THE BENEDICTIONS
For cannabis and its components (CCx) the Defence proposes besides the
well-known social and creative benefits, population-level
anti-obesogenic, antidiabetogenic, antihyperlipidemic,
antiatherosclerotic, antineoplastic, anti-angiogenic, antiretinopathic,
antimigrative, antiadhesive, anti-invasive, antimetastatic,
neutrophilic, anti-allergic, angiotensinergic, anti-inflammatory,
antiviral, antiparasitic, antioxidant, antihypertensive, antisteatotic,
purigenic, anti-ischemic, cardioprotective, myelinogenic,
antiamyloidogenic, antigliomagenic, anti-epileptic,
anti-anaphylactogenic, tolerogenic, neuroprotective, geroprotective,
gastroprotective, anticomplement, emulsifying, antifibrogenic,
anti-arthritic, osteogenic, antiosteopenic, antiosteonecrotic,
proconceptive, pro-hematopoietic, antipyretic, antinociceptive,
antiallodynic, antitussive, antibiotic, probiotic, antipruritic,
antixerotic, anti-emetic, antidiarrheal, anti-choleric, antidysenteric,
antidepressive, anxiolytic, antipsychotic, neurogenic, nootropic,
anti-aging, anti-addiction (cocaine, alcohol, methamphetamine, tobacco,
gambling), anti-aggressive, pro-evolutionary, anti-suicidal,
longevity-promoting and premature death-reducing effects in the healthy
and the sick, with particular relevance to local environmental
stressors; a 55% lower probability of hepatocellular carcinoma;
p8/TRIB3-mediated cytotoxic autophagy in melanoma; RAD51-mediated
autophagy in non-small cell lung carcinoma (NSCLC); in urothelial
cancer, cell cycle arrest and cell apoptosis, inhibition of cell
migration, increased percentage of cells in S phase and G2/M phase, and
disintegration of F-actin; reduction of alcohol craving via lower
bilateral cue-induced nucleus accumbens (NAc) activation; reduction of
alcohol intake via neuropeptide S receptor (NPSR), and chemokine
receptor type-4 (CXCR4); reduction of obsessive craving in addiction
withdrawal and of alpha-synucleopathies via inhibition of
alpha-synuclein (aSyn, formerly NACP, non-amyloid component of plaque),
preventive effects on the reinstatement of reward-seeking behavior via
D2-like dopamine receptors in the CA1 region of the hippocampus, with
shortened extinction period; enhanced resistance to diets with a higher
than optimum n-6:n-3 polyunsaturated fatty acid ratio; reduced learning
impairment, less soluble amyloid beta-42 (Aβ42) peptide in amyloid
plaques, preferential processing of Notch-1 over amyloid precursor
protein (APP), removal of intraneuronal Aβ, elimination of elevated
eicosanoid production in induced MC65 cells, restoration of splicing
defects induced by Aβ in differential alternative splicing events
(DASEs); via up-regulated nicastrin (Nct) expression and enhanced
Notch-1 signaling increased IQ via resistance to inter alia
neurofluorosis, plus reduced T-cell acute lymphoblastic leukemia via
activating transcription factor (ATF4)-C/EBP Homologous Protein
(CHOP)-ChaC glutathione specific gamma-glutamylcyclotransferase 1
(CHAC1) signaling by Ca2+ depletion and ER stress, cerebral
autosomal-dominant arteriopathy with sub-cortical infarcts and
leukoencephalopathy (CADASIL), multiple sclerosis (MS), tetralogy of
Fallot (TOF, formerly Steno-Fallot tetralogy), Alagille syndrome and
amelioration of other conditions of Notch aberration; anti-Aβ
aggregation activity via direct THC interaction with Aβ peptide fibril
formation and aggregation, and by CBD via the ROS scavenging activity of
its phenolic hydroxyl groups; stimulation of the removal of
intracellular Aβ and blockade of the inflammatory response; inhibition
of amyloidogenesis via binding with the peripheral anionic site (PAS) of
the enzyme acetylcholinesterase (AChE) activity more effectively than
approved drugs for AD, and of the excitatory neurotransmitter glutamate;
in AD prevention or treatment via anti-AChE and
anti-butyrylcholinesterase (BuChE) activity, reduced hepatotoxicity,
gastrointestinal disorders compared with Rivastigmine and Galantamine,
avoidance of human ether-a-go-go-related gene (hERG) inhibition and
therefore reduced ventricular arrhythmia compared to Donepezil, and
lower LD50 than all three drugs; upregulation of mitogen-activated
protein kinase 1 (MKP-1), prevention of increased BBB permeability,
reduced macrophage/microglia cell counts, enhanced neurogenesis in the
brain, especially in the hippocampus, and an age-reversing improvement
of cognitive functions, with glutamatergic CB1R and histone acetylation
dependent enhanced expression of synaptic marker proteins and increased
hippocampal spine density, pro-cognitive increases in mTOR activity,
energy production, amino acids, and polyunsaturated fatty acids (PUFAs)
specifically arachidonate, dihomo-linoleate dihomo-linolenate,
docosadienoate, docosahexaenoate, docosapentaenoate, eicosapentaenoate,
hexadecadienoate, linoleate, linolenate, mead acid, nisinate,
stearidonate, and tetradecadienoate in cortex and hippocampus,
significant increases of serum arachidonoylcarnitine,
linoleoylcarnitine, oleoylcarnitine, palmitoleoylcarnitine
palmitoylcarnitine, cortical synaptophysin and PSD95, and anti-aging
reduction of mTOR, carbohydrates, amino acids and lipid metabolism in
serum and visceral fat; lifetime use-associated better performance in
tests of attention and executive function in the Trail-making Tests A
and B completion time in seconds, processing speed in the Symbol Digit
Test, visual memory in a pair matching test, and working memory in a
numeric memory test of maximum digits remembered; in autism spectrum
disorder (ASD), CB1R-activated amelioration of synaptic dysfunction,
including neuronal complexity, spine density, dendritic integrity,
synaptic protein expression, neuronal damage, and enhanced expression
and current density of Kir4.1, enhanced social responsiveness and
reduced disruptive behaviour and psychomotor agitation; a 19% reduction
in long term cognitive decline measured by IQ; a 96% reduction in
subjective cognitive decline (SCD); in Rett Syndrome, improved Clinical
Global Impression-Improvement (CGI-I) total score, communication skills,
mental alertness, socialisation/eye contact, attentiveness, and anxiety,
Clinical Global Impression-Severity (CGI-S) score, RTT Behaviour
Questionnaire (RSBQ) total score, general mood, breathing problems,
repetitive face movements, fear/anxiety, ability to communicate choices
in RTT-Domain-Specific Concerns-Visual-Analog Scale (RTT-DSC-VAS),
Impact of Childhood Neurological Disability/Quality of Life (ICND+QoL)
total score, cognition, and total score on RTT-Caregiver Burden
Inventory (RTT-CBI); protection in the brain from lipopolysaccharide
(LPS) neuroinflammation-induced cognitive damage; in inflammation,
pro-resolving modulation of specialized pro-resolving mediator (SPM)
profiles including levels of resolvin (Rv)D1, RvD6, maresin (MaR)2, and
RvE1 in a CB2-dependent manner, modulation of gene expression of SPM
enzymes involved in formation and further metabolism of SPMs such as
5-lipoxygenase and 15-Prostaglandin dehydrogenase, enhancement of
efferocytosis in human monocyte-derived macrophages (MoDs) in a CB2- and
GPR18-dependent manner; in the choroid plexus, modulated gene
expression, enhanced extracellular release of miRNA localized in
extracellular vesicles (EVs), upregulation in males of apolipoprotein A
(Apoe), ATPase Na+/K+ Transporting Subunit Alpha 2 (Atp1a2), Collagen
Type II Alpha 1 Chain (Col2a1), Complement C3 (C3), Eukaryotic
Translation Elongation Factor 1 Alpha 1 (Eef1a1), FAU Ubiquitin Like And
Ribosomal Protein S30 Fusion (Fau), Fibrinogen Alpha Chain (Fga),
Haptoglobin (Hp), Heat Shock Protein Family A Member 5 (Hspa5), mtDNA
Haplogroup H2a1 (H2a1), Megakaryocyte-Associated Tyrosine Kinase (Matk),
Moesin (Msn), PZP Alpha-2-Macroglobulin Like (Mug1), Myosin Heavy Chain
9 (Myh9), Proteasome 20S Subunit Alpha 4 (Psma4), Proteasome 20S Subunit
Beta 4 (Psmb5), Ribosomal Protein L6 (Rpl6), Ribosomal Protein L19
(Rpl19), Ribosomal Protein L36a (Rpl36a), Serpin Family A Member 1
(Serpina1), Solute Carrier Family 25 Member 4 (Slc25a4), Spondin 1
(Spon1), Transglutaminase 2 (Tgm2), Thy-1 Cell Surface Antigen (Thy1),
and Vimentin (Vim), proteins associated with cellular signaling
mechanisms, protein phosphorylation and expression, receptor activation,
neurodegenerative disease states, immune signaling, apoptosis,
metabolism, vesicle trafficking, and mitochondrial function, and in
females upregulation of Aggrecan (Acan), Barrier To Autointegration
Nuclear Assembly Factor 1 (Banf1), Brain Abundant Membrane Attached
Signal Protein 1 (Basp1), CD59 Molecule (CD59 Blood Group) (Cd59),
Contactin 1 (Cntn1), Cystatin C (Cst3), Cytochrome C, Somatic (Cycs),
Fga, Hemoglobin Subunit Beta (Hbb), Milk Fat Globule EGF And Factor
V/VIII Domain Containing (Mfge8), Musculoskeletal, Embryonic Nuclear
Protein 1 (Mustn1), Natriuretic Peptide C (Nppc), Spondin 1 (Spon1),
Thymosin Beta 4 X-Linked (Tmsb4x), Vimentin (Vim), and Yip1 Domain
Family Member 3 (Yipf3), and downregulation of Annexin A2 (Anxa2),
ELKS/RAB6-Interacting/CAST Family Member 2 (Erc2), H1.5 Linker Histone,
Cluster Member (H1-5), H4 Clustered Histone 2 (H4c2), Keratin 14
(Krt14), Myelin Basic Protein (Mbp), Ribosomal Protein L7a (Rpl7a), and
Ribosomal Protein 23) Rpl23, associated with neurodegenerative
processes, protein phosphorylation, homeostatic pathways, inflammatory
pathways, and synaptic signaling mechanisms, in both sexes activation of
the nitric oxide pathway and inhibition of inflammatory processes in
cerebrospinal fluid (CSF); in spinal injury, decreased proinflammatory
cytokines, and suppression of astrocyte/microglia glial fibrillary
acidic protein and ionized calcium-binding adapter molecule 1
(GFAP/Iba1) activation, proapoptotic proteins Bax and caspase 3,
promotion of microglial polarization toward the anti-inflammatory M2
phenotype, regulation of excitatory and inhibitory neuronal balance,
increased anti-apoptotic protein Bcl-2, enhanced antioxidant defense via
upregulated superoxide dismutase (SOD), and glutathione (GSH), lower
malondialdehyde (MDA), activation of nuclear factor erythroid-2 related
factor 2 (Nrf2) signaling pathway, and improved motor function;
following spinal fusion surgery lower 90-day overall and medical
complication rates, reduced 30-day high dose opioid utilization, and
reduced 2-6 month opioid dosage; increased Aβ degradation by
endopeptidase neprilysin; prevention of AD via downregulated expression
of proteins involved in tau phosphorylation and Aβ production in
mesenchymal stem cells (MSCs); anti-AD effects via reduction of
triggering receptor expressed on myeloid cells 2 (TREM2) and
apolipoprotein E4 (APOEε4), and direct interaction with Tau; competition
with heparin at VQIINK/VQIVYK motifs, rescue of Wnt/β-catenin signaling,
attenuation of Aβ-induced reductions in calbindin and tubulin; decreased
expression of genes related to the formation of the γ-secretase complex
including aph-1 homologue A (APH1A), presenilin 1 and 2 genes (PSEN1 and
PSEN2), presenilin enhancer (PSENEN), nicastrin (NCSTN), and
beta-secretase 1 (BACE1), giving anti-early and late onset Alzheimer's
Disease (AD) protection, and of proteasome subunit beta (PSMB), calpain
1 (CAPN1) and 2 (CAPN2) cyclin dependent kinase 5 (CDK5), cyclin
dependent kinase 5 regulatory subunit 1 (CDK5R1) genes, AChE and BChE;
mitigation of N-methyl-d-aspartate receptor-mediated neurotoxicity
(NMDAR)-mediated neurotoxicity via CB1R; neuroprotection against
oxidative stress via FoxO3/4 stabilization; improved memory impairment
at advanced stages of the AD pathology, improved scores in the
Alzheimer’s Mini-Mental State Examination (MMSE), and Alzheimer’s
Disease Assessment Scale-Cognitive (ADAS-Cog) scale; downregulation of
the indoleamine 2,3-dioxygenase (IDO) and cyclic GMP-AMP synthase (cGAS)
pathway; rescue of synaptic function via reduction in metabotropic
glutamate receptor 2/3 (mGluR2/3), and increased levels of GABA-A Rα1;
nicotinamide adenine dinucleotide (NAD+)-dependent inhibition of
amyloid-beta and p-Tau aggregation; reduced relative expression of
glucocorticoid activated kinase (SGK), AIF1, NFκBIA (encoding NFκB
inhibitor alpha) and genes via reduced tissue inhibitor of
metalloproteinase 3 (TIMP-3); increased neurogenesis via upregulation of
c-Jun N-terminal kinase (JNK) by increased N-acyl
phosphatidylethanolamine phospholipase D (NAPE-PLD); increased
hippocampal neurogenesis via direct action on CB1R in neural
stem/progenitor cells (NSC/PCs), as marked by increased nestin,
doublecortin (DCX), class III β-tubulin (TuJ-1), and glial fibrillary
acidic protein (GFAP); promotion of neuronal differentiation via
transcription factor B-cell lymphoma/leukemia 11B (BCL11B),
transmembrane protein deleted in colorectal cancer (Dcc), and a reduced
level of UNC-5 netrin receptor C (Unc5C); increased gap 1 phase (aka
growth 1 phase)/synthesis phase (G1/S) progression via upregulation of
Ccne2 and Cdk2 genes, net activation of chromosome segregation, mitotic
cell cycle phase transition, mitotic nuclear division, nuclear
chromosome segregation, regulation of cell cycle phase transition and of
chromosome organization; increased neuronal proliferation during
differentiation of neural stem/progenitor cells (NSPCs) with
upregulation of nestin via adenosine A1 receptor (A1AR), increased
extracellular signal-regulated protein kinases 1 and 2 (ERK1/2)
phosphorylation, and ATP levels; increased migration and differentiation
via DCX, supported by levels of β-tubulin isoform III (Tuj-1),
indicating neuron survival; increased transendothelial electrical
resistance, and upregulated tight junction proteins (TJPs), reduced
vascular cell adhesion molecule-1 (CADM1), and intercellular adhesion
molecule-1 (ICAM1 or CD54) surface expression in brain microvascular
endothelial cells, attenuated leukocyte adhesion in surface pial
vessels, and in deep ascending cortical postcapillary venules; in glioma
cells, inhibitor of DNA binding-1 (ID-1), formation of biomolecular
condensates (BMC), elevated cytotoxic granule-associated RNA binding
protein tiar-1 (TIAR-1), expression of eukaryotic initiation factor-2α
(eIF2α), and p-eIF2α, cannabiniol (CBN)-induced inhibition of cell
proliferation as characterised in A172 cell lines, and of the ERK1/2
pathway, modulation of the level of cannabinoid receptors (CBRs),
including GPR18, CB2, and GPR55 [G protein-coupled receptor],
cannabinoid triggering of a transient vanilloid receptor type 4 (TRPV4)
signalling pathway including: ATF4, DNA damage inducible transcript 3
(DDIT3), tribbles pseudokinase 3 (TRB3 or TRIB3), Akt, and mammalian
target of rapamycin (mTOR or mechanistic target of rapamycin)-mediated
mitophagy, and via induction of ferroptosis, integrated stress response
activation, and epigenetic modulation, with reduction of VEGF, VEGFR2,
angiopoietin-2, and matrix metalloproteinase-2 in glioma tumours;
antigliomagenic action via suppression of solute carrier family 7 member
11 (SLC7A11), increased microtubule-associated protein light chain 3 II
(LC3 II), autophagy related 7 (ATG7), and beclin-1 (BECN1), enhancement
of the expression of transferrin receptor (TFRC) favouring ERK-driven
autophagy and modulating ferroptosis via glutathione peroxidase 4 (GPX4)
reducing of hydroperoxy groups of complex lipids, silencing of
