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Cannabinoids and Chronic Liver Diseases.

Ralph-Sydney Mboumba Bouassa1,2, Giada Sebastiani2,3,4, Vincenzo Di Marzo5,6,7,8

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Area of Science:

  • Hepatology and Pharmacology
  • Endocannabinoid System Research

Background:

  • Chronic liver diseases (CLDs), including nonalcoholic fatty liver disease (NAFLD), alcohol-induced liver disease (ALD), and viral hepatitis, are major global health concerns.
  • These diverse CLDs share common features like metabolic dysregulation, hepatic endocannabinoid system (eCBS) perturbation, and inflammation.

Purpose of the Study:

  • To explore the therapeutic potential of targeting the hepatic eCBS for managing CLDs.
  • To review the evidence for cannabis derivatives in providing hepatoprotective effects against CLDs.

Main Methods:

  • Review of experimental models of CLDs.
  • Analysis of observational studies in humans.
  • Evaluation of existing clinical trial data on phytocannabinoids.

Main Results:

  • Experimental and observational data suggest potential hepatoprotective effects of cannabis derivatives against CLDs.
  • Clinical trials on prominent phytocannabinoids like cannabidiol and tetrahydrocannabivarin have yielded inconclusive results.

Conclusions:

  • The hepatic eCBS presents a promising therapeutic target for CLDs.
  • Further research into less-studied phytocannabinoids and their metabolic mechanisms is needed for novel CLD therapeutics.