Popescu-Spineni D M, Guja L, Cristache C M, Pop-Tudose M E, Munteanu A M
"Carol Davila" University of Medicine and Pharmacy of Bucharest.
"Francisc I. Rainer" Institute of Anthropology, Roumanian Academy, Bucharest.
Acta Endocrinol (Buchar). 2022 Apr-Jun;18(2):209-215. doi: 10.4183/aeb.2022.209.
The discovery of the cannabinoid receptors CB and CB in 1990 and 1993, respectively, as well as of the two main endocannabinoids, anandamide in 1992 and 2-arachidonylglycerol in 1995, was an important step in identifying the strongest homeostatic system in the human body, namely the endocannabinoid system. Ever since, research has highlighted the crucial part played by this system in all the reproduction stages: folliculogenesis, spermatogenesis, oogenesis, fecundation, transport of the egg through the fallopian tubes, blastocyte implantation and pregnancy progression, as well as its implications in the physiopathology of the reproductive system: in endometriosis, ectopic pregnancy, miscarriage, preeclampsia, endometrial cancer, polycystic ovary syndrome, ovarian cancer. A special attention must be paid to the phytocannabinoids, natural components originating especially from the Cannabis plant inflorescences, whose medical effects are well-established nowadays with also acting on the receptors of the endocannabinoid system. The most recent research mainly focuses on the reproductive dysfunctions and disorders of the reproductive tissues, respectively, through its action upon the endocannabinoid system. Medical cannabis is nowadays legalized in more and more countries all over the world. At the same time, recreational cannabis remains one of the most consumed drugs (in Romania the most consumed one by young adults). Therefore, it is mandatory for specialists in obstetrics and gynecology, endocrinology, public health, hygiene or for general practitioners, to permanently update their information on this subject.
1990年和1993年分别发现了大麻素受体CB1和CB2,以及1992年的主要内源性大麻素之一花生四烯乙醇胺和1995年的2-花生四烯酸甘油酯,这是确定人体最强稳态系统即内源性大麻素系统的重要一步。从那时起,研究突出了该系统在所有生殖阶段所起的关键作用:卵泡发生、精子发生、卵子发生、受精、卵子通过输卵管的运输、胚泡着床和妊娠进展,以及其在生殖系统生理病理学中的影响:子宫内膜异位症、异位妊娠、流产、先兆子痫、子宫内膜癌、多囊卵巢综合征、卵巢癌。必须特别关注植物大麻素,它们是特别是源自大麻植物花序的天然成分,其医学作用如今已得到充分证实,并且也作用于内源性大麻素系统的受体。最近的研究主要分别通过其对内源性大麻素系统的作用,聚焦于生殖功能障碍和生殖组织紊乱。如今,医用大麻在世界上越来越多的国家合法化。与此同时,消遣性大麻仍然是消费最多的毒品之一(在罗马尼亚是年轻人消费最多的毒品)。因此,妇产科、内分泌学、公共卫生、卫生领域的专家或全科医生必须不断更新他们关于这个主题的信息。