Canabinóides como possível alternativa no tratamento de psoríase

Autores

DOI:

https://doi.org/10.33448/rsd-v11i11.34651

Palavras-chave:

Canabidiol; Psoríase; Tratamento.

Resumo

Com uma forte predisposição genética, traços patogênicos autoimunes e com grande relação ao meio ambiente, a psoríase é uma doença crônica, não infecciosa, que acomete pessoas de todas as idades, sem predileção por sexo. O seu tratamento tem como principal objetivo controlar a diferenciação e a proliferação dos queratinócitos. Tendo isso em vista, o objetivo desta revisão narrativa é fazer uma análise do que já está documentado na literatura, envolvendo os efeitos da Cannabis sativa no tratamento da psoríase, com enfoque na sua efetividade. Para isso, foi feita uma busca ativa sobre o tema nas bases de dados Google Acadêmico, Pubmed e LILACS. Foi verificado que os canabinoides possuem um potencial terapêutico na psoríase, principalmente em relação à proliferação dos queratinócitos e na modulação da inflamação, porém a maioria dos estudos disponíveis são in vitro. É necessário a realização de mais estudos clínicos em humanos para melhor elucidação da eficácia e segurança dos canabinoides no tratamento da psoríase.      

Referências

Atalay, S., Jarocka-Karpowicz, I., & Skrzydlewska, E. (2019). Antioxidative and Anti-Inflammatory Properties of Cannabidiol. Antioxidants (Basel, Switzerland), 9(1), 21. https://doi.org/10.3390/antiox9010021

Azulay, R. D. (2017). Dermatologia, (7ª edição.) Grupo GEN. https://integrada.minhabiblioteca.com.br/books/9788527732475

Baswan, S. M., Klosner, A. E., Glynn, K., Rajgopal, A., Malik, K., Yim, S., & Stern, N. (2020). Therapeutic Potential of Cannabidiol (CBD) for Skin Health and Disorders. Clinical, cosmetic and investigational dermatology, 13, 927–942. https://doi.org/10.2147/CCID.S286411

Brasileiro, G. F. (2016). Bogliolo - Patologia (9th edição). Grupo GEN. https://integrada.minhabiblioteca.com.br/books/9788527736992

Friedman, A. J., Momeni, K., & Kogan, M. (2020). Topical Cannabinoids for the Management of Psoriasis Vulgaris: Report of a Case and Review of the Literature. Journal of drugs in dermatology : JDD, 19(8), 795. https://doi.org/10.36849/JDD.2020.5229

Gęgotek, A., Atalay, S., Wroński, A., Markowska, A., & Skrzydlewska, E. (2021). Cannabidiol Decreases Metalloproteinase Activity and Normalizes Angiogenesis Factor Expression in UVB-Irradiated Keratinocytes from Psoriatic Patients. Oxidative medicine and cellular longevity, 2021, 7624389. https://doi.org/10.1155/2021/7624389

Grant, M. J., & Booth, A. (2009). A typology of reviews: an analysis of 14 review types and associated methodologies. Health information and libraries journal, 26(2), 91–108. https://doi.org/10.1111/j.1471-1842.2009.00848.x

Jarocka-Karpowicz, I., Biernacki, M., Wroński, A., Gęgotek, A., & Skrzydlewska, E. (2020). Cannabidiol Effects on Phospholipid Metabolism in Keratinocytes from Patients with Psoriasis Vulgaris. Biomolecules, 10(3), 367. https://doi.org/10.3390/biom10030367

Jastrząb, A., Gęgotek, A., & Skrzydlewska, E. (2019). Cannabidiol Regulates the Expression of Keratinocyte Proteins Involved in the Inflammation Process through Transcriptional Regulation. Cells, 8(8), 827. https://doi.org/10.3390/cells8080827

Kumar, V., Abbas, A., & Aster, J. (2016). Robbins & Cotran Patologia - Bases Patológicas das Doenças (9th edição). Grupo GEN. https://integrada.minhabiblioteca.com.br/books/9788595150966

Kupczyk, P., Reich, A., & Szepietowski, J. C. (2009). Cannabinoid system in the skin - a possible target for future therapies in dermatology. Experimental dermatology, 18(8), 669–679. https://doi.org/10.1111/j.1600-0625.2009.00923.x

Łuczaj, W., Dobrzyńska, I., Wroński, A., Domingues, M. R., Domingues, P., & Skrzydlewska, E. (2020). Cannabidiol-Mediated Changes to the Phospholipid Profile of UVB-Irradiated Keratinocytes from Psoriatic Patients. International journal of molecular sciences, 21(18), 6592. https://doi.org/10.3390/ijms21186592

Martinelli, G., Magnavacca, A., Fumagalli, M., DellʼAgli, M., Piazza, S., & Sangiovanni, E. (2022). Cannabis sativa and Skin Health: Dissecting the Role of Phytocannabinoids. Planta medica, 88(7), 492–506. https://doi.org/10.1055/a-1420-5780

