Enhancing Tetrahydrocannabinol’s Therapeutic Efficacy in Inflammatory Bowel Disease: The Roles of Cannabidiol and the Cannabinoid 1 Receptor Allosteric Modulator ZCZ011
Pharmaceuticals,
Год журнала:
2025,
Номер
18(2), С. 148 - 148
Опубликована: Янв. 23, 2025
Background/Objectives:
Current
inflammatory
bowel
disease
(IBD)
treatments
focus
on
symptomatic
relief,
highlighting
the
need
for
innovative
approaches.
Dysregulation
of
cannabinoid
1
(CB1)
receptor,
part
endocannabinoid
system,
is
linked
to
colitis.
While
tetrahydrocannabinol
(THC)
alleviates
colitis
via
CB1
activation,
its
psychotropic
effects
limit
clinical
use.
ZCZ011,
a
CB1R
allosteric
modulator,
and
cannabidiol
(CBD),
non-psychoactive
cannabinoid,
offer
alternatives.
This
study
investigated
combining
sub-therapeutic
THC
doses
with
ZCZ011
or
CBD
in
murine
model
dextran
sodium
sulphate
(DSS)-induced
Methods:
Acute
was
induced
4%
DSS
7
days,
followed
by
3
days
water.
Chronic
modelled
over
24
alternating
concentrations.
The
combination
2.5
mg/kg
20
10
evaluated.
Key
markers
were
assessed
determine
efficacy
safety,
including
activity
index
(DAI),
inflammation,
cytokine
levels,
GLP-1,
organ
health.
Results:
DSS-induced
resulted
increased
DAI
scores,
cytokines,
inflammation
dysregulation
GLP-1
ammonia.
at
significantly
improved
but
ineffective
5
mg/kg.
alone
showed
transient
effects.
However,
either
alleviated
markers,
restored
colon
integrity
reestablished
homeostasis.
also
maintained
favourable
haematological
biochemical
profiles,
notable
reduction
colitis-induced
elevated
ammonia
levels.
Conclusions:
demonstrates
synergistic
potential
low-dose
combined
as
novel,
effective
safer
therapeutic
strategy
ulcerative
Язык: Английский
Targeting the Endocannabinoidome: A Novel Approach to Managing Extraintestinal Complications in Inflammatory Bowel Disease
Pharmaceuticals,
Год журнала:
2025,
Номер
18(4), С. 478 - 478
Опубликована: Март 27, 2025
Background:
Inflammatory
bowel
disease
(IBD)
is
a
chronic
inflammatory
disorder
marked
by
persistent
gastrointestinal
inflammation
and
spectrum
of
systemic
effects,
including
extraintestinal
manifestations
(EIMs)
that
impact
the
joints,
skin,
liver,
eyes.
Conventional
therapies
primarily
target
intestinal
inflammation,
yet
they
frequently
fail
to
ameliorate
these
complications.
Recent
investigations
have
highlighted
complex
interplay
among
immune
system,
gut,
nervous
system
in
IBD
pathogenesis,
thereby
underscoring
need
for
innovative
therapeutic
approaches.
Methods:
We
conducted
comprehensive
literature
search
using
databases
such
as
PubMed,
Scopus,
Web
Science,
Science
Direct,
Google
Scholar.
Keywords
“cannabinoids”,
“endocannabinoid
system”,
“endocannabinoidome”,
“inflammatory
disease”,
“extraintestinal
manifestations”
were
used
identify
peer-reviewed
original
research
review
articles
explore
role
endocannabinoidome
(eCBome)
IBD.
Results:
Emerging
evidence
suggests
eCBome—a
network
comprising
lipid
mediators,
receptors
(e.g.,
CB1,
CB2,
GPR55,
GPR35,
PPARα,
TRPV1),
metabolic
enzymes—plays
critical
modulating
responses,
maintaining
gut
barrier
integrity,
regulating
inflammation.
Targeting
eCBome
not
only
improves
but
also
appears
mitigate
metabolic,
neurological,
complications
arthritis,
liver
dysfunction,
dermatological
disorders.
Conclusions:
Modulation
represents
promising
strategy
management
addressing
both
local
components.
These
findings
advocate
further
mechanistic
studies
develop
targeted
interventions
leverage
novel
avenue
Язык: Английский