Division of Medical Sciences and Graduate Entry Medicine, School of Medicine, University of Nottingham, Royal Derby Hospital, Derby, UK.
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。