Review Article

Therapeutic Applications of Cannabinoids in Cardiomyopathy and Heart Failure

Table 2

Use of cannabinoids in different cardiomyopathies.

CompoundPharmacological activityCardiomyopathy modelObserved effectReference

SR144528CB2 antagonistI-RAbolished cardioprotection of ECS, PEA, 2-AG, ACEA, and methanandamide[50, 51, 53]
Abolished 5-HT vasodilatory response[52]
ArrhythmiaNo effect over ACEA protection[58]
SR141716A (rimonabant)CB1 antagonistI-RNo effect over ECS and PEA cardioprotection[50, 51]
Abolished ACEA, methanandamide, and half 2-AG cardioprotection[51, 53]
Abolished 5-HT vasodilatory response[52]
MIPrevention of hypotention followed by MI[62]
ArrhythmiaNo effect over ACEA and HU.210 protection[58, 59]
Anandamide (arachidinoylethilenamide, ACEA)Endogenous cannabinoid, CB1 and CB2 agonistI-RHeart protection against ischemia[51]
Reduction of the infarct size[53]
ArrhythmiaIncrease resistance to arrhythmogenic effects of epinephrine[58]
Improvement on cardiac resistance to arrhythmia[60]
Pulmonary artery hypertensionEndothelium-dependent pulmonary artery relaxation[70]
2-arachidonoylglycerol (2-AG)Endogenous cannabinoid, CB1 and CB2 agonistI-RHeart function recovery after reperfusion[51]
Protection of preconditioning on the endothelial function[52]
Palmitoylethanolamide (PEA)Endogenous cannabinoid, CB1 agonistI-RHeart function recovery after reperfusion[51]
Protection of preconditioning on the endothelial function[52]
No effect on infarct reduction[53]
JWH105CB2 agonistI-RHeart protection against ischemia[51]
MethanandamideNon-hydrolyzable anandamide analogI-RReduction of the infarct size[53]
ArrhythmiaImprovement on cardiac resistance to arrhythmia[60]
JWH-133CB2 agonistI-RNo effect on infarct reduction[53]
Reduction of myocardial injury[56]
WIN55212-2CB2 ligandI-RProtection against myocardial damage[55]
AM630CB2 antagonistI-RAbolished cardioprotection of WIN55212-2 and JWH-133[55, 56]
AM251CB1 antagonistI-RNo effect on WIN55212-2 cardioprotection[55]
HU-210CB1 and CB2 agonistI-RCardioprotection by mimic postconditioning[57]
ArrhythmiaAntiarrhythmic effects[59]
Abnormal cannabidiolRegioisomer of CBDDiabetic cardiomyopathyHemodynamic, reduction of LV contractility and relaxation index[63, 64]