大麻素对疼痛和压力相关回路的调节

Ying Wang, Qingyu Wang, Li Tang, Xia Zhang
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摘要

在过去的十年中,在理解大脑区域和神经回路调节神经行为方面取得了重大进展。endocannabinoid (eCB)系统普遍存在于大脑中,广泛参与突触调节,被认为在神经元回路过程和相关疾病中发挥潜在作用。尽管基于脑脊液的药理学研究取得了一些临床成果,但由于脑多区域和神经元回路的全局操纵,仍然经常遇到相互矛盾的报道或不良效果,这阻碍了基于脑脊液的药物的治疗应用。在这篇综述中,我们致力于讨论ecb介导的突触可塑性的多种形式,并剖析目前被充分研究的特定大麻素回路,这些回路涉及与生物体生存和生活质量密切相关的行为领域,如疼痛感知和压力相关的情绪障碍。通过获得对电路中选择性大麻素控制的新见解,我们可以潜在地减轻传统药理学的缺点,并通过新的治疗策略和药物发现促进精准医学的发展。
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Cannabinoid modulations of pain- and stress-related circuits
In the past decade, significant advancements have been made in understanding the brain regions and neuronal circuits regulating neurological behaviors. The endocannabinoid (eCB) system, which is ubiquitously distributed in the brain and extensively involved in synaptic modulation, has been believed to play potential roles in neuronal circuit processes and related disorders. Although eCB-based pharmacological studies have made some clinical achievements, they still often encounter conflicting reports or undesired effects due to global manipulation of manifold brain regions and neuronal circuits, which impede the therapeutic application of eCB-based medications. In this review, we are devoted to discussing the versatile forms of eCB-mediated synaptic plasticity and dissecting currently well-studied specific cannabinoid circuits involved in behavioral domains which are closely linked to the organism’s survival and life quality, such as pain perception and stress-related emotion disorders. By gaining new insights into selective cannabinoid control in circuits, we can potentially mitigate the drawbacks of traditional pharmacology and facilitate the development of precision medicine with novel therapeutic strategies and drug discoveries.
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