Wang Jing, Wang Yanling, Tong Mengting, Pan Hongming, Li Da
Department of Medical Oncology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
J Cancer. 2019 Jan 1;10(3):716-720. doi: 10.7150/jca.28246. eCollection 2019.
Cachexia is a common term for the wasting symptoms which may appear in almost every chronic illness, such as AIDS, tuberculosis, and cancer. Cancer cachexia (CCA) is a result of the interaction between the host and the tumor, mainly manifested in short-term wasting, malnutrition, and so on. Due to the chronic food shortages, absorption dysfunction and metabolic disorders, all of these eventually lead to hypoimmunity, organ failure, and higher susceptibility to pathogenic microorganisms. And then increased morbidity and mortality rates as well as reduced tolerance to anti-cancer treatments will be resulted in patients with CCA. Up to now, no standard guidelines have been established for cachexia treatment. Moreover, progestagens, the only drugs approved by FDA for cancer-related cachexia, can only increase adipose tissue and have not been confirmed to augment lean body mass. Cannabinoid, such as Δ-9-tetrahydrocannabinol (THC) and cannabidiol, is one of a class of diverse chemical compounds. Previous studies have showed that cannabinoid had considerable potential to improve the appetite, body weight, body fat level, caloric intake, mood, quality of life in kinds of diseases. This review will elaborate the anti-CCA role of cannabinoid and explore that whether cannabinoid is effective for CCA and provide a basis for guiding clinical drug use.
恶病质是一个常见术语,用于描述几乎每种慢性病(如艾滋病、结核病和癌症)中可能出现的消瘦症状。癌症恶病质(CCA)是宿主与肿瘤相互作用的结果,主要表现为短期内消瘦、营养不良等。由于长期食物短缺、吸收功能障碍和代谢紊乱,所有这些最终都会导致免疫功能低下、器官衰竭以及对致病微生物的易感性增加。进而导致CCA患者的发病率和死亡率上升,以及对抗癌治疗的耐受性降低。到目前为止,尚未建立恶病质治疗的标准指南。此外,孕激素是FDA批准的唯一用于治疗癌症相关恶病质的药物,只能增加脂肪组织,尚未证实能增加瘦体重。大麻素,如Δ-9-四氢大麻酚(THC)和大麻二酚,是一类多种化学化合物之一。先前的研究表明,大麻素在改善多种疾病的食欲、体重、体脂水平、热量摄入、情绪、生活质量方面具有相当大的潜力。本综述将阐述大麻素在抗CCA中的作用,并探讨大麻素对CCA是否有效,为指导临床用药提供依据。