Instituto de Neurociencias, Universidad Miguel Hernández-CSIC, Avda. de Ramón y Cajal s/n, San Juan de Alicante, 03550 Alicante, Spain.
Red Temática de Investigación Cooperativa en Salud (RETICS), Red de Trastornos Adictivos, Instituto de Salud Carlos III, MICINN and FEDER, 28029 Madrid, Spain.
Biomolecules. 2021 Oct 20;11(11):1556. doi: 10.3390/biom11111556.
The pharmacological modulation of the cannabinoid receptor 2 (CB2r) has emerged as a promising potential therapeutic option in addiction. The purpose of this review was to determine the functional involvement of CB2r in the effects produced by drugs of abuse at the central nervous system (CNS) level by assessing evidence from preclinical and clinical studies. In rodents, several reports suggest the functional involvement of CB2r in the effects produced by drugs of abuse such as alcohol, cocaine, or nicotine. In addition, the discovery of CB2r in brain areas that are part of the reward system supports the relevance of CB2r in the field of addiction. Interestingly, animal studies support that the CB2r regulates anxiety and depression behavioral traits. Due to its frequent comorbidity with neuropsychiatric disorders, these pharmacological actions may be of great interest in managing SUD. Preliminary clinical trials are focused on exploring the therapeutic potential of modulating CB2r in treating addictive disorders. These promising results support the development of new pharmacological tools regulating the CB2r that may help to increase the therapeutic success in the management of SUD.
大麻素受体 2(CB2r)的药理学调节已成为成瘾治疗中一种很有前途的潜在治疗选择。本综述的目的是通过评估来自临床前和临床研究的证据,确定 CB2r 在中枢神经系统(CNS)水平上产生的药物滥用效应中的功能相关性。在啮齿动物中,有几项报告表明 CB2r 参与了酒精、可卡因或尼古丁等药物滥用产生的作用。此外,在奖励系统的一部分脑区发现 CB2r,支持了 CB2r 在成瘾领域的相关性。有趣的是,动物研究支持 CB2r 调节焦虑和抑郁行为特征。由于其与神经精神疾病的频繁共病,这些药理作用可能对治疗 SUD 具有重要意义。初步的临床试验集中在探索调节 CB2r 治疗成瘾障碍的治疗潜力。这些有希望的结果支持开发调节 CB2r 的新的药理学工具,这可能有助于提高 SUD 管理中的治疗成功率。