An overview of cannabis based treatment in Crohn's disease.

作者: Timna Naftali

DOI: 10.1080/17474124.2020.1740590

关键词:

摘要: Introduction: Cannabis use among inflammatory bowel disease (IBD) patients is common. There are many studies of various laboratory models demonstrating the anti-inflammatory effect cannabis, but their translation to human still lacking.Areas covered: The cannabis plant contains cannabinoids, that activate endocannabinoid system. two most abundant phytocannabinoids psychoactive Tetrahydrocannabinol (THC), and (mostly) cannabidiol (CBD). Approximately 15% IBD ameliorate symptoms. Unfortunately, so far there only three small placebo controlled study regarding in active Crohns disease, combining altogether 93 subjects. Two showed significant clinical improvement no markers inflammation.Expert opinion: seems have a therapeutic potential IBD. This must not be neglected; however, research at very early stage. complexity diversity different chemovars create an inherent difficulty research. We need more investigating compounds. These effects can then investigated randomized trials fully explore treatment

参考文章(46)
Franjo Grotenhermen, Kirsten Müller-Vahl, The therapeutic potential of cannabis and cannabinoids. Deutsches Arzteblatt International. ,vol. 109, pp. 495- 501 ,(2012) , 10.3238/ARZTEBL.2012.0495
J������rg Gertsch, Roger G Pertwee, Vincenzo Di Marzo, Phytocannabinoids beyond the Cannabis plant – do they exist? British Journal of Pharmacology. ,vol. 160, pp. 523- 529 ,(2010) , 10.1111/J.1476-5381.2010.00745.X
Rachel I. Wilson, Roger A. Nicoll, Endogenous cannabinoids mediate retrograde signalling at hippocampal synapses Nature. ,vol. 410, pp. 588- 592 ,(2001) , 10.1038/35069076
Edward S. Kimball, Craig R. Schneider, Nathaniel H. Wallace, Pamela J. Hornby, Agonists of cannabinoid receptor 1 and 2 inhibit experimental colitis induced by oil of mustard and by dextran sulfate sodium American Journal of Physiology-gastrointestinal and Liver Physiology. ,vol. 291, ,(2006) , 10.1152/AJPGI.00407.2005
Michael G. Lenné, Paul M. Dietze, Thomas J. Triggs, Susan Walmsley, Brendan Murphy, Jennifer R. Redman, The effects of cannabis and alcohol on simulated arterial driving: Influences of driving experience and task demand Accident Analysis & Prevention. ,vol. 42, pp. 859- 866 ,(2010) , 10.1016/J.AAP.2009.04.021
Francesca Borrelli, Ines Fasolino, Barbara Romano, Raffaele Capasso, Francesco Maiello, Diana Coppola, Pierangelo Orlando, Giovanni Battista, Ester Pagano, Vincenzo Di Marzo, Angelo A. Izzo, Beneficial effect of the non-psychotropic plant cannabinoid cannabigerol on experimental inflammatory bowel disease Biochemical Pharmacology. ,vol. 85, pp. 1306- 1316 ,(2013) , 10.1016/J.BCP.2013.01.017
Martin Storr, Shane Devlin, Gilaad G. Kaplan, Remo Panaccione, Christopher N. Andrews, Cannabis Use Provides Symptom Relief in Patients with Inflammatory Bowel Disease but Is Associated with Worse Disease Prognosis in Patients with Crohnʼs Disease Inflammatory Bowel Diseases. ,vol. 20, pp. 472- 480 ,(2014) , 10.1097/01.MIB.0000440982.79036.D6
Francesca Filbey, Uma Yezhuvath, Functional connectivity in inhibitory control networks and severity of cannabis use disorder The American Journal of Drug and Alcohol Abuse. ,vol. 39, pp. 382- 391 ,(2013) , 10.3109/00952990.2013.841710
Albert Batalla, Sagnik Bhattacharyya, Murat Yücel, Paolo Fusar-Poli, Jose Alexandre Crippa, Santiago Nogué, Marta Torrens, Jesús Pujol, Magí Farré, Rocio Martin-Santos, Structural and Functional Imaging Studies in Chronic Cannabis Users: A Systematic Review of Adolescent and Adult Findings PLoS ONE. ,vol. 8, pp. e55821- ,(2013) , 10.1371/JOURNAL.PONE.0055821