2008
DOI: 10.1186/ar2401
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Characterisation of the cannabinoid receptor system in synovial tissue and fluid in patients with osteoarthritis and rheumatoid arthritis

Abstract: Introduction Cannabis-based medicines have a number of therapeutic indications, including anti-inflammatory and analgesic effects. The endocannabinoid receptor system, including the cannabinoid receptor 1 (CB 1 ) and receptor 2 (CB 2 ) and the endocannabinoids, are implicated in a wide range of physiological and pathophysiological processes. Pre-clinical and clinical studies have demonstrated that cannabis-based drugs have therapeutic potential in inflammatory diseases, including rheumatoid arthritis (RA) and … Show more

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Cited by 269 publications
(298 citation statements)
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References 64 publications
(63 reference statements)
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“…Our current lack of knowledge about how arthritis joint pathology impacts on the expression of cannabinoid receptors, both on peripheral nerves and on local cells within the knee joint, hinders the further interpretation of these studies at this point in time. We have demonstrated the expression of cannabinoid CB1 and CB2 receptors in the synovial tissue of patients with RA and OA [77], but the extent by which peripheral cannabinoid receptors present in the synovium modulate arthritis-induced pain remains unknown.…”
Section: Cb2 Receptor Modulation Of Spinal Immune Cell Functionmentioning
confidence: 99%
“…Our current lack of knowledge about how arthritis joint pathology impacts on the expression of cannabinoid receptors, both on peripheral nerves and on local cells within the knee joint, hinders the further interpretation of these studies at this point in time. We have demonstrated the expression of cannabinoid CB1 and CB2 receptors in the synovial tissue of patients with RA and OA [77], but the extent by which peripheral cannabinoid receptors present in the synovium modulate arthritis-induced pain remains unknown.…”
Section: Cb2 Receptor Modulation Of Spinal Immune Cell Functionmentioning
confidence: 99%
“…Processing of NAAA renders a cysteine residue (Cys131 in mice and rats and Cys126 in humans) the N-terminal amino acid and catalytic nucleophile. 18,21,22 Pharmacological blockade of intracellular NAAA activity results in a normalization of OEA and PEA levels, which are markedly reduced in inflammatory states, 18,23,24 and exerts profound anti-inflammatory effects in animal models. 18 These findings suggest that NAAA inhibition might represent a novel mechanistic approach to control inflammation.…”
mentioning
confidence: 99%
“…Similarly, systemic administration of the CB2 agonist, JWH133, suppressed pain and corrected deviation in circulating pro-and anti-inflammatory cytokines in the rat MIA model (43). These anti-inflammatory effects are limited by the rapid cellular uptake and degradation of endocannabinoid metabolites but can be overcome through the inhibition of the catabolic enzyme FAAH allowing longer physiological effects (35). In-vivo studies by Krustev et al (64) reported that FAAH inhibition with compound URB597 can elevate tissue concentrations of AEA by inhibiting local endocannabinoid degradation and dampen inflammatory pain in rodent models of OA.…”
Section: Was Shown That Aea Can Inhibit Tnf-α-induced Nf-κβ Activatiomentioning
confidence: 99%
“…The altered neuronal activity, also known as neuronal plasticity, is collectively believed to constitute the foundation of rheumatic pain and is characterized by hyperalgesia, an elevated noxious response to painful stimuli, and allodynia, a painful response to a normally mild and harmless stimulus. The primary components of the endocannabinoid signaling system (CB1, CB2, and FAAH) are characteristically expressed in the synovium of both osteoarthritic (OA) and rheumatoid arthritic (RA) patients, with compelling evidence to demonstrate an active participation in the pathophysiology of joint pain (35). Preclinical and clinical studies support the therapeutic application of cannabinoids in the treatment of chronic pain, and to date, patients suffering from chronic arthritic and musculoskeletal pain represent the most prevalent users of medicinal cannabis (36).…”
Section: Endocannabinoids and Arthritic Painmentioning
confidence: 99%