The Pharmacological Basis of Cannabis Therapy for Epilepsy

作者: Doodipala Samba Reddy , Victoria M Golub

DOI: 10.1124/JPET.115.230151

关键词: EpilepsyMechanism (biology)CannabisIntensive care medicineCannabidiolAnticonvulsantPsychiatryCannabis therapyEndocannabinoid systemMedicineCannabinoid receptor

摘要: Recently, cannabis has been suggested as a potential alternative therapy for refractory epilepsy, which affects 30% of both adults and children, who do not respond to current medications. There is large unmet medical need new antiepileptics that would interfere with normal function in patients epilepsy conditions associated seizures. The two chief cannabinoids are Δ-9-tetrahyrdrocannabinol, the major psychoactive component marijuana, cannabidiol (CBD), nonpsychoactive marijuana. Claims clinical efficacy CBD-predominant or marijuana come mostly from limited studies, surveys, case reports. However, mechanisms underlying antiepileptic remain unclear. This article highlights pharmacological basis therapy, an emphasis on endocannabinoid emerging neurotherapeutics CBD epilepsy. anticonvulsant, but it low affinity cannabinoid receptors CB1 CB2; therefore exact mechanism by seizures remains poorly understood. A rigorous evaluation pharmaceutical products needed establish safety their use treatment Identification anticonvulsant also critical identifying other options.

参考文章(102)
Srebnik M, Consroe P, Mechoulam R, Lander N, Martin Ar, Kane Vv, Singh, Shah, Structure-anticonvulsant activity relationships of cannabidiol analogs. NIDA research monograph. ,vol. 79, pp. 48- 58 ,(1987)
Jarid Goodman, Mark G. Packard, The influence of cannabinoids on learning and memory processes of the dorsal striatum Neurobiology of Learning and Memory. ,vol. 125, pp. 1- 14 ,(2015) , 10.1016/J.NLM.2015.06.008
Kamil Detyniecki, Lawrence Hirsch, Marijuana Use in Epilepsy: The Myth and the Reality Current Neurology and Neuroscience Reports. ,vol. 15, pp. 65- 65 ,(2015) , 10.1007/S11910-015-0586-5
Clementino Ibeas Bih, Tong Chen, Alistair V. W. Nunn, Michaël Bazelot, Mark Dallas, Benjamin J. Whalley, Molecular Targets of Cannabidiol in Neurological Disorders Neurotherapeutics. ,vol. 12, pp. 699- 730 ,(2015) , 10.1007/S13311-015-0377-3
William G. Notcutt, Clinical Use of Cannabinoids for Symptom Control in Multiple Sclerosis. Neurotherapeutics. ,vol. 12, pp. 769- 777 ,(2015) , 10.1007/S13311-015-0383-5
Daniel Friedman, Orrin Devinsky, Cannabinoids in the Treatment of Epilepsy The New England Journal of Medicine. ,vol. 373, pp. 1048- 1058 ,(2015) , 10.1056/NEJMRA1407304
L. Vollner, D. Bieniek, F. Korte, [Hashish. XX. Cannabidivarin, a new hashish constituent]. Tetrahedron Letters. ,vol. 10, pp. 145- 147 ,(1969) , 10.1016/S0040-4039(01)87494-3
AJ Hill, MS Mercier, TDM Hill, SE Glyn, NA Jones, Y Yamasaki, T Futamura, M Duncan, CG Stott, GJ Stephens, CM Williams, BJ Whalley, Cannabidivarin is anticonvulsant in mouse and rat British Journal of Pharmacology. ,vol. 167, pp. 1629- 1642 ,(2012) , 10.1111/J.1476-5381.2012.02207.X