Vallée Alexandre, Lecarpentier Yves, Vallée Jean-Noël
Department of Clinical Research and Innovation (DRCI), Foch Hospital, Suresnes, France.
Centre de Recherche Clinique, Grand Hôpital de l'Est Francilien (GHEF), Meaux, France.
Mol Psychiatry. 2022 Jan;27(1):230-248. doi: 10.1038/s41380-021-01086-1. Epub 2021 Apr 9.
Obsessive-compulsive disorder (OCD) is a neuropsychiatric disorder characterized by recurrent and distinctive obsessions and/or compulsions. The etiologies remain unclear. Recent findings have shown that oxidative stress, inflammation, and glutamatergic pathways play key roles in the causes of OCD. However, first-line therapies include cognitive-behavioral therapy but only 40% of the patients respond to this first-line therapy. Research for new treatment is mandatory. This review focuses on the potential effects of cannabidiol (CBD), as a potential therapeutic strategy, on OCD and some of the presumed mechanisms by which CBD provides its benefit properties. CBD medication downregulates GSK-3β, the main inhibitor of the WNT/β-catenin pathway. The activation of the WNT/β-catenin could be associated with the control of oxidative stress, inflammation, and glutamatergic pathway and circadian rhythms dysregulation in OCD. Future prospective clinical trials could focus on CBD and its different and multiple interactions in OCD.
强迫症(OCD)是一种神经精神障碍,其特征为反复出现且独特的强迫观念和/或强迫行为。病因仍不清楚。最近的研究结果表明,氧化应激、炎症和谷氨酸能通路在强迫症的病因中起关键作用。然而,一线治疗包括认知行为疗法,但只有40%的患者对这种一线治疗有反应。必须开展新治疗方法的研究。本综述重点关注大麻二酚(CBD)作为一种潜在治疗策略对强迫症的潜在影响,以及CBD发挥有益作用的一些推测机制。CBD药物可下调糖原合成酶激酶-3β(GSK-3β),这是WNT/β-连环蛋白通路的主要抑制剂。WNT/β-连环蛋白的激活可能与强迫症中氧化应激、炎症、谷氨酸能通路的控制以及昼夜节律失调有关。未来的前瞻性临床试验可聚焦于CBD及其在强迫症中的不同和多重相互作用。