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.

Drug Development Research
|November 15, 2020
PubMed

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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