Cannabinoids and the endocannabinoid system in the regulation of cytochrome P450 metabolic activity-a review

The use of cannabinoids has a history spanning thousands of years, and their pharmacological and toxicological properties, particularly those of THC and CBD, are well-documented. However, their potential to induce drug-drug interactions remains underexplored. This review aims to provide a comprehens...

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Main Authors: Carlos D.F. Fonseca, Ondřej Zendulka, Jan Juřica
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2025.1599012/full
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author Carlos D.F. Fonseca
Ondřej Zendulka
Jan Juřica
Jan Juřica
Jan Juřica
author_facet Carlos D.F. Fonseca
Ondřej Zendulka
Jan Juřica
Jan Juřica
Jan Juřica
author_sort Carlos D.F. Fonseca
collection DOAJ
description The use of cannabinoids has a history spanning thousands of years, and their pharmacological and toxicological properties, particularly those of THC and CBD, are well-documented. However, their potential to induce drug-drug interactions remains underexplored. This review aims to provide a comprehensive perspective by contextualizing the historical and pharmacological significance of cannabinoids while focusing on their capacity to modulate the metabolic activity of cytochrome P450 isoforms relevant to drug metabolism. Additionally, we look at the impact of cannabinoids in neuronal circuits impacting the hypothalamic-pituitary hormonal axis, such as the locus coeruleus and raphe nuclei and their possible consequences on the cytochrome P450 system. Recognising potential interactions between cannabinoids and other drugs could enhance understanding of their pharmacological effects, improve the efficacy and safety profiles of cannabinoid-based therapies, and encourage further exploration into this under-researched area of psychopharmacology, with implications for both preclinical research and clinical practice.
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spelling doaj-art-c326a5aa021a4b8a9c4e368752675ae62025-08-20T03:25:59ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122025-06-011610.3389/fphar.2025.15990121599012Cannabinoids and the endocannabinoid system in the regulation of cytochrome P450 metabolic activity-a reviewCarlos D.F. Fonseca0Ondřej Zendulka1Jan Juřica2Jan Juřica3Jan Juřica4Department of Pharmacology, Faculty of Medicine, Masaryk University, Brno, CzechiaDepartment of Pharmacology, Faculty of Medicine, Masaryk University, Brno, CzechiaDepartment of Pharmacology, Faculty of Medicine, Masaryk University, Brno, CzechiaMasaryk Memorial Cancer Institute, Brno, CzechiaDepartment of Pharmacology and Toxicology, Faculty of Pharmacy, Masaryk University, Brno, CzechiaThe use of cannabinoids has a history spanning thousands of years, and their pharmacological and toxicological properties, particularly those of THC and CBD, are well-documented. However, their potential to induce drug-drug interactions remains underexplored. This review aims to provide a comprehensive perspective by contextualizing the historical and pharmacological significance of cannabinoids while focusing on their capacity to modulate the metabolic activity of cytochrome P450 isoforms relevant to drug metabolism. Additionally, we look at the impact of cannabinoids in neuronal circuits impacting the hypothalamic-pituitary hormonal axis, such as the locus coeruleus and raphe nuclei and their possible consequences on the cytochrome P450 system. Recognising potential interactions between cannabinoids and other drugs could enhance understanding of their pharmacological effects, improve the efficacy and safety profiles of cannabinoid-based therapies, and encourage further exploration into this under-researched area of psychopharmacology, with implications for both preclinical research and clinical practice.https://www.frontiersin.org/articles/10.3389/fphar.2025.1599012/fullcannabinoidsendocannabinoid systemcytochrome P450metabolismhypothalamic-pituitary axiscannabinoid-based therapies
spellingShingle Carlos D.F. Fonseca
Ondřej Zendulka
Jan Juřica
Jan Juřica
Jan Juřica
Cannabinoids and the endocannabinoid system in the regulation of cytochrome P450 metabolic activity-a review
Frontiers in Pharmacology
cannabinoids
endocannabinoid system
cytochrome P450
metabolism
hypothalamic-pituitary axis
cannabinoid-based therapies
title Cannabinoids and the endocannabinoid system in the regulation of cytochrome P450 metabolic activity-a review
title_full Cannabinoids and the endocannabinoid system in the regulation of cytochrome P450 metabolic activity-a review
title_fullStr Cannabinoids and the endocannabinoid system in the regulation of cytochrome P450 metabolic activity-a review
title_full_unstemmed Cannabinoids and the endocannabinoid system in the regulation of cytochrome P450 metabolic activity-a review
title_short Cannabinoids and the endocannabinoid system in the regulation of cytochrome P450 metabolic activity-a review
title_sort cannabinoids and the endocannabinoid system in the regulation of cytochrome p450 metabolic activity a review
topic cannabinoids
endocannabinoid system
cytochrome P450
metabolism
hypothalamic-pituitary axis
cannabinoid-based therapies
url https://www.frontiersin.org/articles/10.3389/fphar.2025.1599012/full
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