Table 1.
Cannabinoids principal AD-related beneficial and adverse effects.
| Compounds | Endocannabinoid System Targets | Beneficial Anti-AD Effects | Adverse/Unwanted Effects |
|---|---|---|---|
| THC | Mixed CB1 and CB2 agonist | Inhibition of achetylcholinesterase [67] Reduce Aβ levels [63] Hippocampal neurogenesis [166] Induce BDNF release [73,74] |
Psychotic effects [55] Reduce cognitive functions [54] A deficit in dopamine release [56] |
| CBD | Mixed CB1 and CB2 agonist | No psycoactive effets [80] Neuroprotection [84] Reduce microglia activation [85] Delay cognitive decline [167] |
Hypotension at high doses [168] Anxiogenic-like effect [169] |
| WIN 55,212-2 HU 210 CP 55,940 JWH-018 |
Mixed CB1 and CB2 agonist | Increase Aβ clearance [116] Promote neurogenesis [111] Prevent cognitive impairment [113,114] |
Defect in working memory [95,96,97] Affects long-term potentiation [104,105] Sedation [170] |
| ACEA | Selective CB1 agonist | Anti-inflammatory [117] Prevent spatial memory impairment [118] |
N.R. |
| JWH-133 AM-1241 MDA7 |
Selective CB2 agonist | Increase Aβ clearance [116] Improve cognitive performance [116] Prevent microglial activation [128] Reduce tau hyper-phosphorylation [132] |
Immune suppression [171] |
| URB597 PF-04457845 JZL184 JZL195 |
Modulation of endogenous cannabinoid anandamide and 2-AG | Suppress glutamate Aβ42-induced toxicity [147] Reduce proinflammatory interleukin expression [148,156] Restore long-term potentiation [148] Reduce amyloid plaque burden [154] |
Cardiac diastolic stiffness [172] |