lipoxygenases, induction of FoxO3-dependent apoptosis via
BCL2-interacting mediator of cell death (BIM), and p53-upregulated
modulator of apoptosis (PUMA) upregulation; in glioblastoma and breast
cancer reduced FoxM1 expression with induction cell cycle arrest and
apoptosis, and downregulation of FoxM1 target genes Cyclin B1 and
Survivin; GPX4-mediated alleviation of radiation enteritis, enhancement
of chromatin compaction, of fertility via mitochondrial sheath formation
in spermatozoa, and dampening (with GPX1) of phosphorylation cascades;
enhanced physiological remodeling of the blood-testis barrier (BTB)
during stages VIII-XI of seminiferous epithelium cycle, maintaining
testicular immune privilege, supporting spermatogenesis, preventing
immune attacks on developing germ cells, prevention of junctional
leakage via proteasomal degradation of occludin, and of increased BTB
permeability, blood cell infiltration into seminiferous tubules,
premature migration of germ cells into the adluminal compartment,
slowing of spermatogenesis, dynamism of tight junctions, faster
endocytosis marked by early endosome antigen 1 (EEA1), recycling by
Ras-associated protein 13 (Rab13), and degradation by Homologous to the
E6-AP Carboxyl Terminus (HECT)-domain–containing E3 ubiquitin ligase
(ITCH aka AIF4, AIP4, NAPP1, dJ468O1.1, ADMFD, itchy E3 ubiquitin
protein ligase); in skeletal muscle, diminished fibrotic area,
down-regulated collagen type I/ІІІ mRNA, augmented multinucleated
regenerating myofibers in injured muscle attributable to decreased mRNA
levels of transforming growth factor beta 1 (TGF-β1), alternative
splicing of extra domain A of fibronectin (FN-EIIIA), and alpha-smooth
muscle actin (α-SMA or ACTA2), reduced accumulation of myofibroblasts,
and increased mRNA levels of matrix metalloproteinase-1/2;
CBR-independent neuroprotection against ferroptosis; reduced
neoplasticity via inhibition of phosphodiesterase-5 (PDE5); a reduced
burden of breast cancer via induction of a basal-to-luminal switch,
suppression of stemness, reduced invasiveness and self-renewal via CB2R
activation-initiated transient chromatin remodeling, and epigenetic
reprogramming, production of a stably differentiated state, amplifying
response to tamoxifen, via modified expression of tumor development
markers Ki67, Bcl2, and P53, via reduced aromatase, and reduced
expression of estrogen receptors alpha (ERα), and beta (ERβ), with
reduced angiogesis via nitric oxide (NO), and matrix metalloproteinase-1
(MMP-1) inhibition, downregulation of VEGF-A and -B, hypoxia-inducible
factor-1α (HIF-1α), connective tissue growth factor (CTGF), midkine (MDK
or neurite outgrowth-promoting factor 2), inhibitor of DNA binding 3
(ID-3 or inhibitor of differentiation 3), placental growth factor
(PlGF), angiopoietin 2 (ANG-2 or ANGPT2), and its receptor tyrosine
kinase with immunoglobulin-like and epidermal growth factor (EGF)-like
domains 1 tyrosine kinase with immunoglobulin like and EGF like domains
1 (TIE-1), and HO-1, and upregulation of type I procollagen α1 chain
(COL1A1), antiproliferative action via modulation of JunD
Proto-Oncogene, AP-1 Transcription Factor Subunit (JunD) by upregulation
of gene expression, and by protein translocation to the nuclear
compartment, via cyclin-dependent kinase inhibitor p27, and the tumour
suppressor gene testin, and via stress-regulated protein p8 mediated
upregulation of endoplasmic reticulum stress-related genes in a
JunD-independent manner, inhibition of filopodia formation, migration,
and invasion via reduced expression of focal adhesion kinase (FAK or
PTK2 protein tyrosine kinase 2), serine/threonine kinase 1 (Akt),
Kirsten rat sarcoma virus (KRAS), phosphoinositide 3-kinase (PI3K,
aka phosphatidylinositol 3-kinase), phospho-p44/42 MAPK (P-p42/44
or ERK 1/2), mitogen-activated protein kinase P38 alpha (p38MAPK or
MAPK14), and nuclear factor kappa light chain enhancer of activated B
cells (NFκB, NF-κB, NFkB, NF-kB) upstream pathways, and inhibition of
the RAC family small GTPase 1 (Rac1), and cell division cycle 42 (Cdc42)
downstream pathways, inhibition of the mTOR pathway, and induction of
apoptosis via the Bcl-2/caspase-3 pathways; reductions in colorectal
cancer via suppression of M2-like macrophages, and promotion of M1-like
macrophages, rebalancing of the metabolic process from oxidative
phosphorylation and fatty acid oxidation to glycolysis by inhibiting the
PI3K-protein kinase B signaling pathway, and downstream targets,
enhanced response to anti-programmed cell death protein-1 (PD-1),
cleaved poly [ADP-ribose] polymerase 1 (PARP-1), receptor-interacting
serine/threonine-protein kinases 1 and 3 (RIP1 and RIP3), regulation of
intracytoplasmic vesicle formation by modulation of peroxisome
proliferator activated receptor γ (PPARγ), and clathrin expression,
inhibition of suppression of interleukins 22 and 17A (IL-22, IL-17A),
G1-phase cell cycle arrest via inhibition of cellular myelocytomatosis
(c-MYC), increased sub-G1 population (apoptotic cells), downregulated
protein expression of cyclin D1 (CCND1), cyclin D3 (CCND3), CBN-mediated
decreases in cyclin-dependent kinases 1 and 2 (CDK1, CDK2), and cyclin
E1 levels, other cannabinoid-mediated cyclin-dependent kinases 2, 4, and
6 (CDK2, CDK4, CDK6), increased microtubule associated protein 1 light
chain 3 beta (LC3-II or MAP1LC3B), caspase 3/7 activity, elevated
expression of endoplasmic reticulum (ER) stress proteins including
binding immunoglobulin protein (BiP), inositol-requiring enzyme 1α
(IRE1α), phosphorylated eukaryotic initiation factor 2α (eIF2α), ATF3,
ATF4, and in colorectal adenosarcoma (COAD) inhibition of cell
proliferation, migration, and colony formation via downregulation of
prostaglandin-endoperoxide synthase 2 (PTGS2), HIF-1α (hypoxia inducible
factor 1 subunit alpha), LDHA (lactate dehydrogenase A), and GLUT1
(glucose transporter 1) expression, with reductions in ATP production,
glucose uptake, and lactate levels; anti-proliferative effects via
cannabidiol (CBD) activation of FoxO apoptosis in tumor cells, FoxM1
suppression, downregulation of monoglyceride lipase (MAGL or MGLL),
induction of dual specificity phosphatase 1 (DUSP1), upregulated ataxia
telangiectasia mutated (ATM) gene, and cyclin dependent kinase inhibitor
1A (p21) protein expression, downregulation of tumour protein p53
expression (TP53 or cellular tumour antigen P53), reduced stimulation of
phosphorylated retinoblastoma protein (P-pRb), cyclin dependent kinases
1, 2, and 4 (CDK1, CDK2, CDK4), cyclin E1 (CCNE1), cyclin D (CCND),
growth arrest and DNA damage inducible alpha (GADD45A), 5-lipoxygenase
(5-LOX), and leukotriene B4 (LTB4); pro-apoptotic stimulation of
reactive oxygen species (ROS), NADPH oxidase 4 (NOX4), increased
interaction of X-linked inhibitor of apoptosis (XIAP) with diablo
IAP-binding mitochondrial protein (DIABLO or Smac), cytochrome B-245
alpha chain (CYBA or p22phox), stimulated Smac release, lipid rafts,
recruitment of the death receptor Fas, prostaglandin E2 (PGE2), and
PPARγ; enhanced efficacy, and reduced oxaliplatin resistance via
decreased NOS3 phosphorylation in oxaliplatin colorectal cancer
treatment; inhibition of specificity protein (Sp) transcription factors
Sp1, Sp3, and Sp4, Sp-regulated gene products, and ying yang 1 (YY1);
pro-autophagic effects via stimulation of Akt, mammalian target of
rapamycin complex 1 (or mechanistic target of rapamycin complex 1
(MTorc1), 5'-AMP-activated protein kinase (AMPK), RUNX family
transcription factor 1 (RUNX1 or AML-1), BCL2/adenovirus E1B 19
kd-interacting protein (BNIP), increased cytochrome-c, 465-amino acid
residue E3 ubiquitin ligase (Parkin or PRKN), and cytoprotective enzyme
heme oxygenase-1 (HO-1), and reduced viability of cholangiocarcinoma
(CCA) cells via activation of GPR55, with decreased actin
polymerization, pMEK1/2, and pAkt; prolonged survival in terminal CCA;
anti-invasive and anti-metastatic effects via increased ICAM-1 and
tissue inhibitor of metalloproteinase-1 (TIMP-1) expression, reduced
expression of 70-kDa ribosomal protein S6 kinase (p70S6K), stimulation
of matrix metalloproteinases -2 and -9 (MMP-2, MMP-9), inhibitor of
basic helix-loop-helix transcription factors isopentenyl-diphosphate
delta isomerase 1 (Id-1), plasminogen activator inhibitor-1 (PAI-1), and
ERK 1/2; in exercise induced muscle damage (EIMD) induced delayed onset
of muscle soreness (DOMS) reduced soreness per visual analog scale (VAS)
score; anti epithelial-to-mesenchymal transition (EMT) effects via
suppression of FoxQ1, reduced stimulation of snail family
transcriptional repressors 1 (SNAI1 or Snail1), and 2 (SNAI2 or Slug),
Twist Family BHLH Transcription Factor 1 (TWIST), β-catenin, mesenchymal
markers vimentin (VIM), N-cadherin (CDH2), fibronectin (FN1),
transcription factor p63 (ΔNp63), baculoviral IAP repeat containing 3
(BIRC3), and Id-1, and inhibition of E-cadherin (CDH-2), and cytokeratin
18 (KRT18); anti-angiogenic action with reduced Ki67 proliferative and
CD31 endothelial markers, inhibition of ras oncogene-dependent tumor
growth via CB1R, reduced stimulation of MMP-2, HO-1) leptin, and
inhibition of collagen type I alpha 1 chain (COL1A1), and TIMP-1;
positive and preventive influences in diseases of excessive or abnormal
angiogenesis; in psoriasis, decreased K6 and K16 expression, conversion
of the pro-inflammatory Th1 profile to an anti-inflammatory Th2 type
expression, and anti-proliferative properties on keratinocytes;
suppression of allergic contact dermatitis via inhibition of monocyte
chemotactic protein-2 (MCP-2) chemokine, interleukins IL-4, IL-6, IL-8,
IL-13, IL-17, IL-18, IL-22, IL-33, and tumour necrosis factor alpha
(TNFα), of activity of T and B-cells-mediated response, and interferon-γ
(IFN-γ), and modulated immune response via decreased activity of T
helper 17 (Th17) cells; in atopic dermatitis, antipruritic effects via
TRPV1 channels, increased antioxidant effects via NADPH oxidase (NOX),
xanthine oxidase (XO or XAO), and glutathione reductase (GR aka
glutathione-disulfide reductase, GSR), increased ceramide via stimulated
sphingomyelinase activity, increased aquaporin 3 (AQP3), modulation of
janus kinases 1 and 2 (JAK1/2), tyrosine kinase 2 (TYK2), signal
transducer and activator of transcription 1, 2, and 3 (STAT1/2/3),
phosphorylated STAT3 (p-STAT3), STAT6, reduced mRNA expression levels of
IL-1β, IL-4, IL-6, IL-8, IL-13, IL-17, reduced IL-5, thymic stromal
lymphopoietin (TSLP), monocyte chemotactic protein-1 (MCP-1),
macrophage-derived chemokine (MDC), regulated on activation, normal
T-cell expressed and secreted, (RANTES, aka CCL5), reduced production of
CCL2, CCL8, CXL10, and CCL26, reduced dermatitis severity scores and
visual severity, thinner epidermal layers, and fewer mast cells, thymus
and activation-regulated chemokine (TARC), improved skin hydration,
intracellular filaggrin and involucrin, decreased intracellular ROS,
MAPK activation, translocation of NF-κB to the nucleus, NF-κB and
p-NF-κB in the nucleus, p-IκBα in cytoplasm, phosphorylated JAK1
phosphorylated STAT6, sebum level, transepidermal water loss [TEWL], and
erythema, via antimicrobial effects, and via substitution avoidance of
side-effects from corticosteroid topical treatment, and of side-effects
of JAK4 inhibitors and other systemic approaches; reversal of acne
pathophysiology via anti-inflammatory, apoptotic, and lipid-inhibitory
effects, upregulation of elastin synthesis, collagens 1 and 3, increased
apoptotic area, reduced lipid synthesis via the AMP-activated protein
kinase, and sterol regulatory element-binding protein (AMPK-SREBP-1)
pathway, and reduced sebum, CXCL8, IL-1α, IL-1β, and
hyperkeratinization-related protein keratin 16 (Krt16); in rosacea
inhibition of redness, epidermal thickness, and mast cell infiltration,
suppression of key inflammatory regulators in the MAPK signaling
pathway, particularly the ERK, JNK, and p38 pathways, and reduction in
proinflammatory cytokines, and chemokines; prophylactically and
post-injury accelerated wound healing with altered timing and quantity
of infiltrating immune cells, increased infiltration of
M1-macrophages and MSCs, elevated granulocyte count, and decreased
levels of inflammatory cytokines; via substitution for alcohol a
reduction in post-prostate diagnosis mortality; reductions of up to 8.45
fewer new cases annually per 1% shrinkage in non-cannabis-use (NCU) of
prostate, head and neck cell squamous carcinoma (HNSCC); increased HPV
clearance; reductions in hepatocellular, bladder cancer (BC), and renal
cell carcinoma (RCC); in hepatocellular carcinoma a 40% lower prevalence
of gallstones; in alcohol use disorder (AUD) lower risk of alcoholic
liver disease, hepatic decompensation and all-cause mortality; via
reduced insulin-mediated Akt activation enhanced FoxO1 activity in
hepatocytes, improved regulation of gluconeogenesis and lipid metabolism
gene expression; CBN-mediated anti-proliferative effects in liver as
represented by the HepG2 cell line; limited attenuation of
tobacco-related BC and RCC; a reduction of up to 2% per year on average
via alcohol-substitution of the risk of first diagnosis pharyngeal or
laryngeal carcinoma; reduced oral Fusobacterium; inhibition of growth
and biofilm formation of Streptococcus iniae, with DNA leakage, impaired
cell membrane integrity, hyperpolarized membrane potential, and reduced
respiratory chain dehydrogenase activity; decreased protein and mRNA
expression of androgen receptor and prostate-specific antigen (PSA),
decreases in secreted PSA levels, protein expression of proliferating
cell nuclear antigen (PCNA), and vascular endothelial growth factor
(VEGF); inhibition of prostate cancer cell viability and proliferation,
reduced expression of cyclin D3, and cyclin-dependent kinases,
inhibition of AKT phosphorylation, reduced cell viability and
invasiveness demonstrated in highly metastatic PC-3 cells, inhibition of
exosomes, and microvesicles (EMV) via a reduction in ATP production and
proton leakage, and suppression of mitochondrial respiration, increased
caspase activity, protein expression of E-cadherin, expression of p53
and Bax, induction of PUMA, CHOP expression, and intracellular Ca(2+),
antagonism of transient receptor potential melastatin type-8 (TRPM8),
and down-regulation of androgen receptor (AR), p53 activation, and
elevation of ROS; assistance with mitochondrial functions including
redox regulation, calcium uptake, membrane potential, bioenergetics,
biogenesis, and modulation of fusion/fission dynamics that are disrupted
following induction of oxytosis/ferroptosis; reduction of Covid-induced
liver injury (CiLi) via assisted mitochondrial biogenesis; in
stress-induced liver injury, enhanced CB2R and SLC7A11 protein
expression, increased SOD, and glutathione peroxidase (GSH-Px or GPX),
decreases in aspartate aminotransferase (AST), alanine aminotransferase
(ALT), IL-1β, tumour necrosis factor-alpha (TNF-α), alpha-smooth muscle
actin (α-SMA), mitigation of fibrosis, decreased Acyl-CoA synthetase
long-chain family member 4 (ACSL4), and improved mitochondrial
morphology indicating a reduction in oxidative cell death; assistance
with mitophagy via PTEN-induced kinase (PINK), and non-PINK pathways;
PPARγ binding and activation, reduced microgliosis and astrogliosis via
thioredoxin 2 (TRX-2), and Wnt16 substrates, upregulation of
