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大麻素:在神经系统疾病和精神障碍中的作用

Cannabinoids: Role in Neurological Diseases and Psychiatric Disorders.

作者信息

Kumar Ujendra

机构信息

Faculty of Pharmaceutical Sciences, The University of British Columbia, Vancouver, BC V6T 1Z3, Canada.

出版信息

Int J Mol Sci. 2024 Dec 27;26(1):152. doi: 10.3390/ijms26010152.


DOI:10.3390/ijms26010152
PMID:39796008
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11720483/
Abstract

An impact of legalization and decriminalization of marijuana is the gradual increase in the use of cannabis for recreational purposes, which poses a potential threat to society and healthcare systems worldwide. However, the discovery of receptor subtypes, endogenous endocannabinoids, and enzymes involved in synthesis and degradation, as well as pharmacological characterization of receptors, has led to exploration of the use of cannabis in multiple peripheral and central pathological conditions. The role of cannabis in the modulation of crucial events involving perturbed physiological functions and disease progression, including apoptosis, inflammation, oxidative stress, perturbed mitochondrial function, and the impaired immune system, indicates medicinal values. These events are involved in most neurological diseases and prompt the gradual progression of the disease. At present, several synthetic agonists and antagonists, in addition to more than 70 phytocannabinoids, are available with distinct efficacy as a therapeutic alternative in different pathological conditions. The present review aims to describe the use of cannabis in neurological diseases and psychiatric disorders.

摘要

大麻合法化和非刑事化的一个影响是用于娱乐目的的大麻使用逐渐增加,这对全球社会和医疗保健系统构成了潜在威胁。然而,受体亚型、内源性内源性大麻素以及参与合成和降解的酶的发现,以及受体的药理学特征,促使人们探索大麻在多种外周和中枢病理状况中的应用。大麻在调节涉及生理功能紊乱和疾病进展的关键事件中的作用,包括细胞凋亡、炎症、氧化应激、线粒体功能紊乱和免疫系统受损,表明了其药用价值。这些事件涉及大多数神经疾病,并促使疾病逐渐进展。目前,除了70多种植物大麻素外,还有几种合成激动剂和拮抗剂,它们在不同病理状况下具有不同的疗效,可作为治疗选择。本综述旨在描述大麻在神经疾病和精神障碍中的应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44ec/11720483/1f2eeb6e8c77/ijms-26-00152-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44ec/11720483/594d3c0f2177/ijms-26-00152-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44ec/11720483/4a422014e156/ijms-26-00152-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44ec/11720483/a77abb9bca9a/ijms-26-00152-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44ec/11720483/b0b4a73cf17c/ijms-26-00152-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44ec/11720483/c02889dcc98d/ijms-26-00152-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44ec/11720483/e939e83317f4/ijms-26-00152-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44ec/11720483/2d63b38e9243/ijms-26-00152-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44ec/11720483/2a4dbaca7bf5/ijms-26-00152-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44ec/11720483/1f2eeb6e8c77/ijms-26-00152-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44ec/11720483/594d3c0f2177/ijms-26-00152-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44ec/11720483/4a422014e156/ijms-26-00152-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44ec/11720483/a77abb9bca9a/ijms-26-00152-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44ec/11720483/b0b4a73cf17c/ijms-26-00152-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44ec/11720483/c02889dcc98d/ijms-26-00152-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44ec/11720483/e939e83317f4/ijms-26-00152-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44ec/11720483/2d63b38e9243/ijms-26-00152-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44ec/11720483/2a4dbaca7bf5/ijms-26-00152-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44ec/11720483/1f2eeb6e8c77/ijms-26-00152-g009.jpg

相似文献

[1]
Cannabinoids: Role in Neurological Diseases and Psychiatric Disorders.

Int J Mol Sci. 2024-12-27

[2]
Psychiatric Disorders and Cannabinoid Receptors.

Adv Exp Med Biol. 2021

[3]
The evolution of cannabinoid receptors in cancer.

WIREs Mech Dis. 2023

[4]
Endocannabinoid System: A Multi-Facet Therapeutic Target.

Curr Clin Pharmacol. 2016

[5]
From Phytocannabinoids to Cannabinoid Receptors and Endocannabinoids: Pleiotropic Physiological and Pathological Roles Through Complex Pharmacology.

Physiol Rev. 2016-10

[6]
[The role of endocannabinoid system in physiological and pathological processes in the eye].

Klin Oczna. 2008

[7]
Decoding the Therapeutic Potential of Cannabis and Cannabinoids in Neurological Disorders.

Curr Pharm Des. 2025

[8]
Therapeutic Use of Synthetic Cannabinoids: Still an OpenIssue?

Clin Ther. 2018-9-1

[9]
Plant, synthetic, and endogenous cannabinoids in medicine.

Annu Rev Med. 2006

[10]
Cannabinoid Receptors and the Endocannabinoid System: Signaling and Function in the Central Nervous System.

Int J Mol Sci. 2018-3-13

引用本文的文献

[1]
Neuroplasticity-Based Approaches to Sensory Processing Alterations in Autism Spectrum Disorder.

Int J Mol Sci. 2025-7-23

[2]
Crosstalk Between Signaling Stroke Cascade and Therapeutic Receptors PPAR-γ, ROCK, CB1R, and CB2R: From Mechanism to Therapies.

Transl Stroke Res. 2025-5-8

本文引用的文献

[1]
Role of integrating cannabinoids and the endocannabinoid system in neonatal hypoxic-ischaemic encephalopathy.

Front Mol Neurosci. 2023-4-12

[2]
THC and CBD: Similarities and differences between siblings.

Neuron. 2023-2-1

[3]
Cannabinoid CB2 Receptors in Neurodegenerative Proteinopathies: New Insights and Therapeutic Potential.

Biomedicines. 2022-11-22

[4]
The Role of Cannabinoids in CNS Development: Focus on Proliferation and Cell Death.

Cell Mol Neurobiol. 2023-5

[5]
Efficacy of medicinal cannabis for appetite-related symptoms in people with cancer: A systematic review.

Palliat Med. 2022-6

[6]
Effect of Medical Marijuana Card Ownership on Pain, Insomnia, and Affective Disorder Symptoms in Adults: A Randomized Clinical Trial.

JAMA Netw Open. 2022-3-1

[7]
Emerging Roles of Cannabinoids and Synthetic Cannabinoids in Clinical Experimental Models.

Adv Exp Med Biol. 2021

[8]
Cannabinoid pharmacology and its therapeutic uses in Alzheimer's disease.

Neural Regen Res. 2021-5

[9]
The Cannabinoid CB Receptor in Schizophrenia.

Biol Psychiatry Cogn Neurosci Neuroimaging. 2021-6

[10]
Cannabinoid use in psychotic patients impacts inflammatory levels and their association with psychosis severity.

Psychiatry Res. 2020-11

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