。