proinflammatory markers such as can be induced by 3-nitropropanoic acid
(3-NPA), increased mitochondrial biogenesis, increased mitochondrial
mass in neuroblastoma N2a cells, increased expression of cell-death
inducing DFFA effector A (CIDEA), and uncoupling protein 1 (UCP1) in
peritoneal fat, browning of inguinal white adipose tissue (iWAT), less
striatal degeneration, lower leptin, reduced leptin resistance, and
nocioception via channels of the transient receptor superfamily (TRP)
including transient vanilloid receptor type 1 (TRPV1), transient
potential cation channel subfamily M (melastatin) member 8 (TRPM8), and
transient potential of the ankyrin receptor 1 (TRPA1); reduced glucose
intolerance, including intergenerationally via altered miR10a and
tDR-Glu-CTC in F1 sons of obese fathers who impart glucose intolerance
to the F2 male descendants, and insulin resistance, fine tuning of
appetitive control via hypothalamic pro-opiomelanocortin (POMC), its
enzymatic products, melanocortin-stimulating hormone (MSH) peptides,
melanocortin receptors MC3R and MC4R, glucose transporter 2 (GLUT2),
mitochondrial uncoupling protein 2 (UCP2), and (protein kinase B (PKB);
dietarily and economically favourable anorexigenic effects, reduced
glycosylated hemoglobin (HbA1c), a lowered acyl- (AG) to desacyl-ghrelin
(DAG) ratio, increased insulin-induced glucose uptake, promotion of
late-stage adipogenesis under free fatty acid (FFA)-rich conditions, and
a decreased rate of adipogenesis, remodelling of adipocyte lipid
handling, regulation of extracellular FFA availability and hepatocyte
lipid loading, decreased abundance of adipocyte-specific fatty
acid–binding protein (aP2), acyl-CoA synthase (ACS), CD36 (cluster of
differentiation 36 or platelet glycoprotein 4), lipoprotein lipase
(LPL), hormone-sensitive lipase (HSL), and perilipin in adipocytes,
lower free fatty acid uptake, increased hepatic gene expression of the
lipogenic transcription factor Sterol regulatory element-binding protein
1c (SREBP-1c), and its targets acetyl-CoA carboxylase-1 (ACC1), and
fatty acid synthase (FAS), de novo fatty acid synthesis, ameliorative
effects in liver and kidney including reduced and
length-of-use-dependent fatty liver index (FLI), reduced liver
enlargement with a high-fat or high-sucrose diet, hepatic triglyceride
content, uric acid, alkaline phosphatase, acetyl CoA carboxylase (ACC),
fatty acid synthase (FAS), malic enzyme (ME), glucose-6-phosphate
dehydrogenase (G-6-P DH), and steatosis score, fewer gallstones, reduced
levels of tenascin C (TNC), alanine aminotransferase (ALT), aspartate
aminotransferase (AST), alanine peroxidase (ALP), malondialdehyde (MDA),
reactive oxygen species (ROS), thiobarbituric acid reactive substance
(TBARS), and abundance of hepatic lipid droplets, improved carnitine
palmitoyltransferase-1 (CPT-1) level, increased levels of glutathione
peroxidase (GPX), increased reduction of GSH, mRNA transcription of
fatty acid desaturase 2 (FADS2), stearoyl-CoA desaturase (SCD-1),
acyl-CoA oxidase 1 (ACOX1), PPAR-α, fatty acid transporter CD36, MMP-2,
and MMP-9, and decreased expression of transforming growth factor beta 1
(TGF-β1), cyclooxygenase-2 (COX-2), cluster of differentiation 14
(CD-14), and macrophage inflammatory protein-2 (MIP-2), decreased
telomerase activity via inhibition of the telomerase reverse
transcriptase (hTERT) gene, amelioration of liver steatosis CB2-mediated
autophagy in Kupffer cells through a heme-oxygenase-1 dependent pathway,
adipogenesis, and macrophage infiltration, reduced adipocyte size,
increased mRNA transcription of FADS2, SCD-1, ACOX1, PPAR-α and fatty
acid transporter (FATP1) in adipose tissue; in binge or other drinking
attenuated alcohol-induced serum transaminase elevation, hepatic
inflammation (mRNA expressions of TNFα, monocyte chemoattractant protein
1 (MCP1), IL1β, macrophage inflammatory protein 2 (MIP2), E-Selectin,
and neutrophil accumulation), oxidative/nitrative stress (lipid
peroxidation, 3-nitrotyrosine formation, and expression of ROS
generating enzyme NOX2), attenuated respiratory neutrophil bursting,
decreased alcohol-induced increased liver triglyceride and fat droplet
accumulation, improved alcohol-induced hepatic metabolic dysregulation
and steatosis via restored changes in hepatic mRNA, and protein
expression of ACC-1, fatty acid synthase (FASN), PPARα, medium-chain
acyl-coenzyme A dehydrogenase (MCAD), adiponectin receptor 1 (ADIPOR-1),
ecto-nucleoside triphosphate diphosphohydrolase (ENTPDase), and human
counterparts of mast cell protease 1 (mCPT-1); ~19 more microbiome genes
per unit of body mass index (BMI) reduced, prevented or reversed
increases in the firmicutes to bacteroidetes ratio, priming of
functional FOXP3+ Tregs, reduced colonic inflammatory cell infiltration,
and increased lamina propria Tregs, activation of a phenotypic switch to
a more tolerogenic, anti-inflammatory phenotype lowering interleukin-23
(IL-23), interleukin-1 beta (IL-1β), and monocyte chemoattractant
protein-1 (MCP-1), and raised TGF-β1 via increased CD103 expression and
decreased CD86 expression, increasing CD40 in mesenteric lymph node
(mLN) dendritic cells (DCs), and microglia, signalling on CD103+ DCs
thus upregulating C-C chemokine receptor type 7 (CCR7); enhanced
immunomodulation, and intestinal immune homeostasis, and advantageously
balanced pro- and anti-inflammatory cytokines via granulocyte
colony-stimulating factor (G-CSF), and signal transducer and activator
of transcription 3 (STAT3); prevention of colonic aberrant crypt foci
(ACF) formation; increased phosphorylation of ribosomal protein S6
kinase beta-1, (p70S6K or S6K1), inhibition of nucleotide-binding
domain, leucine-rich repeat pyrin domain containing-3 (NLRP3), apoptosis
associated speck-like protein containing a CARD (ASC or PYCARD), and
procaspase-1 multiprotein scaffold inflammasome, protecting against
PM2.5 air pollution in general and Ptuj's Town Smell in particular,
additionally AD, stroke and cardiovascular diseases, asthma, gout,
inflammatory bowel disease (IBD), non-alcoholic fatty liver
disease/metabolic dysfunction-associated steatotic liver disease
(NAFLD/MASLD), myelodysplastic syndrome, obesity-induced inflammation,
insulin resistance, type-1 and type-2 diabetes, oxalate-induced
nephropathy, graft-versus-host disease, and silicosis; in myeloid
leukemia, differentiation block override via epigenetic hypomethylation
of the transcription start site (TSS) of O-linked β-N-acetylglucosamine
transferase (OGT), CBR-independent anti-leukemic action via
downregulated Raf-1/mitogen-activated protein kinase/ERK kinase
(MEK)/ERK/RSK pathway leading to translocation of the proapoptotic
protein Bcl-2 associated death promoter (BAD) to mitochondria, and
decreased BAD phosphorylation at Ser(112); anti-myeloma activity via
reduced production of cell immunoglobulins E and G (IgE and IgG),
suppressed expression of phosphorylated nuclear factor of kappa light
polypeptide gene enhancer in B-cells inhibitor alpha (p-IκBα),
phosphorylated nuclear factor kappa-light-chain-enhancer of activated B
cells (p-NFκp, p65), total NFκB protein, X-box binding protein 1 (XBP1u
and XBP1s), decreased c-Myc gene and protein expression, increased gene
and protein expression of telomere, hTERT, TP53 gene, and p53 protein
expression; weight loss, reduced abdominal girth, systolic and diastolic
blood pressure, and total and LDL cholesterol, a 2-6% lower probability
of obesity and a $58 (€54,52) to $115 (€108,10) per-person annual
reduction in obesity-related medical costs based on MML alone;
catestatin-mediated reduction in mean arterial pressure (MAP);
anti-ischaemic cardioprotective effects against heat stress via
cannabinoid receptor agonism; reduced infarct size; reduction of
coronary diabetic complications via inhibition of aldose reductase
(ALR2); alleviation of cardiac hypertrophy via reduced gene expression
of atrial natriuretic peptides A (ANP or NPPA), and B (BNP or NPPB), and
myosin heavy chain beta (β-MHC), limitation of the enlargement of the
cardiomyocyte area; repression of miR-143 via enhanced expression of
yes-associated protein (YAP or YAP1), and catenin delta 1 (Ctnnd1),
promoting cardiomyocyte proliferation and heart regeneration after acute
myocardial infarction (AMI); protection against endoplasmic reticulum
stress (ERS), and apoptosis in cardiac tissue via 78 kDa
glucose-regulated protein (GRP-78, aka heat shock 70 kDa protein 5
(HSPA5) aka binding immunoglobulin protein (BiPS)), inositol-requiring
enzyme 1 α (IRE1α), activating transcription factor 6 (ATF6), activating
transcription factor 4 (ARF4, aka tax-responsive enhancer element B67),
C/EBP homologous protein (CHOP, aka DNA damage-inducible transcript 3),
CRISPR associated protein 12 (Cas-12), Cas-8, Cas-9, and Cas-3 mRNAs,
and against inflammation via TNF-α; via substitution for statins,
improved cognition, reduced impairment of coenzyme Q10 production,
mitochondrial dysfunction, disruption of intracellular calcium
metabolism, muscle fibre damage, declines in muscle function, grip
strength, appendicular lean mass (ALM), and increased insulin
resistance; reduction in the brain age gap (BAG) via downregulation of
TNFSF12; interference in the development of atheromatous plaque via
low-density lipoprotein (LDL) oxidation, and inhibition of foam cell
formation independent of CB1R/CB2R, but related to the action of
non-canonical receptors TRPV1, TRPV4 and GPR55, decreased levels of
CD36, and oxidized LDL receptor 1 (OLR1) scavenger receptors via
activation of the NFκB pathway by oxidized LDL (oxLDL), and reduced gene
expression of proinflammatory cytokines in macrophages; attenuation of
cardiac fibrosis via reduced gene expression of collagens 1 and 3 (COL1,
COL3), cellular communication network factor 2 (CTGF or CCN2), and α-SMA
regulation of redox status, suppression of oxidative damage via
increased SOD, and decreased interleukin-24 (IL-24, MDA or MDA7) level,
nicotinamide adenine dinucleotide phosphate (NADPH) activity, protein
and gene expression of NADPH oxidases 2 (NOX2), and 4 (NOX4), and the
glycogen synthase kinase 3 beta (GSK3β), and activation of the
NAD-dependent deacetylase sirtuin-1 (SIRT1 or silent information
regulator 1), and NFE2 like BZIP transcription factor 2 (NRF2 or NFE3L2)
signalling pathways; attenuation of cardiac fibrosis and hypertrophy,
improved ejection fraction and cardiac output, preservation of cell
shortening and sarcoplasmic reticulum Ca2+ uptake concomitant with
maintenance of mitochondrial function and redox balance via a
PPAR-γ–dependent mechanism; attenuation of congestive heart failure
progression via mitochondrial calcium uniporter (MCU) opening,
activating PPAR-γ opposing gene transcription for MCU and factors
involved in adverse cardiac remodeling, and through improved myocyte
Ca2+ handling via stabilized ryanodine receptor (RyR2); inhibition of
myocardial apoptosis via upregulation of B-cell lymphoma 2 (Bcl-2), and
caspase-3; decreased H2O2-induced endothelial differentiation markers
octamer-binding transcription factor-4 (OCT-4), fetal liver kinase-1
(FLK-1, kinase insert domain receptor, or VEGFR2), and cluster of
differentiation 31 (CD-31); downregulation of histone deacetylase 1
(HDAC-1), and nuclear factor of kappa light polypeptide gene enhancer in
B-cells 3 inhibitor (IKBα or NFκBIA) leading to a rise in nuclear factor
of kappa light polypeptide gene enhancer in B-cells 3 (NFKB3, V-rel
avian reticuloendotheliosis viral oncogene homolog A, RELA, RELA
proto-oncogene NFκB subunit, or P65) levels; via anti-obesogenic
simulated paternal fasting stress pre-conception, reduced serum glucose
in both sexes of offspring; via hypomethylation of the paternal
insulin-like growth factor (IGF2) gene, reduced enlargement of
adipocytes, metabolic dysregulation, diabetes, rhabdomyosarcoma, glioma,
obesity, and hypomethylation in mesoderm-specific transcript (MEST),
paternally-expressed gene 3 (PEG3), and neuronatin (NNAT) differentially
methylated regions) (DMRs) in the F1 generation; reduced incidence of
metabolic syndrome with varying gains by ethnicity and inverse to use;
in metabolic disorders: FoxO1 modulation impacts on glucose and lipid
metabolism relevant to diabetes and NAFLD; via paternal alcohol
substitution, no or less reduction in activity of DNA
methyltransferases, cytosine-guanine (CG) hypomethylation, and
subsequent activation of normally silenced genes, even in the absence of
maternal alcohol consumption before or during pregnancy, and thereby a
reduction in fetal alcohol syndrome disorders (FASD), including
reductions in facial asymmetry and right eye misposition, prevention of
increased adrenal weights, decreased spleen weights, reductions in
overall brain size, specifically in the cerebellum, basal ganglia, and
corpus callosum, preventing reduced ability to cope with novelty and
spatial learning skills and hyperreponsiveness to stress, as well as
ventricular septal defects and increased susceptibility to Pseudomonas
infection, ameliorated cognitive deficits, attenuated hippocampal TNFα
and IL-6 levels and prenatal and lactation alcohol exposure
(PLAE)-induced deficits in reference memory in the F1 generation; via
paternal alcohol substitution, other adverse effects in F1 of paternal
genetic aging; alcohol substitution associated downregulation of
inflammatory cytokines including ICAM-1, interleukin-16 (IL-16),
granulocyte/macrophage colony-stimulating factor (GMCSF),
interleukin-309 (IL-309, CCL1 or C-C motif chemokine ligand 1), TNF-α,
tissue inhibitor of metalloproteinases 2 (TIMP-2), platelet-derived
growth factor subunit B (PDGF-β), macrophage inflammatory protein 1
alpha (MIP-1α), interleukins 12-p40 and -p70 (IL12-p40, IL12-p70),
interleukin-15 (IL-15) with reduction of alcohol expenditure; alcohol
substitution mediated upregulation of phospho-FoxO1 and phospho-Akt
(protein kinase), attenuation of P53 and and peroxisome
proliferator-activated receptor-γ coactivator1α (PGC-1α)
hyperacetylation, and loss of mitochondrial SIRT5, enhancing
nuclear–mitochondrial interactions by post-translation protein
modifications contributing to alteration of mitochondrial biogenesis;
stimulation of anti-depressive effects via reduced TNFα, and
microbiotally-elevated interleukin-10 (IL-10); greater functional
connectivity (FC) between the anterior cerebellum and both hippocampus
and posterior parahippocampal cortex (pPaHC), between pPaHC cortex and
lobule IV/V and vermis IV/V, between hippocampus and vermis IV/V and
cerebellar lobule III, between subcortical and sensorimotor regions, and
between subcortical and cerebellar areas, superior performance across
multiple cognitive domains, presented concurrently across a range of
brain systems, brain network characteristics typically associated with
younger brains, enhanced cognitive abilities, with reduced oxidative
stress via reduced gene expression of catalase (CAT); TXNRD1,
glutathione s-transferase mu 2 (GSTM2), peroxiredoxin 3 (PRDX3),
superoxide dismutases 1 and 2 (SOD1/2), 4-Hydroxynonenal (4-HNE), and
glycoprotein 91-kDa phagocyte oxidase (Gp91phox, aka NOX2); increased FC
in the bilateral anterior insula (bAI), and anterior cingulate cortex
(ACC), including its anterior middle (aMCC), and posterior portion
