Chronic wound-related pain, wound healing and the therapeutic potential of cannabinoids and endocannabinoid system modulation - 11/11/23

Abstract |
Chronic wounds represent a significant burden on the individual, and the healthcare system. Individuals with chronic wounds report pain to be the most challenging aspect of living with a chronic wound, with current therapeutic options deemed insufficient. The cutaneous endocannabinoid system is an important regulator of skin homeostasis, with evidence of system dysregulation in several cutaneous disorders. Herein, we describe the cutaneous endocannabinoid system, chronic wound-related pain, and comorbidities, and review preclinical and clinical evidence investigating endocannabinoid system modulation for wound-related pain and wound healing. Based on the current literature, there is some evidence to suggest efficacy of endocannabinoid system modulation for promotion of wound healing, attenuation of cutaneous disorder-related inflammation, and for the management of chronic wound-related pain. However, there is 1) a paucity of preclinical studies using validated models, specific for the study of chronic wound-related pain and 2) a lack of randomised control trials and strong clinical evidence relating to endocannabinoid system modulation for wound-related pain. In conclusion, while there is some limited evidence of benefit of endocannabinoid system modulation in wound healing and wound-related pain management, further research is required to better realise the potential of targeting the endocannabinoid system for these therapeutic applications.
Le texte complet de cet article est disponible en PDF.Graphical Abstract |
Highlights |
• | Chronic wound-related pain is a significant burden. |
• | Current treatment for the management of wound-related pain is inadequate. |
• | Modulation of the endocannabinoid system may be beneficial for wound-related pain |
• | Cannabinoid-based therapeutics may promote wound healing and reduce inflammation |
Keywords : Chronic wound, Chronic pain, Wound pain, Wound-related pain, Cannabinoid, Endocannabinoid system, Wound healing
Plan
Vol 168
Article 115714- décembre 2023 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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