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Medicinal Cannabis and the Intestinal Microbiome
Luis Vitetta1,2,3, Tamara Nation2, Debbie Oldfield2,3
1Faculty of Medicine and Health, The University of Sydney, Sydney 2006, Australia.
Medicinal cannabis components interact with the gut microbiome and the body's endocannabinoid system (ECS). This interaction influences gut health, immunity, and neurological pathways, offering potential therapeutic benefits.
Area of Science:
- Integrative medicine
- Neurogastroenterology
- Pharmacology
Background:
- Cannabis has a long history of medicinal, food, and recreational use.
- Cannabis compounds can alleviate pain, inflammation, mood disorders, and gastrointestinal issues.
- The gut-microbiota-brain axis facilitates communication between the central and enteric nervous systems.
Purpose of the Study:
- To explore the connection between the endocannabinoid system, gut microbiota, and medicinal cannabinoids.
- To propose an exogenous cannabinoid-intestinal microbiota-endocannabinoid system axis.
- To advance an integrative medicine model for prescribing medicinal cannabis.
Main Methods:
- Review of existing clinical evidence on the endocannabinoid system and gut microbiota.
- Conceptualization of the exogenous cannabinoid-intestinal microbiota-endocannabinoid system axis.
- Proposal of an integrative medicine model.
Main Results:
- The endocannabinoid system plays a key role in regulating immune responses, intestinal homeostasis, and barrier integrity.
- The gut microbiota influences neurological, endocrine, and immunological functions via the gut-microbiota-brain axis.
- Medicinal cannabinoids and the intestinal microbiome can potentiate the endocannabinoid system's actions.
Conclusions:
- An exogenous cannabinoid-intestinal microbiota-endocannabinoid system axis is proposed, highlighting the microbiome's role.
- Medicinal cannabinoids may enhance the endocannabinoid system's mechanism of action.
- An integrative medicine approach to medicinal cannabis may yield beneficial health outcomes.
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