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大麻与炎症介质。

Cannabis and Inflammatory Mediators.

机构信息

Department of Psychiatry, Universidade Federal de São Paulo (Unifesp), São Paulo, Brazil,

Department of Psychiatry, Universidade Federal de São Paulo (Unifesp), São Paulo, Brazil.

出版信息

Eur Addict Res. 2021;27(1):16-24. doi: 10.1159/000508840. Epub 2020 Jul 29.

Abstract

INTRODUCTION

Although the recreational cannabis use is expressive worldwide, the literature about medical potential of cannabis extracts, including its anti-inflammatory properties, remains inconclusive.

METHODS

We screened all articles, published on the PubMed database, on inflammatory mediators and any information about cannabis use from 1980 to March 2019.

RESULTS

Six studies were included, and the main findings were as follows: (i) among healthy volunteers and cannabis users, cannabinoids seemed to decrease the inflammatory response, thus decreasing the immune response, which led to a higher risk of infections; (ii) among patients with multiple sclerosis, cannabinoids seemed to have little impact on the inflammatory markers' levels.

DISCUSSION

Although cannabis use can produce immune inflammatory suppression in healthy people, this effect is not robust enough to change inflammatory mediators' levels in situations of highly dysfunctional inflammatory activation. Nevertheless, the impact of cannabinoids in clinical outcomes of these conditions remains to be determined.

摘要

简介

尽管全球范围内娱乐性大麻的使用呈上升趋势,但关于大麻提取物的医学潜力(包括其抗炎特性)的文献仍存在争议。

方法

我们筛选了 1980 年至 2019 年 3 月期间发表在 PubMed 数据库上的所有关于炎症介质和大麻使用的文章。

结果

共纳入 6 项研究,主要发现如下:(i)在健康志愿者和大麻使用者中,大麻素似乎降低了炎症反应,从而降低了免疫反应,导致更高的感染风险;(ii)在多发性硬化症患者中,大麻素似乎对炎症标志物的水平几乎没有影响。

讨论

尽管大麻的使用可以在健康人群中产生免疫炎症抑制作用,但这种作用还不够强大,无法改变在炎症高度失调的情况下炎症介质的水平。然而,大麻素在这些疾病的临床结果中的影响仍有待确定。

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