Cannabis and its influence on cellular stability and tissue integrity: analysis of cell lysis and cell death markers

Authors

Keywords:

ABUSO DE MARIHUANA; CANNABIS; INFLAMACIÓN; TRASTORNOS RELACIONADOS CON SUSTANCIAS; MUERTE CELULAR.; MARIJUANA ABUSE; CANNABIS; INFLAMMATION; SUBSTANCE-RELATED DISORDERS; CELL DEATH.; ABUSO DE MACONHA; CANNABIS; INFLAMAÇÃO; TRANSTORNOS RELACIONADOS AO USO DE SUBSTÂNCIAS; MORTE CELULAR.

Abstract

Introduction: cannabis consumption has been the subject of growing scientific interest due to its effects on cellular stability and tissue integrity, with relevant implications for public health.

Objective: to analyze the available evidence on the effects of cannabis on cell lysis, inflammation, and tissue degeneration in vital organs.

Methods: a systematic review of the scientific literature was conducted across various databases. The search was carried out using an algorithm with keywords and Boolean operators, allowing the identification of relevant sources. The selected studies, after applying inclusion and exclusion criteria, were critically analyzed considering timeliness, methodological quality, and thematic relevance, and integrated into the final synthesis of the review.

Development: tetrahydrocannabinol affects neuroplasticity and neuronal homeostasis, generating cognitive and structural alterations in the brain. In the liver, CB1 receptor activation promotes inflammatory processes and fibrosis, while in the cardiovascular system arrhythmias, orthostatic hypotension, and risk of heart failure have been reported. Findings also show an increase in reactive oxygen species and endothelial dysfunction, compromising cell viability. Although some studies suggest beneficial immunomodulatory effects, the prevailing evidence highlights negative consequences on organ function and tissue integrity.

Conclusions: cannabis exerts adverse effects on cellular stability and the integrity of essential organs, promoting inflammatory and degenerative processes. These findings reinforce the need for further research and preventive strategies that consider neurological, cardiovascular, and hepatic risks.

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References

1. Atalay S, Jarocka-Karpowicz I, Skrzydlewska E. Antioxidative and anti-inflammatory properties of cannabidiol. Antioxidants (Basel)[Internet]. 2020[citado 25/12/2025];9(1):21. Disponible en: https://doi.org/10.3390/antiox9010021

2. Huestis MA, Solimini R, Pichini S, Pacifici R, Carlier J, Busardò FP. Cannabidiol adverse effects and toxicity. Curr Neuropharmacol[Internet]. 2019[citado 25/12/2025];17(10):974–89. Disponible en: https://doi.org/10.2174/1570159X17666190603171901

3. Chesney E, Oliver D, Green A, Sovi S, Wilson J, Englund A, et al. Adverse effects of cannabidiol: a systematic review and meta-analysis of randomized clinical trials. Neuropsychopharmacology[Internet]. 2020[citado 25/12/2025]; 45:1799-1806. Disponible en: https://doi.org/10.1038/s41386-020-0667-2

4. Pisanti S, Malfitano AM, Ciaglia E, Lamberti A, Ranieri R, Cuomo G, Abate M, Faggiana G, Proto MC, Fiore D, Laezza C, Bifulco M. Cannabidiol: State of the art and new challenges for therapeutic applications. Pharmacol Ther[Internet]. 2017 Jul[citado 25/12/2025];175:133-150. https://doi.org/10.1016/j.pharmthera.2017.02.041

5. Balistreri, William F. Introducing Jorge A. Bezerra, M.D., Our 2020 AASLD President. Hepatology[Internet]. 2020 september[citado 25/12/2025]; 72(3): 801-806. Disponible en: https://doi.org/10.1002/hep.31456

6. Ghosh M, Naderi S. Cannabis and Cardiovascular Disease. Curr Atheroscler Rep[Internet]. 2019Apr [citado 25/12/2025]; 21(6): 21. Disponible en: https://doi.org/10.1007/s11883-019-0783-9

7. Klein TW. Cannabinoid-based drugs as anti-inflammatory therapeutics. Nat Rev Immunol[Internet]. 2005[citado 25/12/2025]; 5(5): 400–11. Disponible en: https://doi.org/10.1038/nri1602

8. Cabral GA, Griffin-Thomas L. Emerging role of the cannabinoid receptor CB2 in immune regulation: therapeutic prospects for neuroinflammation. Expert Rev Mol Med[Internet]. 2009[citado 25/12/2025]; 11: e3. Disponible en: https://doi.org/10.1017/S1462399409000957

9. Nagarkatti P, Pandey R, Rieder SA, Hegde VL, Nagarkatti M. Cannabinoids as novel anti-inflammatory drugs. Future Med Chem[Internet]. 2009[citado 25/12/2025]; 1(7):1333–49. Disponible en: https://doi.org/10.4155/fmc.09.93

10. Rakotoarivelo V, Mayer TZ, Simard M, Flamand N, Di Marzo V. The Impact of the CB Cannabinoid Receptor in Inflammatory Diseases: An Update. Molecules[Internet] 2024[citado 25/12/2025]; 29(14): 3381. Disponible en: https://doi.org/10.3390/molecules29143381

11. Barakat M, Thianb S, t al. Cannabis and the immune response: A comprehensive review of therapeutic potential and concerns. Phytomedicine Plus[Internet] 2025[citado 25/12/2025]; 5(4): 100876. Disponible en: https://doi.org/10.1016/j.phyplu.2025.100876

12. Hegde VL, Nagarkatti M, Nagarkatti PS. Cannabinoid receptor activation leads to massive mobilization of myeloid-derived suppressor cells with potent immunosuppressive properties. Eur. J. Immunol[Internet]. 2010[citado 25/12/2025]; 40(12): 3358-3371. Disponible en: https://doi.org/10.1002/eji.201040667