(pACC), raised score in the Cognitive and Affective Empathy Test, a
greater understanding of others' emotions, less verbal hostility,
enhanced prosociality, emotional comprehension, and empathic
predisposition to others' situations; induction of myeloid-derived
suppressor cells (MDSCs), beneficial alterations in the expression of
microRNAs (miRNAs), specifically miRNA-18a, in lung-infiltrated
mononuclear cells (MNCs) after staphylococcal enterotoxin B (SEB)
exposure via downregulation of let7a-5p, targeting suppressor of
cytokine signaling 1 (SOCS1), and downregulation of miR-34-5p,
increasing expression of forkhead box protein 3 (FoxP3/scurfin), nitric
oxide synthase 1 (NOS1), and the colony stimulating factor 1 receptor
(CSF1R); in ulcerative colitis (UC) increased goblet cells, colon
length, colonic Gram-negative bacteria, and microbiome-independent
anti-colitic effects in enterocytes and immune cells, upregulation of
Mucin 2, oligomeric mucus gel-forming (MUC2), reduced UC-associated
proxy measures of abdominal pain and Mucin-5AC (MUC-5AC),
downregulation of TH1 and TH17; antifibrotic action in colitis via
classical NF-κb pathway, Nrf2/ heme oxygenase-1 (HO-1) pathway, and
transforming growth factor beta (TGF-β)/SMAD pathway by regulation of
Nrf2, via inhibition of expression of alpha-smooth muscle actin (α-SMA),
Collagen1, Collagen3, PDGF, tissue inhibitor of metalloproteinases
(TIMP1), and other factors; antihepatofibrogenesis via reduced
inflammation and TGF-β1-mediated hematopoietic stem cell (HSC)
activation; anti-arthritic and anti-colitic reduction of
pro-inflammatory cytokines IL-17 and IFN-γ via upregulation of FOXP3;
suppression of inflammation and prevention of dysbiosis, both in the
lungs and the gut, through the induction of antimicrobial peptides
(AMPs) including tracheal antimicrobial peptide (TAP1), tracheal
antimicrobial peptide 2 (TAP2), lysozyme 2 (LYZ 2), and beta defensin 2
(MBD2), secretory leukocyte peptidase inhibitor (SLPI), tight junction
proteins including claudin (CLDN1), Zonula Occludens-1 (ZO-1), and
E-cadherin (CDH1), and short-chain fatty acids (SCFAs), stabilizing a
gut-lung microbial axis driving immune homeostasis, increased beneficial
Muribaculaceae and decreased pathogenic Pseudomonas and Caulobacterlaes
spp. in lung, and increased beneficial bacteria including
Lachnospiraceae and Clostridia, decreased infectivity of C. perfringens
via inhibition of neuraminidase, decreased pathogenic Tenericutes and
Anaplasmataceae in gut, decreased CD4 + T cells, CD8 + T cells, Vβ8 + T
cells, and natural killer T-cells (NKT cells) in mesenteric lymph nodes
(MLNs); possible evolutionarily advantageous symbioses via horizontal
gene transfer, increased microbiotal balance favouring β-galactosidase
activity denoting a higher threshold of resistance to lactose
intolerance irrespective of genetic predisposition, more bacteria that
produce butyric acid, valeric acid and isovaleric acid, suppressing
inflammation, and being (as a daily user) five times less likely to have
a BMI ≥25); in intestinal epithelial cells, increased AMPK
phosphorylation, upregulated differentiation markers, enhanced
PGC1α/SIRT3 mitochondrial signaling, reduced ROS production, increased
antioxidant enzymes, levels of citrate, malate, and succinate,
upregulation of pyruvate dehydrogenase and isocitrate dehydrogenase 1,
and induced metabolic and antioxidant signaling; population-wide
reduction of antibiotic resistance and its associated global mortality
burden of 4.95 million (2019) by substitution with cannabinoids with a
low innate resistance frequency value, e.g. CBD's low propensity to
induce resistance against methicillin resistant staphylococcus aureus
American Type Culture Collection (MRSA ATCC) 43300, Bacillus cereus,
Vibrio cholerae, Escherichia coli, Staphylococcus aureus, and
Staphylococcus epidermidis resulting in prolonged useful life of
antibiotics, reductions in their adverse effect in the GI microbiome,
prevention of weight loss, increased survival, increased natural killer
(NK) cells, immune cell mobilization; synergism with antibiotics in
drug-resistant Acinetobacter baumannii, reduced biofilm biomass and
biofilm viability, increased DNA leakage, extracellular protein release,
protein leakage, and membrane disruption; broad antifungal activity via
membrane biogenesis and stability, pyrimidine synthesis pathway,
ergosterol biosynthesis pathway, pentose phosphate pathway, inositol
pathway, and membrane and mitochondrial proteins, efficacy against jock
itch and athlete's foot; up to 100% reduction in cell viability in
protoscoleces and cysts of Echinococcus granulosus sensu stricto;
adverse effects on cell wall and membrane structure in gram-positive
bacteria Bacillus licheniformis, Staphylococcus aureus, and Enterococcus
faecium; via CBR activation prevention of a dysregulated polarization
state combining pro-inflammatory and regulatory elements, increased
levels of beneficial Lactobacillus and Bifidobacterium species, L.
intestinalis, L. gasseri, L. crispatus, protection against
gastrointestinal infections caused by Citrobacter rodentium and
Alistipes species A. humii, A. finegoldii, and A. onderdonkii, elevated
Bifidobacterium shunt, 7-cyano-7-deazaguanine (preQ0) biosynthesis
pathway, L-glutamine and L-lysine biosynthesis, prevention of
microbiota-driven immune dysregulation, modulation of innate immunity,
host defense, and microbiota composition during bacterial infections,
phagocytosis of zymosan particles, enhancement of mammalian cell
viability, endocannabinoid regulation of gut homeostasis and microbiome,
promotion of gut barrier integrity, enhancement of anti-inflammatory
responses, and pathogen resistance, more potent bactericidal activity
than vancomycin including in exponential- and stationary-phase MRSA
cells, via degradation of the bacterial lipid membrane, and alteration
of the bacterial nucleoid; downstream effects in mental and physical
wellbeing via gut permeability and transport; pleiotropic gene
association-based reductions in attention-deficit/hyperactivity disorder
(ADHD), anorexia nervosa (AN), bipolar disorder (BIP), major depressive
disorder (MDD), posttraumatic stress disorder (PTSD), and schizophrenia
(SCZ) via amelioration of gastroesophageal reflux disease (GERD), (IBD),
irritable bowel syndrome (IBS), and peptic ulcers disease (PUD); lower
levels of fibrinogen; interleukin-8 (IL-8, or CXCL8)-mediated thrombus
resolution, elevated activated partial thromboplastin time (APTT);
prolonged clotting time, reduced platelet adhesion and aggregate
formation under flow, reduced platelet alpha-granule secretion, reduced
major precursors for oxylipin generation docosahexaenoic acid (DHA),
arachidonic acid (ARA), and eicosapentaenoic acid (EPA), dose-dependent
inhibition of aggregation, with the same clotting times and blood counts
including platelets; benefits in breast cancer, stomach cancer, prostate
cancer, hepatic ischemia/reperfusion (IR) injury, acute liver failure
(ALF), alcoholic liver disease (ALD), NAFLD/MASLD, viral hepatitis,
fibrosis, and hepatocellular carcinoma (HCC) via downregulation of CCL5;
anti-tumorigenic induction of pyroptosis via the caspase-3/Gasdermin E
(GSDME) axis, reduction of aerobic glycolysis through the
ATF4-insulin-like growth factor binding protein 1 (IGFBP1)-Akt pathway;
a potential ~25% reduction of nondipping equivalent to over 500
prevalent cases in Slovenia in 2019; induction of HO-1; antihypertensive
action via inhibition of presynaptic norepinephrine release via
α2-adrenoreceptors (α2AR); anti-inflammatory action in human vascular
smooth muscle cells (hVSMC) via transcription inactivating histone 3
lysine 4 monomethylation (H3K4me1), and transcription activating H3K4
trimethylation (H3K4me3), mediated by recruitment of HDAC4 and nuclear
corepressor NCoR1 to the chemokine (C-C motif) ligand 2 promoter (CCL2,
aka monocyte chemoattractant protein 1 MCP1 or small inducible cytokine
A2); endothelium-dependent vasorelaxant effects via GPR18; therapeutic
effects in Alzheimer’s disease, Parkinson’s disease, cancer, and
infertility via G protein-coupled receptors 3, 6, and 12 (GPR3, GPR6,
and GPR12); non-exposure to an increased risk of atrial fibrillation
(AF) at a rate of 18.16 patients or 29.31 diagnoses per 1% of NCU in
Slovenia annually; between 9.62 and 27.19 fewer hospitalizations for
heart failure in Slovenia annually per 1% of population cannabis use
(PCU); non-exposure to an increased risk of death from acute heart
failure (AHF) at a rate of 5.85 per 1% of NCU at 18% PCU, and 9.74
deaths per 1% at 30% PCU in Slovenia annually; in hospitalized AHF
patients, a lower prevalence of hypertension, dyslipidaemia, diabetes,
chronic kidney disease (CKD), prior coronary artery bypass grafting
(CABG), intra-aortic balloon pump (IABP) use, history of percutaneous
coronary intervention (PCI), family history of coronary artery disease
(CAD), peripheral vascular disease (PVD), and lower Charlson Comorbidity
Index (CCI) group ≥3, and following AMI lower odds of atrial
fibrillation (AF), ventricular fibrillation, cardiogenic shock, acute
ischaemic stroke, cardiac arrest, and all-cause mortality; post-stroke
improvement in neurological deficits, reduction in body mass, decrease
in blood cells related to the immune response, and atrophy of lymphoid
organs, lower corticosterone levels, and reduced intestinal
permeability, with protection against oxidative stress and post-stroke
lung inflammation; repellent and insecticidal activity against Triatoma
infestans; in Podravska, 6.09 fewer in-hospital AHF patient mortalities
per year per 1% NCU at 72% cohort NCU; in trauma patients 21% reduced
mortality including in younger and ICU patients; in chest trauma
amelioration of tumor necrosis factor α, caspase-3, caspase-9,
Bcl-2-associated X protein expressions, total oxidant status, oxidative
stress index levels, decreased B-cell lymphoma expression, total
antioxidant levels, inflammatory cell infiltration, damage-related
emphysema, pronounced hyperemia, and increased septal tissue thickness;
in chronic liver disease (CLD), usage-dependent lower prevalence of
cirrhosis, with lower unfavourable discharge disposition, and total
healthcare cost; in cirrhosis, regression of fibrosis with apoptosis of
hepatic myofibroblasts, reduced hepatorenal syndrome, ascites,
mortality, and length of hospital stay; reduced HIV anti-retroviral drug
resistance mutations and lower odds of high viremia; 72% lower mortality
in co-infected HIV/HCV patients with regular/daily use; in Japanese
encephalitis virus (JEV) suppression of viral replication via reduced
JEV mRNA, and E protein expression; in cardiac in-patients an overall
in-hospital mortality odds ratio of 0.41, reduced post-operative
mortality; in cancer patients, an in-hospital mortality odds ratio of
0.44; protection of NSCs and astrocytes from ionizing radiation;
attenuation via MyD88 pathways of toll-like receptor (TLR3)-induced
C-X-C motif chemokine ligand 10 (CXCL10), and IFN-β protein expression
in peripheral blood mononuclear cells (PBMCs), inhibition of
TLR7/8-induced nuclear factor of kappa light polypeptide gene enhancer
in B-cells inhibitor alpha [IκB-α aka NFKBIA] degradation and
phospho-p38 in macrophages, upregulation of interferon regulator factor
7 (IRF7), downregulation of CXCL10 and CXCL11 expression in thyrocytes,
chemokine receptor CXCR3 and chemokine ligand 9 (CXCL9) in endothelial
cells, and inhibition of angiogenesis; via inhibition of angiogenesis,
health benefits in respect of cancer, infectious diseases including
AIDS, autoimmune disorders, blood vessels, in adipose tissue, the skin,
eye, lung, intestines, reproductive system, and in the musculoskeletal
system; in cancer patients, improved reaction times in the Stroop Task;
inhibition of transforming growth factor beta (TGF-β), HA and hyaluronan
synthase 3 (HAS3) in myoblasts; promotion of adaptive immunity via the
proliferation and function of Tregs, and suppression of the
differentiation and function of T-helper-17 (Th17) cells, induction of
apoptosis of Th cells via inhibition of the expression of B-cell
lymphoma 2 (Bcl-2); prevention and amelioration of asthma and autoimmune
disorders via FoxP3 Tregs upregulation; antineoplastic effects on lung
cancer cells by various mechanisms mediated by cannabinoid receptors or
independent of them; vasodilatory effects via activation of Transient
receptor potential cation channel, subfamily A, member 1 (ANKTM1, aka
transient receptor potential ankyrin 1, TRPA1, the wasabi receptor);
blocking calcium release activated calcium (CRAC) currents, inhibition
of store-operated calcium entry (SOCE), decreased nuclear factor of
activated T-cells (NFAT) activation, and interleukin 2 (IL-2) production
in human T lymphocytes; reduced lymphocyte activation, expression of
miR-21, and of Th1/Th17 lineage commitment in delayed-type
hypersensitivity; remyelination and axon preservation, increased action
potential conduction, reduced chondroitin sulfate proteoglycans (CSPGs),
preferential oligodendrocyte precursor cell (OPC) differentiation, and
prevention of demyelination by diminished excitotoxicity in
oligodendrocytes, via activation of PI3K/AKT, and the mammalian target
of rapamycin (MTOR) pathways, and prevention of axonal demyelination of
neurons and axonal injury; antidemyelinating activity via reduction of
ileal Eisenbergiella tayi and Lachnoclostridium; reduced obesity via
nucleobindin-2 (NUCB2), and nesfatin-1; via reduced obesity, a reduced
prevalence of MS; in MS, suppression of Th17 cell differentiation via
suppression of miR-21 expression, and induction of mothers against
decapentaplegic homolog 7 (SMAD7), downregulation of IFN-γ inhibitor
miR-29b, miR-155, and miR-31, reduced pro-inflammatory cytokines IL-1,
IL-2, IL-12, IL-17, IL-22, IFN-γ, and TNF-α, and a 50% reduction in
relapse rate, improvements in spasticity, urine bladder dysfunction,
disability progression rate per the Modified Ashworth Scale (MAS), the
Post Void Residual (PVR) volume, and the Expanded Disability Status
Scale (EDSS); a decrease in the production of autoantibodies; a lowering
of 12,13-dihydroxy-9Z-octadecenoic acid (12,13-diHOME), promotion of the
differentiation of M2 phenotype of macrophages and the tolergenic
dendritic cells (DCs), and longer but not too long telomeres;
antiosteoarthritic via inhibition of nuclear factor erythroid 2-related
factor/heme oxygenase-1 (Nrf2/HO-1) signaling pathways by binding to
NF-κB essential modulator/inhibitor of κB Kinase subunit beta
(NEMO/IKKβ), and kelch-like ECH-associated protein 1 (Keap1) target
proteins, suppression NF-κB signaling pathway activation via activation
of Nrf2 in chondrocytes, inhibition of bone anabolism, mitigation of
articular cartilage hyperplasia and wear, and reduced Mankin score;
induction of apoptosis of synovial cells; repression of the nuclear
factor-κB signaling pathway in fibroblast-like synoviocytes, and
inhibition of the migration and proliferation of FLSs, assistance to FLS
apoptosis, prevention of hyperplasia in rheumatoid arthritis synovium,
reduction of joint and cartilage erosion, inhibition of IL-6, matrix
metalloproteinase-3 (MMP-3, aka stromelysin-1), and CCL2 in FLSs, and
osteoclastogenesis of peripheral blood monocytes, reduced arthritis
score, pain, fatigue, stiffness, inflammatory cell infiltration, bone
