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Understanding the Modulatory Effects of Cannabidiol on Alzheimer's Disease
Yinyi Xiong1,2, Chae-Seok Lim1
1Department of Pharmacology, Wonkwang University School of Medicine, Iksan 54538, Korea.
Abstract:
Alzheimer's disease (AD), the most common neurodegenerative disease, is characterized by progressive cognitive impairment. The deposition of amyloid beta (Aβ) and hyperphosphorylated tau is considered the hallmark of AD pathology. Many therapeutic approaches such as Food and Drug Administration-approved cholinesterase inhibitors and N-methyl-D-aspartate receptor antagonists have been used to intervene in AD pathology. However, current therapies only provide limited symptomatic relief and are ineffective in preventing AD progression. Cannabidiol (CBD), a phytocannabinoid devoid of psychoactive responses, provides neuroprotective effects through both cannabinoid and noncannabinoid receptors. Recent studies using an AD mouse model have suggested that CBD can reverse cognitive deficits along with Aβ-induced neuroinflammatory, oxidative responses, and neuronal death. Furthermore, CBD can reduce the accumulation of Aβ and hyperphosphorylation of tau, suggesting the possibility of delaying AD progression. Particularly, the noncannabinoid receptor, peroxisome proliferator-activated receptor gamma, has been suggested to be involved in multiple functions of CBD. Therefore, understanding the underlying mechanisms of CBD is necessary for intervening in AD pathology in depth and for the translation of preclinical studies into clinical settings. In this review, we summarize recent studies on the effect of CBD in AD and suggest problems to be overcome for the therapeutic use of CBD.
Insights
Cannabidiol (CBD) shows promise in reversing cognitive decline and reducing key Alzheimer's disease (AD) markers like amyloid beta and tau pathology. Further research into CBD's mechanisms could lead to effective AD therapies.
Area of Science:
- Neuroscience
- Pharmacology
- Biochemistry
Background:
- Alzheimer's disease (AD) is a progressive neurodegenerative disorder marked by amyloid beta (Aβ) and tau pathology, with current treatments offering limited efficacy.
- Existing therapies for AD provide symptomatic relief but do not halt disease progression.
- Cannabidiol (CBD), a non-psychoactive phytocannabinoid, exhibits neuroprotective properties via multiple receptor pathways.
Purpose of the Study:
- To review recent studies on the therapeutic effects of Cannabidiol (CBD) in Alzheimer's disease (AD).
- To explore the potential of CBD in mitigating AD pathology, including cognitive deficits, neuroinflammation, and protein aggregation.
- To identify challenges and future directions for translating CBD's preclinical benefits into clinical applications for AD.
Main Methods:
- Review of preclinical studies investigating CBD's effects in Alzheimer's disease models.
- Analysis of research focusing on CBD's impact on amyloid beta (Aβ) accumulation and tau hyperphosphorylation.
- Examination of studies exploring CBD's interaction with cannabinoid and non-cannabinoid receptors, such as peroxisome proliferator-activated receptor gamma.
Main Results:
- CBD has demonstrated efficacy in reversing cognitive deficits in AD mouse models.
- CBD treatment reduced neuroinflammatory and oxidative stress responses associated with Aβ.
- CBD administration led to decreased Aβ deposition and tau hyperphosphorylation, suggesting a potential to slow AD progression.
Conclusions:
- Cannabidiol (CBD) exhibits significant potential as a therapeutic agent for Alzheimer's disease (AD) by addressing core pathological hallmarks.
- CBD's ability to reverse cognitive deficits and reduce Aβ and tau pathology warrants further investigation.
- Understanding the precise mechanisms of CBD, particularly its interaction with receptors like PPARγ, is crucial for clinical translation.
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