13. Schroeder B, Schulze Ryan J, Weller Shaun G, Sletten Arthur C, Casey Carol A, McNiven Mark A. The small GTPase Rab7 as a central regulator of hepatocellular lipophagy. Hepatollogy[Internet]. 2015[citado 25/12/2025]; 61(6):1896–1907. Disponible en: https://doi.org/10.1002/hep.27667

14. Ramaekers JG, Berghaus G, van Laar M, Drummer OH. Dose related risk of motor vehicle crashes after cannabis use. Drug Alcohol Depend[Internet]. 2004[citado 25/12/2025]; 73(2):109–19. Disponible en: https://doi.org/10.1016/j.drugalcdep.2003.10.008

15. Sarafian TA, Habib N, Oldham M, Seeram N, Lee RP, Lin L, Tashkin DP, Roth MD. Inhaled marijuana smoke disrupts mitochondrial energetics in pulmonary epithelial cells in vivo. Am J Physiol Lung Cell Mol Physiol[Internet]. 2006 Jun[citado 25/12/2025]; 290(6):L1202-9.. Disponible en: https://doi.org/10.1152/ajplung.00371.2005

16. LiverTox: Clinical and Research Information on Drug-Induced Liver Injury [Internet]. Bethesda (MD): National Institute of Diabetes and Digestive and Kidney Diseases. Turmeric [Internet]; 2012[citado 25/12/2025]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK548561/

17. Jiang R, Yamaori S, Takeda S, Yamamoto I, Watanabe K. Identification of cytochrome P450 enzymes responsible for metabolism of cannabidiol by human liver microsomes. Life Sci[Internet]. 2011[citado 25/12/2025]; 89(5–6):165–70. Disponible en: https://doi.org/10.1016/j.lfs.2011.05.018

18. Stout SM, Cimino NM. Exogenous cannabinoids as substrates, inhibitors, and inducers of human drug metabolizing enzymes: a systematic review. Drug Metab Rev[Internet]. 2014[citado 25/12/2025]; 46(1):86–95. Disponible en: https://doi.org/10.3109/03602532.2013.849268

19. Brown JD, Winterstein AG. Potential adverse drug events and drug–drug interactions with medical and consumer cannabidiol (CBD) use. J Clin Med[Internet]. 2019[citado 25/12/2025]; 8(7):989. Disponible en: https://doi.org/10.3390/jcm8070989

20. Zendulka O, Dovrtělová G, Nosková K, Turjap M, Šulcová A, Hanuš L, et al. Cannabinoids and cytochrome P450 interactions. Curr Drug Metab[Internet]. 2016[citado 25/12/2025]; 17(3):206–26. Disponible en: https://doi.org/10.2174/1389200217666151210142051

21. Leinen ZJ, Mohan R, Premadasa LS, Acharya A, Mohan M, Byrareddy SN. Therapeutic Potential of Cannabis: A Comprehensive Review of Current and Future Applications. Biomedicines[Internet]. 2023 Sep[citado 25/12/2025]; 11(10): 2630. Disponible en: https://doi.org/10.3390/biomedicines11102630

22. Ghosh M, Naderi S. Cannabis and Cardiovascular Disease. Curr Atheroscler Rep[Internet]. 2019 Apr[citado 25/12/2025]; 21(6):21. Disponible en: https://doi.org/10.1007/s11883-019-0783-9

23. Thomas G, Kloner RA, Rezkalla S. Adverse cardiovascular, cerebrovascular, and peripheral vascular effects of marijuana inhalation: what cardiologists need to know. Am J Cardiol[Internet]. 2014[citado 25/12/2025]; 113(1):187–90. Disponible en: https://www.ajconline.org/action/showPdf?pii=S0002-9149%2813%2901976-0

24. Pacher P, Steffens S, Haskó G, Schindler TH, Kunos G. Cardiovascular effects of marijuana and synthetic cannabinoids: the good, the bad, and the ugly. Nat Rev Cardiol[Internet]. 2018[citado 25/12/2025]; 15(3):151–66. Disponible en: https://doi.org/10.1038/nrcardio.2017.130

25. Batalla A, Bhattacharyya S, Yücel M, Fusar-Poli P, Crippa JA, Nogue S, et al. Structural and functional imaging studies in chronic cannabis users: a systematic review of adolescent and adult findings. PLoS One[Internet]. 2013[citado 25/12/2025]; 8(2):e55821. Disponible en: https://doi.org/10.1371/journal.pone.0055821

26. Orr C, Spechler P, Cao Z, Albaugh M, Chaarani B, Mackey S, et al. Grey matter volume differences associated with extremely low levels of cannabis use in adolescence. J Neurosci[Internet]. 2019[citado 25/12/2025]; 39(10):1817–27. Disponible en: https://www.jneurosci.org/content/39/10/1817

27. Yücel M, Solowij N, Respondek C, Whittle S, Fornito A, Pantelis C, Lubman DI. Regional brain abnormalities associated with long-term heavy cannabis use. Arch Gen Psychiatry[Internet]. 2008 Jun[citado 25/12/2025]; 65(6):694-701 https://doi.org/10.1001/archpsyc.65.6.694

Published

2025-12-31

How to Cite

1.
Padilla Caicedo KD, Proaño-Semanate ME, Suntasig-Gómez AM. Cannabis and its influence on cellular stability and tissue integrity: analysis of cell lysis and cell death markers. Rev Ciencias Médicas [Internet]. 2025 Dec. 31 [cited 2026 Apr. 20];29(supl2):e7058. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/7058

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