Leinen Zach J, Mohan Rahul, Premadasa Lakmini S, Acharya Arpan, Mohan Mahesh, Byrareddy Siddappa N
Department of Pharmacology & Experimental Neuroscience, University of Nebraska Medical Center, Omaha, NE 68182, USA.
Southwest National Primate Research Center, Texas Biomedical Research Institute, San Antonio, TX 78227, USA.
Biomedicines. 2023 Sep 25;11(10):2630. doi: 10.3390/biomedicines11102630.
Historically, cannabis has been valued for its pain-relieving, anti-inflammatory, and calming properties. Ancient civilizations like the Egyptians, Greeks, and Chinese medicines recognized their therapeutic potential. The discovery of the endocannabinoid system, which interacts with cannabis phytoconstituents, has scientifically explained how cannabis affects the human immune system, including the central nervous system (CNS). This review explores the evolving world of cannabis-based treatments, spotlighting its diverse applications. By researching current research and clinical studies, we probe into how cannabinoids like Δ9-tetrahydrocannabinol (THC) and cannabidiol (CBD) help to manage conditions ranging from chronic pain, persistent inflammation, cancer, inflammatory bowel disease, and neurological disorders to even viral diseases such as Human Immunodeficiency virus (HIV), SARS-CoV-2. and the emerging monkeypox. The long-term recreational use of cannabis can develop into cannabis use disorder (CUD), and therefore, understanding the factors contributing to the development and maintenance of cannabis addiction, including genetic predisposition, neurobiological mechanisms, and environmental influences, will be timely. Shedding light on the adverse impacts of CUD underscores the importance of early intervention, effective treatment approaches, and public health initiatives to address this complex issue in an evolving landscape of cannabis policies and perceptions.
从历史上看,大麻因其止痛、抗炎和平静特性而受到重视。古埃及、希腊和中国等古代文明都认识到了其治疗潜力。内源性大麻素系统与大麻植物成分相互作用,这一发现从科学角度解释了大麻如何影响人体免疫系统,包括中枢神经系统(CNS)。本综述探讨了基于大麻的治疗方法的发展,重点介绍了其多样的应用。通过研究当前的研究和临床研究,我们探究了诸如Δ9-四氢大麻酚(THC)和大麻二酚(CBD)等大麻素如何有助于治疗从慢性疼痛、持续性炎症、癌症、炎症性肠病、神经疾病到人类免疫缺陷病毒(HIV)、严重急性呼吸综合征冠状病毒2(SARS-CoV-2)以及新出现的猴痘等病毒疾病。长期娱乐性使用大麻会发展为大麻使用障碍(CUD),因此,了解导致大麻成瘾发展和维持的因素,包括遗传易感性、神经生物学机制和环境影响,将是适时的。揭示大麻使用障碍的不利影响凸显了早期干预、有效治疗方法以及公共卫生举措在不断变化的大麻政策和认知背景下解决这一复杂问题的重要性。