一种具有潜在神经保护作用的小型植物大麻素的系统评价。
A systematic review of minor phytocannabinoids with promising neuroprotective potential.
机构信息
Division of Medical Sciences and Graduate Entry Medicine, School of Medicine, University of Nottingham, Royal Derby Hospital, Derby, UK.
出版信息
Br J Pharmacol. 2020 Oct;177(19):4330-4352. doi: 10.1111/bph.15185. Epub 2020 Sep 1.
Embase and PubMed were systematically searched for articles addressing the neuroprotective properties of phytocannabinoids, apart from cannabidiol and Δ -tetrahydrocannabinol, including Δ -tetrahydrocannabinolic acid, Δ -tetrahydrocannabivarin, cannabidiolic acid, cannabidivarin, cannabichromene, cannabichromenic acid, cannabichromevarin, cannabigerol, cannabigerolic acid, cannabigerivarin, cannabigerovarinic acid, cannabichromevarinic acid, cannabidivarinic acid, and cannabinol. Out of 2,341 studies, 31 articles met inclusion criteria. Cannabigerol (range 5 to 20 mg·kg ) and cannabidivarin (range 0.2 to 400 mg·kg ) displayed efficacy in models of Huntington's disease and epilepsy. Cannabichromene (10-75 mg·kg ), Δ -tetrahydrocannabinolic acid (20 mg·kg ), and tetrahydrocannabivarin (range 0.025-2.5 mg·kg ) showed promise in models of seizure and hypomobility, Huntington's and Parkinson's disease. Limited mechanistic data showed cannabigerol, its derivatives VCE.003 and VCE.003.2, and Δ -tetrahydrocannabinolic acid mediated some of their effects through PPAR-γ, but no other receptors were probed. Further studies with these phytocannabinoids, and their combinations, are warranted across a range of neurodegenerative disorders.
Embase 和 PubMed 系统地检索了除大麻二酚和 Δ-四氢大麻酚以外的植物大麻素的神经保护特性的文章,包括 Δ-四氢大麻酸、Δ-四氢大麻素、大麻二酚酸、大麻二酚、大麻色烯、大麻色烯酸、大麻色烯酸、大麻二醇、大麻二醇酸、大麻二酚、大麻二酚酸和大麻酚。在 2341 项研究中,有 31 篇文章符合纳入标准。大麻二醇(剂量范围为 5 至 20mg·kg)和大麻二酚(剂量范围为 0.2 至 400mg·kg)在亨廷顿病和癫痫模型中显示出疗效。大麻色烯(10-75mg·kg)、Δ-四氢大麻酸(20mg·kg)和四氢大麻素(剂量范围为 0.025-2.5mg·kg)在癫痫和运动减少、亨廷顿病和帕金森病模型中显示出希望。有限的机制数据表明,大麻二醇、其衍生物 VCE.003 和 VCE.003.2 以及 Δ-四氢大麻酸通过 PPAR-γ 介导了它们的一些作用,但没有探测到其他受体。有必要对这些植物大麻素及其组合进行进一步的研究,以治疗一系列神经退行性疾病。