摘要
虽然β2-受体激动剂是强有力的支气管扩张剂,处于缓解哮喘症状的前沿,大剂量的β2激动剂是最前线的治疗方法,但使用这种药物的患者经常对其产生部分抵抗,这可能是严重发作时的一个特别严重的问题。目前迫切需要替代支气管扩张剂的药物。本文综述了大麻素类CB1受体四氢大麻酚(THC)对支气管扩张作用的证据,认为其作用机制与标准支气管扩张剂的作用机制完全独立,值得临床研究。具体来说,临床试验测试β2激动剂抵抗哮喘患者的支气管扩张剂的作用,将显示β2激动剂抵抗时,THC是否能替代抢救性支气管扩张剂的作用。
关键词: 哮喘,支气管扩张,β2-激动剂,CB1受体,沙丁胺醇,四氢大麻酚.
图形摘要
Current Drug Targets
Title:The Case for Cannabinoid CB1 Receptors as a Target for Bronchodilator Therapy for β-agonist Resistant Asthma
Volume: 19 Issue: 11
关键词: 哮喘,支气管扩张,β2-激动剂,CB1受体,沙丁胺醇,四氢大麻酚.
摘要: Although β2-receceptor agonists are powerful bronchodilators and are at the forefront of asthma symptom relief, patients who use them frequently develop partial resistance to them. This can be a particularly serious problem during severe attacks, where high dose β2-agonist treatment is the front line therapy. Alternative bronchodilators are urgently needed. In this article we review the evidence for the bronchodilator effects of the cannabinoid CB1 receptor tetrahydrocannabinol (THC) and suggest that the mechanisms of action for these effects are sufficiently independent of the mechanisms of standard bronchodilators to warrant clinical investigation. Specifically, clinical trials testing the bronchodilator effects of THC in β2 agonist resistant asthmatic patients would show whether THC could fill the role of rescue bronchodilator in cases of β2 agonist resistance.
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Cite this article as:
The Case for Cannabinoid CB1 Receptors as a Target for Bronchodilator Therapy for β-agonist Resistant Asthma, Current Drug Targets 2018; 19 (11) . https://dx.doi.org/10.2174/1389450118666170615101220
DOI https://dx.doi.org/10.2174/1389450118666170615101220 |
Print ISSN 1389-4501 |
Publisher Name Bentham Science Publisher |
Online ISSN 1873-5592 |
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