Exogenous delta⁹-tetrahydrocannabinol influences circulating endogenous cannabinoids in humans

J Clin Psychopharmacol. 2013 Oct;33(5):699-705. doi: 10.1097/JCP.0b013e3182984015.

Abstract

Delta⁹-tetrahydrocannabinol (THC) competes with the endogenous cannabinoids arachidonoyl ethanolamide (anandamide) and 2-arachidonoyl glycerol (2-AG) at cannabinoid receptors. This may cause adaptive changes in the endocannabinoid signaling cascade with possible consequences for the biological functions of the endocannabinoid system. We show that administration of a single oral dose of 20 mg THC to 30 healthy volunteers resulted in higher circulating concentrations of anandamide, 2-AG, palmitoyl ethanolamide, and oleoylethanolamide at 2 and 3 hours after administration as compared with placebo. At 2 hours after THC administration, changes in oleoylethanolamide plasma concentrations from baseline were linearly related to the THC plasma concentrations. In rats, treatment with the CB₁/CB₂ agonist WIN 55,212 also increased plasma endocannabinoid concentrations. However, this was associated with a decrease of ethanolamide endocannabinoids in specific brain regions including spinal cord, cortex, and hypothalamus; whereas 2-arachidonoyl glycerol increased in the cortex. Thus, administration of THC to human volunteers influenced the concentrations of circulating endocannabinoids, which was mimicked by WIN-55,212 in rats, suggesting that exogenous cannabinoids may lead to changes in the endocannabinoid system that can be detected in plasma.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Oral
  • Adult
  • Animals
  • Benzoxazines / pharmacology
  • Brain / drug effects
  • Brain / metabolism
  • Cross-Over Studies
  • Double-Blind Method
  • Dronabinol / administration & dosage*
  • Endocannabinoids / blood*
  • Female
  • Germany
  • Healthy Volunteers
  • Humans
  • Male
  • Morpholines / pharmacology
  • Naphthalenes / pharmacology
  • Psychotropic Drugs / administration & dosage*
  • Rats
  • Rats, Inbred Lew
  • Receptor, Cannabinoid, CB1 / drug effects
  • Receptor, Cannabinoid, CB1 / metabolism
  • Receptor, Cannabinoid, CB2 / drug effects
  • Receptor, Cannabinoid, CB2 / metabolism
  • Spinal Cord / drug effects
  • Spinal Cord / metabolism
  • Time Factors
  • Up-Regulation

Substances

  • Benzoxazines
  • Cnr1 protein, rat
  • Cnr2 protein, rat
  • Endocannabinoids
  • Morpholines
  • Naphthalenes
  • Psychotropic Drugs
  • Receptor, Cannabinoid, CB1
  • Receptor, Cannabinoid, CB2
  • (3R)-((2,3-dihydro-5-methyl-3-((4-morpholinyl)methyl)pyrrolo-(1,2,3-de)-1,4-benzoxazin-6-yl)(1-naphthalenyl))methanone
  • Dronabinol