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Saving copy of the {{drugbox}} taken from revid 476482201 of page 11-nor-9-Carboxy-THC for the Chem/Drugbox validation project (updated: 'CAS_number').
 
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{{short description|Main secondary metabolite of THC}}
{{ambox | text = This page contains a copy of the infobox ({{tl|drugbox}}) taken from revid [{{fullurl:11-nor-9-Carboxy-THC|oldid=476482201}} 476482201] of page [[11-nor-9-Carboxy-THC]] with values updated to verified values.}}
{{MCN|date=April 2024}}
{{cs1 config|name-list-style=vanc}}
{{Distinguish|Tetrahydrocannabinolic acid}}
{{Drugbox
{{Drugbox
| Verifiedfields = changed
| verifiedrevid = 446003364
| verifiedrevid = 477189426
| IUPAC_name = 1-hydroxy-6,6-dimethyl-3-pentyl-6a,7,8,10a-tetrahydrobenzo[c]chromene-9-carboxylic acid
| IUPAC_name = 1-Hydroxy-6,6-dimethyl-3-pentyl-6a,7,8,10a-tetrahydrobenzo[''c'']chromene-9-carboxylic acid
| image = 11-COOH-THC.svg
| image = 11-COOH-THC.svg
| width = 250px
| width = 250px
| image2 = THC-11-oic-acid-3D-balls.png
| alt2 = THC-11-oic acid molecule


<!--Clinical data-->
<!--Clinical data-->
| tradename =
| tradename =
| pregnancy_category = Inconclusive
| pregnancy_category = Inconclusive
| legal_status = Variable
| legal_status =
| routes_of_administration = Variable
| routes_of_administration = Variable


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| bioavailability = Variable
| bioavailability = Variable
| metabolism = Variable
| metabolism = Variable
| elimination_half-life = 5.2 to 6.2 days <ref>{{cite journal | vauthors = Schwilke EW, Schwope DM, Karschner EL, Lowe RH, Darwin WD, Kelly DL, Goodwin RS, Gorelick DA, Huestis MA | display-authors = 6 | title = Delta9-tetrahydrocannabinol (THC), 11-hydroxy-THC, and 11-nor-9-carboxy-THC plasma pharmacokinetics during and after continuous high-dose oral THC | journal = Clinical Chemistry | volume = 55 | issue = 12 | pages = 2180–2189 | date = December 2009 | pmid = 19833841 | pmc = 3196989 | doi = 10.1373/clinchem.2008.122119 }}</ref>
| elimination_half-life = 5.2 to 6.2 days <ref>http://www.clinchem.org/cgi/content/full/55/12/2180</ref>
| excretion = Variable
| excretion = Variable


<!--Identifiers-->
<!--Identifiers-->
| CAS_number_Ref = {{cascite|correct|??}}
| CAS_number_Ref = {{cascite|changed|??}}
| CAS_number = <!-- blanked - oldvalue: 64280-14-4 -->
| CAS_number = 56354-06-4
| UNII_Ref = {{fdacite|correct|FDA}}
| UNII = 4TPC9E4A32
| PubChem = 107885
| PubChem = 107885
| DrugBank_Ref = {{drugbankcite|correct|drugbank}}
| DrugBank_Ref = {{drugbankcite|correct|drugbank}}
| ChemSpiderID_Ref = {{chemspidercite|correct|chemspider}}
| ChemSpiderID_Ref = {{chemspidercite|correct|chemspider}}
| ChemSpiderID = 97019
| ChemSpiderID = 97019
| ChEBI = 167808


