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Review highlights cannabinoids’ therapeutic potential in gastrointestinal dysfunction

admin by admin
July 17, 2024
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Review highlights cannabinoids’ therapeutic potential in gastrointestinal dysfunction



Writing within the Worldwide Journal of Molecular Sciences​, the tesearchers highlighted the numerous position of the compounds in regulating GIT peristalsis (muscle contractions within the digestive tract) and intestinal barrier permeability. Pre-clinical knowledge suggests cannabinoids can inhibit and stimulate intestine peristalsis. The authors additionally underlined the essential interplay between endocannabinoids and the TRPV1 system.

Phytocannabinoids like THC and CBD impression intestine motility primarily by means of the CB1 receptor. The examine reported how they improved intestinal barrier integrity—not simply by means of CB1 stimulation but in addition by means of protein kinase A (PKA), mitogen-associated protein kinase (MAPK) and adenylyl cyclase signaling pathways.

The authors acknowledged cannabinoids’ therapeutic promise as anti-inflammatory brokers, providing potential advantages within the therapy of Crohn’s illness, ulcerative colitis and IBD.

“Their position in modulating intestinal motility and relieving ache implicates cannabinoids as potential brokers for bettering high quality of life in gastrointestinal issues, particularly persistent issues reminiscent of IBS,” they wrote.

Potential therapeutic results ​

The endocannabinoid system (ECS) regulates the degrees and exercise of most different neurotransmitters within the physique, primarily gamma aminobutyric acid (GABA) and glutamate. It impacts the digestive system by regulating peristaltic actions and intestinal barrier permeability.

Researchers have extensively studied endocannabinoids for his or her results on GI motility. Phytocannabinoids like THC, CBD, CBC and CBN have additionally attracted curiosity for his or her potential therapeutic results on GI contractility issues.

The researchers famous that each ex vivo​ and in vivo​ research have explored their roles in modulating contractile responses​, neurotransmitter launch and receptor interactions, significantly by means of cannabinoid receptors CB1 and CB2.

Endocannabinoids and endocannabinoid-like compounds appear to primarily inhibit GIT contractility (however a number of research have proven the other).

Most research present exercise round CB1 and TRPV1 receptors for these compounds. But some analysis has proven endocannabinoids affect GIT motility by means of pathways researchers couldn’t absolutely classify. Just a few analysis papers have linked GIT endocannabinoid dysregulation to pathological states of the gut, although the connection just isn’t but clear.

General, phytocannabinoids present a powerful capability to inhibit spontaneous and induced GIT contractions. This appears to be like to be mediated by means of CB1.

Impression on the gut ​

The endocannabinoid system has an essential position in modulating intestinal permeability. In rats, centrally administered oxytocin has proven to decrease LPS-induced intestinal hyperpermeability, partly through CB1 signaling​. Adjustments in intestinal permeability related to mobile senescence have been linked to reduced cellular CB1 expression​.

The authors famous that the impact of endocannabinoids on intestinal permeability varies broadly relying on the compound used and whether or not it’s utilized immediately onto or under the Caco-2 monolayer. The impression on permeability is principally achieved by means of CB1 and TRPV1 but in addition PPARα activation. Endocannabinoids additionally triggered modifications within the synthesis of sure mobile membrane proteins, which play a component in intestinal barrier integrity.

Phytocannabinoids like THC and CBD can enhance intestinal barrier integrity. In addition they trigger modifications in synthesis of proteins concerned in paracellular transport and the intestinal barrier.

The authors famous the complicated interplay between cannabinoids and gastrointestinal physiology, whereas shining a highlight on potential therapeutic purposes.

They highlighted the truth that cannabinoids like THC and CBD present receptor-specific results on GIT motility by means of CB1 receptors, inflicting muscle contractility inhibition, “which can recommend targets for therapeutic interventions.” Additionally, the involvement of CB1 and CB2 receptors in regulating intestinal permeability underscores the complicated mechanisms mediated by cannabinoids in gastrointestinal well being.

Supply: Int. J. Mol. Sci.​ 2024​, 25​(12), 6682
doi: 10.3390/ijms25126682​
“Results of Cannabinoids on Intestinal Motility, Barrier Permeability, and Therapeutic Potential in Gastrointestinal Ailments.”
Authors:Crowley, Kijan and Kirga, Lukasz



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