A New Frontier: The Evolving Legal and Policy Landscape of ...
A New Frontier: The Evolving Legal and Policy Landscape of Medical Cannabis in Maryland: The Science
Patricia C Frye, MD Certified Medical Cannabis Specialist Takoma Park Integrative Care Author of "The Medical Marijuana Guide: Cannabis and Your Health"
Ancient Medicine
? First cultivated crop ? 12,000 years ? Used as medicine ? 5000 years
? TCM ? 2700 BC ? Egyptian Papyri ? 1400 BC ? First Anesthetic ? 150 AD ? Ayurveda ? Ancient Islamic Medicine ? Western Medicine ? 1830's ? US Pharmacopoeia ? 1857 -1942
Endocannabinoid System (ECS)
? Appetite ? Sleep ? Stress ? Emotions ? Memory ? Pain ? Fat, glucose metabolism ? Autoimmune system
Endocannabinoid System (ECS)
Receptors:
? CB1 ? primarily brain, CNS ? CB2 - tissues, organs, immune cells ? Others: GPR55, TRPV, IL, TNF, 5-HT
Endocannabinoids:
? Anandamide, 2-AG, PEA ? Produced on demand ? Act locally ? Bind to transmembrane G-protein receptors
principally inhibiting neurotransmitter release ? Inactivated rapidly
Enzymes:
? Fatty Acid Amide Hydrolase (FAAH) ? Monoarachylglycerol Lipase (MAGL)
Pain Neuron
CB1
Release of Ca+, Glutamate, GABA Serotonin Dopamine
Anandamide 2-AG PEA
AEA
X
Activation of lipid precursors forms AEA
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