Blebea Nicoleta-Mirela, Pușcașu Ciprian, Hancu Gabriel, Stăniguț Alina Mihaela, Chiriță Cornel
Department of Pharmacotherapy, Faculty of Pharmacy, "Ovidius" University of Constanța, 900470 Constanța, Romania.
Department of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, "Carol Davila" University of Medicine and Pharmacy, Traian Vuia 6, 020956 Bucharest, Romania.
Pharmaceuticals (Basel). 2025 Jun 13;18(6):890. doi: 10.3390/ph18060890.
The endocannabinoid system (ECS) is a vital biological network essential for maintaining homeostasis and supporting various physiological functions. It comprises cannabinoid receptors, endogenous lipid-based ligands, known as endocannabinoids, as well as metabolic enzymes and associated proteins responsible for regulating their levels within tissues. The ECS plays a central role in modulating processes involving the central nervous system (CNS). Recent studies have highlighted its antioxidant, anti-inflammatory, and neuroprotective properties. The therapeutic potential of cannabinoids, particularly phytocannabinoids derived from plants, has attracted significant attention in medical and pharmaceutical research. This interest has grown in parallel with the increasing availability of cannabinoid-based food supplements on the pharmaceutical market. Given the complexity of the ECS and its broad range of interactions, the discovery of this system has spurred extensive investigations into the use of cannabinoids for various health conditions. In this review, we examine recent preclinical evidence supporting the use of phytocannabinoids in the context of neurodegenerative diseases, particularly in Alzheimer's disease and Parkinson's disease. Targeting the ECS through phytocannabinoid-based pharmacological modulation offers a promising therapeutic strategy for these neurological disorders. Among these compounds, cannabidiol has emerged as a key focus of research due to its multifaceted effects and favorable safety profile. Nonetheless, continued investigation is necessary to clarify its mechanisms of action, and to develop effective, evidence-based clinical applications.
内源性大麻素系统(ECS)是一个至关重要的生物网络,对于维持体内平衡和支持各种生理功能必不可少。它由大麻素受体、内源性脂质配体(即内源性大麻素)以及负责调节其在组织内水平的代谢酶和相关蛋白质组成。ECS在调节涉及中枢神经系统(CNS)的过程中发挥核心作用。最近的研究突出了其抗氧化、抗炎和神经保护特性。大麻素,特别是源自植物的植物大麻素的治疗潜力,在医学和制药研究中引起了极大关注。随着基于大麻素的食品补充剂在制药市场上的供应日益增加,这种兴趣也在同步增长。鉴于ECS的复杂性及其广泛的相互作用,该系统的发现促使人们对大麻素在各种健康状况下的应用进行了广泛研究。在这篇综述中,我们研究了最近的临床前证据,这些证据支持在神经退行性疾病的背景下使用植物大麻素,特别是在阿尔茨海默病和帕金森病中。通过基于植物大麻素的药理调节靶向ECS为这些神经系统疾病提供了一种有前景的治疗策略。在这些化合物中,大麻二酚由于其多方面的作用和良好的安全性而成为研究的重点。尽管如此,仍有必要继续进行研究,以阐明其作用机制,并开发有效、基于证据的临床应用。