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Chapter category: Neuropharmacology

Cannabinoids and Medicine II: The Role of Cannabinoids in Multiple Sclerosis and Neuronal Damage

This chapter appears in the following book:

Cannabinoids

Edited by: Vincenzo Di Marzo
ISBN: 0-306-48228-2
» Get more information about this book at landesbioscience.com «

Chapter authors:
Gareth Pryce and David Baker

It is becoming increasingly clear that many neurological diseases share common mechanisms of neurotoxicity and one of primary importance appears to be perturbation of glutamate signaling resulting in excitotoxic neuronal death. The location of these events and the type of neuronal damage leads to the clinical manifestation of each disease. Cannabinoids can regulate neurotransmitter release and signaling and elements of oxidative stress that may be neurotoxic in excess. There may a number of neurological diseases including multiple sclerosis, which should be amenable to cannabinoid therapy, not only for symptom relief but also as neuroprotective strategies to modulate disease progression. Cannabinoids may be particularly attractive as they display low toxicity and with correct dose titration should be well tolerated. In addition, agents that enhance endocannabinoid levels that are already elevated at sites of injury may also be an attractive approach, as it will bring a more targeted strategy of action whilst potentially limiting unwanted psychoactive side effects.

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