In quest of a new therapeutic approach in COVID-19: the endocannabinoid system.

Autor: Lucaciu O; Department of Oral Rehabilitation, University of Medicine and Pharmacy 'Iuliu Hatieganu', Cluj-Napoca, Romania., Aghiorghiesei O; Department of Oral Rehabilitation, University of Medicine and Pharmacy 'Iuliu Hatieganu', Cluj-Napoca, Romania., Petrescu NB; Department of Oral Rehabilitation, University of Medicine and Pharmacy 'Iuliu Hatieganu', Cluj-Napoca, Romania., Mirica IC; Department of Oral Rehabilitation, University of Medicine and Pharmacy 'Iuliu Hatieganu', Cluj-Napoca, Romania., Benea HRC; Department of Orthopedics-Traumatology and Pediatric Orthopedics, University of Medicine and Pharmacy 'Iuliu Hatieganu', Cluj-Napoca, Romania., Apostu D; Department of Orthopedics-Traumatology and Pediatric Orthopedics, University of Medicine and Pharmacy 'Iuliu Hatieganu', Cluj-Napoca, Romania.
Jazyk: angličtina
Zdroj: Drug metabolism reviews [Drug Metab Rev] 2021 Nov; Vol. 53 (4), pp. 478-490. Date of Electronic Publication: 2021 Mar 08.
DOI: 10.1080/03602532.2021.1895204
Abstrakt: The SARS-Cov-2 virus caused a high morbidity and mortality rate disease, that is the COVID-19 pandemic. Despite the unprecedented research interest in this field, the lack of specific treatments leads to severe complications in a high number of cases. Current treatment includes antivirals, corticosteroids, immunoglobulins, antimalarials, interleukin-6 inhibitors, anti-GM-CSF, convalescent plasma, immunotherapy, antibiotics, circulation support, oxygen therapy, and circulation support. Due to the limited results, until specific treatments are available, other therapeutic approaches need to be considered. The endocannabinoid system is found in multiple systems within the human body, including the immune system. Its activation can lead to beneficial results such as decreased viral entry, decreased viral replication, and a decrease in pro-inflammatory cytokines such as IL-2, IL-4, IL-6, IL-12, TNF-α, or IFN-γ. Moreover, endocannabinoid system activation can lead to an increase in anti-inflammatory cytokines, mainly represented by IL-10. Overall, the cannabinoid system can potentially reduce pulmonary inflammation, increase the immunomodulatory effect, decrease PMN infiltration, reduce fibrosis, and decrease viral replication, as well as decrease the 'cytokine storm'. Although the cannabinoid system has many mechanisms to provide certain benefits in the treatment of SARS-CoV-2 infected patients, research in this field is needed for a better understanding of the cannabinoid impact in this situation.
Databáze: MEDLINE
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