Martins, A. M., Gomes, A. L., Vilas Boas, I., Marto, J., & Ribeiro, H. M. (2022). Cannabis-Based Products for the Treatment of Skin Inflammatory Diseases: A Timely Review. Pharmaceuticals (Basel, Switzerland), 15(2), 210. https://doi.org/10.3390/ph15020210

Michalek, I. M., Loring, B., & John, S. M. (2017). A systematic review of worldwide epidemiology of psoriasis. Journal of the European Academy of Dermatology and Venereology : JEADV, 31(2), 205–212. https://doi.org/10.1111/jdv.13854

Norooznezhad, A. H., & Norooznezhad, F. (2017). Cannabinoids: Possible agents for treatment of psoriasis via suppression of angiogenesis and inflammation. Medical hypotheses, 99, 15–18. https://doi.org/10.1016/j.mehy.2016.12.003

Ogawa, E., Sato, Y., Minagawa, A., & Okuyama, R. (2018). Pathogenesis of psoriasis and development of treatment. The Journal of dermatology, 45(3), 264–272. https://doi.org/10.1111/1346-8138.14139

Puaratanaarunkon, T., Sittisaksomjai, S., Sivapornpan, N., Pongcharoen, P., Chakkavittumrong, P., Ingkaninan, K., Temkitthawon, P., Promgool, T., Waranuch, N., & Asawanonda, P. (2022). Topical cannabidiol-based treatment for psoriasis: A dual-centre randomized placebo-controlled study. Journal of the European Academy of Dermatology and Venereology : JEADV, 36(9), e718–e720. https://doi.org/10.1111/jdv.18215

Ramot, Y., Sugawara, K., Zákány, N., Tóth, B. I., Bíró, T., & Paus, R. (2013). A novel control of human keratin expression: cannabinoid receptor 1-mediated signaling down-regulates the expression of keratins K6 and K16 in human keratinocytes in vitro and in situ. PeerJ, 1, e40. https://doi.org/10.7717/peerj.40

Rendon, A., & Schäkel, K. (2019). Psoriasis Pathogenesis and Treatment. International journal of molecular sciences, 20(6), 1475. https://doi.org/10.3390/ijms20061475

Scheau, C., Badarau, I. A., Mihai, L. G., Scheau, A. E., Costache, D. O., Constantin, C., Calina, D., Caruntu, C., Costache, R. S., & Caruntu, A. (2020). Cannabinoids in the Pathophysiology of Skin Inflammation. Molecules (Basel, Switzerland), 25(3), 652. https://doi.org/10.3390/molecules25030652

Shao, K., Stewart, C., & Grant-Kels, J. M. (2021). Cannabis and the skin. Clinics in dermatology, 39(5), 784–795. https://doi.org/10.1016/j.clindermatol.2021.05.006

Sheriff, T., Lin, M. J., Dubin, D., & Khorasani, H. (2020). The potential role of cannabinoids in dermatology. The Journal of dermatological treatment, 31(8), 839–845. https://doi.org/10.1080/09546634.2019.1675854

Tammaro, A., Magri, F., Chello, C., Giordano, D., Parisella, F. R., De Marco, G., & Persechino, S. (2019). A successful topical treatment for cutaneous inflammatory diseases:an additional or alternative therapy to topical steroids. European annals of allergy and clinical immunology, 51(3), 129–130. https://doi.org/10.23822/EurAnnACI.1764-1489.79

Wilkinson, J. D., & Williamson, E. M. (2007). Cannabinoids inhibit human keratinocyte proliferation through a non-CB1/CB2 mechanism and have a potential therapeutic value in the treatment of psoriasis. Journal of dermatological science, 45(2), 87–92. https://doi.org/10.1016/j.jdermsci.2006.10.009

Wójcik, P., Garley, M., Wroński, A., Jabłońska, E., & Skrzydlewska, E. (2020). Cannabidiol Modifies the Formation of NETs in Neutrophils of Psoriatic Patients. International journal of molecular sciences, 21(18), 6795. https://doi.org/10.3390/ijms21186795

Wójcik, P., Gęgotek, A., Žarković, N., & Skrzydlewska, E. (2021). Disease-Dependent Antiapoptotic Effects of Cannabidiol for Keratinocytes Observed upon UV Irradiation. International journal of molecular sciences, 22(18), 9956. https://doi.org/10.3390/ijms22189956

Downloads

Publicado

18/09/2022

Como Citar

COIMBRA, B. Z. .; BERTOZZI, J. G. .; BORGES, E. D. .; PITLIUK, R.; FUCCI, T. P. P. da C. S. .; ABREU , M. A. M. M. de . Canabinóides como possível alternativa no tratamento de psoríase . Research, Society and Development, [S. l.], v. 11, n. 11, p. e450111134651, 2022. DOI: 10.33448/rsd-v11i11.34651. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/34651. Acesso em: 21 nov. 2024.

Edição

Seção

Artigos de Revisão