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Publication : Modulating the endocannabinoid system in human health and disease--successes and failures.

First Author  Pacher P Year  2013
Journal  FEBS J Volume  280
Issue  9 Pages  1918-43
PubMed ID  23551849 Mgi Jnum  J:213090
Mgi Id  MGI:5582869 Doi  10.1111/febs.12260
Citation  Pacher P, et al. (2013) Modulating the endocannabinoid system in human health and disease--successes and failures. FEBS J 280(9):1918-43
abstractText  The discovery of the endocannabinoid system, comprising the G-protein coupled cannabinoid 1 and 2 receptors (CB1/2), their endogenous lipid ligands or endocannabinoids, and synthetic and metabolizing enzymes, has triggered an avalanche of experimental studies implicating the endocannabinoid system in a growing number of physiological/pathological functions. These studies have also suggested that modulating the activity of the endocannabinoid system holds therapeutic promise for a broad range of diseases, including neurodegenerative, cardiovascular and inflammatory disorders; obesity/metabolic syndrome; cachexia; chemotherapy-induced nausea and vomiting; and tissue injury and pain, amongst others. However, clinical trials with globally acting CB1 antagonists in obesity/metabolic syndrome, and other studies with peripherally-restricted CB1/2 agonists and inhibitors of the endocannabinoid metabolizing enzyme in pain, have introduced unexpected complexities, suggesting that a better understanding of the pathophysiological role of the endocannabinoid system is required to devise clinically successful treatment strategies.
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