Endocannabinoids in the treatment of gasytrointestinal inflammation and symptoms

Curr Opin Pharmacol. 2018 Dec:43:81-86. doi: 10.1016/j.coph.2018.08.009. Epub 2018 Sep 12.

Abstract

The evolving policies regarding the use of therapeutic Cannabis have steadily increased the public interest in its use as a complementary and alternative medicine in several disorders, including inflammatory bowel disease. Endocannabinoids represent both an appealing therapeutic strategy and a captivating scientific dilemma. Results from clinical trials have to be carefully interpreted owing to possible reporting-biases related to cannabinoids psychotropic effects. Moreover, discriminating between symptomatic improvement and the real gain on the underlying inflammatory process is often challenging. This review summarizes the advances and latest discovery in this ever-changing field of investigation, highlighting the main limitations in the current use of these drugs in clinical practice and the possible future perspectives to overcome these flaws.

Publication types

  • Review

MeSH terms

  • Animals
  • Anti-Inflammatory Agents / adverse effects
  • Anti-Inflammatory Agents / therapeutic use*
  • Cannabinoid Receptor Agonists / adverse effects
  • Cannabinoid Receptor Agonists / therapeutic use*
  • Endocannabinoids / adverse effects
  • Endocannabinoids / metabolism
  • Endocannabinoids / therapeutic use*
  • Gastroenteritis / diagnosis
  • Gastroenteritis / drug therapy*
  • Gastroenteritis / metabolism
  • Gastroenteritis / physiopathology
  • Gastrointestinal Agents / adverse effects
  • Gastrointestinal Agents / therapeutic use*
  • Gastrointestinal Tract / drug effects*
  • Gastrointestinal Tract / metabolism
  • Gastrointestinal Tract / physiopathology
  • Humans
  • Ligands
  • Receptors, Cannabinoid / drug effects*
  • Receptors, Cannabinoid / metabolism
  • Risk Factors
  • Signal Transduction / drug effects
  • Treatment Outcome

Substances

  • Anti-Inflammatory Agents
  • Cannabinoid Receptor Agonists
  • Endocannabinoids
  • Gastrointestinal Agents
  • Ligands
  • Receptors, Cannabinoid