Uso potencial de cannabinoides nanoencapsulados para el tratamiento de enfermedades inflamatorias del intestino: una revisión sistemática

Autores/as

DOI:

https://doi.org/10.33448/rsd-v11i10.33011

Palabras clave:

Enfermedades Inflamatorias Intestinales; Cannabinoides; Cannabis sativa; Nanotecnología.

Resumen

Introducción: Las Enfermedades Inflamatorias Intestinales (EII) son enfermedades caracterizadas por inflamación intestinal, divididas en Enfermedad de Crohn (EC) y Retrocolitis Ulcerosa (CU). La causa aún se desconoce. Hay una variedad de estudios que muestran el efecto beneficioso y potencial de los fitocannabinoides en la enfermedad inflamatoria intestinal. Objetivo: Evaluar el efecto beneficioso de los metabolitos derivados del Cannabis sativa en el tratamiento de la EII, asociado al uso de nanotecnología para potenciar este efecto, a través de un estudio de revisión sistemática. Metodología: Esta revisión sistemática de la literatura de ensayos preclínicos y clínicos se realizó en las siguientes bases de datos: PUBMED, Science Direct y Scopus de 2012 a 2022. Se utilizaron algunas combinaciones de términos, como enfermedades inflamatorias del intestino, cannabinoides, cannabidiol y nanotecnología. Resultados: Se encontraron un total de 418 artículos en Pubmed, 80 artículos en Science Direct y 443 en Scopus. Al final, 6 artículos en Pubmed, 10 en Science Direct y 6 en Scopus fueron considerados elegibles para el análisis de acuerdo con los criterios de inclusión y exclusión establecidos Discusión: En los estudios analizados, se observó que los fitocannabinoides representan una alternativa prometedora para tratar la EII. A pesar de la gran expectativa que rodea a estas moléculas, sus características fisicoquímicas suponen una importante limitación para su aplicación en el tratamiento de la EII y otras enfermedades. Por lo tanto, la nanotecnología demostró ser una forma de superar estos problemas. Conclusión: Por todo lo anterior, se puede inferir que los metabolitos derivados del Cannabis sativa tienen un gran potencial para el tratamiento de enfermedades inflamatorias intestinales.

Citas

Ambrose, T., & Simmons, A. (2019). Cannabis, Cannabinoids, and the Endocannabinoid System-Is there Therapeutic Potential for Inflammatory Bowel Disease? Journal of Crohn’s and Colitis, 13(4), 525–535.

Argollo, M., Fiorino, G., Hindryckx, P., Peyrin-Biroulet, L., & Danese, S. (2017). Novel therapeutic targets for inflammatory bowel disease. Journal of Autoimmunity, 85, 103–116.

Becker, W., Alrafas, H. R., Wilson, K., Miranda, K., Culpepper, C., Chatzistamou, I., & Nagarkatti, P. S. (2020). Activation of cannabinoid receptor 2 prevents colitis-associated colon cancer through myeloid cell de-activation upstream of IL-22 production. Iscience, 23(9), 101504.

Bogale, K., Raup-Konsavage, W., Dalessio, S., Vrana, K., & Coates, M. D. (2021). Cannabis and Cannabis Derivatives for Abdominal Pain Management in Inflammatory Bowel Disease. Medical Cannabis and Cannabinoids, 4(2), 97–106.

Borrelli, F., Fasolino, I., Romano, B., Capasso, R., Maiello, F., Coppola, D., & Izzo, A. A. (2013). Beneficial effect of the non-psychotropic plant cannabinoid cannabigerol on experimental inflammatory bowel disease. Biochemical pharmacology, 85(9), 1306-1316.

Cocetta, V., Governa, P., Borgonetti, V., Tinazzi, M., Peron, G., Catanzaro, D., … Montopoli, M. (2021). Cannabidiol Isolated From Cannabis sativa L. Protects Intestinal Barrier From In Vitro Inflammation and Oxidative Stress. Frontiers in Pharmacology, 12.

