[Cannabis and cannabinoid receptors: from pathophysiology to therapeutic options]

Rev Neurol (Paris). 2004 Jul;160(6-7):639-49. doi: 10.1016/s0035-3787(04)71013-9.
[Article in French]

Abstract

Background: Although cannabis has been used as a medicine for several centuries, the therapeutic properties of cannabis preparations (essentially haschich and marijuana) make them far most popular as a recreational drugs.

State of the art: Scientific studies on the effects of cannabis were advanced considerably by the identification in 1964 of cannabinoid D9-tetrahydrocannadinol (THC), recognized as the major active constituent of cannabis. Cloning of the centrally located CB1 receptor in 1990 and the identification of the first endogenous ligand of the CB1 receptor, anandamide, in 1992 further advanced our knowledge.

Perspective and conclusions: Progress has incited further research on the biochemistry and pharmacology of the cannabinoids in numerous diseases of the central nervous system. In the laboratory animal, cannabinoids have demonstrated potential in motion disorders, demyelinizing disease, epilepsy, and as anti-tumor and neuroprotector agents. Several clinical studies are currently in progress, but therapeutic use of cannabinoids in humans couls be hindered by undesirable effects, particularly psychotropic effects. CB1 receptor antagonists also have interesting therapeutic potential.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Amidohydrolases / metabolism
  • Calcium Channels / drug effects
  • Cannabis*
  • Humans
  • Huntington Disease / drug therapy*
  • Huntington Disease / physiopathology*
  • Multiple Sclerosis / drug therapy*
  • Multiple Sclerosis / physiopathology*
  • Neuroprotective Agents / pharmacology
  • Neuroprotective Agents / therapeutic use*
  • Parkinson Disease / drug therapy*
  • Parkinson Disease / physiopathology*
  • Phytotherapy / methods*
  • Protein-Tyrosine Kinases / metabolism
  • Receptor, Cannabinoid, CB1 / drug effects*
  • Tourette Syndrome / drug therapy*
  • Tourette Syndrome / physiopathology*

Substances

  • Calcium Channels
  • Neuroprotective Agents
  • Receptor, Cannabinoid, CB1
  • Protein-Tyrosine Kinases
  • Amidohydrolases