Riesgos inducidos por la mariguana recreativa vs. la utilidad de los cannabinoides en el COVID-19

Contenido principal del artículo

Andrea Herrera Solís
Rodolfo Sánchez-Zavaleta
Alejandra Evelyn Ruiz-Contreras
Jacqueline Cortés Morelos
Mónica Méndez Díaz
Oscar Prospéro García

Resumen

Introducción: la pandemia originada por el virus SARS-CoV-2 ha ocasionado una crisis en el sector salud debido a la falta de recursos médicos y farmacológicos para tratar la enfermedad de COVID-19. Hallazgos recientes han mostrado que algunos compuestos provenientes de la cannabis pueden reducir el ingreso del virus SARS-CoV-2 a las células hospederas. Esto evita la tormenta de citocinas proinflamatorias, por lo que se les considera fármacos con potencial para el tratamiento del COVID-19. Por otro lado, el consumo recreativo regular o crónico de cannabis puede facilitar la infección por SARS-CoV-2, al deprimir el sistema inmune y promover la tormenta de citocinas proinflamatorias, lo que podría empeorar la enfermedad.


Objetivo: discutir los mecanismos de acción que se proponen para el uso de cannabinoides en el tratamiento del COVID-19 y la diferencia que hay entre los efectos inmunológicos producidos por el consumo recreativo crónico de la mariguana y el uso farmacológico de los compuestos aislados y purificados de la cannabis para el tratamiento de esta enfermedad.


Método: se consultaron los artículos científicos más recientes publicados en PubMed, en los que se estudiaron los efectos de cannabinoides con relación al virus del SARS-CoV-2, así como publicaciones sobre los efectos del consumo crónico de cannabis en el sistema inmune.


Discusión y conclusiones: el alto y frecuente uso de mariguana podría empeorar la enfermedad producida por el SARS-CoV-2, mientras que la utilización de los derivados aislados y purificados la pueden atenuar.

Palabras clave:
COVID-19 ,  SARS-CoV-2 ,  Abuso de marihuana ,  Cannabis ,  Cannabinoides
Publicado: may 15, 2023

Detalles del artículo

Cómo citar
Herrera Solís, A., Sánchez-Zavaleta, R., Ruiz-Contreras, A. E., Cortés Morelos, J., Méndez Díaz, M., & Prospéro García, O. (2023). Riesgos inducidos por la mariguana recreativa vs. la utilidad de los cannabinoides en el COVID-19. Revista Internacional De Investigación En Adicciones, 9(1), 113–119. https://doi.org/10.28931/riiad.2023.1.11
Sección
Opiniones de expertos

Citas

Almogi-Hazan, O., & Or, R. (2020). Cannabis, the Endocannabinoid System and Immunity-the Journey from the Bedside to the Bench and Back. International Journal of Molecular Sciences, 21(12), 4448. https://doi.org/10.3390/ijms21124448

Anil, S. M., Shalev, N., Vinayaka, A. C., Nadarajan, S., Namdar, D., Belausov, E., Shoval, I., Mani, K. A., Mechrez, G., & Koltai, H. (2021). Cannabis compounds exhibit anti-inflammatory activity in vitro in COVID-19-related inflammation in lung epithelial cells and pro-inflammatory activity in macrophages. Scientific Reports, 11(1), 1462. https://doi.org/10.1038/s41598-021-81049-2

Assiri, S. A., Althaqafi, R. M. M., Alswat, K., Alghamdi, A. A., Alomairi, N. E., Nemenqani, D. M., Ibrahim, Z. S., & Elkady, A. (2022). Post COVID-19 Vaccination-Associated Neurological Complications. Neuropsychiatric Disease and Treatment, 18, 137-154. https://doi.org/10.2147/ndt.s343438

Bayazit, H., Selek, S., Karababa, I. F., Cicek, E., & Aksoy, N. (2017). Evaluation of Oxidant/Antioxidant Status and Cytokine Levels in Patients with Cannabis Use Disorder. Clinical Psychopharmacology and Neuroscience, 15(3), 237-242. https://doi.org/10.9758/cpn.2017.15.3.237

Bilotta, C., Perrone, G., Adelfio, V., Spatola, G. F., Uzzo, M. L., Argo, A., & Zerbo, S. (2021). COVID-19 Vaccine-Related Thrombosis: A Systematic Review and Exploratory Analysis. Frontiers in Immunology, 12. https://doi.org/10.3389/fimmu.2021.729251

Cravatt, B. F., Prospéro-García, Ó., Siuzdak, G., Gilula, N. B., Henriksen, S. J., Boger, D. L., & Lerner, R. A. (1995). Chemical characterization of a family of brain lipids that induce sleep. Science, 268(5216), 1506-1509. https://doi.org/10.1126/science.7770779

