Cannabis and Inflammation in HIV: A Review of Human and Animal Studies

Persistent inflammation occurs in people with HIV (PWH) and has many downstream adverse effects including myocardial infarction, neurocognitive impairment and death. Because the proportion of people with HIV who use cannabis is high and cannabis may be anti-inflammatory, it is important to character...

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Main Authors: Ronald J. Ellis, Natalie Wilson, Scott Peterson
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:Viruses
Subjects:
Online Access:https://www.mdpi.com/1999-4915/13/8/1521
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author Ronald J. Ellis
Natalie Wilson
Scott Peterson
author_facet Ronald J. Ellis
Natalie Wilson
Scott Peterson
author_sort Ronald J. Ellis
collection DOAJ
description Persistent inflammation occurs in people with HIV (PWH) and has many downstream adverse effects including myocardial infarction, neurocognitive impairment and death. Because the proportion of people with HIV who use cannabis is high and cannabis may be anti-inflammatory, it is important to characterize the impact of cannabis use on inflammation specifically in PWH. We performed a selective, non-exhaustive review of the literature on the effects of cannabis on inflammation in PWH. Research in this area suggests that cannabinoids are anti-inflammatory in the setting of HIV. Anti-inflammatory actions are mediated in many cases through effects on the endocannabinoid system (ECS) in the gut, and through stabilization of gut–blood barrier integrity. Cannabidiol may be particularly important as an anti-inflammatory cannabinoid. Cannabis may provide a beneficial intervention to reduce morbidity related to inflammation in PWH.
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spelling doaj.art-053768adb3b642e5ba346a840f9078b52023-11-22T10:10:39ZengMDPI AGViruses1999-49152021-08-01138152110.3390/v13081521Cannabis and Inflammation in HIV: A Review of Human and Animal StudiesRonald J. Ellis0Natalie Wilson1Scott Peterson2Departments of Neurosciences and Psychiatry, University of California, San Diego, UCSD HNRC, Mail Code 8231 220 Dickinson Street, Suite B, San Diego, CA 92103, USADepartment of Community Health Systems, School of Nursing, University of California, San Francisco, 1700 Owens Street, Suite 316, San Francisco, CA 94158, USASanford Burnham Prebys Medical Discovery Institute, 10901 N Torrey Pines Road, La Jolla, CA 92037, USAPersistent inflammation occurs in people with HIV (PWH) and has many downstream adverse effects including myocardial infarction, neurocognitive impairment and death. Because the proportion of people with HIV who use cannabis is high and cannabis may be anti-inflammatory, it is important to characterize the impact of cannabis use on inflammation specifically in PWH. We performed a selective, non-exhaustive review of the literature on the effects of cannabis on inflammation in PWH. Research in this area suggests that cannabinoids are anti-inflammatory in the setting of HIV. Anti-inflammatory actions are mediated in many cases through effects on the endocannabinoid system (ECS) in the gut, and through stabilization of gut–blood barrier integrity. Cannabidiol may be particularly important as an anti-inflammatory cannabinoid. Cannabis may provide a beneficial intervention to reduce morbidity related to inflammation in PWH.https://www.mdpi.com/1999-4915/13/8/1521cannabisinflammationHIVendocannabinoid systemgut microbiotagut barrier integrity
spellingShingle Ronald J. Ellis
Natalie Wilson
Scott Peterson
Cannabis and Inflammation in HIV: A Review of Human and Animal Studies
Viruses
cannabis
inflammation
HIV
endocannabinoid system
gut microbiota
gut barrier integrity
title Cannabis and Inflammation in HIV: A Review of Human and Animal Studies
title_full Cannabis and Inflammation in HIV: A Review of Human and Animal Studies
title_fullStr Cannabis and Inflammation in HIV: A Review of Human and Animal Studies
title_full_unstemmed Cannabis and Inflammation in HIV: A Review of Human and Animal Studies
title_short Cannabis and Inflammation in HIV: A Review of Human and Animal Studies
title_sort cannabis and inflammation in hiv a review of human and animal studies
topic cannabis
inflammation
HIV
endocannabinoid system
gut microbiota
gut barrier integrity
url https://www.mdpi.com/1999-4915/13/8/1521
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