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大麻二酚是一种作用于非常规靶点以控制耐药性癫痫的药物吗?

Is cannabidiol a drug acting on unconventional targets to control drug-resistant epilepsy?

作者信息

Rocha Luisa, Frías-Soria Christian Lizette, Ortiz José G, Auzmendi Jerónimo, Lazarowski Alberto

机构信息

Departamento de Farmacobiología Centro de Investigación y de Estudios Avanzados México City México.

Department of Pharmacology and Toxicology School of Medicine University of Puerto Rico San Juan Puerto Rico.

出版信息

Epilepsia Open. 2020 Jan 17;5(1):36-49. doi: 10.1002/epi4.12376. eCollection 2020 Mar.

Abstract

Cannabis has been considered as a therapeutic strategy to control intractable epilepsy. Several cannabis components, especially cannabidiol (CBD), induce antiseizure effects. However, additional information is necessary to identify the types of epilepsies that can be controlled by these components and the mechanisms involved in these effects. This review presents a summary of the discussion carried out during the 2nd Latin American Workshop on Neurobiology of Epilepsy entitled "Cannabinoid and epilepsy: myths and realities." This event was carried out during the 10th Latin American Epilepsy Congress in San José de Costa Rica (September 28, 2018). The review focuses to discuss the use of CBD as a new therapeutic strategy to control drug-resistant epilepsy. It also indicates the necessity to consider the evaluation of unconventional targets such as P-glycoprotein, to explain the effects of CBD in drug-resistant epilepsy.

摘要

大麻已被视为控制难治性癫痫的一种治疗策略。大麻的几种成分,尤其是大麻二酚(CBD),具有抗癫痫作用。然而,还需要更多信息来确定这些成分可控制的癫痫类型以及这些作用所涉及的机制。本综述总结了在第二届拉丁美洲癫痫神经生物学研讨会上进行的讨论,该研讨会的主题为“大麻素与癫痫:神话与现实”。该活动于2018年9月28日在哥斯达黎加圣何塞举行的第十届拉丁美洲癫痫大会期间开展。本综述着重讨论将CBD用作控制耐药性癫痫的一种新治疗策略。它还指出有必要考虑评估诸如P-糖蛋白等非常规靶点,以解释CBD在耐药性癫痫中的作用。

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