<!--Chemical data-->
<!--Chemical data-->
| C=21 | H=28 | O=4
| C=21 | H=28 | O=4
| molecular_weight = 344.445 g/mol
| smiles = CCCCCc1cc(c2c(c1)OC(C3C2C=C(CC3)C(=O)O)(C)C)O
| smiles = CCCCCc1cc(c2c(c1)OC(C3C2C=C(CC3)C(=O)O)(C)C)O
| InChI = 1/C21H28O4/c1-4-5-6-7-13-10-17(22)19-15-12-14(20(23)24)8-9-16(15)21(2,3)25-18(19)11-13/h10-12,15-16,22H,4-9H2,1-3H3,(H,23,24)
| InChIKey = YOVRGSHRZRJTLZ-UHFFFAOYAD
| StdInChI_Ref = {{stdinchicite|correct|chemspider}}
| StdInChI_Ref = {{stdinchicite|correct|chemspider}}
| StdInChI = 1S/C21H28O4/c1-4-5-6-7-13-10-17(22)19-15-12-14(20(23)24)8-9-16(15)21(2,3)25-18(19)11-13/h10-12,15-16,22H,4-9H2,1-3H3,(H,23,24)
| StdInChI = 1S/C21H28O4/c1-4-5-6-7-13-10-17(22)19-15-12-14(20(23)24)8-9-16(15)21(2,3)25-18(19)11-13/h10-12,15-16,22H,4-9H2,1-3H3,(H,23,24)
| StdInChIKey_Ref = {{stdinchicite|correct|chemspider}}
| StdInChIKey_Ref = {{stdinchicite|correct|chemspider}}
| StdInChIKey = YOVRGSHRZRJTLZ-UHFFFAOYSA-N
| StdInChIKey = YOVRGSHRZRJTLZ-UHFFFAOYSA-N
|drug_name=|alt=|caption=|type=|MedlinePlus=|licence_EU=|pregnancy_AU=|pregnancy_US=|licence_US=|DrugBank=}}
}}

'''11-Nor-9-carboxy-Δ<sup>9</sup>-tetrahydrocannabinol''' ('''11-COOH-THC''' or '''THC-COOH'''), often referred to as '''11-nor-9-carboxy-THC''' or '''THC-11-oic acid''', is the main secondary [[metabolite]] of [[tetrahydrocannabinol]] (THC) which is formed in the body after [[cannabis (drug)|cannabis]] is consumed.

==Metabolism and detection==
11-COOH-THC is formed in the body by [[oxidation]] of the active metabolite [[11-hydroxy-THC]] (11-OH-THC) by liver enzymes. It is then metabolized further by conjugation with [[glucuronide]],<ref>{{cite journal | vauthors = Skopp G, Pötsch L | title = Stability of 11-nor-delta(9)-carboxy-tetrahydrocannabinol glucuronide in plasma and urine assessed by liquid chromatography-tandem mass spectrometry | journal = Clinical Chemistry | volume = 48 | issue = 2 | pages = 301–306 | date = February 2002 | pmid = 11805011 | doi = 10.1093/clinchem/48.2.301 | doi-access = free }}</ref> forming a water-soluble congener which can be more easily excreted by the body.<ref>{{cite journal | vauthors = Law B, Mason PA, Moffat AC, King LJ | title = Confirmation of cannabis use by the analysis of delta 9-tetrahydrocannabinol metabolites in blood and urine by combined HPLC and RIA | journal = Journal of Analytical Toxicology | volume = 8 | issue = 1 | pages = 19–22 | year = 1984 | pmid = 6323852 | doi = 10.1093/jat/8.1.19 }}</ref>

