Abstract

Antimicrobial resistance has emerged as a global health crisis and, therefore, new drug discovery is a paramount need. Cannabis sativa contains hundreds of chemical constituents produced by secondary metabolism, exerting outstanding antimicrobial, antiviral, and therapeutic properties. This paper comprehensively reviews the antimicrobial and antiviral (particularly against SARS-CoV-2) properties of C. sativa with the potential for new antibiotic drug and/or natural antimicrobial agents for industrial or agricultural use, and their therapeutic potential against the newly emerged coronavirus disease (COVID-19). Cannabis compounds have good potential as drug candidates for new antibiotics, even for some of the WHO’s current priority list of resistant pathogens. Recent studies revealed that cannabinoids seem to have stable conformations with the binding pocket of the Mpro enzyme of SARS-CoV-2, which has a pivotal role in viral replication and transcription. They are found to be suppressive of viral entry and viral activation by downregulating the ACE2 receptor and TMPRSS2 enzymes in the host cellular system. The therapeutic potential of cannabinoids as anti-inflammatory compounds is hypothesized for the treatment of COVID-19. However, more systemic investigations are warranted to establish the best efficacy and their toxic effects, followed by preclinical trials on a large number of participants.

Highlights

  • The term ‘antimicrobial agent’ refers to specific synthetic or natural substances such as drugs, chemicals, or extracts that have the ability to either kill or inhibit the growth of microbes, including bacteria, fungi and algae [1]

  • The antibacterial efficacy of C. sativa was scientifically revealed in a dissertation by Krejci in 1950 [36] and preliminary results were published later stating that extracts were effective against only Gram-positive bacteria (GPB) [37,38]

  • Bactericidal activity against Methicillin-resistant Staphylococcus aureus (MRSA) is neutral to the nature of the prenyl moiety, to its relative position compared to the n-pentyl moiety, and to carboxylation of the resorcinyl moiety

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Summary

Introduction

The term ‘antimicrobial agent’ refers to specific synthetic or natural substances such as drugs, chemicals, or extracts that have the ability to either kill or inhibit the growth of microbes, including bacteria, fungi and algae [1]. Though the discovery of new antibiotics is critical, concerning the pace of antibiotic resistance, a huge innovation gap has been created in antibiotic drug discovery after the end of its ‘golden era’ between 1950 and 1970 [12] It is almost 50 years since the last new antibiotic was discovered, and research funding to find new antibiotics has been drastically reduced in both the pharmaceutical and academia domain, which considering such investment nonprofitable during an economic crisis [13,14]. The. United States Centers for Disease Control and Prevention’s (CDC) 2019 AR Threats Report listed 18 germs, including bacteria and fungi, on three levels of human health concern: urgent, serious, and concerning, as a measure of estimation of antibiotic resistance burden in the USA [9]. The literature reviewed demonstrate the broad spectrum of hemp’s antibacterial activity, with the goal of showing the plant’s utility for multipurpose antibacterial applications

Historical Overview
Antifungal Activity
Antiviral Activity
Antiviral Efficacy against Viral Pathogens
SARS-CoV-2
Mode of Action of Cannabinoids
Physical Factors
Structure
Synergism
Food Plants
Crop Protection
Others Application
Findings
Conclusions
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