Darwish, I., Mubareka, S., & Liles, W. C. (2011). Immunomodulatory therapy for severe influenza. Expert Review of Anti-infective Therapy, 9(7), 807-822. https://doi.org/10.1586/eri.11.56

De Almeida, D. L., & Devi, L. A. (2020). Diversity of molecular targets and signaling pathways for CBD. Pharmacology Research & Perspectives, 8(6), e00682. https://doi.org/10.1002/prp2.682

Dionisi, M., Alexander, S. P., & Bennett, A. J. (2012). Oleamide activates peroxisome proliferator-activated receptor gamma (PPARgamma) in vitro. Lipids in Health and Disease, 11(1), 51. https://doi.org/10.1186/1476-511x-11-51

Hegde, V. L., Singh, U. P., Nagarkatti, P. S., & Nagarkatti, M. (2015). Critical Role of Mast Cells and Peroxisome Proliferator-Activated Receptor gamma in the Induction of Myeloid-Derived Suppressor Cells by Marijuana Cannabidiol In Vivo. The Journal of Immunology, 194(11), 5211-5222. https://doi.org/10.4049/jimmunol.1401844

Hernández-Cervantes, R., Pérez-Torres, A., Prospéro-García, Ó., & Morales Montor, J. (2019). Gestational exposure to the cannabinoid WIN 55,212-2 and its effect on the innate intestinal immune response. Scientific Reports, 9(1), 20340. https://doi.org/10.1038/s41598-019-56653-y

Jean-Gilles, L., Braitch, M., Latif, M. L., Aram, J., Fahey, A. J., Edwards, L. J., Robins, R. A., Tanasescu, R., Tighe, P. J., Gran, B., Showe, L. C., Alexander, S. P., Chapman, V., Kendall, D. A., & Constantinescu, C. S. (2015). Effects of pro-inflammatory cytokines on cannabinoid CB1 and CB2 receptors in immune cells. Acta Physiologica, 214(1), 63-74. https://doi.org/10.1111/apha.12474

Kaczynski, M., & Mylonakis, E. (2022). 80% of patients with COVID-19 have >/=1 long-term effect at 14 to 110 d after initial symptoms. Annals of Internal Medicine, 175(1), JC10. https://doi.org/10.7326/j21-0007

Liu, X., Wang, H., Shi, S., & Xiao, J. (2021). Association between IL-6 and severe disease and mortality in COVID-19 disease: a systematic review and meta-analysis. Postgraduate Medical Journal, 98(1165), 871-879. https://doi.org/10.1136/postgradmedj-2021-139939

Lowe, H. I., Toyang, N. J., & McLaughlin, W. (2017). Potential of Cannabidiol for the Treatment of Viral Hepatitis. Pharmacognosy Research, 9(1), 116-118. https://doi.org/10.4103/0974-8490.199780

Mabou Tagne, A., Marino, F., Legnaro, M., Luini, A., Pacchetti, B., & Cosentino, M. (2019). A Novel Standardized Cannabis sativa L. Extract and Its Constituent Cannabidiol Inhibit Human Polymorphonuclear Leukocyte Functions. International Journal of Molecular Sciences, 20(8) 1833. https://doi.org/10.3390/ijms20081833

Mamoon, N. & Rasskin, G. (s.f.). COVID-19 Visualizer. Recuperado el 6 de junio 2022 de https://www.covidvisualizer.com

Mancuso, P., Venturelli, F., Vicentini, M., Perilli, C., Larosa, E., Bisaccia, E., Bedeschi, E., Zerbini, A., & Rossi, P. G. (2020). Temporal profile and determinants of viral shedding and of viral clearance confirmation on nasopharyngeal swabs from SARS-CoV-2-positive subjects: a population-based prospective cohort study in Reggio Emilia, Italy. BMJ Open, 10(8), e040380. https://doi.org/10.1136/bmjopen-2020-040380

Naresh, G., & Guruprasad, L. (2022). Mutations in the receptor-binding domain of human SARS CoV-2 spike protein increases its affinity to bind human ACE-2 receptor. Journal of Biomolecular Structure and Dynamics, 1-14. https://doi.org/10.1080/07391102.2022.2032354

Nguyen, L. C., Yang, D., Nicolaescu, V., Best, T. J., Gula, H., Saxena, D., Gabbard, J. D., Chen, S. N., Ohtsuki, T., Friesen, J. B., Drayman, N., Mohamed, A., Dann, C., Silva, D., Robinson-Mailman, L., Valdespino, A., Stock, L., Suárez, E., Jones, K. A., … Rosner, M. R. (2022). Cannabidiol inhibits SARS-CoV-2 replication through induction of the host ER stress and innate immune responses. Science Advances, 8(8), eabi6110. https://doi.org/10.1126/sciadv.abi6110