11-COOH-THC has a long half-life in the body of up to several days (or even weeks in very heavy users),<ref>{{cite journal | vauthors = Huestis MA, Mitchell JM, Cone EJ | title = Detection times of marijuana metabolites in urine by immunoassay and GC-MS | journal = Journal of Analytical Toxicology | volume = 19 | issue = 6 | pages = 443–449 | date = October 1995 | pmid = 8926739 | doi = 10.1093/jat/19.6.443 }}</ref><ref>{{cite journal | vauthors = Pope HG, Gruber AJ, Hudson JI, Huestis MA, Yurgelun-Todd D | title = Neuropsychological performance in long-term cannabis users | journal = Archives of General Psychiatry | volume = 58 | issue = 10 | pages = 909–915 | date = October 2001 | pmid = 11576028 | doi = 10.1001/archpsyc.58.10.909 | doi-access = free }}</ref><ref>{{cite journal | vauthors = Dietz L, Glaz-Sandberg A, Nguyen H, Skopp G, Mikus G, Aderjan R | title = The urinary disposition of intravenously administered 11-nor-9-carboxy-delta-9-tetrahydrocannabinol in humans | journal = Therapeutic Drug Monitoring | volume = 29 | issue = 3 | pages = 368–372 | date = June 2007 | pmid = 17529896 | doi = 10.1097/FTD.0b013e31805ba6fd | s2cid = 25321236 }}</ref> making it the main metabolite tested for [[Drug test|blood or urine testing]] for cannabis use. More selective tests are able to distinguish between 11-OH-THC and 11-COOH-THC, which can help determine how recently cannabis was consumed;<ref>{{cite journal | vauthors = Huestis MA, Henningfield JE, Cone EJ | title = Blood cannabinoids. II. Models for the prediction of time of marijuana exposure from plasma concentrations of delta 9-tetrahydrocannabinol (THC) and 11-nor-9-carboxy-delta 9-tetrahydrocannabinol (THCCOOH) | journal = Journal of Analytical Toxicology | volume = 16 | issue = 5 | pages = 283–290 | year = 1992 | pmid = 1338216 | doi = 10.1093/jat/16.5.283 }}</ref><ref>{{cite journal | vauthors = Huestis MA, Elsohly M, Nebro W, Barnes A, Gustafson RA, Smith ML | title = Estimating time of last oral ingestion of cannabis from plasma THC and THCCOOH concentrations | journal = Therapeutic Drug Monitoring | volume = 28 | issue = 4 | pages = 540–544 | date = August 2006 | pmid = 16885722 | doi = 10.1097/00007691-200608000-00009 | s2cid = 22536528 }}</ref> if only 11-COOH-THC is present then cannabis was used some time ago and any impairment in cognitive ability or motor function will have dissipated, whereas if both 11-OH-THC and 11-COOH-THC are present then cannabis was consumed more recently and motor impairment may still be present.{{Citation needed|date=March 2017}}

Some jurisdictions where cannabis use is decriminalized or permitted under some circumstances use such tests when determining whether drivers were [[Driving under the influence|legally intoxicated]] and therefore unfit to drive, with the comparative levels of THC, 11-OH-THC and 11-COOH-THC being used to derive a "blood cannabis level" analogous to the blood alcohol level used in prosecuting impaired drivers.<ref>{{cite journal | vauthors = Ménétrey A, Augsburger M, Favrat B, Pin MA, Rothuizen LE, Appenzeller M, Buclin T, Mangin P, Giroud C | display-authors = 6 | title = Assessment of driving capability through the use of clinical and psychomotor tests in relation to blood cannabinoids levels following oral administration of 20 mg dronabinol or of a cannabis decoction made with 20 or 60 mg Delta9-THC | journal = Journal of Analytical Toxicology | volume = 29 | issue = 5 | pages = 327–338 | year = 2005 | pmid = 16105257 | doi = 10.1093/jat/29.5.327 | doi-access = free }}</ref> On the other hand, in jurisdictions where cannabis is completely illegal, any detectable levels of 11-COOH-THC may be deemed to constitute driving while intoxicated, even though this approach has been criticized as tantamount to prohibition of "driving whilst being a recent user of cannabis" regardless of the presence or absence of any actual impairment that might impact driving performance.

