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大麻素与内源性大麻素系统在早期新冠病毒感染及新冠后综合征中的作用——一项综述

Cannabinoids and the Endocannabinoid System in Early SARS-CoV-2 Infection and Long COVID-19-A Scoping Review.

作者信息

Scott Cassidy, Hall Stefan, Zhou Juan, Lehmann Christian

机构信息

Department of Anesthesia, Pain Management and Perioperative Medicine, Dalhousie University, Halifax, NS B3H 1X5, Canada.

Department of Physiology and Biophysics, Dalhousie University, Halifax, NS B3H 1X5, Canada.

出版信息

J Clin Med. 2023 Dec 30;13(1):227. doi: 10.3390/jcm13010227.

Abstract

Coronavirus disease-19 (COVID-19) is a highly contagious illness caused by the SARS-CoV-2 virus. The clinical presentation of COVID-19 is variable, often including symptoms such as fever, cough, headache, fatigue, and an altered sense of smell and taste. Recently, post-acute "long" COVID-19 has emerged as a concern, with symptoms persisting beyond the acute infection. Vaccinations remain one of the most effective preventative methods against severe COVID-19 outcomes and the development of long-term COVID-19. However, individuals with underlying health conditions may not mount an adequate protective response to COVID-19 vaccines, increasing the likelihood of severe symptoms, hospitalization, and the development of long-term COVID-19 in high-risk populations. This review explores the potential therapeutic role of cannabinoids in limiting the susceptibility and severity of infection, both pre- and post-SARS-CoV-19 infection. Early in the SARS-CoV-19 infection, cannabinoids have been shown to prevent viral entry, mitigate oxidative stress, and alleviate the associated cytokine storm. Post-SARS-CoV-2 infection, cannabinoids have shown promise in treating symptoms associated with post-acute long COVID-19, including depression, anxiety, post-traumatic stress injury, insomnia, pain, and decreased appetite. While current research primarily focuses on potential treatments for the acute phase of COVID-19, there is a gap in research addressing therapeutics for the early and post-infectious phases. This review highlights the potential for future research to bridge this gap by investigating cannabinoids and the endocannabinoid system as a potential treatment strategy for both early and post-SARS-CoV-19 infection.

摘要

冠状病毒病-19(COVID-19)是由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)病毒引起的一种高度传染性疾病。COVID-19的临床表现多种多样,通常包括发热、咳嗽、头痛、疲劳以及嗅觉和味觉改变等症状。最近,急性感染后的“长期”COVID-19已成为一个令人担忧的问题,症状在急性感染后仍持续存在。接种疫苗仍然是预防严重COVID-19后果和长期COVID-19发展的最有效预防方法之一。然而,有基础健康问题的个体可能对COVID-19疫苗无法产生足够的保护性反应,从而增加了高危人群出现严重症状、住院以及发展为长期COVID-19的可能性。本综述探讨了大麻素在限制SARS-CoV-2感染前和感染后的易感性和感染严重程度方面的潜在治疗作用。在SARS-CoV-2感染早期,大麻素已被证明可防止病毒进入、减轻氧化应激并缓解相关的细胞因子风暴。在SARS-CoV-2感染后,大麻素在治疗与急性感染后长期COVID-19相关的症状方面显示出前景,这些症状包括抑郁、焦虑、创伤后应激损伤、失眠、疼痛和食欲下降。虽然目前的研究主要集中在COVID-19急性期的潜在治疗方法上,但在针对感染早期和感染后阶段治疗方法的研究方面存在空白。本综述强调了未来研究通过研究大麻素和内源性大麻素系统作为SARS-CoV-2感染早期和感染后潜在治疗策略来弥合这一差距的潜力。

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