大麻素在心肌病和心力衰竭中的治疗应用。

Therapeutic Applications of Cannabinoids in Cardiomyopathy and Heart Failure.

作者信息

Garza-Cervantes J A, Ramos-González M, Lozano O, Jerjes-Sánchez C, García-Rivas G

机构信息

Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Cátedra de Cardiología y Medicina Vascular, Monterrey, Nuevo León, Mexico.

Tecnologico de Monterrey, Hospital Zambrano Hellion, TecSalud, Centro de Investigación Biomédica. San Pedro Garza García, Nuevo León, Mexico.

出版信息

Oxid Med Cell Longev. 2020 Oct 27;2020:4587024. doi: 10.1155/2020/4587024. eCollection 2020.

Abstract

A large number of cannabinoids have been discovered that could play a role in mitigating cardiac affections. However, none of them has been as widely studied as cannabidiol (CBD), most likely because, individually, the others offer only partial effects or can activate potential harmful pathways. In this regard, CBD has proven to be of great value as a cardioprotective agent since it is a potent antioxidant and anti-inflammatory molecule. Thus, we conducted a review to condensate the currently available knowledge on CBD as a therapy for different experimental models of cardiomyopathies and heart failure to detect the molecular pathways involved in cardiac protection. CBD therapy can greatly limit the production of oxygen/nitrogen reactive species, thereby limiting cellular damage, protecting mitochondria, avoiding caspase activation, and regulating ionic homeostasis. Hence, it can affect myocardial contraction by restricting the activation of inflammatory pathways and cytokine secretion, lowering tissular infiltration by immune cells, and reducing the area of infarct and fibrosis formation. These effects are mediated by the activation or inhibition of different receptors and target molecules of the endocannabinoid system. In the final part of this review, we explore the current state of CBD in clinical trials as a treatment for cardiovascular diseases and provide evidence of its potential benefits in humans.

摘要

人们已经发现大量大麻素可能在减轻心脏疾病方面发挥作用。然而,它们中没有一种像大麻二酚(CBD)那样得到广泛研究,很可能是因为其他大麻素单独使用时仅能产生部分效果,或者会激活潜在的有害途径。在这方面,CBD已被证明是一种极具价值的心脏保护剂,因为它是一种强效抗氧化剂和抗炎分子。因此,我们进行了一项综述,以总结目前关于CBD作为治疗不同心肌病和心力衰竭实验模型的疗法的现有知识,从而找出参与心脏保护的分子途径。CBD疗法可以极大地限制氧/氮活性物质的产生,从而限制细胞损伤、保护线粒体、避免半胱天冬酶激活并调节离子稳态。因此,它可以通过限制炎症途径的激活和细胞因子分泌、减少免疫细胞的组织浸润以及减少梗死面积和纤维化形成来影响心肌收缩。这些作用是由内源性大麻素系统的不同受体和靶分子的激活或抑制介导的。在本综述的最后部分,我们探讨了CBD在心血管疾病治疗临床试验中的现状,并提供了其对人类潜在益处的证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd64/7641267/b6f3d39b32be/OMCL2020-4587024.001.jpg

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