http://online.liebertpub.com/doi/full/10.1089/can.2017.0002
To cite this article:
Stampanoni Bassi Mario, Sancesario Andrea, Morace Roberta, Centonze Diego, and Iezzi Ennio. Cannabis and Cannabinoid Research. February 2017, 2(1): 21-29. doi:10.1089/can.2017.0002.
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Author information
Mario Stampanoni Bassi,1,2 Andrea Sancesario,1 Roberta Morace,1 Diego Centonze,1,2,* and Ennio Iezzi1
1Neurology and Neurorehabilitation Units, IRCCS Istituto Neurologico Mediterraneo (INM) Neuromed, Pozzilli, Italy.
2Department of Systems Medicine, Tor Vergata University, Rome, Italy.
ABSTRACT
The
endocannabinoid system plays a regulatory role in a number of
physiological processes and has been found altered in different
pathological conditions, including movement disorders. The interactions
between cannabinoids and dopamine in the basal ganglia are remarkably
complex and involve both the modulation of other neurotransmitters
(γ-aminobutyric acid, glutamate, opioids, peptides) and the activation
of different receptors subtypes (cannabinoid receptor type 1 and 2). In
the last years, experimental studies contributed to enrich this scenario
reporting interactions between cannabinoids and other receptor systems
(transient receptor potential vanilloid type 1 cation channel, adenosine
receptors, 5-hydroxytryptamine receptors). The improved knowledge,
adding new interpretation on the biochemical interaction between
cannabinoids and other signaling pathways, may contribute to develop new
pharmacological strategies. A number of preclinical studies in
different experimental Parkinson's disease (PD) models demonstrated that
modulating the cannabinoid system may be useful to treat some motor
symptoms. Despite new cannabinoid-based medicines have been proposed for
motor and nonmotor symptoms of PD, so far, results from clinical
studies are controversial and inconclusive. Further clinical studies
involving larger samples of patients, appropriate molecular targets, and
specific clinical outcome measures are needed to clarify the
effectiveness of cannabinoid-based therapies.
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