Cannabinoids as Treatment for Hemophilic Arthropathy: Hypothesized Molecular Pathways

Author(s):
Amir Hossein NorooznezhadAmir Hossein Norooznezhad1, 2, 3, Fatemeh NorooznezhadFatemeh Norooznezhad1, Nima BagheriNima Bagheri3,*
1Medical Biology Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
2Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
3Orthopedic Surgery Ward, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran
*Corresponding Author: Corresponding author: Orthopedic Surgery Ward, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran. Email:[email protected]

Journal of Reports in Pharmaceutical Sciences:Vol. 5, issue 2; 89-93
Published online:Aug 28, 2016
Article type:Brief Report
Received:Jun 20, 2016
Accepted:Aug 18, 2016
How to Cite:Norooznezhad AH, Norooznezhad F, Bagheri N. Cannabinoids as Treatment for Hemophilic Arthropathy: Hypothesized Molecular Pathways. J Rep Pharm Sci. 2016;5(2):e147653. doi:

Abstract

Hemophilia is a recessive X linked hereditary disease which causes coagulation problems. In severe cases, one of the most common issues is hemophilic arthropathy (HA) leading to a range of problems such as joint pain, swelling, crippling and decreased range of motion. Regarding pathogenesis of this phenomenon, the main consequence is emerged as repeated episodes of bleeding leading to inflammation, angiogenesis and synovium hypertrophy. These pathways are triggered and directed by some cytokines and growth factors such as IL-1, IL-6, TNF-α, HIF-α, VEGF and MMP-9. Cannabinoids (CBNs) are active compounds of Cannabis Sativa known for their highly potent anti-angiogenic and anti-inflammatory activity. In molecular aspects, they are able to suppress all mentioned cytokines, growth factors and even more angiogenic regulators such as Ang-1 and Ang2. Here we suggested that CBNs could be valid candidates for targeting HA due to their anti-inflammatory and anti-angiogenic activity.

Copyright

© 2016, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.

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