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, prefusion conformational stabilizing, 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, psychomotor agitation, sensory
sensitivity, repetitive behaviours, mental control, and negative affect;
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;
reduced itch and pain in lichen simplex, uremic pruritus, isolated
pruritus, postherpetic neuralgia, and prurigo nodularis; 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); cytotoxic, anti-biofilm, and anti-quorum sensing in bacterial
pathogens via inhibition of violacein production; 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); attenuation of frostbite-induced chronic pain via
modulation of TRP channels, neuroinflammation, and autophagy; 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
peroxisome proliferator-activated receptor-γ coactivator 1α
(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),
irritable bowel syndrome/disease (IBS/IBD), 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 I/R
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; stabilization of the measles virus prefusion F
protein; 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 modulation of
ileal Eisenbergiella tayi and other Lachnoclostridia; reduced obesity
via nucleobindin-2 (NUCB2), and nesfatin-1; alleviation by CBG of
obesity-induced recruitment of fatty acid transporters to the plasma
membrane, limitation of intracellular FAs influx and protection of
myocytes against excess lipogenesis and subsequent lipid storage,
upregulation of muscular cardiolipin and prevention of C22:6n-3
build-up, accompanied by elevated SOD levels and reduced formation of
lipid peroxidation products, indicating enhancement of cellular
antioxidant defense; 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);
in Parkinson's Disease (PD) decreased nighttime urinary frequency,
improved scores in Non-Motor Symptoms Scale (NMSS), King's
Parkinson's Disease Pain Scale (KPPS), PD Sleep Scale-2 (PDSS-2), and
PD Quality-of-Life Questionnaire-8 (PDQ-8); 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), PGIC and GAD-7;
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; inhibition of
TGF-β1-induced EMT in human conjunctival epithelial cells via
interruption of TGF-β/Smad signaling; 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 ischemia/reperfusion (I/R) prophylactic and
restorative effects via activation of SIRT-1/PGC-1α-related
mitochondrial biogenesis and NF-κB-dependent inflammatory
signaling; 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, inhibition of morphology
changes of HCM-spherical shape, vacuolisation of cytoplasm and swollen
mitochondria, decreased dead cell count, restored ceramide kinase
(CERK), enhanced TAC in cardiomyocytes, 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, increased synaptic
strength, enhanced long term memory via induction of mostly 5-HT2A
receptor mediated gene expression changes associated with axonal and
synaptic plasticity, increased neuronal activation-induced expression of
immediate-early genes (IEGs) Fos-like antigen 2 (FOSL2), JunD
proto-oncogene, AP-1 tanscription factor subunit (JUND), early growth
response 1 (EGR1), activity-regulated cytoskeleton-associated protein
(ARC), FosB proto-oncogene AP-1 transcription factor subunit (FOSB),
acting as a switch modulating glutamatergic excitatory signalling genes,
(AMPA/NMDA) receptor genes (GRIA), and glutamate ionotropic receptor
AMPA type subunits 1, 2, and 3 (GRIA1/2/3) more strongly than NMDA genes
and glutamate receptor ionotropic, NMDA (GRIN) genes (GRIN1/2B/2C) via
upregulation of cyclin-dependent kinases 5 and 7 (CDK5/7), long-term
plasticity via CDK5, CAMK, synapse formation via synuclein (SYN), axonal
and neurite growth via GAP43, neuronal structure marker via microtubule
associated protein tau (MAPT), 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, GO terms related to 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 and complexity, 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 21 June 2026