Cannabinoids may calm immune activity, but evidence remains limited
[Clinical immunomodulatory effects of cannabinoids in autoimmune diseases in internal medicine : A literature review].
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This literature review examines how cannabis-derived compounds may influence the immune system in autoimmune disease. It describes the endocannabinoid system, including CB1 receptors found mainly in the nervous system and CB2 receptors expressed notably by immune cells and the spleen. The main phytocannabinoids, THC and CBD, are linked to effects such as reduced inflammation, pain relief, and altered neurotransmitter release. Cannabinoid-based medicines are currently used mainly to manage symptoms including multiple-sclerosis spasticity, neuropathic pain, and epilepsy.
Laboratory and human evidence suggests cannabinoids can inhibit the multiplication of CD4+ T cells and B cells and encourage a shift toward a Th2 immune profile, associated with lower production of pro-inflammatory cytokines. However, the review emphasizes that clinical research in autoimmune diseases remains scarce, and the available evidence is heterogeneous. No quantitative results are reported in the abstract, so cannabinoids should not be viewed as established treatments for autoimmune disease; further basic and clinical research is needed to clarify their benefits, risks, and appropriate use.
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