CB2 and GPR55 Receptors as Therapeutic Targets for Systemic Immune Dysregulation.
The endocannabinoid system (ECS) is involved in many physiological processes and has been suggested to play a critical role in the immune response and the central nervous system (CNS). Therefore, ECS modulation has potential therapeutic effects on immune dysfunctional disorders, such as sepsis and CNS injury-induced immunodeficiency syndrome (CIDS). In sepsis, excessive release of pro- and anti-inflammatory mediators results in multi-organ dysfunction, failure, and death. In CIDS, an acute CNS injury dysregulates a normally well-balanced interplay between CNS and the immune system, leading to increased patients' susceptibility to infections. In this review, we will discuss potential therapeutic modulation of the immune response in sepsis and CNS injury by manipulation of the ECS representing a novel target for immunotherapy.
Department of Anesthesia, Dalhousie UniversityHalifax, NS, Canada; Department of Microbiology and Immunology, Dalhousie UniversityHalifax, NS, Canada.
Juan
J
Zhou
Department of Anesthesia, Dalhousie UniversityHalifax, NS, Canada; Department of Pharmacology, Dalhousie UniversityHalifax, NS, Canada.
Ian
I
Burkovskiy
Department of Anesthesia, Dalhousie UniversityHalifax, NS, Canada; Department of Microbiology and Immunology, Dalhousie UniversityHalifax, NS, Canada.
Hyewon
H
Yang
Department of Anesthesia, Dalhousie University Halifax, NS, Canada.
Joel
J
Sardinha
Department of Anesthesia, Dalhousie UniversityHalifax, NS, Canada; Department of Microbiology and Immunology, Dalhousie UniversityHalifax, NS, Canada; Department of Pharmacology, Dalhousie UniversityHalifax, NS, Canada.
Christian
C
Lehmann
CNS injury-induced immunodeficiency syndrome; GPR55; central nervous system injury; endocannabinoid system; immune dysfunction; immunosuppression; sepsis