Couch, D. G., Cook, H., Ortori, C., Barrett, D., Lund, J. N., & O'Sullivan, S. E. (2019). Palmitoylethanolamide and Cannabidiol Prevent Inflammation-induced Hyperpermeability of the Human Gut In Vitro and In Vivo-A Randomized, Placebo-controlled, Double-blind Controlled Trial. Inflammatory bowel diseases, 25(6), 1006–1018. https://doi.org/10.1093/ibd/izz017

de Carvalho, A. C. A., de Souza, G. A., de Marqui, S. V., Guiguer, É. L., Araújo, A. C., Rubira, C. J., Goulart, R. de A., Flato, U. A. P., Bueno, P. C. D. S., Buchaim, R. L., & Barbalho, S. M. (2020). Cannabis and canabidinoids on the inflammatory bowel diseases: Going beyond misuse. International Journal of Molecular Sciences, 21(8). https://doi.org/10.3390/IJMS21082940

Dunford, J., Lee, A. T., & Morgan, M. M. (2021). Tetrahydrocannabinol (THC) Exacerbates Inflammatory Bowel Disease in Adolescent and Adult Female Rats. The journal of pain, 22(9), 1040-1047.

Fernandes, I., & Gil, L. (2019). Qualidade de vida da pessoa com doença inflamatória intestinal. Revista de Enfermagem Referência, IV Série(23), 89–98.

Guan, Q. (2019). A Comprehensive Review and Update on the Pathogenesis of Inflammatory Bowel Disease. Journal of Immunology Research, 2019.

Harvey, B. S., Sia, T. C., Wattchow, D. A., & Smid, S. D. (2014). Interleukin 17A evoked mucosal damage is attenuated by cannabidiol and anandamide in a human colonic explant model. Cytokine, 65(2), 236-244.

Hazel, K., & O’Connor, A. (2020). Emerging treatments for inflammatory bowel disease. Therapeutic Advances in Chronic Disease, 11. https://doi.org/10.1177/2040622319899297

Hoffenberg, E. J., McWilliams, S. K., Mikulich-Gilbertson, S. K., Murphy, B. V., Lagueux, M., Robbins, K., & Hopfer, C. J. (2018). Marijuana use by adolescents and young adults with inflammatory bowel disease. The Journal of pediatrics, 199, 99-105.

Hoffenberg, E. J., McWilliams, S., Mikulich-Gilbertson, S., Murphy, B., Hoffenberg, A., & Hopfer, C. J. (2019). Cannabis oil use by adolescents and young adults with inflammatory bowel disease. Journal of Pediatric Gastroenterology and Nutrition, 68(3), 348–352.

Irving, P. M., Iqbal, T., Nwokolo, C., Subramanian, S., Bloom, S., Prasad, N., Hart, A., Murray, C., Lindsay, J. O., Taylor, A., Barron, R., & Wright, S. (2018). A Randomized, Double-blind, Placebo-controlled, Parallel-group, Pilot Study of Cannabidiol-rich Botanical Extract in the Symptomatic Treatment of Ulcerative Colitis. Inflammatory bowel diseases, 24(4), 714–724.

Kaplan, G. G., & Ng, S. C. (2017). Understanding and Preventing the Global Increase of Inflammatory Bowel Disease. Gastroenterology, 152(2), 313-321.e2.

Kienzl, M., Storr, M., & Schicho, R. (2020). Cannabinoids and Opioids in the Treatment of Inflammatory Bowel Diseases. Clinical and Translational Gastroenterology, 11(1), e00120.

Martín-Banderas, L., Munoz-Rubio, I., Álvarez-Fuentes, J., Durán-Lobato, M., Arias, J. L., Holgado, M. Á., & Fernández-Arévalo, M. (2014). Engineering of Δ9-tetrahydrocannabinol delivery systems based on surface modified-PLGA nanoplatforms. Colloids and Surfaces B: Biointerfaces, 123, 114-122.

Matarazzo, A. P., Elisei, L. M. S., Carvalho, F. C., Bonfílio, R., Ruela, A. L. M., Galdino, G., & Pereira, G. R. (2021). Mucoadhesive nanostructured lipid carriers as a cannabidiol nasal delivery system for the treatment of neuropathic pain. European Journal of Pharmaceutical Sciences, 159, 105698.

Moher D., Liberati A., Tetzlaff J., Altman D.G., PRISMA Group Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. BMJ. 2009;339:b2535. doi: 10.1136/bmj.b2535

Naftali, T., Bar-Lev Schleider, L., Dotan, I., Lansky, E. P., Sklerovsky Benjaminov, F., & Konikoff, F. M. (2013). Cannabis induces a clinical response in patients with Crohn's disease: a prospective placebo-controlled study. Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 11(10), 1276–1280.e1.

Naftali, T., Bar-Lev Schleider, L., Scklerovsky Benjaminov, F., Konikoff, F. M., Matalon, S. T., & Ringel, Y. (2021). Cannabis is associated with clinical but not endoscopic remission in ulcerative colitis: A randomized controlled trial. PloS one, 16(2), e0246871.

