摘要
Δ9-四氢大麻酚(δ9-THC)是大麻中的活性植物大麻素,实际上是内源性大麻素信号系统的辅助物。通过与G蛋白偶联受体CB1和CB2相互作用,Δ9-THC通过降低交感神经活性、改变基因表达、细胞增殖和分化、减少白细胞迁移、调节神经递质释放来影响外周和中枢循环,从而调节心血管功能、肿瘤发生、免疫反应、行为和运动活性。Δ9-THC有效抑制化疗诱导的呕吐,延缓恶性肿瘤生长,抑制转移,促进细胞凋亡。其他涉及的机制是靶向人乳腺癌G2-M期细胞周期,下调人多形性胶质母细胞瘤E2F转录因子1 (E2F1),刺激ER应激诱导的自噬。Δ9-四氢大麻酚还在改善神经炎症、兴奋性毒性、神经可塑性、创伤和中风方面发挥作用,并与缓解儿童癫痫、脑外伤和神经退行性疾病有关。Δ9-THC通过CB1受体影响伤害感受、情绪、记忆,并降低癫痫患者的神经元兴奋性和兴奋毒性。它还增加肾血流量,通过交感神经途径降低眼压,并调节激素释放,从而降低生殖功能并增加葡萄糖代谢。多功能医用大麻刺激了大量研究,证明了实质性的治疗前景,表明了一流药物在不同治疗领域的可能性。本文综述了植物大麻素Δ9-四氢大麻酚及其合成类似物在癌症、心血管疾病和神经退行性疾病中的药理学现状。
关键词: Δ9-四氢大麻酚,四氢大麻酚,癫痫,动脉粥样硬化,神经炎症,神经退行性疾病
图形摘要
[http://dx.doi.org/10.1080/02791072.1981.10471447] [PMID: 7024492]
[http://dx.doi.org/10.7326/0003-4819-126-10-199705150-00008] [PMID: 9148653]
[http://dx.doi.org/10.1021/ja01092a065] [PMID: 14324315]
[http://dx.doi.org/10.1021/ja01062a046]
[PMID: 23408483]
[http://dx.doi.org/10.1016/S1474-4422(03)00381-8] [PMID: 12849183]
[http://dx.doi.org/10.1111/bph.12944] [PMID: 25257544]
[http://dx.doi.org/10.1016/0166-2236(90)90124-S] [PMID: 1700516]
[http://dx.doi.org/10.1016/S0009-3084(02)00153-6] [PMID: 12505694]
[http://dx.doi.org/10.1124/mol.107.039263] [PMID: 17895407]
[http://dx.doi.org/10.1007/BF00401256] [PMID: 4871478]
[http://dx.doi.org/10.1146/annurev.pa.35.040195.003135] [PMID: 7598509]
[http://dx.doi.org/10.1016/S0304-3959(01)00321-9] [PMID: 11514083]
[http://dx.doi.org/10.1530/eje.0.1470255] [PMID: 12153749]
[http://dx.doi.org/10.1038/sj.bjp.0707460] [PMID: 17876302]
[PMID: 10469884]
[PMID: 2848184]
[http://dx.doi.org/10.1007/BF00174068] [PMID: 3027735]
[http://dx.doi.org/10.3109/10826088509044289] [PMID: 2995262]
[http://dx.doi.org/10.1016/j.pnpbp.2012.02.006] [PMID: 22386778]
[http://dx.doi.org/10.1038/nature20153] [PMID: 27853201]
[http://dx.doi.org/10.1038/s41380-019-0374-8] [PMID: 30770892]
[http://dx.doi.org/10.1016/j.neuroscience.2007.10.026] [PMID: 18083311]
[http://dx.doi.org/10.1111/j.1476-5381.2008.00048.x] [PMID: 19226257]
[http://dx.doi.org/10.1038/35003583] [PMID: 10716447]
[http://dx.doi.org/10.1080/14660820310016813] [PMID: 15204022]
[http://dx.doi.org/10.1016/j.brainres.2006.11.063] [PMID: 17196181]
[http://dx.doi.org/10.1111/j.1476-5381.2011.01365.x] [PMID: 21545415]
[http://dx.doi.org/10.1111/eci.12920] [PMID: 29574698]
[http://dx.doi.org/10.1016/j.brainresbull.2020.03.018] [PMID: 32315731]
[http://dx.doi.org/10.1007/s00018-006-6037-3] [PMID: 16732431]
[http://dx.doi.org/10.1007/s00213-006-0343-1] [PMID: 16521031]
[http://dx.doi.org/10.3390/molecules17033524] [PMID: 22430119]
[http://dx.doi.org/10.1021/mp060066m] [PMID: 17140265]
[http://dx.doi.org/10.1007/s00192-006-0086-x] [PMID: 16552618]
[http://dx.doi.org/10.1016/S0140-6736(03)14738-1] [PMID: 14615106]
[http://dx.doi.org/10.1136/jnnp.2005.070136] [PMID: 16291891]
[PMID: 3025424]
[http://dx.doi.org/10.1007/s40429-017-0142-2] [PMID: 28580227]
[http://dx.doi.org/10.1007/BF02190083] [PMID: 2175265]
[http://dx.doi.org/10.1300/J251v07n01_04] [PMID: 2831701]
