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大麻在管理新冠后患者神经炎症中的可能作用。

Possible Role of Cannabis in the Management of Neuroinflammation in Patients with Post-COVID Condition.

机构信息

Laboratorio de Neurociencias, Instituto Nacional de Pediatría, Mexico City 04530, Mexico.

Laboratorio de Medicina Traslacional, Escuela Militar de Graduados de Sanidad, UDEFA, Mexico City 11200, Mexico.

出版信息

Int J Mol Sci. 2024 Mar 29;25(7):3805. doi: 10.3390/ijms25073805.

Abstract

The post-COVID condition (PCC) is a pathology stemming from COVID-19, and studying its pathophysiology, diagnosis, and treatment is crucial. Neuroinflammation causes the most common manifestations of this disease including headaches, fatigue, insomnia, depression, anxiety, among others. Currently, there are no specific management proposals; however, given that the inflammatory component involves cytokines and free radicals, these conditions must be treated to reduce the current symptoms and provide neuroprotection to reduce the risk of a long-term neurodegenerative disease. It has been shown that cannabis has compounds with immunomodulatory and antioxidant functions in other pathologies. Therefore, exploring this approach could provide a viable therapeutic option for PCC, which is the purpose of this review. This review involved an exhaustive search in specialized databases including PubMed, PubChem, ProQuest, EBSCO, Scopus, Science Direct, Web of Science, and Clinical Trials. Phytocannabinoids, including cannabidiol (CBD), cannabigerol (CBG), and Delta-9-tetrahydrocannabinol (THC), exhibit significant antioxidative and anti-inflammatory properties and have been shown to be an effective treatment for neuroinflammatory conditions. These compounds could be promising adjuvants for PCC alone or in combination with other antioxidants or therapies. PCC presents significant challenges to neurological health, and neuroinflammation and oxidative stress play central roles in its pathogenesis. Antioxidant therapy and cannabinoid-based approaches represent promising areas of research and treatment for mitigating adverse effects, but further studies are needed.

摘要

新冠后状况(PCC)是一种由 COVID-19 引起的病理学,研究其病理生理学、诊断和治疗至关重要。神经炎症导致这种疾病最常见的表现,包括头痛、疲劳、失眠、抑郁、焦虑等。目前,尚无特定的管理建议;然而,鉴于炎症成分涉及细胞因子和自由基,必须治疗这些病症,以减轻当前的症状,并提供神经保护,以降低长期神经退行性疾病的风险。已经表明,大麻在其他病理学中具有免疫调节和抗氧化功能的化合物。因此,探索这种方法可能为 PCC 提供一种可行的治疗选择,这就是本综述的目的。本综述在专门的数据库中进行了详尽的搜索,包括 PubMed、PubChem、ProQuest、EBSCO、Scopus、Science Direct、Web of Science 和临床试验。植物大麻素,包括大麻二酚(CBD)、大麻萜酚(CBG)和 Delta-9-四氢大麻酚(THC),具有显著的抗氧化和抗炎特性,已被证明是治疗神经炎症的有效方法。这些化合物可能是 PCC 的单独或与其他抗氧化剂或疗法联合使用的有前途的佐剂。PCC 对神经健康提出了重大挑战,神经炎症和氧化应激在其发病机制中起着核心作用。抗氧化治疗和大麻素方法是减轻不良反应的有前途的研究和治疗领域,但需要进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f345/11012123/31b54a47030e/ijms-25-03805-g001.jpg

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