destruction, anti-collagen type II immunoglobulin G (anti-CII IgG1)
production, downregulation of signaling molecules including TLRs,
systemic NF-κB p65 (aka RELA gene product, nuclear factor of kappa light
polypeptide gene enhancer in B-cells 3), signal transducer and activator
of transcription 3 (STAT-3), inflammasome-related components NLRP1A,
NLRP3, absent in melanoma 2 (AIM2), gasdermin D, and caspase-1, IL-1β
early-phase TNF expression and increased expression of anti-apoptotic
gene BCL-2; in fibromyalgia increased tolerance to pressure in kgf/cm2,
increased tolerance and lower perception threshold to electrical pain,
improved modified-modified Schober test of lumbar flexion, improved
scores in Fibromyalgia Assessment Status (FAS), Fibromyalgia Impact
Questionnaire (FIQ) and its revised (FIQR) and Italian versions,
Fibromyalgia Symptom Severity (combining widespread pain index (WPI) and
(Symptom) Severity Score (SS/SSS), Quality-of-Life Impairment by Pain
(QLIP), Oswestry Disability Index (ODI), Functional Assessment of
Chronic Illness Therapy (FACIT), Patients' Global Impression of Change
(PGIC), General Anxiety Disorder Scale (GAD-7), Pain Disability Index
(PDI), 6-point Verbal Rating Scale (VRS-6) for pain intensity, Pain by
Visual Analogue Scale (VAS), stiffness by VAS, relaxation by VAS,
somnolence by VAS, perception of well-being by VAS, 11-point Numeric
Rating Scale (NRS), Zung Self-Rating Anxiety Scale (ZS-RA), Zung
Self-Rating Depression Scale (ZS-RD), Hospital Anxiety and Depression
Scale (HADS), Health-Related Quality of Life Measure with EuroQol 5
Dimension, Medical outcome survey short form (MOS SF-36), McGill Pain
Questionnaire (MPQ), Conditioned Pain Modulation (CPM), Offset Analgesia
(OA), Adjusted Short-form Profile of Mood States/Leeds Sleep Evaluation
Questionnaire (LSEQ), Pittsburgh Sleep Quality Index (PSQI), Insomnia
Severity Index (ISI), Quality of Life on the Likert scale, global
assessment on the Likert scale, with decreased number of positive tender
points, and standard analgesic treatment; in fibromyalgia-associated
upper and lower gastrointestinal (GI) symptoms, reduced log-transformed
FIQR score, epigastric pain, epigastric burning, abdominal pain,
abdominal distension, and bloating; in hypermobility spectrum disorder
(HSD), and hypermobile Ehlers–Danlos syndrome (hEDS), improved scores in
Short-Form McGill Pain Questionnaire 2 (SF-MPQ-2), pain visual analog
scale score (Pain-VAS), Brief Pain Inventory (BPI), five-level EQ-5D
(EQ-5D-5L), Single-Item Sleep Quality Scale (SQS), and PGIC; suppression
of TGF-β-induced collagen gene expression, differentiation of
myofibroblasts, Smad-dependent promoter activity in fibroblasts, and
inhibition of the proliferation and viability of fibroblasts while
inducing the apoptosis of fibroblasts; anti-osteopenic effects via
modulation of receptor activator of the nuclear factor-κB (RANKL or TNF
Superfamily Member 11), and osteoprotegerin (OPG or TNF Superfamily
Member 11b), maturation of preosteoclasts, phosphorylation of ERK1/2,
release of transforming growth factor-β1 (TGF-β1), binding of TNF
receptor-associated factors (TRAFs), increased MAPK, cyclic adenosine
monophosphate (cAMP) response element-binding protein transcription,
nuclear factor-κB (NF-κB), and activator protein-1 (AP-1), amplification
of c-Fos expression, interacting with nuclear factor of activated
T-cells cytoplasmic 1 (NFATc1) triggering transcription of the
osteoclastogenic gene, decreased bone resorption via decreased
expression of cytokines, TNF, and IL-1, and increased expression of IL-1
receptor antagonist; anti-osteosarcomogenic activity via
TNF-α/NF-κB/CCL5 axis disruption with direct binding of p65, attenuated
NF-κB-mediated transcriptional activation of CCL5, abrogation of the
p65-CCL5 positive feedback loop; in periodontitis, enhanced bone
remodeling, osteogenic differentiation via activation of ERK1/2; in
fracture healing, upregulated osteoblastic mRNA levels of the lysyl
hydroxylase PLOD2, transient enhancement of cartilaginous callus
resorption, and increased work-to-failure; protection of bone marrow
against ionizing radiation via restored reconstitution capacity of
hematopoietic stem cells, increased expression levels of
stemness-related genes in Wnt and BMP signaling pathways, via
upregulation of activating transcription factor 2 (ATF2), and
low-density lipoprotein receptor-related protein 6 (LRP6); suppression
of the interleukin 1-beta (IL-1β), and NFκB signaling pathways in
salivary gland epithelial cells (SGECs), and inhibition of the apoptosis
of SGECs; inhibition of the IL-1β pathway in lacrimal gland acinar
cells; therapeutic and prophylactic reduction of PD-1 in T-cells,
anti-programmed cell death protein-1 ligand 1 (PD-L1), IL-1β, and
decreased malignancy markers in breast cancer cells, thereby protective
against particulate matter measuring ≤2.5 μm (PM2.5); pre-emptive
amelioration of inflammaging induced by microplastics and nanoplastics
(MNPs), and by per- and polyfluoroalkane substances (PFAS) via
interleukin-18 (IL-18), IL-1β, TNF-α, and IL-6; cannabiniol
(CBN)-induced decrease in proliferation and suppression of the Akt
pathway as represented by its action in HCC1086 cell lines, decreases in
the levels of interferon gamma, IL-6, tumour necrosis factor alpha
(TNF-α), and IL-1β accompanied by an increase the level of interleukin-4
(IL-4) in the serum, by which the peroxisome proliferator-activated
receptor gamma (PPAR-γ or PPARG) agonist inhibits inflammatory
reactions, modulates the balance between immune cells and protects the
target organs in autoimmune diseases; reduced cell senescence via
upregulation of peroxisome proliferator activated receptor alpha (PPARα
or PPARA), and its target gene carnitine palmitoyltransferase 1C
(CPT1C); improved nuclear architecture and mRNA levels of cell cycle
regulators and genes involved in extracellular matrix (ECM) production,
increased rejuvenation and reduced senescence in dermal fibroblasts as
measured by beta-galactosidase (GLB) activity, via amelioration of
elastin (ELN), Cyclin D1, proliferating cell nuclear antigen (PCNA), and
pro-apoptotic protein Bcl-2 homology 3 interacting-domain death agonist
(BID) protein levels altered by stress-induced premature senescent
(SIPS) cells, with increased SIRT1 and SIRT6, and (nonsignificantly)
SIRT3 and SIRT4; reduced senescence-related vascular disorders, reduced
deposition of hepatic triglyceride (TG), AD, and insulin resistance via
the receptor for advanced glycation end product (RAGE)/PPARα axis;
selective COX2 inhibition overall, favourable modulation of the
arachidonic acid cascade, inhibiting production of series 2
prostaglandins, and series 4 leukotrienes; anti-viral and antibacterial
infectivity via inhibition of C. perfringens and influenza A (H5N1)
neuraminidases and SARS-CoV-2 main protease and angiotensin converting
enzyme 2 (ACE2) interaction; inhibition of SARS CoV-2 replication by
inter alia upregulation of host IRE1α ribonuclease ER stress response,
and interferon signaling pathways, via upregulated interferon-stimulated
gene 15 (ISG15), interferon induced protein with tetratricopeptide
repeats 1 (IFIT1), IFIT3, suppressor of cytokine signaling 1 (SOCS1),
and 2’-5’-oligoadenylate synthetase 1 (OAS1), leading to activation of
RNase L and RNA degradation, especially in the presence of the virus,
lowering of the titer this facilitating the innate immune response,
suppression of SARS-CoV-2-induced changes in gene expression, and
eradication of viral RNA expression in the cells, including RNA coding
for spike, membrane, envelope, and nucleocapsid proteins; a 0.77
population causal odds ratio of hospitalization using inverse-variance
weighted (IVW) linear regression, and 0.87 and 0.97 causal odds ratios
of severe respiratory symptoms and hospitalization respectively using
weighted median (WM); upon hospital admission for Covid-19, lower levels
of C-reactive protein (CRP), ferritin, D-dimer, and procalcitonin (PCT),
inhibition of spike protein-mediated membrane fusion, improved outcomes
reflected in lower Covid NIH score, a one third shorter hospitalization
time, approximately two thirds lower ICU admission rate, also two thirds
less need for mechanical ventilation, and 6-36% lower intubation rate,
with reduced rates of acute respiratory distress syndrome (ARDS), acute
respiratory failure, severe sepsis with multiorgan failure,
extracorporeal membrane oxygenation (EMCO), GI bleeding, in-hospital
cardiac arrest, and mortality (2.9% vs 13.5%), with up to 83.97% lower
odds of death compared to those in a no active cannabis use group, and
up to 2.75 fewer hospitalizations per day in Slovenia during a pandemic
episode; prevention and/or amelioration of Covid, reduced disease
sensitivity via downregulated ACE2 gene expression, blocked replication
of SARS-CoV-2 and expression of viral genes, reduced SARS-CoV2 entry
into host cells via downregulation of serine protease TMPRSS2,
triggering of interferon expression, and activation of the antiviral
signaling pathway, increased serum apelin, accompanied by an increase in
oxygen level in the lungs, formation of allosteric and orthosteric
ligands with spike protein, prevention of SARS-CoV-2 cell entry,
blockade of SARS-CoV-2 fusion, inhibition of SARS-CoV-2 spike
protein-mediated membrane fusion, and via inhibition of the expression
of IL-1β, IL-18, dual specificity phosphatase 2 (Dusp2), chemokine (C-C
motif) ligand 12 (CCL12), chemokine (C-C motif) ligand 9 (CCL9),
endothelin 1 (EDN1), interferon beta 1 (IFNB1) chemokine (C-C motif)
ligand 7 (CCL7), CD69, formyl peptide receptor, related sequence 2
(FPR-RS2), IL-1a, interleukin 4 induced 1 (IL4i1); interleukin 27
(Il27), paired immunoglobin-like type 2 receptor alpha (PILRA), matrix
metalloproteinase 13 (MMP13), and chemokine (C-C motif) ligand 2 (CCL2),
enhanced effect on LPS-upregulated genes growth differentiation factor
15 (GDF15), sequestosome 1 (SQSTM1 aka P62), solute carrier family 7
(cationic amino acid transporter, y+ system) member 11 (SLC7A11),
aquaporin 9 (AQP9), mucolipin 2 (MCOLN2 aka TRPML2), dual specificity
phosphatase 1 (DUSP1 aka MKP-1), DUSP8, prostaglandin I receptor
(PTGIR), cyclin-dependent kinase inhibitor 2B (CDKN2B aka P15),
homocysteine-inducible, endoplasmic reticulum stress-inducible
ubiquitin-like domain member 1 (HERPUD1), C-type (calcium dependent,
carbohydrate recognition domain) lectin (CLECSF9), and villin 2 (VIL2
aka ezrin), and via the MAPK pathway, the JAK/STAT regulatory molecules:
suppressor of cytokine signalling 3 (SOCS3), cytokine inducible SH2
containing protein (CISH), signal transducer and activator of
transcription 1 (STAT1), and the cell cycle related genes growth arrest
and DNA damage inducible alpha (GADD45A), cyclin dependent kinase
inhibitor 1A (CDKN1A), the nuclear factor (erythroid-derived 2)-like
2/heme oxygenase 1 (NRF2/HMOX1) axis, and the NRF2/ATF4-TRIB3 pathway;
pro-apoptotic action in ARDS via elevated serum concentrations of amino
acids, lysine, n-acetyl methionine, carnitine, and propionyl
L-carnitine, downregulation of miR-185, and dampening of the cytokine
storm; regulation of macrophage inflammatory and repair function in the
lung after viral injury via peroxisomes; protection against long Covid
and improved blood-brain barrier integrity via reduced IFN-γ, MCP-1,
tumor necrosis factor-alpha (TNFα), interleukin-1 beta (IL-1β), IL-6,
phosphorylation of STAT3, phosphorylation of tyrosine kinase-2 (TYK2),
interleukin-8 (IL-8), interleukin-17 (IL-17), interferon-gamma (IFNγ),
myeloperoxidase (MPO), inducible nitric oxide synthase (iNOS), nitrogen
dioxide (NO2), prostaglandin E2 (PGE2), phosphorylation levels of T cell
receptor (TCR) signaling proteins Lck, and Zap70, and reactive oxygen
species (ROS); suppression of toll-like receptor (TLR) 7– and
TLR8-mediated interleukin-1β production by CD16+ monocytes via
inhibition of post-translational maturation; improved long Covid,
cancer, and diabetes outcomes via elevated soluble interleukin-6
receptor (sIL-6R) activation by β-receptor glycoprotein 130 (gp130,
bound as spg130), and elevated Src homology 2 domain-containing tyrosine
phosphatase 2 (SHP1); based on inverse molecular docking fingerprinting
potential prophylactic and ameliorative activity in cancer, AD,
Parkinson's disease (PD), inflammation, arthritis, diabetes,
coagulopathies, disorders of phagocytosis, and complement-driven
diseases via hematopoietic cell kinase (HCK), GTPase Kras,
serine/threonine-protein kinase (PIM-1), ubiquitin-conjugating enzyme E2
N (UBE2N), cAMP-specific 3',5'-cyclic phosphodiesterase 4B (PDE4B),
cyclin-dependent kinase 2, estrogen receptor, histone-lysine
N-methyltransferase (EHMT1, aka euchromatic histone methyltransferase 1
or GLP (G9a-like protein)), coactivator-associated arginine
methyltransferase (CARM1), N-lysine methyltransferase (KMT5A), pyruvate
kinase isozyme M2 (PKM2), glycogen phosphorylase liver form (PYGL),
fructose-1,6-bisphosphate 1 (FBP1), interstitial collagenase (MMP1),
collagenase 3 (MMP13), stromelysin-1 (MMP3), matrix metalloproteinase-9
(MMP9), E-cadherin, macrophage metalloelastase (MMP12), amine oxidase
(flavin-containing) B (MAO-B), BACE1, coagulation factor X (FX aka
Stuart factor), and complement factor D (FD); reduced hyperthermia, and
improved thermoregulation via substitution for antimicrobials,
nonsteroidal anti-inflammatory drugs (NSAIDs), first generation
anticonvulsants, atypical antipsychotics, beta-blockers, and tricyclic
and selective serotonin reuptake inhibitor (SSRI) antidepressants; in
Tourette's Syndrome, improved scores for Yale Global Tic Severity Scale
(YGTSS), Premonitory Urge for Tics Scale (PUTS), and Yale-Brown
Obsessive Compulsive Scale (Y-BOCS); in obsessive compulsive disorder
(OCD), improved quality of life, general health, mood/depression, and
sleep quality, reduced anxiety per GAD-7; gastric protection against
ethanol, NSAIDs, proton pump inhibitors (PPIs), and stress-induced
mucosal damage; prevention of the inflammatory response in intestinal
mucosa via increased GPX; reduced acute and chronic pancreatitis; in
acute pancreatitis, lower morbidity and hospitalization costs, a sixfold
lower mortality risk; against pancreatic cancer, suppression of motif
chemokine receptors 4 and 7 (CXCR4/CXCR7) expression, and of matrix
metalloproteinases (MMP-2/9), reduced migration and invasion in MIA
PaCa-2, PANC-1, and AsPC-1 cells, reversal of CXCL12-induced
epithelial–mesenchymal transition (EMT) via downregulation of
mesenchymal markers and restoration of epithelial markers, inhibition of
expression of metastasis associated lung adenocarcinoma transcript 1
(MALAT1, aka nuclear-enriched abundant transcript 2 (NEAT2)), activation
of the PI3K/Akt/mTOR pathway, decreased expression of Bcl-2, epidermal
growth factor receptor (EGFR), MIAPaCa-2, and mTOR protein, nitrite,
INF-γ, IL-10 in peritoneal macrophages, inhibition of cell viability and
clonogenic growth, reduced phospho-Akt (pAkt), total Akt, and decreased
phosphorylation, regulation of cell death pathways including apoptosis
and ferroptosis, and induction of the intrinsic apoptotic pathway via
upregulation of Bax; in burns patients, an in-hospital mortality rate
fourfold lower vs. drug-negative, and eightfold lower vs.
