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医学中的大麻素:对类型、治疗应用以及神经退行性疾病和癌症治疗中新兴机遇的多方面探索。

Cannabinoids in Medicine: A Multifaceted Exploration of Types, Therapeutic Applications, and Emerging Opportunities in Neurodegenerative Diseases and Cancer Therapy.

机构信息

Pharmacology, Toxicology and Clinical Psychopharmacology, "Carol Davila" University of Medicine and Pharmacy in Bucharest, 020021 Bucharest, Romania.

Medical Section within the Romanian Academy, 010071 Bucharest, Romania.

出版信息

Biomolecules. 2023 Sep 14;13(9):1388. doi: 10.3390/biom13091388.

Abstract

In this review article, we embark on a thorough exploration of cannabinoids, compounds that have garnered considerable attention for their potential therapeutic applications. Initially, this article delves into the fundamental background of cannabinoids, emphasizing the role of endogenous cannabinoids in the human body and outlining their significance in studying neurodegenerative diseases and cancer. Building on this foundation, this article categorizes cannabinoids into three main types: phytocannabinoids (plant-derived cannabinoids), endocannabinoids (naturally occurring in the body), and synthetic cannabinoids (laboratory-produced cannabinoids). The intricate mechanisms through which these compounds interact with cannabinoid receptors and signaling pathways are elucidated. A comprehensive overview of cannabinoid pharmacology follows, highlighting their absorption, distribution, metabolism, and excretion, as well as their pharmacokinetic and pharmacodynamic properties. Special emphasis is placed on the role of cannabinoids in neurodegenerative diseases, showcasing their potential benefits in conditions such as Alzheimer's disease, Parkinson's disease, Huntington's disease, and multiple sclerosis. The potential antitumor properties of cannabinoids are also investigated, exploring their potential therapeutic applications in cancer treatment and the mechanisms underlying their anticancer effects. Clinical aspects are thoroughly discussed, from the viability of cannabinoids as therapeutic agents to current clinical trials, safety considerations, and the adverse effects observed. This review culminates in a discussion of promising future research avenues and the broader implications for cannabinoid-based therapies, concluding with a reflection on the immense potential of cannabinoids in modern medicine.

摘要

在这篇综述文章中,我们深入探讨了大麻素,这些化合物因其潜在的治疗应用而引起了广泛关注。首先,本文深入探讨了大麻素的基本背景,强调了内源性大麻素在人体中的作用,并概述了它们在研究神经退行性疾病和癌症方面的重要性。在此基础上,本文将大麻素分为三类:植物大麻素(植物来源的大麻素)、内源性大麻素(体内天然存在的大麻素)和合成大麻素(实验室生产的大麻素)。阐述了这些化合物与大麻素受体和信号通路相互作用的复杂机制。接着全面概述了大麻素的药理学,强调了它们的吸收、分布、代谢和排泄,以及它们的药代动力学和药效学特性。特别强调了大麻素在神经退行性疾病中的作用,展示了它们在阿尔茨海默病、帕金森病、亨廷顿病和多发性硬化症等疾病中的潜在益处。还探讨了大麻素的抗肿瘤特性,研究了它们在癌症治疗中的潜在治疗应用以及它们抗癌作用的机制。还深入讨论了临床方面,包括大麻素作为治疗剂的可行性、当前的临床试验、安全性考虑因素以及观察到的不良反应。本文以讨论有前途的未来研究方向和大麻素为基础的治疗方法的更广泛意义结束,最后反思了大麻素在现代医学中的巨大潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3144/10526757/e429e000d782/biomolecules-13-01388-g001.jpg

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