Immune Responses Regulated by Cannabidiol

被引:185
作者
Nichols, James M. [1 ]
Kaplan, Barbara L. F. [1 ]
机构
[1] Mississippi State Univ, Dept Basic Sci, Coll Vet Med, Ctr Environm Hlth Sci, 240 Wise Ctr Dr, Mississippi State, MS 39762 USA
关键词
cannabidiol; immune response; inflammation; EQUILIBRATIVE NUCLEOSIDE TRANSPORTER; RANDOMIZED CONTROLLED-TRIAL; CHRONICALLY STRESSED MICE; THC/CBD OROMUCOSAL SPRAY; IN-VITRO MODEL; MULTIPLE-SCLEROSIS; DOUBLE-BLIND; CANNABINOID RECEPTOR; INDUCED APOPTOSIS; NEUROPATHIC PAIN;
D O I
10.1089/can.2018.0073
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Introduction: Cannabidiol (CBD) as Epidiolex((R)) (GW Pharmaceuticals) was recently approved by the U.S. Food and Drug Administration (FDA) to treat rare forms of epilepsy in patients 2 years of age and older. Together with the increased societal acceptance of recreational cannabis and CBD oil for putative medical use in many states, the exposure to CBD is increasing, even though all of its biological effects are not understood. Once such example is the ability of CBD to be anti-inflammatory and immune suppressive, so the purpose of this review is to summarize effects and mechanisms of CBD in the immune system. It includes a consideration of reports identifying receptors through which CBD acts, since the "CBD receptor," if a single one exists, has not been definitively identified for the myriad immune system effects. The review then provides a summary of in vivo and in vitro effects in the immune system, in autoimmune models, with a focus on experimental autoimmune encephalomyelitis, and ends with identification of knowledge gaps. Conclusion: Overall, the data overwhelmingly support the notion that CBD is immune suppressive and that the mechanisms involve direct suppression of activation of various immune cell types, induction of apoptosis, and promotion of regulatory cells, which, in turn, control other immune cell targets.
引用
收藏
页码:12 / 31
页数:20
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