Cassano Tommaso, Villani Rosanna, Pace Lorenzo, Carbone Antonio, Bukke Vidyasagar Naik, Orkisz Stanislaw, Avolio Carlo, Serviddio Gaetano
Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy.
Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy.
Front Pharmacol. 2020 Mar 6;11:124. doi: 10.3389/fphar.2020.00124. eCollection 2020.
, commonly known as marijuana, contains a pool of secondary plant metabolites with therapeutic effects. Besides Δ9-tetrahydrocannabinol that is the principal psychoactive constituent of , cannabidiol (CBD) is the most abundant nonpsychoactive phytocannabinoid and may represent a prototype for anti-inflammatory drug development for human pathologies where both the inflammation and oxidative stress (OS) play an important role to their etiology and progression. To this regard, Alzheimer's disease (AD), Parkinson's disease (PD), the most common neurodegenerative disorders, are characterized by extensive oxidative damage to different biological substrates that can cause cell death by different pathways. Most cases of neurodegenerative diseases have a complex etiology with a variety of factors contributing to the progression of the neurodegenerative processes; therefore, promising treatment strategies should simultaneously target multiple substrates in order to stop and/or slow down the neurodegeneration. In this context, CBD, which interacts with the eCB system, but has also cannabinoid receptor-independent mechanism, might be a good candidate as a prototype for anti-oxidant drug development for the major neurodegenerative disorders, such as PD and AD. This review summarizes the multiple molecular pathways that underlie the positive effects of CBD, which may have a considerable impact on the progression of the major neurodegenerative disorders.
大麻,通常被称为 marijuana,含有一系列具有治疗作用的次生植物代谢产物。除了作为大麻主要精神活性成分的 Δ9-四氢大麻酚外,大麻二酚(CBD)是最丰富的非精神活性植物大麻素,可能代表了一种用于人类疾病抗炎药物开发的原型,在这些疾病中,炎症和氧化应激(OS)在其病因和进展中都起着重要作用。在这方面,阿尔茨海默病(AD)、帕金森病(PD)这两种最常见的神经退行性疾病,其特征是对不同生物底物的广泛氧化损伤,可通过不同途径导致细胞死亡。大多数神经退行性疾病病例病因复杂,多种因素促成神经退行性过程的进展;因此,有前景的治疗策略应同时针对多个底物,以阻止和/或减缓神经退行性变。在这种背景下,与内源性大麻素系统相互作用但也有不依赖大麻素受体机制的 CBD,可能是作为针对主要神经退行性疾病(如 PD 和 AD)抗氧化药物开发原型的良好候选物。本综述总结了 CBD 产生积极作用的多种分子途径,这些途径可能对主要神经退行性疾病的进展产生重大影响。