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. 2024 May 22;92(6):e00020-24. doi: 10.1128/iai.00020-24

TABLE 3.

Effects of phytocannabinoids, cannabinoids, and cannabinoid receptor agonists on bacterial infections

Treatment type Bacterial infection type Effect on infections Reference
Δ9-THC Legionella pneumophila infection Fatal acute collapse, cytokine-mediated shock-like response with elevated TNF-α and IL-6; shift from Th1 to Th2 immunity, modulation involving CB1R and CB2R, influence on cytokine production (135, 136)
Δ9-THC, marijuana extract Listeria monocytogenes infection Immunosuppressive effects, decreasing host resistance (137)
CBD, CBN, Δ9-THC Oral pathogens (Porphyromonas gingivalis, Filifactor alocis, Treponema denticola) Suppression of pro-inflammatory cytokines, enhanced anti-inflammatory cytokines, compromised cell viability (138)
HU-211 Experimental pneumococcal meningitis (Streptococcus pneumoniae) Reduction in brain edema and blood-brain barrier impairment (139)
Elevated 2-AG levels Escherichia coli, Citrobacter rodentium, Salmonella enterica Improved phagocytosis, increased survival rates (141)
2-AG supplementation Escherichia coli and Staphylococcus aureus Supernatant from 2-AG-stimulated neutrophils inhibited bacterial growth (143)
SR141716A (CB1R antagonist) Brucella suis within macrophages Inhibition of Brucella multiplication, activation of macrophages (146)
JWH133 (CB2R agonist) Pseudomonas aeruginosa Decreased pro-inflammatory cytokines, reduced bacterial load, improved clinical outcomes (144)
CBD Topical skin Staphylococcus aureus infection model Effective in vivo efficacy, limited systemic activity (120)
WIN 55,212-2 (CB2R and CB1R agonist) Staphylococcus aureus-induced emesis in house musk shrew Mitigation of SEA-induced emesis, reduction in 5-HT release in the intestine (145)
Cannabis use Helicobacter pylori infection Decreased risk of H. pylori, potential association with reduced risk (147)