Nguyen, L. C., Yang, D., Nicolaescu, V., Best, T. J., Ohtsuki, T., Chen, S. N., Brent, J., Drayman, N., Mohamed, A., Dann, C., Silva, D., Gula, H., Jones, K., Millis, J., Dickinson, B., Tay, S., Oakes, S., Pauli, G., Meltzer, D., Randall, G., & Rosner, M. (2021). Cannabidiol Inhibits SARS-CoV-2 Replication and Promotes the Host Innate Immune Response. bioRxiv. 2021.03.10.432967 https://doi.org/10.1101/2021.03.10.432967

Nichols, J. M., & Kaplan, B. L. F. (2020). Immune Responses Regulated by Cannabidiol. Cannabis Cannabinoid Research, 5(1), 12-31. https://doi.org/10.1089/can.2018.0073

Peluso, M. J., Kelly, J. D., Lu, S., Goldberg, S. A., Davidson, M. C., Mathur, S., Durstenfeld, M. S., Spinelli, M. A., Hoh, R., Tai, V., Fehrman, E. A., Torres, L., Hernandez, Y., Williams, M. C., Arreguin, M. I., Ngo, L. H., Deswal, M., Munter, S. E., Martinez, E. O., … Martin, J. N. (2021). Persistence, Magnitude, and Patterns of Postacute Symptoms and Quality of Life Following Onset of SARS-CoV-2 Infection: Cohort Description and Approaches for Measurement. Open Forum Infectious Disease, 9(2). https://doi.org/10.1093/ofid/ofab640

Prospéro-García, Ó., Ruiz Contreras, A. E., Ortega Gomez, A., Herrera-Solis, A., Mendez-Diaz, M. (2019). Endocannabinoids as Therapeutic Targets. Archives of Medical Research, 50(8), 518-526. https://doi.org/10.1016/j.arcmed.2019.09.005

Rambaut, A., Holmes, E. C., O’Toole, A., Hill, V., McCrone, J. T., Ruis, C., du Plessis, L., & Pybus, O. G. (2020). A dynamic nomenclature proposal for SARS-CoV-2 lineages to assist genomic epidemiology. Nature Microbiology, 5(11), 1403-1407. https://doi.org/10.1038/s41564-020-0770-5

Ribeiro, A., Almeida, V. I., Costola-de-Souza, C., Ferraz-de-Paula, V., Pinheiro, M. L., Vitoretti, L. B., Gimenes-Junior, J. A., Akamine, A. T., Crippa, J. A., Tavares-de-Lima, W., & Palermo-Neto, J. (2014). Cannabidiol improves lung function and inflammation in mice submitted to LPS-induced acute lung injury. Immunopharmacology and Immunotoxicology, 37(1), 35-41. https://doi.org/10.3109/08923973.2014.976794

Rizzo, M. D., Crawford, R. B., Bach, A., Sermet, S., Amalfitano, A., & Kaminski, N. E. (2019). Δ9Tetrahydrocannabinol Suppresses Monocyte-Mediated Astrocyte Production of Monocyte Chemoattractant Protein 1 and Interleukin-6 in a Toll-Like Receptor 7-Stimulated Human Coculture. Journal of Pharmacology and Experimental Therapeutics, 371(1), 191-201. https://doi.org/10.1124/jpet.119.260661

Staiano, R. I., Loffredo, S., Borriello, F., Iannotti, F. A., Piscitelli, F., Orlando, P., Secondo, A., Granata, F., Lepore, M. T., Fiorelli, A., Varricchi, G., Santini, M., Triggiani, M., Di Marzo, V., & Marone, G. (2015). Human lung-resident macrophages express CB1 and CB2 receptors whose activation inhibits the release of angiogenic and lymphangiogenic factors. Journal of Leukocyte Biology, 99(4), 531-540. https://doi.org/10.1189/jlb.3hi1214-584r

Tisoncik, J. R., Korth, M. J., Simmons, C. P., Farrar, J., Martin, T. R., & Katze, M. G. (2012). Into the eye of the cytokine storm. Microbiology and Molecular Biology Reviews, 76(1), 16-32. https://doi.org/10.1128/mmbr.05015-11

van Breemen, R. B., Muchiri, R. N., Bates, T. A., Weinstein, J. B., Leier, H. C., Farley, S., & Tafesse, F. G. (2022). Cannabinoids Block Cellular Entry of SARS-CoV-2 and the Emerging Variants. Journal of Natural Products, 85(1), 176-184. https://doi.org/10.1021/acs.jnatprod.1c00946

Yang, Y., Shen, C., Li, J., Yuan, J., Yang, M., Wang, F., Li, G., Li, Y., Xing, L., Peng, L., Wei, J., Cao, M., Zheng, H., Wu, W., Zou, R., Li, D., Xu, Z., Wang, H., Zhang, M., … Liu, Y. (2020). Exuberant elevation of IP-10, MCP-3 and IL-1ra during SARS-CoV-2 infection is associated with disease severity and fatal outcome. medRxiv, 2020.03.02.20029975. https://doi.org/10.1101/2020.03.02.20029975