Cannabinoids in traumatic brain injury and related neuropathologies: preclinical and clinical research on endogenous, plant-derived, and synthetic compounds

Abstract Traumatic brain injury is common, and often results in debilitating consequences. Even mild traumatic brain injury leaves approximately 20% of patients with symptoms that persist for months. Despite great clinical need there are currently no approved pharmaceutical interventions that improv...

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Main Authors: Brittney R. Lins, Chidozie C. Anyaegbu, Sarah C. Hellewell, Melissa Papini, Terence McGonigle, Luca De Prato, Matthew Shales, Melinda Fitzgerald
Format: Article
Language:English
Published: BMC 2023-03-01
Series:Journal of Neuroinflammation
Subjects:
Online Access:https://doi.org/10.1186/s12974-023-02734-9
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author Brittney R. Lins
Chidozie C. Anyaegbu
Sarah C. Hellewell
Melissa Papini
Terence McGonigle
Luca De Prato
Matthew Shales
Melinda Fitzgerald
author_facet Brittney R. Lins
Chidozie C. Anyaegbu
Sarah C. Hellewell
Melissa Papini
Terence McGonigle
Luca De Prato
Matthew Shales
Melinda Fitzgerald
author_sort Brittney R. Lins
collection DOAJ
description Abstract Traumatic brain injury is common, and often results in debilitating consequences. Even mild traumatic brain injury leaves approximately 20% of patients with symptoms that persist for months. Despite great clinical need there are currently no approved pharmaceutical interventions that improve outcomes after traumatic brain injury. Increased understanding of the endocannabinoid system in health and disease has accompanied growing evidence for therapeutic benefits of Cannabis sativa. This has driven research of Cannabis’ active chemical constituents (phytocannabinoids), alongside endogenous and synthetic counterparts, collectively known as cannabinoids. Also of therapeutic interest are other Cannabis constituents, such as terpenes. Cannabinoids interact with neurons, microglia, and astrocytes, and exert anti-inflammatory and neuroprotective effects which are highly desirable for the management of traumatic brain injury. In this review, we comprehensively appraised the relevant scientific literature, where major and minor phytocannabinoids, terpenes, synthetic cannabinoids, and endogenous cannabinoids were assessed in TBI, or other neurological conditions with pathology and symptomology relevant to TBI, as well as recent studies in preclinical TBI models and clinical TBI populations.
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spelling doaj.art-644dd3a87c694826842c19ca5d8a5e5e2023-03-22T11:55:06ZengBMCJournal of Neuroinflammation1742-20942023-03-0120112110.1186/s12974-023-02734-9Cannabinoids in traumatic brain injury and related neuropathologies: preclinical and clinical research on endogenous, plant-derived, and synthetic compoundsBrittney R. Lins0Chidozie C. Anyaegbu1Sarah C. Hellewell2Melissa Papini3Terence McGonigle4Luca De Prato5Matthew Shales6Melinda Fitzgerald7Curtin Health Innovation Research Institute, Curtin UniversityCurtin Health Innovation Research Institute, Curtin UniversityCurtin Health Innovation Research Institute, Curtin UniversityCurtin Health Innovation Research Institute, Curtin UniversityCurtin Health Innovation Research Institute, Curtin UniversityMediCann Health Aust Pty LtdMediCann Health Aust Pty LtdCurtin Health Innovation Research Institute, Curtin UniversityAbstract Traumatic brain injury is common, and often results in debilitating consequences. Even mild traumatic brain injury leaves approximately 20% of patients with symptoms that persist for months. Despite great clinical need there are currently no approved pharmaceutical interventions that improve outcomes after traumatic brain injury. Increased understanding of the endocannabinoid system in health and disease has accompanied growing evidence for therapeutic benefits of Cannabis sativa. This has driven research of Cannabis’ active chemical constituents (phytocannabinoids), alongside endogenous and synthetic counterparts, collectively known as cannabinoids. Also of therapeutic interest are other Cannabis constituents, such as terpenes. Cannabinoids interact with neurons, microglia, and astrocytes, and exert anti-inflammatory and neuroprotective effects which are highly desirable for the management of traumatic brain injury. In this review, we comprehensively appraised the relevant scientific literature, where major and minor phytocannabinoids, terpenes, synthetic cannabinoids, and endogenous cannabinoids were assessed in TBI, or other neurological conditions with pathology and symptomology relevant to TBI, as well as recent studies in preclinical TBI models and clinical TBI populations.https://doi.org/10.1186/s12974-023-02734-9Traumatic brain injuryConcussionCNS injuryNeurotraumaEndocannabinoid systemTerpenes
spellingShingle Brittney R. Lins
Chidozie C. Anyaegbu
Sarah C. Hellewell
Melissa Papini
Terence McGonigle
Luca De Prato
Matthew Shales
Melinda Fitzgerald
Cannabinoids in traumatic brain injury and related neuropathologies: preclinical and clinical research on endogenous, plant-derived, and synthetic compounds
Journal of Neuroinflammation
Traumatic brain injury
Concussion
CNS injury
Neurotrauma
Endocannabinoid system
Terpenes
title Cannabinoids in traumatic brain injury and related neuropathologies: preclinical and clinical research on endogenous, plant-derived, and synthetic compounds
title_full Cannabinoids in traumatic brain injury and related neuropathologies: preclinical and clinical research on endogenous, plant-derived, and synthetic compounds
title_fullStr Cannabinoids in traumatic brain injury and related neuropathologies: preclinical and clinical research on endogenous, plant-derived, and synthetic compounds
title_full_unstemmed Cannabinoids in traumatic brain injury and related neuropathologies: preclinical and clinical research on endogenous, plant-derived, and synthetic compounds
title_short Cannabinoids in traumatic brain injury and related neuropathologies: preclinical and clinical research on endogenous, plant-derived, and synthetic compounds
title_sort cannabinoids in traumatic brain injury and related neuropathologies preclinical and clinical research on endogenous plant derived and synthetic compounds
topic Traumatic brain injury
Concussion
CNS injury
Neurotrauma
Endocannabinoid system
Terpenes
url https://doi.org/10.1186/s12974-023-02734-9
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