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大麻素在医学中的应用:癌症、免疫与微生物疾病。

Cannabinoids in Medicine: Cancer, Immunity, and Microbial Diseases.

机构信息

Department of Genome Engineering, Institute of Bioorganic Chemistry, Polish Academy of Sciences, 60-032 Poznan, Poland.

Department of Biochemistry and Biotechnology, Poznan University of Life Sciences, 60-632 Poznan, Poland.

出版信息

Int J Mol Sci. 2020 Dec 29;22(1):263. doi: 10.3390/ijms22010263.

Abstract

Recently, there has been a growing interest in the medical applications of plants. They owe their unique properties to a group of secondary metabolites known as phytocannabinoids, which are specific for this genus. Phytocannabinoids, and cannabinoids generally, can interact with cannabinoid receptors being part of the endocannabinoid system present in animals. Over the years a growing body of scientific evidence has been gathered, suggesting that these compounds have therapeutic potential. In this article, we review the classification of cannabinoids, the molecular mechanisms of their interaction with animal cells as well as their potential application in the treatment of human diseases. Specifically, we focus on the research concerning the anticancer potential of cannabinoids in preclinical studies, their possible use in cancer treatment and palliative medicine, as well as their influence on the immune system. We also discuss their potential as therapeutic agents in infectious, autoimmune, and gastrointestinal inflammatory diseases. We postulate that the currently ongoing and future clinical trials should be accompanied by research focused on the cellular and molecular response to cannabinoids and extracts, which will ultimately allow us to fully understand the mechanism, potency, and safety profile of cannabinoids as single agents and as complementary drugs.

摘要

近年来,人们对植物在医学上的应用产生了浓厚的兴趣。它们独特的性质归因于一组被称为植物大麻素的次生代谢产物,这些代谢产物是这个属所特有的。植物大麻素和大麻素一般可以与大麻素受体相互作用,而这些受体是动物体内存在的内源性大麻素系统的一部分。多年来,已经积累了越来越多的科学证据,表明这些化合物具有治疗潜力。在本文中,我们回顾了大麻素的分类、它们与动物细胞相互作用的分子机制以及它们在治疗人类疾病方面的潜在应用。具体来说,我们专注于研究大麻素在临床前研究中的抗癌潜力、它们在癌症治疗和姑息医学中的可能用途,以及它们对免疫系统的影响。我们还讨论了它们在感染性、自身免疫性和胃肠道炎症性疾病中的治疗作用。我们假设,目前正在进行的和未来的临床试验应该伴随着对细胞和分子对大麻素和提取物的反应的研究,这最终将使我们能够充分理解大麻素作为单一药物和辅助药物的作用机制、效力和安全性概况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c81e/7795897/2db7f97875c8/ijms-22-00263-g001.jpg

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