摘要
复杂病理的药物治疗,如神经退行性疾病,仍然是一个重大挑战,因为其发病和进展涉及网络途径,可能需要同样复杂的治疗方法。基于同时调节参与疾病的多个靶标的多药理学可能提供增加有效性和减少与使用药物组合相关的缺点的潜力。显然,这种方法既需要对负责疾病发展的系统的知识,也需要发现新的有吸引力的靶标来设计多靶点药物。在过去的几年中,越来越多的兴趣集中在内源性大麻素系统上,这与几种生理功能的调节有关,其中神经炎症是大多数神经退行性疾病的关键过程。在这方面,大麻素受体亚型2代表一个有希望的治疗靶点,在小胶质细胞中过表达,因此涉及神经炎症。通过抑制负责内源性大麻素代谢的主要酶,即脂肪酸酰胺水解酶和单酰基甘油脂肪酶,间接调节该系统也可能显着影响神经退行性疾病。本综述旨在概述内源性大麻素系统对神经退行性疾病管理的机会,主要关注多靶点策略的潜力。
关键词: 内源性大麻素系统,神经退行性疾病,多靶点药物,阿尔茨海默病,帕金森病,大麻素受体,FAAH,MAGL。
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