Story Galaxie, Briere Carrie-Ellen, McClements D Julian, Sela David A
Department of Food Science, University of Massachusetts, Amherst, MA, United States.
Elaine Marieb College of Nursing, University of Massachusetts, Amherst, MA, United States.
Curr Dev Nutr. 2023 Jul 17;7(10):101972. doi: 10.1016/j.cdnut.2023.101972. eCollection 2023 Oct.
Cannabidiol (CBD) is a non-intoxicating cannabinoid extracted from the cannabis plant that is used for medicinal purposes. Ingestion of CBD is claimed to address several pathologies, including gastrointestinal disorders, although limited evidence has been generated thus far to substantiate many of its health claims. Nevertheless, CBD usage as an over-the-counter treatment for gastrointestinal disorders is likely to expand in response to increasing commercial availability, permissive legal status, and acceptance by consumers. This systematic review critically evaluates the knowledge boundaries of the published research on CBD, intestinal motility, and intestinal motility disorders. Research on CBD and intestinal motility is currently limited but does support the safety and efficacy of CBD for several therapeutic applications, including seizure disorders, inflammatory responses, and upper gastrointestinal dysfunction (i.e., nausea and vomiting). CBD, therefore, may have therapeutic potential for addressing functional gastrointestinal disorders. The results of this review show promising and preclinical data supporting a role of CBD in intestinal motility. This includes improved gastrointestinal-related outcomes in murine models of colitis. These studies, however, vary by dose, delivery method, and CBD-extract composition. Clinical trials have yet to find a conclusive benefit of CBD on intestinal motility disorders, but these trials have been limited in scope. In addition, critical factors such as CBD dosing parameters have not yet been established. Further research will establish the efficacy of CBD in applications to address intestinal motility.
大麻二酚(CBD)是一种从大麻植物中提取的无成瘾性大麻素,用于医疗目的。尽管目前仅有有限的证据来证实其诸多健康宣称,但据称摄入CBD可治疗多种病症,包括胃肠道疾病。然而,随着CBD在商业上的可获得性增加、法律地位许可以及消费者的接受度提高,其作为胃肠道疾病非处方治疗方法的使用可能会扩大。本系统综述批判性地评估了已发表的关于CBD、肠道蠕动及肠道蠕动障碍研究的知识边界。目前关于CBD与肠道蠕动的研究有限,但确实支持了CBD在包括癫痫症、炎症反应及上消化道功能障碍(即恶心和呕吐)等多种治疗应用中的安全性和有效性。因此,CBD可能具有治疗功能性胃肠道疾病的潜力。本综述结果显示了有前景的临床前数据,支持CBD在肠道蠕动中的作用。这包括在结肠炎小鼠模型中改善了与胃肠道相关的结果。然而,这些研究在剂量、给药方法和CBD提取物成分方面存在差异。临床试验尚未发现CBD对肠道蠕动障碍有确凿益处,但这些试验的范围有限。此外,诸如CBD给药参数等关键因素尚未确定。进一步的研究将确定CBD在解决肠道蠕动问题应用中的疗效。