Institute of Plant Science, Agriculture Research Organization, Volcani Center, Rishon LeZion 7528809, Israel.
Consultant Patrick Poulin Inc., Québec City, Québec, Canada; School of Public Health, Université de Montréal, Montréal, Canada.
Eur J Pharm Sci. 2019 Apr 30;132:118-120. doi: 10.1016/j.ejps.2019.02.027. Epub 2019 Mar 7.
Cannabis sativa is widely used for medical purposes. However, to date, aroma, popular strain name or the content of two phytocannabinoids-Δ-tetrahydrocannabinol (THC) and cannabidiol (CBD) are mostly considered for therapeutic activity. This is despite the hundreds of compounds in this plant and their potential synergistic interactions in mixtures. New, specific and effective cannabis-based drugs must be developed to achieve adequate medical standards for the use of cannabis. To do this, the comprehensive molecular profile of cannabis-based drugs must be defined, and mixtures of compounds should be tested for superior therapeutic activity due to synergistic effects compared to individually isolated cannabis compounds. The biological pathways targeted by these new drugs should also be characterized more accurately. For drug development and design, absorption, distribution, metabolism and elimination versus toxicity (ADME/Tox) must be characterized, and therapeutic doses identified. Promoting the quality and therapeutic activity of herbal or synthetic cannabis products to pharma grade is a pressing need worldwide.
大麻被广泛用于医疗用途。然而,迄今为止,大多数人考虑的都是大麻的香气、流行品种名称或两种植物大麻素——Δ-四氢大麻酚(THC)和大麻二酚(CBD)的含量来评估其治疗效果。尽管这种植物中含有数百种化合物,而且它们在混合物中可能具有协同相互作用。为了达到使用大麻的适当医疗标准,必须开发新的、特定的和有效的基于大麻的药物。为此,必须确定基于大麻的药物的全面分子特征,并应测试化合物混合物是否具有由于协同作用而优于单独分离的大麻化合物的治疗活性。还应更准确地描述这些新药针对的生物途径。对于药物开发和设计,必须对吸收、分布、代谢和消除与毒性(ADME/Tox)进行特征描述,并确定治疗剂量。提高草药或合成大麻素产品的质量和治疗活性以达到制药级是全球的迫切需求。