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How gut microbes and the endocannabinoid system shape metabolic health
Metabolic Syndrome: From Mechanisms to Therapeutic Interventions.
AI Summary
Metabolic syndrome is a cluster of risk factors linked to later cardiovascular and cerebrovascular disease. This review describes how insulin resistance, chronic low-grade inflammation, oxidative stress, and epigenetic changes may drive related conditions, including obesity, diabetes, hypertension, abnormal blood lipids, chronic kidney disease, and metabolic dysfunction-associated steatotic liver disease. The abstract reports no quantitative results or newly tested clinical outcomes.
A major focus is the gut–adipose tissue axis, involving signals from fat cells, gut microbes, and molecules such as endocannabinoids, bile acids, short-chain fatty acids, and bacterial lipopolysaccharide. The authors discuss established treatments, including GLP-1 receptor agonists, SGLT2 inhibitors, and RAAS inhibitors, alongside emerging approaches such as lifestyle changes, prebiotics, probiotics, bariatric surgery, and CB1 receptor antagonists. For cannabis users, an important distinction is that this review discusses the body’s endocannabinoid system and drugs that block CB1 receptors—not evidence that cannabis, THC, or CBD treats metabolic syndrome. Further research is needed before these cannabinoid-related strategies can be considered established treatments.
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