Receptors and Channels Possibly Mediating the Effects of Phytocannabinoids on Seizures and Epilepsy

Epilepsy contributes to approximately 1% of the global disease burden. By affecting especially young children as well as older persons of all social and racial variety, epilepsy is a present disorder worldwide. Currently, only 65% of epileptic patients can be successfully treated with antiepileptic...

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Main Authors: Lara Senn, Giuseppe Cannazza, Giuseppe Biagini
Format: Article
Language:English
Published: MDPI AG 2020-07-01
Series:Pharmaceuticals
Subjects:
Online Access:https://www.mdpi.com/1424-8247/13/8/174
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author Lara Senn
Giuseppe Cannazza
Giuseppe Biagini
author_facet Lara Senn
Giuseppe Cannazza
Giuseppe Biagini
author_sort Lara Senn
collection DOAJ
description Epilepsy contributes to approximately 1% of the global disease burden. By affecting especially young children as well as older persons of all social and racial variety, epilepsy is a present disorder worldwide. Currently, only 65% of epileptic patients can be successfully treated with antiepileptic drugs. For this reason, alternative medicine receives more attention. Cannabis has been cultivated for over 6000 years to treat pain and insomnia and used since the 19th century to suppress epileptic seizures. The two best described phytocannabinoids, (−)-<i>trans</i>-Δ<sup>9</sup>-tetrahydrocannabinol (THC) and cannabidiol (CBD) are claimed to have positive effects on different neurological as well as neurodegenerative diseases, including epilepsy. There are different cannabinoids which act through different types of receptors and channels, including the cannabinoid receptor 1 and 2 (CB<sub>1</sub>, CB<sub>2</sub>), G protein-coupled receptor 55 (GPR55) and 18 (GPR18), opioid receptor µ and δ, transient receptor potential vanilloid type 1 (TRPV1) and 2 (TRPV2), type A γ-aminobutyric acid receptor (GABA<sub>A</sub>R) and voltage-gated sodium channels (VGSC). The mechanisms and importance of the interaction between phytocannabinoids and their different sites of action regarding epileptic seizures and their clinical value are described in this review.
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spelling doaj.art-0ccdeebba69e4d68a4ae14248267c9762023-11-20T08:34:43ZengMDPI AGPharmaceuticals1424-82472020-07-0113817410.3390/ph13080174Receptors and Channels Possibly Mediating the Effects of Phytocannabinoids on Seizures and EpilepsyLara Senn0Giuseppe Cannazza1Giuseppe Biagini2Laboratory of Experimental Epileptology, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, 41125 Modena, ItalyDepartment of Life Sciences, University of Modena and Reggio Emilia, 41125 Modena, ItalyLaboratory of Experimental Epileptology, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, 41125 Modena, ItalyEpilepsy contributes to approximately 1% of the global disease burden. By affecting especially young children as well as older persons of all social and racial variety, epilepsy is a present disorder worldwide. Currently, only 65% of epileptic patients can be successfully treated with antiepileptic drugs. For this reason, alternative medicine receives more attention. Cannabis has been cultivated for over 6000 years to treat pain and insomnia and used since the 19th century to suppress epileptic seizures. The two best described phytocannabinoids, (−)-<i>trans</i>-Δ<sup>9</sup>-tetrahydrocannabinol (THC) and cannabidiol (CBD) are claimed to have positive effects on different neurological as well as neurodegenerative diseases, including epilepsy. There are different cannabinoids which act through different types of receptors and channels, including the cannabinoid receptor 1 and 2 (CB<sub>1</sub>, CB<sub>2</sub>), G protein-coupled receptor 55 (GPR55) and 18 (GPR18), opioid receptor µ and δ, transient receptor potential vanilloid type 1 (TRPV1) and 2 (TRPV2), type A γ-aminobutyric acid receptor (GABA<sub>A</sub>R) and voltage-gated sodium channels (VGSC). The mechanisms and importance of the interaction between phytocannabinoids and their different sites of action regarding epileptic seizures and their clinical value are described in this review.https://www.mdpi.com/1424-8247/13/8/174phytocannabinoidsepilepsyanticonvulsantcannabisseizure
spellingShingle Lara Senn
Giuseppe Cannazza
Giuseppe Biagini
Receptors and Channels Possibly Mediating the Effects of Phytocannabinoids on Seizures and Epilepsy
Pharmaceuticals
phytocannabinoids
epilepsy
anticonvulsant
cannabis
seizure
title Receptors and Channels Possibly Mediating the Effects of Phytocannabinoids on Seizures and Epilepsy
title_full Receptors and Channels Possibly Mediating the Effects of Phytocannabinoids on Seizures and Epilepsy
title_fullStr Receptors and Channels Possibly Mediating the Effects of Phytocannabinoids on Seizures and Epilepsy
title_full_unstemmed Receptors and Channels Possibly Mediating the Effects of Phytocannabinoids on Seizures and Epilepsy
title_short Receptors and Channels Possibly Mediating the Effects of Phytocannabinoids on Seizures and Epilepsy
title_sort receptors and channels possibly mediating the effects of phytocannabinoids on seizures and epilepsy
topic phytocannabinoids
epilepsy
anticonvulsant
cannabis
seizure
url https://www.mdpi.com/1424-8247/13/8/174
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