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Insights into the effects of the endocannabinoid system in cancer: a review
Ana Isabel Fraguas-Sánchez1, Cristina Martín-Sabroso1, Ana Isabel Torres-Suárez1,2
1Department of Pharmaceutical Technology, Faculty of Pharmacy, Complutense University of Madrid, Madrid, 28040, Spain.
Abstract:
In the last few decades, the endocannabinoid system has attracted a great deal of interest in terms of its applications to clinical medicine. In particular, its applications in cancer probably represent one of the therapeutic areas with most promise. On the one hand, expression of the endocannabinoid system is altered in numerous types of tumours, compared to healthy tissue, and this aberrant expression has been related to cancer prognosis and disease outcome, suggesting a role of this system in tumour growth and progression that depends on cancer type. On the other hand, cannabinoids exert an anticancer activity by inhibiting the proliferation, migration and/or invasion of cancer cells and also tumour angiogenesis. However, some cannabinoids, at lower concentrations, may increase tumour proliferation, inducing cancer growth. Enough data has been provided to consider the endocannabinoid system as a new therapeutic target in cancer, although further studies to fully establish the effect of cannabinoids on tumour progression are still needed.
Insights
The endocannabinoid system shows promise as a cancer therapeutic target. While cannabinoids can inhibit cancer growth, some may paradoxically promote it, requiring further research.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- The endocannabinoid system (ECS) is increasingly recognized for its clinical medicine applications.
- The ECS plays a significant role in cancer, with altered expression linked to prognosis and disease outcome.
- Aberrant ECS expression varies by cancer type, influencing tumor growth and progression.
Purpose of the Study:
- To explore the therapeutic potential of the endocannabinoid system in oncology.
- To investigate the dual role of cannabinoids in cancer progression.
Main Methods:
- Review of existing literature on ECS expression in tumors.
- Analysis of studies detailing cannabinoid effects on cancer cell proliferation, migration, invasion, and angiogenesis.
- Examination of research on dose-dependent effects of cannabinoids on tumor growth.
Main Results:
- Endocannabinoid system expression is altered in various tumors compared to healthy tissues.
- Cannabinoids demonstrate anticancer activities, including inhibition of proliferation, migration, invasion, and angiogenesis.
- Lower concentrations of certain cannabinoids may stimulate tumor proliferation and growth.
Conclusions:
- The endocannabinoid system presents a promising new therapeutic target for cancer treatment.
- Further research is necessary to fully elucidate the complex effects of cannabinoids on tumor progression and to establish optimal therapeutic strategies.
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