==Effects==
While 11-COOH-THC does not have any psychoactive effects in its own right, it may still have a role in the [[analgesic]] and [[anti-inflammatory]] effects of cannabis,<ref>{{cite journal | vauthors = Burstein SH, Hull K, Hunter SA, Latham V | title = Cannabinoids and pain responses: a possible role for prostaglandins | journal = FASEB Journal | volume = 2 | issue = 14 | pages = 3022–3026 | date = November 1988 | pmid = 2846397 | doi = 10.1096/fasebj.2.14.2846397 | doi-access = free | s2cid = 46552755 }}</ref><ref>{{cite journal | vauthors = Doyle SA, Burstein SH, Dewey WL, Welch SP | title = Further studies on the antinociceptive effects of delta 6-THC-7-oic acid | journal = Agents and Actions | volume = 31 | issue = 1–2 | pages = 157–163 | date = August 1990 | pmid = 2178317 | doi = 10.1007/bf02003237 | s2cid = 23310488 }}</ref><ref>{{cite journal | vauthors = Ujváry I, Grotenhermen F | title = 11-Nor-9-carboxy-Δ9-tetrahydrocannabinol – a ubiquitous yet underresearched cannabinoid. A review of the literature | journal = Cannabinoids | volume = 9 | issue = 1 | pages = 1–8 | year = 2014 | url = http://www.cannabis-med.org/data/pdf/en_2014_01_1.pdf | access-date = 2014-06-25 | archive-date = 2017-04-20 | archive-url = https://web.archive.org/web/20170420192452/http://www.cannabis-med.org/data/pdf/en_2014_01_1.pdf | url-status = dead }}</ref> and has also been shown to moderate the effects of THC itself which may help explain the difference in subjective effects seen between occasional and regular users of cannabis.<ref>{{cite journal | vauthors = Burstein S, Hunter SA, Latham V, Renzulli L | title = A major metabolite of delta 1-tetrahydrocannabinol reduces its cataleptic effect in mice | journal = Experientia | volume = 43 | issue = 4 | pages = 402–403 | date = April 1987 | pmid = 3032669 | doi = 10.1007/BF01940427 | s2cid = 22153383 }}</ref><ref>{{cite journal | vauthors = Burstein S, Hunter SA, Latham V, Renzulli L | title = Prostaglandins and cannabis--XVI. Antagonism of delta 1-tetrahydrocannabinol action by its metabolites | journal = Biochemical Pharmacology | volume = 35 | issue = 15 | pages = 2553–2558 | date = August 1986 | pmid = 3017356 | doi = 10.1016/0006-2952(86)90053-5 }}</ref>

== Legal status ==
The legal status of 11-nor-9-carboxy-THC varies among jurisdictions.

=== Australia ===
11-COOH-THC is a [[Standard for the Uniform Scheduling of Medicines and Poisons|Schedule 8]] prohibited substance in [[Western Australia]] under the [[Standard for the Uniform Scheduling of Medicines and Poisons|Poisons Standard]] (July 2016).<ref name="Poisons Standard">Poisons Standard July 2016 [https://www.comlaw.gov.au/Details/F2015L01534 Comlaw.gov.au]</ref> A schedule 8 substance is a controlled Drug – Substances which should be available for use but require restriction of manufacture, supply, distribution, possession and use to reduce abuse, misuse and physical or psychological dependence.<ref name="Poisons Standard" />

===United States===
Because 11-COOH-THC is substantially similar to the Schedule I controlled substance THC, possession or sale of 11-COOH-THC could be subject to prosecution under the [[Federal Analog Act]].

== See also ==
* [[Ajulemic acid]], a synthetic analog of 11-nor-9-carboxy-THC
* [[Cannabis drug testing]]

== References ==
{{Reflist}}

{{Cannabinoids}}
{{Cannabinoidergics}}

{{DEFAULTSORT:Nor-9-carboxy-THC, 11-}}
[[Category:Cannabinoids]]
[[Category:Carboxylic acids]]
[[Category:Benzochromenes]]
[[Category:Phenols]]
[[Category:Prodrugs]]
[[Category:Recreational drug metabolites]]
[[Category:Heterocyclic compounds with 3 rings]]