Cannabinoids in Medicine: Cancer, Immunity, and Microbial Diseases

Int J Mol Sci. 2020 Dec 29;22(1):263. doi: 10.3390/ijms22010263.

Abstract

Recently, there has been a growing interest in the medical applications of Cannabis plants. They owe their unique properties to a group of secondary metabolites known as phytocannabinoids, which are specific for this genus. Phytocannabinoids, and cannabinoids generally, can interact with cannabinoid receptors being part of the endocannabinoid system present in animals. Over the years a growing body of scientific evidence has been gathered, suggesting that these compounds have therapeutic potential. In this article, we review the classification of cannabinoids, the molecular mechanisms of their interaction with animal cells as well as their potential application in the treatment of human diseases. Specifically, we focus on the research concerning the anticancer potential of cannabinoids in preclinical studies, their possible use in cancer treatment and palliative medicine, as well as their influence on the immune system. We also discuss their potential as therapeutic agents in infectious, autoimmune, and gastrointestinal inflammatory diseases. We postulate that the currently ongoing and future clinical trials should be accompanied by research focused on the cellular and molecular response to cannabinoids and Cannabis extracts, which will ultimately allow us to fully understand the mechanism, potency, and safety profile of cannabinoids as single agents and as complementary drugs.

Keywords: cancer medicine; cannabinoid receptors; cannabinoids; immune medicine.

Publication types

  • Review

MeSH terms

  • Animals
  • Anti-Infective Agents / pharmacology
  • Anti-Infective Agents / therapeutic use
  • Antineoplastic Agents, Phytogenic / pharmacology
  • Antineoplastic Agents, Phytogenic / therapeutic use
  • Apoptosis / drug effects
  • Cannabinoids / chemistry
  • Cannabinoids / pharmacology*
  • Cannabinoids / therapeutic use*
  • Cannabis / chemistry
  • Chemistry Techniques, Synthetic
  • Communicable Diseases / drug therapy
  • Communicable Diseases / microbiology
  • Communicable Diseases / virology
  • Humans
  • Immune System / drug effects
  • Immune System / immunology
  • Immune System / metabolism
  • Immunologic Factors / pharmacology
  • Immunologic Factors / therapeutic use
  • Neoplasms / drug therapy
  • Receptors, Cannabinoid / metabolism

Substances

  • Anti-Infective Agents
  • Antineoplastic Agents, Phytogenic
  • Cannabinoids
  • Immunologic Factors
  • Receptors, Cannabinoid