alcohol-positive patients, shorter ICU stay and lower hospital costs
than drug- and alcohol-negative patients; antinociceptive,
bronchodilatory, antipyretic, and antirheumatic effects via antagonism
of platelet activating factor (PAF) by delta-9 tetrahydrocannabinol
(Δ9-THC or D-9-THC) metabolite tetrahydrocannabinol-7-oic acid, and
inhibition of cyclooxygenase and 5-lipoxygenase (ALOX5) activities;
anti-Parkinsonian effects via enhancement of Akkermansi municiphilia and
F. prausnitzii dependent SCFAs, reduction of alpha-synuclein, reduced
number of intracellular inclusions and increased number of cells without
inclusions, reduced gut permeability, attenuated loss of tyrosine
hydroxylase (TH)-containing neurons in the substantia nigra (SN),
THC-inhibition of divalent metal transporter 1 (DMT1) via blockade of
phosphorylation of serine 43 and prevention of iron (Fe) absorption, via
disruption of the Kelch-like ECH-associated protein 1 (Keap1)-Nrf2
interaction, elevated peroxiredoxins 1 and 2 (PRDX1 and PRDX2),
counteraction of LPS-induced elevation of CD68, reduction of iNOS
activity, and by inter alia β-caryophyllene (BCP)-induced reduction of
oxidative stress, neuroinflammation and apoptosis, and thereby also
cardioprotective effects, rescue of dopaminergic neurons, decreased
microglia, and astrocyte activation; in PD improved results in Montreal
Cognitive Assessment (MoCA) test, Insomnia Severity Index (ISI), and
Epworth sleepiness scale (ESS); in acute sleep deprivation (ASD),
prevention of cognitive deficits, ASD-induced reductions in long-term
potentiation (LTP) and PSD95 levels. and of alterations in synaptic
ultrastructure in hippocampal CA1 region, dendritic spine density and
basal dendritic complexity of CA1 pyramidal neurons; in Huntington's
Disease (HD) restoration of structural synaptic alterations and
impairment in spatial, recognition and working memory; enhanced
autophagosome expression via GABA(A) receptor-associated protein
(GABARAP/GABARAPL2/GATE-16 family) per nematode ortholog LGG-1;
post-injury and everyday anti-depressive effects via attenuation of
metalloproteinase-9; prevention and alleviation of age- and lipoxin A4
(LXA4)-dependent cognitive deficits; restored cognition in old age;
ameliorated presynaptic GABA release onto cerebellar Purkinje neurons
and reduced frequency of inhibitory postsynaptic currents through a
protein kinase A-dependent pathway; via inhibition of Akt
phosphorylation upregulation of FoxO3 in neuronal and cancer cells
promoting nuclear translocation and transcriptional activity;
upregulated CD11b+Gr-1+ myeloid-derived suppressor cells (MDSC), glial
fibrillary acidic protein (GFAP) intermediate filament protein and
ionized calcium-binding adapter molecule 1 (IBA1, aka allograft
inflammatory factor 1 (AIF1)) expression, granulocyte colony-stimulating
factor (G-CSF), brain derived neurotrophic factor (BDNF), and
glial-derived neurotrophic factor (GDNF) in hippocampus (HP), cerebral
cortex, and striatum subsequent to traumatic brain injury, with
increased cerebral blood flow (CBF) (attenuated by CBD), THC-driven
increased cortical-hippocampal and cortical-striatal connectivity,
increased neurobehavioral function, and working memory performance, and
decreased neurological deficit and enhanced motor functions through
down-regulation of pro-inflammatory markers correlating with reduced
levels of detrimental neural protein, oedema formation, and blood–brain
barrier permeability, prevention of neuronal cell loss, and
up-regulation of adherence junction proteins; post-TBI alleviation of
neuronal death, improved cognitive function, and reversed reduction of
glutamate transporter 1 (GLT-1), decreased GLT-1 expression in
astrocytes via the CB1-cAMP response element-binding protein (CREB)
signaling pathway, and promotion of SET Protein retention in the
cytoplasm via a SET/PP2A/Akt signaling axis suppressing PP2A activity;
in multiple concussions (MCC), decreased mRNA expression of PERK, eIF2α,
and CHOP, and protein expressions of PERK, eIF2α, ATF4, CHOP, TRIB3,
p-AKT, and pro-caspase-3 in the cerebral cortex, and increased
expression of p-Akt; in ischemia, release of the adenosine A2A receptor
(A2AR aka ADORA2A) blockade and recovery of CB1R in A2A-CB1R heteromer
of glucose-oxygen-deprived (GOD) cells, amelioration of neonatal
hypoxia, attenuation of cognitive and emotional impairments, hippocampal
neurodegeneration and white matter (WM) injury, reduced glial response,
increased hippocampal BDNF protein levels, promotion of neurogenesis and
dendritic restructuring in the hippocampus; increased dendritic spine
density in the posterior dorsomedial striatum; atypical coupling of
neuronal CB1R to heterotrimeric G12/G13 proteins triggering rapid and
reversible non-muscle myosin II (NM II) dependent contraction of the
actomyosin cytoskeleton, via Rho-GTPase and Rho-associated kinase
(ROCK), induction of rapid neuronal remodeling, retraction of neurites
and axonal growth cones, elevated neuronal rigidity, reshaping of
somatodendritic morphology, prevention of excessive corticofugal axon
growth into the sub-ventricular zone, transformation of the neuronal
cytoskeleton via actomyosin contractility, resulting in cellular
remodeling events ultimately able to affect the brain architecture and
wiring; improved tracer migration from lymphatic vessels to dCLNs, and
modification of aquaporin-4 polarization, higher rate of discharge home
vs other care settings, lower discharge modified Rankin scale (mRS), and
shorter duration of hospital stay; increased resilience to everyday
stress and in PTSD via FK506 binding protein 5 (FKBP5), reduced
neuropeptide Y (NPY) receptors in the basolateral amygdala (BLA), and
infralimbic prefrontal cortex, and a fall in the positive diagnostic
criteria rate at one year; reduced anxiety avoidance via inhibition of
presynaptic glutamate release and of anterior basolateral amygdala
(aBLA)-innervated ventral hippocampal (vHPC) glutamatergic neurons;
promotion of resilience via astrocytic cannabinoid receptor 1 dampening
of stress-induced blood–brain barrier alterations; supported cerebellar
volumes in aging, particularly in lobules I–V of the cerebellum;
increased hippocampal, NAc, amygdala, caudate, and putamen volumes;
fewer motor deficits; elevated or normalised hedonic tone; assisted
regulation of social reward via oxytocin-dependent endocannabinoid
signalling in the NAc; increased sleep duration, more slow-wave sleep,
reduced insomnia and better quality sleep with increased REM latency; in
hypertension, improved Epworth sleepiness scale (ESS); via improved
sleep or other mechanisms, a 26% lower prevalence of cardiovascular
disease, increased longevity, reduced adverse effects on circadian
rhythms via genes period circadian protein homologs 1, 2, and 3 (PER1,
PER2, PER3), cryptochrome circadian regulator 2 (CRY2), circadian
locomotor output cycles kaput (CLOCK), nuclear receptor subfamily 1
group D member 1 and 2 (NR1D1, NR1D2), retinoic acid-related Orphan
Receptor A (RORA), deleted in esophageal cancer 1 (DEC1), casein kinase
I isoform epsilon (CSNK1E), sleep homeostasis via IL6, signal transducer
and activator of transcription 3 (STAT3), Potassium Voltage-gated
channel modifier subfamily V member 2 (KCNV2), calcium/calmodulin
dependent protein kinase II delta (CAMK2D), oxidative stress via
peroxiredoxins 2 and 5 (PRDX2, PRDX5), and metabolism via solute carrier
family 2 members 3 and 5 (SLC2A3, SLC2A5), ghrelin, and obestatin
prepropeptide (GHRL), and ATP-binding cassette transporter 1 (ABCA1),
affecting chromatin modification, gene-expression regulation,
macromolecular metabolism, and inflammatory, immune and stress
responses; protection against sleep apnea, with reduced anxiety,
appetite lack, depression, disturbed sleep, fatigue, nausea, pain,
vomiting, and mortality; in refractory epilepsy, improved health-related
quality of life (HRQoL) patient-reported outcome measures (PROMs); in
temporal lobe epilepsy, suppressed formation of neurotoxic reactive
astrocytes, mitigation of gliosis, and reduced neuronal loss; reduced
seizures in Lennox-Gastaut syndrome (LGS), and Dravet syndrome (DS);
protection against cadmium and lead toxicity via improved levels of
oxidation markers GSH, CAT, myeloperoxidase (MPO), and inflammatory
cytokines TNF-α, IL-1β, and IL-6, ameliorated Cd-induced tissue damage
in liver and kidney; reduction in cobalt-triggered epileptic seizures;
antiepileptogenic action via the pivotal suppression of sodium
voltage-gated channel alpha subunit 2 (SCN2A) by differentiated
embryo chondrocyte 2 (DEC2/Sharp-1/Bhlhe41); in chronic
conditions, improvements in Health-related quality of life (HRQL), and
Short Form-36 Health Survey (SF-36) score, pain, fatigue including on
SF-36, sleep including on Pittsburgh Sleep Quality Index (PSQI) score,
anxiety, depression including Beck Depression Inventory (BDI) score, and
motor function; in attention deficit hyperactivity disorder (ADHD),
reductions in poor tolerance to frustration, outbursts of anger,
boredom, and problems related to concentration, and via cannabinoid
effects such as neurotransmitter release inhibition in the ventral
tegmental area (VTA), an unknown and unknowable mixture of net positive
up- or down-regulations of genes associated with psychoactive disorders,
or placebo effects, as supported by majority belief; in bipolar
disorder, increased effortful motivation, reduced impulsivity and risky
decision making via downregulation of cerebellar CB1R, regulation of the
glutamate-glutamine cycle, and on the Barratt Impulsiveness Scale
(BIS-11); reduced workplace injuries and fatalities; reduced odds of
motor vehicle collisions; via substitution for alcohol, fewer hospital
admissions in 6-hour post traffic accident ER visits with blood sample;
reduced pedestrian fatalities; reduced vehicle insurance premiums; lower
health insurance premiums; reduced opioid use, including fewer
prescriptions and fewer units, lower opiate mortality, and accidental
poisoning rates; in an RML vs. no-RML paradigm improved crime clearance
and reduced school expulsions; improved visual contrast sensitivity
under low-light conditions via inhibition of Na+-K+-2Cl− co-transporter
1 (NKCC1) through activation of AMPK, decreased visually evoked
excitatory synaptic drive onto retinal ganglion cells (RGCs), and
enhanced escape potential; prevention of light induced retinal
degeneration (LIRD) via reduced apoptotic nuclei in outer nuclear layer
(ONL), caspase-3, glial activity, with decreased expression of Bcl-2 and
CYP1A1; reduced intraocular pressure (IOP) via CB1R activation, a
pertussis toxin (PTx)-sensitive increase in phosphorylated extracellular
signal-regulated protein kinase (pERK), with a net inhibitory
inter-regulation of IOP with negative b2-adrenoceptor (b2AR) response,
neuroprotective, anti-inflammatory, and immunosuppressive effects on
autoimmunity in glaucoma, effects in glaucomatous neurodegeneration via
epigenetic changes in immune cells associated with autoimmunity, and
effects via the gut-retina axis, and Wnt signalling; relief of tinnitus
symptoms including dizziness, pain, and sleep disturbance, improved
audio gating ratio; in temporomandibular disorder (TMD) reduced pain,
anxiety, and improved sleep; added longevity and protection against
acetaminophen-induced hepatotoxicity via suppression of interleukin-11
(IL-11); added longevity via self-regulation of circadian rhythms; added
longevity and prevention of methylglyoxal-mediated cellular damage
through enhancement of the neural glyoxalase pathway; added longevity
via beclin-1 (BECN1), and sequestosome-1 (SQST-1, aka ubiquitin-binding
protein p62) gene-dependent promotion of autophagic flux in hippocampal
neurons; a more compressed morbidity with added longevity via actions on
pathways corresponding to abnormal dauer formation protein-2 (DAF-2),
consistent with reductions in protein carbonyl (PCO),
8-hydroxy-2'-deoxyguanosine (8-OHdG), lipid hydroperoxide (LHP),
malondialdehyde (MDA), IL-6, and nuclear factor κβ (NF-κβ) cell number,
elevated thiol fraction, mRNA expression of Krüppel-like factor-4;
prevention and attenuation of diabetic retinopathy via inhibition of
uptake of adenosine by equilibrative nucleoside transporter 1 (ENT1) in
microglia, synergistic enhancement of adenosine’s TNF-α suppression,
decreased TNF-α production in serum, decreased retinal inflammation by
blocking of p38, MAP kinase activation, and microglial activation, and
preservation of the blood-retinal barrier (BRB); prevention of
pathological retinal angiogenesis via upregulation of FoxP3+; retinal
comparable binding affinity to sitagliptin with dipeptidyl peptidase-4
(DPP-4), and higher binding affinity with α- glucosidase, α-amylase and
invertase than acarbose; amelioration of impaired redox status of
diabetic kidney and immunomodulation; prevention of renal atrophy,
attenuation of renal fibrosis, and amelioration of functional loss and
damage in kidney inflammation via inhibition of apoptosis through
blocking of caspase-3 activity, and subsequent cleavage of poly
ADP-ribose polymerase 1 (PARP1), and inhibition of transient receptor
potential cation channel subfamily M member 7 (TRPM7); reduced
adiponectin, apolipoprotein, resistin (aka adipose tissue-specific
secretory factor (ADSF) or C/EBP-epsilon-regulated myeloid-specific
secreted cysteine-rich protein (XCP1), increased glucose-dependent
insulinotropic peptide (GIP), and binding to
glucagon-like-peptide-1-receptor (GLP-1R); in obesity, lower plasma
fasting insulin (FINS), and homeostasis model assessment of insulin
resistance (HOMA-IR); antidiabetogenesis via high-calorific diet
(HCD)-ameliorating reduced body weight and food intake but increased
fluid consumption, modified expression for GPR55 receptor, glucagon,
insulin and v-maf musculoaponeurotic fibrosarcoma oncogene homolog A
(MafA), inhibition of DPP-4, decreased glycaemia, insulinaemia, islets
relative area, GPR55-positive cells, pancreatic and
duodenal homeobox factor-1 (PDX-1), reduced high-glucose
high-lipid (HGHL)-induced apoptosis with mitigated levels of
C-Caspase-3, C-Caspase-7, Bim EL, Bim L, and cleaved poly
ADP-ribose polymerase (C-PARP), putatively via decreased
thioredoxin-interacting protein (TXNIP) levels; reduced waist
circumference; reduced discrimation against women in diabetes
prophylaxis; fewer migraines and cluster headaches via suppression of
calcitonin gene-related peptide (CGRP) release from trigeminal sensory
fibers, inhibition of 5HT release from platelets, CB1 receptor
activation, descending modulation of pain at the spinal level through
periaqueductal gray matter (PAG), and rostral ventrolateral medulla
(RVM) connections, modulation of descending cutaneous-evoked C-fiber
spinal nociceptive responses from the brainstem regions including the
ventrolateral PAG and RVM, inhibition of dural trigeminovascular
nociceptive responses, descending attenuation and modulation of
dural-evoked nociceptive trigeminovascular processing and transmission
in the PAG, including Aδ-fiber and C-fiber responses, and basal
trigeminal neuronal tone in the trigeminocervical complex resulting in
reduced frequency and duration; resolution of neuropathic pain via
activation of spinal cord adenosine A2A receptors, and inhibition of
voltage-gated sodium (Nav) channel Nav1.8; in allodynia reduced thermal,
mechanical, and cold sensitivity; via CB1R activation, modulation of
pro-analgesic hyperpolarization-activated cyclic nucleotide-gated
channels 1 and 2 (HCN1, HCN2) in sensory neurons of the dorsal root
ganglia (DRG), reduced neuronal excitability, depletion of
neurotransmitter release in sensory neurons, stimulation of inhibition
by GABAergic interneurons, or by action on other channels; via GPR55
activation ameliorated cognitive dysfunction, attenuated hippocampal
neuroinflammation, preserved synaptic plasticity, with shifted
microglial polarization toward the neuroprotective M2 phenotype,
mitigation of neuroinflammatory cascades, alleviating neuropathic
pain-associated cognitive dysfunction through a mechanism involving the
calcium/calmodulin-dependent kinase beta (CaMKKβ)/AMPK/SOCS3 signaling
pathway; enhanced synaptic plasticity via upregulation of Arc in the
dentate gyrus; amelioration of gastroparesis; antinociceptive properties