Naftali, T., Mechulam, R., Marii, A., Gabay, G., Stein, A., Bronshtain, M., Laish, I., Benjaminov, F., & Konikoff, F. M. (2017). Low-Dose Cannabidiol Is Safe but Not Effective in the Treatment for Crohn's Disease, a Randomized Controlled Trial. Digestive diseases and sciences, 62(6), 1615–1620.

Nallathambi, R., Mazuz, M., Ion, A., Selvaraj, G., Weininger, S., Fridlender, M., … Koltai, H. (2017). Anti-Inflammatory Activity in Colon Models Is Derived from Δ9-Tetrahydrocannabinolic Acid That Interacts with Additional Compounds in Cannabis Extracts. Cannabis and Cannabinoid Research, 2(1), 167–182.

Pagano, E., Iannotti, F. A., Piscitelli, F., Romano, B., Lucariello, G., Venneri, T., … Borrelli, F. (2021). Efficacy of combined therapy with fish oil and phytocannabinoids in murine intestinal inflammation. Phytotherapy Research, 35(1), 517–529.

Pagano, E., Romano, B., Iannotti, F. A., Parisi, O. A., D’armiento, M., Pignatiello, S., & Borrelli, F. (2019). The non-euphoric phytocannabinoid cannabidivarin counteracts intestinal inflammation in mice and cytokine expression in biopsies from UC pediatric patients. Pharmacological Research, 149, 104464.

Perisetti, A., Rimu, A. H., Khan, S. A., Bansal, P., & Goyal, H. (2020). Role of cannabis in inflammatory bowel diseases. Annals of Gastroenterology, 33(2), 134–144.

Picardo, S., Kaplan, G. G., Sharkey, K. A., & Seow, C. H. (2019). Insights into the role of cannabis in the management of inflammatory bowel disease. Therapeutic Advances in Gastroenterology, 12, 1–13.

Seyedian, S. S., Nokhostin, F., & Malamir, M. D. (2019). A review of the diagnosis, prevention, and treatment methods of inflammatory bowel disease. Journal of Medicine and Life, 12(2), 113–122.

Silvestri, C., Pagano, E., Lacroix, S., Venneri, T., Cristiano, C., Calignano, A., … Borrelli, F. (2020). Fish Oil, Cannabidiol and the Gut Microbiota: An Investigation in a Murine Model of Colitis. Frontiers in Pharmacology, 11.

Singh, U. P., Singh, N. P., Singh, B., Price, R. L., Nagarkatti, M., & Nagarkatti, P. S. (2012). Cannabinoid receptor-2 (CB2) agonist ameliorates colitis in IL-10 -/- mice by attenuating the activation of T cells and promoting their apoptosis. Toxicology and Applied Pharmacology, 258(2), 256–267.

Tartakover Matalon, S., Azar, S., Meiri, D., Hadar, R., Nemirovski, A., Abu Jabal, N., Konikoff, F. M., Drucker, L., Tam, J., & Naftali, T. (2021). Endocannabinoid Levels in Ulcerative Colitis Patients Correlate With Clinical Parameters and Are Affected by Cannabis Consumption. Frontiers in endocrinology, 12, 685289.

Vasconcelos, R. S., Rocha, R. M., Souza, E. B., Rabelo, V., Amaral, S., & Eb, S. (2018). Qualidade de vida de pacientes com doença inflamatória intestinal : revisão integrativa. 1–7.

Wang, C., Cui, B., Sun, Y., Wang, C., & Guo, M. (2022). Preparation, stability, antioxidative property and in vitro release of cannabidiol (CBD) in zein-whey protein composite nanoparticles. LWT, 162, 113466.

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Publicado

07/08/2022

Cómo citar

SILVA, A. C. A. da .; MAGALHÃES, C. F. C. B. .; SILVA, G. C. S. .; NASCIMENTO, G. C. A. .; NUNES, L. C. C.; ALVES, P. e S.; ROLIM, H. M. L. . Uso potencial de cannabinoides nanoencapsulados para el tratamiento de enfermedades inflamatorias del intestino: una revisión sistemática. Research, Society and Development, [S. l.], v. 11, n. 10, p. e464111033011, 2022. DOI: 10.33448/rsd-v11i10.33011. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/33011. Acesso em: 23 nov. 2024.

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Ciencias de la salud