[http://dx.doi.org/10.1001/jama.2018.16202]
[http://dx.doi.org/10.1007/978-1-4613-4286-1_4]
[http://dx.doi.org/10.1016/0306-3623(80)90026-9] [PMID: 6998830]
[http://dx.doi.org/10.1001/archopht.1982.01030030267006] [PMID: 6279061]
[http://dx.doi.org/10.1080/00952990.2019.1627366] [PMID: 31298945]
[http://dx.doi.org/10.1159/000494992]
[http://dx.doi.org/10.1016/S0091-6773(75)91684-3] [PMID: 1106391]
[http://dx.doi.org/10.1111/nmo.13370] [PMID: 29745439]
[http://dx.doi.org/10.1002/cpt1972135part1671] [PMID: 4559810]
[http://dx.doi.org/10.1006/nbdi.1998.0224] [PMID: 9974176]
[http://dx.doi.org/10.1016/0024-3205(74)90223-9] [PMID: 4378081]
[http://dx.doi.org/10.1016/0014-2999(70)90094-4] [PMID: 4322071]
[http://dx.doi.org/10.1073/pnas.87.24.10063] [PMID: 1979873]
[http://dx.doi.org/10.1016/0091-3057(84)90303-4] [PMID: 6328543]
[http://dx.doi.org/10.1016/0006-2952(86)90733-1] [PMID: 3013206]
[http://dx.doi.org/10.1159/000137763] [PMID: 6298841]
[http://dx.doi.org/10.1016/0162-3109(93)90005-B] [PMID: 8282537]
[http://dx.doi.org/10.1111/j.1432-1033.1995.tb20780.x] [PMID: 7556170]
[http://dx.doi.org/10.3390/cancers2021013] [PMID: 24281104]
[http://dx.doi.org/10.1210/en.2009-0883] [PMID: 20133454]
[http://dx.doi.org/10.1038/nrc1188] [PMID: 14570037]
[http://dx.doi.org/10.1158/0008-5472.CAN-07-2785] [PMID: 18199524]
[http://dx.doi.org/10.1016/j.pnpbp.2015.05.010] [PMID: 26071989]
[http://dx.doi.org/10.1111/j.1476-5381.2011.01327.x] [PMID: 21410463]
[http://dx.doi.org/10.1158/0008-5472.CAN-05-4566] [PMID: 16818634]
[http://dx.doi.org/10.1016/j.tox.2014.09.011] [PMID: 25291031]
[http://dx.doi.org/10.3390/ijms20071673] [PMID: 30987191]
[http://dx.doi.org/10.1158/0008-5472.CAN-06-0169] [PMID: 16818650]
[http://dx.doi.org/10.1016/j.bcp.2018.06.025] [PMID: 29940172]
[http://dx.doi.org/10.1089/pancan.2018.0019] [PMID: 30706048]
[http://dx.doi.org/10.1080/02841860701678787] [PMID: 17934890]
[http://dx.doi.org/10.1172/JCI37948] [PMID: 19425170]
[http://dx.doi.org/10.1158/1535-7163.MCT-14-0402] [PMID: 25398831]
[http://dx.doi.org/10.1016/j.bcp.2018.09.007] [PMID: 30195736]
[http://dx.doi.org/10.1038/jid.2015.45] [PMID: 25674907]
[http://dx.doi.org/10.3892/ol.2018.8407] [PMID: 29805589]
[http://dx.doi.org/10.2165/00003088-200342040-00003] [PMID: 12648025]
[http://dx.doi.org/10.1002/cbdv.200790152] [PMID: 17712819]
[http://dx.doi.org/10.1126/science.173.3991.72] [PMID: 5087483]
[http://dx.doi.org/10.3109/00952999309001618] [PMID: 8213692]
[http://dx.doi.org/10.7326/0003-4819-139-4-200308190-00008] [PMID: 12965981]
[http://dx.doi.org/10.1111/j.1365-2249.2005.02803.x] [PMID: 15932522]
[http://dx.doi.org/10.1002/tera.1420110112] [PMID: 1138409]
[http://dx.doi.org/10.1016/0041-008X(71)90252-3] [PMID: 5143590]
[PMID: 886474]
[http://dx.doi.org/10.1001/archinte.167.3.221] [PMID: 17296876]
[http://dx.doi.org/10.1152/ajplung.00157.2002] [PMID: 12533310]
[http://dx.doi.org/10.1165/ajrcmb.20.6.3424] [PMID: 10340948]