Cannabinoid signaling in health and disease

Can J Physiol Pharmacol. 2017 Apr;95(4):311-327. doi: 10.1139/cjpp-2016-0346. Epub 2017 Mar 6.

Abstract

Cannabis sativa has long been used for medicinal purposes. To improve safety and efficacy, compounds from C. sativa were purified or synthesized and named under an umbrella group as cannabinoids. Currently, several cannabinoids may be prescribed in Canada for a variety of indications such as nausea and pain. More recently, an increasing number of reports suggest other salutary effects associated with endogenous cannabinoid signaling including cardioprotection. The therapeutic potential of cannabinoids is therefore extended; however, evidence is limited and mechanisms remain unclear. In addition, the use of cannabinoids clinically has been hindered due to pronounced psychoactive side effects. This review provides an overview on the endocannabinoid system, including known physiological roles, and conditions in which cannabinoid receptor signaling has been implicated.

Keywords: 2-arachidonoylglycerol; 2-arachidonoylglycérol; FAAH; MAGL; anandamide; cannabinoid receptor; endocannabinoid; endocannabinoïde; récepteur des cannabinoïdes.

Publication types

  • Review

MeSH terms

  • Affect / drug effects
  • Amidohydrolases / metabolism*
  • Analgesics / administration & dosage
  • Analgesics / adverse effects
  • Analgesics / therapeutic use
  • Animals
  • Appetite Regulation
  • Canada
  • Cannabinoid Receptor Agonists / metabolism
  • Cannabinoid Receptor Agonists / pharmacology
  • Cannabinoid Receptor Antagonists / pharmacology
  • Cannabinoids / adverse effects
  • Cannabinoids / pharmacology*
  • Cannabis / chemistry*
  • Cardiovascular System / drug effects
  • Cardiovascular System / metabolism
  • Central Nervous System / drug effects
  • Central Nervous System / metabolism
  • Endocannabinoids / metabolism*
  • Endocannabinoids / physiology*
  • Humans
  • Medical Marijuana / administration & dosage
  • Medical Marijuana / adverse effects
  • Medical Marijuana / therapeutic use
  • Multiple Sclerosis
  • Neoplasms / drug therapy
  • Neoplasms / metabolism
  • Neurodegenerative Diseases / drug therapy
  • Neurodegenerative Diseases / metabolism
  • Pain / drug therapy
  • Pain / metabolism
  • Receptors, Cannabinoid / metabolism*
  • Signal Transduction
  • Sleep / drug effects
  • Vomiting / drug therapy
  • Vomiting / metabolism

Substances

  • Analgesics
  • Cannabinoid Receptor Agonists
  • Cannabinoid Receptor Antagonists
  • Cannabinoids
  • Endocannabinoids
  • Medical Marijuana
  • Receptors, Cannabinoid
  • Amidohydrolases