in Rlick, formalin-induced inflammatory pain, and cisplatin-induced
peripheral neuropathy models; in refractory diabetic neuropathy, reduced
BPI pain severity, BPI interference, Leeds Assessment of Neuropathic
Symptoms and Signs (LANSS) score, HbA1c, and analgesic use; reduced
healthcare expenditure; 0.3 days per month less spent in poor mental
health by MM and pain-motivated users; one less death from alcohol in
Slovenia per day at 50% alcohol substitution; one less suicide per 15
days in an MML vs. prohibition paradigm, in anticipation of yet fewer
YPLL to suicide in RML conditions; reduced attempted or completed
suicide via substitution for benzodiazepines, the antidepressants
sertraline, fluoxetine, paroxetine, venlafaxine, fluvoxamine,
duloxetine, and clomipramine, and antipsychotics including aripiprazole,
risperidone, haloperidol, flupentixol, and zuclopenthixol; reduced
anhedonia, including via CB1R agonism in the oval subnucleus of the bed
nucleus of stria terminalis (ovBNST); via substitution for
benzodiazepines, reduced withdrawal symptoms including low energy, poor
concentration, memory loss, anxiety, sleep disturbances, sensitivity to
sights and sounds, dysbiosis, muscle weakness, aches and pains; in
offspring via substitution for antidepressant use during pregnancy,
higher platlet 5-HT levels, more mature fetal movement quality,
improvements in Brazelton Neonatal Behavioral Assessment Scale (NBAS),
orientation, reflexes, gestational age, Activin-A, cord blood level of
cortisol, thyroid-stimulating hormone and reelin levels, a reduced
incidence of pre-term birth, urogenital, eye, ear, face, and neck,
digestive and central nervous system anomalies, dysbiosis and
constipation, speech/language disorders, low Apgar score, poor brain
connectivity, behavioural symptoms such as increased irritability and
decreased sleep time, clubfoot, Hirschsprung’s disease, EEG anomalies,
ADHD, ASD via prenatal inhibition of P450 enzymes, and amelioration of
maternal immune activation (MIA), hydrocephalus, respiratory problems,
persistent pulmonary hypertension of the newborn, cardiovascular risk,
low birth weight, altered birth length, head circumference below the
10th percentile, higher placental weight, placental-to-birth-weight
ratio (PBWR), 2-fold neonatal intensive care unit (NICU), placental
weight, and umbilical cord length, long hospital stay, omphalocele,
Chiari I risk, less (primarily cortcolimbic) gray matter, altered
pattern of volumetric development in amygdala and fusiform gyrus in ages
7-15, psychiatric disorders, and reduced disorders of gut-brain
interaction (DGBI) driven by functional constipation; in pregnancy
without substitutive use and via reduction of stress acceleration,
IL-6-inversely-associated higher socioeconomic status (SES), lower
neonatal corticospinal fractional anisotropy (FA), and uncinate axial
diffusivity (AD), IL-10-inversely associated lower FA and higher radial
diffusivity (RD) in corpus callosum and corticospinal tracts, higher
optic radiation RD, lower uncinate AD, lower FA in inferior
fronto-occipital fasciculus and anterior limb of internal capsule
tracts, SES-moderated maternal TNF-α levels during gestation and
neonatal white matter diffusivity, TNF-α-inversely-associated inferior
cingulum AD; in neonatal hypoxia-ischemia (HI) improved sensorimotor and
neurodevelopmental reflex scores, hippocampal ratio, myelin basic
protein (MBP) ipsilateral-to-contralateral ratio, MBP densitometry,
white matter score in cingulum, and global neuropathological score;
reduced cortical thinning in teenage alcohol users; ameliorated
dialysis-related peritoneal fibrosis via TGF-β(1)-induced
dedifferentiation of mesothelial cells and maintenance of epithelial
integrity; reduced endometriosis with reduced serum total oxidant status
(OS), oxidative stress index (OSI), peritoneal fluid OSI, IL-6, TNF-α,
increased total antioxidant status (TAS), in serum and peritoneal fluid,
lower mean intensity in both surface epithelium and stromal cells for
VEGF, and in surface epithelium cells only for IL-6; improved EQ-5D-5L
score in endometriosis; relief of menstrual-related symptoms (MRS) with
reduced scores on Greenhouse–Geisser adjusted Menstrual-Related Symptom
Questionnaire (MRSQ), on anxiety and stress in Depression, Anxiety, and
Stress Scale–21 (DASS-21), Brief Irritability Test (BITe), and avoidance
of multiple side-effects via substitution for ibuprofen; in ovarian
cancer (OC) disruption of ovarian cancer stem cell (OCSC) homeostasis,
associated Wnt/β-catenin pathway, aldehyde dehydrogenase (ALDH)
activity, reduced phosphorylation of PI3K, AKT, and mTOR, hedgehog/GLI
(HH-GLI)- and NF-κB-dependent signaling pathways, and BCL2- and
ID-1-related processes, decreased fatty acid levels, suppression of the
transcription of genes involved in fatty acid uptake and synthesis,
activation of endoplasmic reticulum (ER) stress pathway, upregulation of
leukocyte-associated immunoglobulin-like receptor-1 (LAIR-1) leading to
G0-G1 phase arrest, and mitochondrial dysfunction in OC cells, increased
phosphorylation of phosphatase and tensin homolog (PTEN), and in
HER2-positive ovarian cancer, inhibition of HER2-tyrosine kinase; in
prenatally cannabinoid exposed (PCE) neonates, increased Mullen score in
gross motor, expressive and receptive language; enhanced language
development at the individual and evolutionary level via upregulation of
FoxP2; in PTSD, reduced nightmares, control of exaggerated fear response
via inhibition of adenylate cyclase, cAMP, and adrenergic pathways,
reduction of generalisation via deactivation of GABAA receptors on
pyramidal neurons; fine-tuning of regulation of olfactory circuits and
functional discrimination in the retrieval of positively and negatively
motivated olfactory memories; in anosmia increased ACE2 activity and
Angiotensin-(1-7), as decreased Renin levels, decreased pro-inflammatory
and increased anti-inflammatory cytokines, reduced apoptosis and atrophy
of olfactory circuitry, and reduced corticosterone; in dysgeusia
angiotensinergic effects, increased ACE2 activity, and reduced
corticosterone and renin levels in the lingual parenchyma; suppression
of non-advantageous startle via heterosynaptic long-term depression of
inhibition (iLTD) via activation of group I metabotropic glutamate
receptors (mGluR1 or mGluR5) in postsynaptic neurons, activation of CB1R
on inhibitory terminals inducing long-lasting reduction of presynaptic
GABA release probability; raised ability to work, lower PTSD checklist
(PCL) score for both arousal and re-experience, reduced avoidance,
intrusions, hyperarousal, self-care, usual activities, pain and
discomfort, anxiety and depression, patient global impression of change
(PGIC), and impact of event scale – revised (IES-R); higher educational
attainment, directly and via substitution for alcohol use; more sexual
partners; ~20% increased coital frequency in both sexes, with increased
sensitivity to touch, increased orgasm intensity and achievability, and
more relaxed sex; in males, higher sperm counts, testosterone, inhibin
B, and sex hormone binding globulin (SHBG), increased overall
International Index of Erectile Function (IIEF) erectile, orgasm,
intercourse satisfaction and overall satisfaction domains, with
proconceptive effects via prevention of untimely capacitation and
acrosome reaction; in females reporting orgasm difficulty, increased
orgasm frequency, improved orgasm satisfaction, easier orgasm; in
females, compression of the luteal phase, higher Female Sexual Function
Index (FSFI) score, more sexual desire, more arousal, double the female
orgasms, more satisfaction with better sex, and a reduction in faked
orgasms.
In the case of classical psychedelics the Benedictions proposed by the
Defence include increased longevity via lower odds of heart disease and
diabetes, via increased problem-solving, via flattening of the brain
energy landscape, via ten-eleven translocation methylcytosine
dioxygenase 1 (TET1), chromatin organisation, vesicle mediated transport
in synapse, and cell-cell adhesion gene ontology (GO) categories, and
via overall reduction of the allostatic load; enhancement of glycolytic
flux via activation of forkhead box K2 (FOXK2); in NAFLD/MASLD via a
pleiotropic effect upon lipid hepatic metabolism and glycemic control,
restoration of plasma and liver triglyceride levels, hepatic expression
of genes involved in lipid localization, catabolic processes, protein
expression of insulin receptor and insulin receptor substrate 1 [IRS-1],
phenotype of circulating NK [natural killer] cells via increased PD-1,
decreased fasting glucose and improved diurnal glucose stability by OGTT
AUC [oral glucose tolerance test area under the curve]; extension of
cellular lifespan, with delayed exhaustion of proliferative potential,
increased cumulative population doublings, and decreased population
doubling time, delayed onset and reduced senescence, decreased
beta-galactosidase (βgal) activity, reductions in p21, and
cyclin-dependent kinase inhibitor (p16), increased proliferating cell
nuclear antigen (PCNA), and retinoblastoma protein (pRB or Rb),
preserved telomere length, higher survival, phenotypic improvements in
hair growth and reductions in white hair; amelioration of high-glucose
high lipid diet (HGHL) effects in dermal fibroblasts via 5-HT2 and 5-HT7
serotonin receptors, with reduced apoptosis and alleviation of
HGHL-induced S phase arrest, reduced senescence markers, decreased
expression of inflammatory IL-1β, IL-6, and COX-2, promotion of
fibroblast migration, and upregulated elastin (ELN) gene expression;
geroprotective effects via delayed senescence, preservation of telomere
length, enhanced DNA stability via increased DNA-damage responses such
as GADD45a, reduction of aberrant intercellular communication downstream
of oxidative stress; increased balance between senders and receivers of
neural signals; activation of 5HT2A-R, and protection against reactive
oxygen species (ROS), and stimulation of mitochondrial biogenesis
increasing availability of adenosine triphosphate (ATP) via upregulation
of SIRT1; sympathovagal coactivation; long-lasting antidepressive action
via reduced metalloproteinase-9 (MMP-9); amelioration of AD, TBI, and
ischemia via restoration of neuronal Sigma-1 receptor-mediated
endoplasmic reticulum-mitochondria crosstalk, 5-HT, dopamine,
adrenergic, and trace amine receptors; prevention of endothelial
dysfunction, atherosclerosis, and thrombosis via alteration of platelet
aggregation pathways ameliorative of abnormal activation of peripheral
5-HT2A receptor due to chronic inflammation and lipid abnormalities;
anti-inflammatory action and protection against (inter alia)
fluorosis-induced metalloproteinases -2 and -9 via TIMP2;
anti-inflammatory inhibition of TNF-α and IL-1β, lowered IL-6 and COX-2
concentrations in macrophage cells, and increased IL-10; anti-allergenic
and anti-inflammatory reduction of arginase 1 (Arg1), and chitinase;
enhanced chromatin accessibility, energy homeostasis, and DNA damage
repair via increased expression of metallothionein (MT) family genes,
elevated nuclear ubiquitous casein, and cyclin-dependent kinases
substrate (NUCKS1); actin binding activity regulating the actin-myosin
interaction of smooth muscle via myosin light chain kinase 2 (Myl2);
reduced infection, infectivity, and death due to SARS-Covid via
inhibition of Mprotease and IL-6 by psilacetin, psilocin, and
psilocybine; decreased network modularity and axial diffusivity in
prefrontal-subcortical tracts; weakened hierarchicalism in directed
connectivity with increased balance between senders and receivers of
neural signalling; anti-diabetogenic action via or associated with
elevated connectivity in the precuneus/posterior cingulate cortex, and a
higher default mode network resting-state, and via suppression of TNF-α,
and other cytokines such as IL-6 and IL-12; enriched reactome pathways
related to axon guidance, cellular responses to stress, and cellular
responses to stimuli, including metabolism of RNA, cellular responses to
stimuli, Cap-dependent translation initiation, eukaryotic translation
initiation, cellular responses to stress, formation of a pool of free
40S subunits, L13a-mediated translational silencing of ceruloplasmin
expression, guanosine-5'-triphosphate (GTP) hydrolysis and joining of
the 60S ribosomal subunit, axon guidance, eukaryotic translation
elongation, peptide chain elongation, processing of capped
intron-containing pre-mRNA, nervous system development, response of
eukaryotic translation initiation factor 2 alpha kinase 4 (EIF2AK4 or
GCN2) to amino acid deficiency, SRP-dependent cotranslational protein
targeting to membrane; increased markers of neuroplasticity growth
associated protein 43 (GAP43), postsynaptic density protein 95 (PSD95),
synaptophysin, and synaptic vesicle protein 2A (SV2A); increased
neuroplasticity via reduced binding to receptor-type tyrosine-protein
phosphatase S (PTPσ) in somatic, dendritic and initial segments of
parvalbumin (PV+) containing interneuron axons, reduced tropomyosin
receptor kinase B (TRKB) endocytosis via inhibition of interaction of
adaptor protein-2 (AP-2) with TRKB, increasing translocation of TRKB to
the plasma membrane; neuroplastogenic effects in brain areas with high
5-HT2A receptor density, a decrease of cell surface-located 5-HT2A
receptors first in the axonal followed by the
somatodendritic-compartment, increased excitatory postsynaptic potential
(EPSP), elevated miniature excitatory postsynaptic currents (mEPSCs)
from pyramidal neurons, 5-HT2A receptor internalization and
redistribution in human cortical neurons, upregulation of neocortical
plasticity-related genes, enhanced long term memory via increased
neuronal activation-induced expression of immediate-early genes (IEGs)
via upregulation of cyclin-dependent kinase (CDK7), reduced Tau
phosphorylation at Thr212 and Ser396 via inhibition of dual specificity
tyrosine-phosphorylation-regulated kinase 1A (DYRK1A), promotion of the
growth of synapses, branching, stability, and long-lasting dendritic
spine density, increased plasticity in the prefrontal cortex (PFC),
enrichment of significantly affected genes in many ontologies and
pathways associated with axonal growth and synaptic remodeling, enhanced
DNA replication, axon guidance, synaptic vesicle cycle, neurotransmitter
release, plasticity, learning, memory and cognition, improved visual
memory consolidation and recall, increased phosphorylation of the BDNF
receptor TrkB, and AKT at Ser473, allosteric binding to TRKB, BDNF
upregulation but not TNF-α suppression via activation of aryl
hydrocarbon receptor (AhR), increased total neurite length, increased
glutamate signaling in the PFC, antinociceptive action via upregulation
of genes that suppress inflammation via tumour necrosis factor alpha
(TNF-α), ameliorated stress-related behavioral deficit via secretion of
corticotropin-releasing factor (CRF), HPA-axis activation, transient
elevation of plasma glucocorticoids, and changes in glucocorticoid
concentration profiles over time, upregulation of the Arc gene in the
whole cortex, as well as in the parietal cortex specifically,
upregulated c-Fos in most cortical regions including sensory visual,
auditory, somatosensory, and gustatory areas, motor, and association
areas, the anterior cingulate cortex (ACC), and the insula, in the
claustrum, locus ceruleus, lateral habenula, and some areas of the
thalamus, amygdala, and brainstem; potential amelioration of compulsive
eating via selective effects on deep-layer cortical neurons in the
context of predictive coding of expectations about sensory experience
including stimulus-reward predictions, relaxation of prior predictions
via increased bottom-up information flow, epigenetic modulation,
ameliorated impairment of hypothalamic and brainstem circuits
responsible for satiety and reward processing, inhibition of indoleamine
2,3-dioxygenase (IDO1), and tryptophan 2,3-dioxygenase (TDO),
restoration of gut barrier function via reduction of kynurenine
production, and decreased hippocampal kynurenine/5-HT ratio, decreased
the gut microbiome Shannon alpha diversity, and prevention of decreased
Firmicutes:Bacteroidetes; direct antinociceptive action of CBD via S296
