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Published on: November 5, 2021
CB2 receptor-selective agonists as candidates for targeting infection, inflammation, and immunity in SARS-CoV-2
M F Nagoor Meeran1, Charu Sharma2, Sameer N Goyal3
1Department of Pharmacology and Therapeutics, College of Medicine and Health Sciences, United Arab Emirates University, P.O. Box - 17666, Al Ain, United Arab Emirates.
Abstract:
The COVID-19 pandemic caused by SARS-CoV-2 is a deadly disease afflicting millions. The pandemic continues affecting population due to nonavailability of drugs and vaccines. The pathogenesis and complications of infection mainly involve hyperimmune-inflammatory responses. Thus, therapeutic strategies rely on repurposing of drugs aimed at reducing infectivity and inflammation and modulate immunity favourably. Among, numerous therapeutic targets, the endocannabinoid system, particularly activation of cannabinoid type-2 receptors (CB2R) emerged as an important one to suppress the hyperimmune-inflammatory responses. Recently, potent antiinflammatory, antiviral and immunomodulatory properties of CB2R selective ligands of endogenous, plant, and synthetic origin were showed mediating CB2R selective functional agonism. CB2R activation appears to regulate numerous signaling pathways to control immune-inflammatory mediators including cytokines, chemokines, adhesion molecules, prostanoids, and eicosanoids. Many CB2R ligands also exhibit off-target effects mediating activation of PPARs, opioids, and TRPV, suggestive of adjuvant use with existing drugs that may maximize efficacy synergistically and minimize therapeutic doses to limit adverse/ side effects. We hypothesize that CB2R agonists, due to immunomodulatory, antiinflammatory, and antiviral properties may show activity against COVID-19. Based on the organoprotective potential, relative safety, lack of psychotropic effects, and druggable properties, CB2R selective ligands might make available promising candidates for further investigation.
Insights
Cannabinoid type-2 receptor (CB2R) agonists show potential for treating COVID-19 by reducing inflammation and viral activity. Their immunomodulatory properties offer a promising therapeutic avenue against SARS-CoV-2 infection.
Area of Science:
- Immunology
- Pharmacology
- Virology
Background:
- COVID-19, caused by SARS-CoV-2, presents a global health challenge due to a lack of effective drugs and vaccines.
- The severe illness is characterized by hyperimmune-inflammatory responses, necessitating therapeutic strategies that reduce infectivity and modulate immunity.
- The endocannabinoid system, specifically cannabinoid type-2 receptors (CB2R), is a key target for suppressing these detrimental inflammatory responses.
Purpose of the Study:
- To explore the potential of CB2R agonists as a therapeutic strategy against COVID-19.
- To investigate the anti-inflammatory, antiviral, and immunomodulatory properties of CB2R selective ligands.
- To evaluate the feasibility of repurposing drugs targeting the CB2R for COVID-19 treatment.
Main Methods:
- Review of existing literature on CB2R ligands and their effects on inflammatory and viral pathways.
- Analysis of the mechanisms by which CB2R activation influences immune mediators like cytokines and chemokines.
- Exploration of potential off-target effects and synergistic interactions with existing drugs.
Main Results:
- CB2R selective ligands demonstrate potent anti-inflammatory, antiviral, and immunomodulatory effects.
- Activation of CB2R regulates key signaling pathways involved in immune responses, including cytokines and chemokines.
- Some CB2R ligands exhibit beneficial off-target effects, suggesting potential for adjuvant therapy.
Conclusions:
- CB2R agonists possess significant immunomodulatory, anti-inflammatory, and antiviral properties relevant to combating COVID-19.
- Selective CB2R ligands represent promising candidates for further investigation due to their therapeutic potential, safety profile, and druggability.
- Targeting CB2R may offer a novel approach to managing SARS-CoV-2 infection and its associated complications.
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