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内源性大麻素系统可能调节衰老相关的睡眠障碍。

The Endocannabinoid System May Modulate Sleep Disorders in Aging.

机构信息

Laboratorio de Neurociencias Moleculares e Integrativas, Escuela de Medicina, Division Ciencias de la Salud, Universidad Anahuac Mayab, Merida, Yucatan, Mexico.

Intercontinental Neuroscience Research Group, Medical School Hamburg, Hamburg, Germany.

出版信息

Curr Neuropharmacol. 2020;18(2):97-108. doi: 10.2174/1570159X17666190801155922.

Abstract

Aging is an inevitable process that involves changes across life in multiple neurochemical, neuroanatomical, hormonal systems, and many others. In addition, these biological modifications lead to an increase in age-related sickness such as cardiovascular diseases, osteoporosis, neurodegenerative disorders, and sleep disturbances, among others that affect activities of daily life. Demographic projections have demonstrated that aging will increase its worldwide rate in the coming years. The research on chronic diseases of the elderly is important to gain insights into this growing global burden. Novel therapeutic approaches aimed for treatment of age-related pathologies have included the endocannabinoid system as an effective tool since this biological system shows beneficial effects in preclinical models. However, and despite these advances, little has been addressed in the arena of the endocannabinoid system as an option for treating sleep disorders in aging since experimental evidence suggests that some elements of the endocannabinoid system modulate the sleep-wake cycle. This article addresses this less-studied field, focusing on the likely perspective of the implication of the endocannabinoid system in the regulation of sleep problems reported in the aged. We conclude that beneficial effects regarding the putative efficacy of the endocannabinoid system as therapeutic tools in aging is either inconclusive or still missing.

摘要

衰老是一个不可避免的过程,涉及到生命中多个神经化学、神经解剖、激素系统等方面的变化。此外,这些生物学的改变导致与年龄相关的疾病的增加,如心血管疾病、骨质疏松症、神经退行性疾病和睡眠障碍等,这些疾病会影响日常生活活动。人口预测表明,未来几年全球老龄化人口的比例将会增加。对老年人慢性病的研究对于深入了解这一日益严重的全球负担非常重要。新型治疗方法旨在治疗与年龄相关的疾病,内源性大麻素系统是一种有效的治疗方法,因为这个生物系统在临床前模型中显示出了有益的效果。然而,尽管有这些进展,内源性大麻素系统作为治疗老年人睡眠障碍的一种选择,在该领域的研究仍然很少,因为实验证据表明,内源性大麻素系统的一些元素可以调节睡眠-觉醒周期。本文探讨了这个研究较少的领域,重点关注内源性大麻素系统在调节老年人睡眠问题中的可能作用。我们得出的结论是,关于内源性大麻素系统作为衰老治疗工具的潜在疗效的有益效果,要么不确定,要么仍然缺失。

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