in the third transmembrane domain of α3 glycine receptors (GlyR), with
reduced downstream ADAM metallopeptidase domain 17 (ADAM17), increased
surface expression and activation of TNFα receptor 1 (TNFR1), and
associated NF-kB pathway, increased expression in Purkinje neurons of
tumour necrosis factor TNFa, interleukin 1-b (IL-1b), high mobility
group box 1 protein (HMGB1), and glutaminase, increased extracellular
glutamate, and potentiated microglial activation via HMGB1; increased
presynaptic density in both the hippocampus and the PFC, increased
dendritic spine size in frontal cortical pyramidal cells, with elevated
excitatory neurotransmission, and strengthened cortico-hippocampal
synapses; reduced low frequency oscillatory power, increased overall
firing rates, and desynchronized local neural activity; the opportunity
to have a life-changing ontological shock if desired or necessary;
restoration of executive control and reduction of alcohol craving and
relapse via elevated mGlu2, with concurrent reduction in consumption,
activation of central amygdala (CeA) circuitry and decreased
corticotropin releasing factor receptor 1 (CRF1) in CeA neurons;
increased fear extinction, and neurogenesis; via enhancement of adult
hippocampal neurogenesis (AHN), reduced impairment with age of spatial
learning, pattern separation for memory encoding and retrieval,
contextual fear conditioning, cognitive flexibility, and mood
regulation; increased neurite outgrowth, dendritogenesis, spinogenesis
and synaptogenesis, restoration of vascular reactivity, and
5-HT-independent allosteric enhancement of BDNF signalling; in
Parkinson's Disease (PD), improved score in Movement Disorder Society
Unified Parkinson’s Disease Rating Scale (MDS-UPDRS) non-motor and motor
symptoms, cognitive domains in Paired Associates Learning, Spatial
Working Memory, Probabilistic Reversal Learning, and MoCA test; the
ability to explore panpsychist and less materialistic philosophical
viewpoints, to increase the Lempel-Ziv complexity of cortical activity
while reducing the chaoticity of low-frequency cortical electrodynamics,
and increasing global integration in the brain; increased musical
performance ability; increased music-induced imagery via changes in
parahippocampal connectivity and increased music-evoked emotion; greater
hearing sensitivity and levels of state absorption, increased musical
appreciation with a rise of EEG alpha percentage and power in parietal
cortex, differences in the right fronto-temporal cortex on theta, and on
alpha in left occipital cortex, and via relative increases in amplitude
of low frequency fluctuations (ALFF) in the bilateral superior temporal
lobes and supramarginal gyrus, and relative decreases in the medial
frontal lobes for the resting-state; disruption of maladaptive cognitive
processes and encouragement of emotional integration; in PTSD/TBI EEGs
reduced delta dominance particularly in frontal and temporal regions,
weakening of delta-beta correlations, improved filtering of irrelevant
stimuli and enhanced vigilance, of theta–alpha connectivity in cognitive
and emotional processing, of memory integration and affective
regulation, improved emotional regulation and processing control,
normalisation of theta activity, decreased alpha power in frontal and
central regions, heightened attention and improved cognitive processing
directed towards emotional information, increased beta band power in
frontal and parietal regions, increased beta-band spatial variance
across electrodes, greater inter-band segregation from delta activity,
reorganisation of beta activity within frontal-parietal networks,
improved symmetry in temporal lobes’ theta power, improved emotional
processing and information encoding, increased beta power parietal lobes
indicating improved attention, visual processing, and multisensory
integration; the possibility of increased creativity, novelty, surprise,
originality, and semantic distances even at the expense of decreased
'organization', active coping mediated by 5-HT2AR signaling,
non-5-HT2AR-mediated antidepressive effects, increased divergent
thinking and symbolic thinking; coping (during use) in extreme stress
via adaptive psychedelic dissociation (APD), with improved PTSD scores
in PDEQ [Peritraumatic Dissociative Experiences Questionnaire]
dissociation score with VAS-A [Visual Analog Scale for Anxiety], GAD-7
[Generalized Anxiety Disorder-7], PHQ-9 [Patient Health
Questionnaire-9], and PDS-5 [Posttraumatic Diagnostic Scale];
anti-suicidality via 5-hydroxytryptamine receptor 2 A (HTR2A),
5-hydroxytryptamine receptor 2 C (HTR2C), 5-hydroxytryptamine receptor 7
(HTR7), and cAMP-dependent protein kinase catalytic subunit alpha
(PRKACA); in post-traumatic stress of child maltreatment subtypes
neglect and emotional abuse, reduced internalized shame and complex
trauma symptoms; improved wellbeing in anorexia nervosa via 5-HT2a
serotonin receptor agonism, and increased BDNF concentrations,
restoration of gray matter and cortical neuroplasticity in areas
responsible for emotional regulation, decreased DMN and ACC activity,
increased insula activity, breakdown of cognitive rigidity and
ruminative tendencies, including via direct stimulation of the vagus
nerve and interaction with the microbiota–gut–brain axis, reduced
negative beliefs about body image, and pathological avoidance of social
situations, improved reward system regulation, and ability to surpass
traumatic experiences, facilitating treatment of psychiatric
comorbidities of AN; in anosmia or microsmia, improved or restored
olfaction following Covid-19 and otherwise; in personality disorders,
reduced suicidal behavior, anxiety, and depression, increased cognitive
flexibility and sustained increases in cognitive reappraisal; reopening
of the social reward learning critical period proportional to the
duration of acute subjective effects, paralleled by metaplastic
restoration of oxytocin-mediated long-term depression in the NAc,
differentially expressed genes and reorganization of the extracellular
matrix in the 'open state' versus the 'closed state'; including but not
only via substitution for escitalopram, increased optimism on the
Revised Life Orientation Test (LOT-R), and Prediction of Future Life
Events task (POFLE), achievement, flourishing on the Flourishing Scale
(FS), and self-control, and reduced dependency on the Dysfunctional
Attitudes Scale (DAS-24); improved scores on NEO Five-Factor Inventory-3
(NEO-FFI-3), Mystical Experiences Questionnaire (MEQ-30), Posttraumatic
Growth Inventory (PTGI), Emotional Breakthrough Inventory (EBI),
in Productivity, Creativity, Connectedness, Contemplation, Focus,
and Well-being domains, and reduced neuroticism; in terminal illness
reduced scores in Hospital Anxiety and Depression Scale (HADS), Beck
Depression Inventory-II (BDI-II), State-Trait Anxiety Inventory – State
version (STAI-S), Death Attitudes Profile (DAP-R), Hopelessness
Assessment Inventory (HAI), and Demoralization Scale II (DS-II),
increased WHO Quality of Life Scale (WHOQOL-BREF), MEQ, Persisting
Effects Questionnaire (PEQ) positive mood scores, and spiritual
well-being); increased satisfaction with one's partner and physical
appearance; a metaphysical idealism-mediated link with wellbeing;
increased insightfulness. agreeableness, extraversion, and self-esteem;
increased perceived health, inclusive identity, mindfulness, equanimity,
altruism, awe, elevation, kindness, self-kindness, positive affect,
benefit reminding, perceived support, meaning in life on the Meaning of
Life Questionnaire (MLQ), life satisfaction, improved perceived health,
health-motivated behavioural choices, and sleep; positive changes in
attitudes and behavior; universal but baseline sleep
disturbance-dependent reduction in sleep disturbance and depression;
reduced delusional ideation; reduced authoritarianism, anxiety,
depression, helplessness, boredom, pain perception, pandemic fear,
negative affect, greed, envy and hate; increased nature-relatedness and
ecological concern for planetary health; increased physical activity,
ecological, and dietary awareness, gardening, petition signing,
philanthropic donation giving, eco-activity, animal adoption, and
environmentally-inspired career change; enhanced search and rescue
abilities.
Benedictions common to both cannabis and to classical psychedelics at
the community level additionally include giggling, enhanced smell and
taste, enhanced executive function and improved performance in the
Wisconsin Card Sorting Test (WCST), downregulation of Tau and Aβ
deposition, increased synaptic plasticity via increases in mTOR
activity, inhibition of glycogen synthase kinase-3-beta (GSK3β),
reduction of Tau dissociation from microtubules, decreased insoluble and
increased soluble Tau levels; improved scores on longitudinal
improvements in anxiety and depression on GAD-7, and PHQ-9, PTSD
Checklist for DSM-5 (PCL-5), and reduced neuroticism; increased
forgiveness, gratitude, humility, sense of connection,
self-transcendence, and intimacy; lower laughter threshold, health
benefits of laughter including vasoactive effects of pituitary gland
released endorphin-activated opiate receptors in the vascular
endothelium, production of nitric oxide-dependent cardioprotection,
vasodilation, reduced vascular inflammation, reduced IL-6, IL-10, and
tumor necrosis factor (TNF)-alpha, improved peak oxygen uptake
(VO2peak), vascular cell adhesion molecule (VCAM), and ICAM; being full
of ideas, raised hedonic tone, sensory receptivity and intelligent
coping elevated via dendritic branching and density; via alcohol
reduction, amelioration or substitution, reductions in crystalline
intrusion in liver mitochondria, impairment of mitochondrial oxidative
phosphorylation, megamitochondria, serum markers of lipid peroxidation
such as conjugated dienes, malondialdehyde (MDA), 4-hydroxynonenal, and
F2-isoprostanes, reduced fat liver infiltration, focal necrosis, and
fibrosis, hydroxyl radicals, membrane permeability, impaired membrane
function, collapse of mitochondrial membrane potential, onset of
mitochondrial permeability transition (MPT), reduced sensitivity of the
electron transport chain to inhibition by oxidative stress and its
downstream effects upon mitochondrial DNA (mtDNA); prevention of
preconception paternal alcohol effects in offspring such as pre- and
post-natal growth reduction, delayed parturition, and degraded long-term
metabolic programming in offspring; alcohol-substitution-mediated
reductions in secondhand harms, homicide, especially drug law-related
homicides, suicidality, larceny/theft, assault, property crime, violent
crime, intimate partner violence (IPV), and other criminal behaviour, as
marked by elevation of BDNF; reduced susceptibility to dementia (AD) as
marked by elevated BDNF; in PD improved results in the MoCA test; faster
and more responsive positive hedonic effects than antidepressants; via
substitution for antidepressants, avoidance of increased pain
sensitivity subsequent to adolescent use, avoidance of penile fibrosis,
impotence, and post-SSRI sexual disorder (PSSD), postpartum haemmorhage,
reduction or elimination of suicidal ideation, completed suicide,
homicidal ideation and homicide, anxiety, agitation, panic attacks,
insomnia, irritability, hostility, aggressiveness, impulsivity,
violence, imprisonment, akathisia (psychomotor restlessness), hypomania,
mania, gun shot wounds, fractures, tardive dyskenesia, insomnia,
screaming, apathy, and in incident dementia faster cognitive decline,
increased risk of severe dementia, and death; elimination of accidental
death or injury in CaPs-related vehicular fleeing; via substitution for
antidepressants in Tyr129Ser, rs1176744 HTR3 SNP subjects, reduction in
cocaine addiction; reduction in tobacco use, morbidity, mortality, and
associated costs; increased conscientiousness; positive differences in
self-perceptions of sexual function and wellbeing, experienced pleasure,
sexual satisfaction, arousal, communication of sexual desires,
importance of sex, and body image; reduction in crime via amelioration
of autism symptomology including increased communicative skills,
attention, learning, eye contact, diminished aggression, irritability,
and allotriophagy, and an overall increase in both the patient’s and
family’s quality of life; rescue of alcohol-mediated reductions in
vitamins A, B, C, D, E, K, and calcium, magnesium, iron, and zinc
deficiencies; motivational neuroadaptations during alcohol
dependence;alcohol-substitution- and BMI-mediated reductions in cancer
including epigenetic transgenerational effects of hypomethylation of
HRAS and hypermethylation of Tumor Protein TP53 (aka
Transformation-Related Protein 53 or Antigen NY-CO-13), histone
post-transcriptional chromatin modifications in liver, brain, and
impaired chromatin condensation in sperm, adverse effects in noncoding
microRNAs (miRNAs) Transfer RNA Glutamic Acid 6 (aka Anticodon CUC or
tRNA-Glu-CTC), and TRG-GCC6-1 (Transfer RNA Glycine 12 aka Anticodon GCC
or tRNA-Gly-GCC); alcohol-substitution-mediated reductions in pre- and
post-conception teratogenic effects including intergenerational autism
and psychosis, reduced glucose intolerance intergenerationally via
altered miR10a and tDR-Glu-CTC in F1 sons of obese fathers who impart
glucose intolerance to the F2 male descendants, increased testicle
volume, reduced absenteeism, pro-economic effects on property damage,
police and justice services, and the medical insurance system; reduced
flight-induced mortality, injury, and property damage; antinociceptive
effects; increased longevity via CR-mimesis, including deacetylation of
histones and non-histone proteins such as transcription factor nuclear
factor kappa-light-chain-enhancer of activated B cells (NF-kB),
silencing of ApoB protein (Apolipoprotein B) resulting in lowered serum
cholesterol, and low-density lipoprotein, mediating calorie-restricted
(CR) life span extension in a NAD+-dependent manner, silencing at the
mating type loci, telomeres, and rDNA loci, repressed transcription of
cryptic mating type loci (HML and HMR), enhanced long-term potentiation
(LTP) via sirtuin suppression of miR-134; elevated SIRT1, GADD45a, Nox4,
and Nrf2, transcription of BDNF and α-klotho, with
downregulated Casp1 and connective tissue growth factor (CTGF)
genes; enhanced sirtuin-based telomere maintenance with the help of
telomere binding proteins, increased stress resistance through
regulation of the tumour-suppressor protein p53, reduction of forkhead
box O gene 3a (FOXO3a)-mediated apoptosis; improved coping with chronic
stress including a politically and media driven stress cycle agenda via
EGFR expression in amygdala astrocytes, inhibition of a stress-induced,
pro-inflammatory signal-transduction cascade facilitating neuron–glial
crosstalk and stress-induced fear behaviour via orphan nuclear receptor
NR2F2 in amygdala neurons, and recruitment of meningeal monocytes during
chronic stress; resilience via N-methyl-d-aspartate receptor
(NMDAR)-mediated neuroprotection of parvalbumin (PV+) containing
interneurons; improved odds of increased lifespan associated with
complete blood count and telomere investigations, and with the improved
situational awareness improved acuity brings; increased music
appreciation; the in aperto foro model offers a health regimen
achievable with a strategy of the individual's own choosing, without his
or her health decisions being overruled or ruled over by commercial
interests - neither via the government or the courts - specifically
those who have no information about, stake or interest in positive
individual health outcomes, and whose often dubious advice has not been
sought by the user. The user thus enjoys the right to patient autonomy,
starting with not being involuntarily designated as a patient. With
personal autonomy, resilience and responsibility for self-maintenance
are enhanced. The cost of ill health and addiction, including addiction
to pharmaceutical medicines, is reduced via both nutraceutical and
sociocultural pathways. Via enhancement of adaptability in an
ever-changing environment, the behaviour of those using these drugs is
empirically determined to be more, not less, appropriate. Finally both
cannabis and psychedelics may act via placebo effects.
Last updated 3 March 2026