title: Cannabinoids and haemostasis.
abstract: Elements of the endocannabinoid system (cannabinoid receptors CB1, CB2, CBPT and CBED, endocannabinoids, enzymes involved in the synthesis and metabolism of endocannabinoids) are located on the structures involved in the process of hemostasis. An increasing level of endocannabinoids was also observed in some pathological conditions, which may occur in disorders of hemostasis. At the same time, disconcertingly, there is an increased number of reports about incidents of cardiovascular events in smokers of marijuana. Experimental and clinical studies demonstrated multidirectional, often contradictory, effects of cannabinoids on hemostasis, including effects of the compounds on platelets, vascular endothelium, fibrinolysis and plasma coagulation systems. The mechanisms of action of cannabinoids on homeostasis depend on the cannabinoid receptors CB1, CB2, CBPT and CBED, receptors of other systems stimulated by endocannabinoids, as well as metabolites of endocannabinoids and nitrogen oxide. The range of biological functions of endo- and plant cannabinoids, expanded to include the process of hemostasis, may constitute a condition for their recognition as a new factor responsible for thromboembolism in smokers of marijuana, in pathological disorders with increased levels of endocannabinoids and in individuals with polymorphisms of FAAH C385A and A385A. On the other hand, there are compelling reasons for anti‑hemostatic action of cannabinoids.
authors.affiliation: Samodzielna Pracownia Biofarmacji, Uniwersytet Medyczny w Białymstoku.
authors.forename: Agnieszka
authors.initials: A
authors.lastname: Zakrzeska
authors.affiliation: Samodzielna Pracownia Biofarmacji, Uniwersytet Medyczny w Białymstoku.
authors.forename: Tomasz
authors.initials: T
authors.lastname: Grędziński
authors.affiliation: Samodzielna Pracownia Biofarmacji, Uniwersytet Medyczny w Białymstoku.
authors.forename: Wioleta
authors.initials: W
authors.lastname: Kisiel
authors.affiliation: Samodzielna Pracownia Biofarmacji, Uniwersytet Medyczny w Białymstoku.
authors.forename: Ewa
authors.initials: E
authors.lastname: Chabielska
mesh_terms: D063385:Cannabinoid Receptor Modulators / Q000032:analysis*; D002186:Cannabinoids / Q000032:analysis*; D002188:Cannabis / Q000737:chemistry; D063388:Endocannabinoids / Q000032:analysis*; D004730:Endothelium, Vascular / Q000187:drug effects*; D006487:Hemostasis / Q000187:drug effects*; D006801:Humans; D043882:Receptors, Cannabinoid / Q000032:analysis / Q000187:drug effects*
chemical_list: D063385:Cannabinoid Receptor Modulators; D002186:Cannabinoids; D063388:Endocannabinoids; D043882:Receptors, Cannabinoid