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1.
Am J Vet Res ; 84(4)2023 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-36795552

RESUMEN

OBJECTIVE: To determine the pharmacokinetics of 8 cannabinoids and 5 metabolites after oral administration of single and multiple doses of a cannabidiol (CBD)-cannabidiolic acid (CBDA)-rich hemp extract to orange-winged Amazon parrots (Amazona amazonica) as well as to evaluate the extract's adverse effects. ANIMALS: 12 birds. PROCEDURES: Based on pilot studies, a single-dose study based on 30/32.5 mg/kg of cannabidiol/cannabidiolic acid of a hemp extract was administered orally to 8 fasted parrots, and 10 blood samples were collected over 24 hours after administration. After a 4-week washout period, the hemp extract was administered orally to 7 birds at the previous dose every 12 hours for 7 days, and blood samples were collected at the previous time points. Cannabidiol, Δ9-tetrahydrocannabinol, cannabinol, cannabichromene, cannabigerol, cannabidiolic acid, cannabigerolic acid, Δ9-tetrahydrocannabinolic acid, and 5 specific metabolites were measured by liquid chromatography-tandem/mass-spectrometry, and pharmacokinetic parameters were calculated. Adverse effects and changes in the plasma biochemistry and lipid panels were evaluated. RESULTS: Pharmacokinetic parameters for cannabidiol, cannabidiolic acid, Δ9-tetrahydrocannabinol, Δ9-tetrahydrocannabinolic acid, and the metabolite 11-hydroxy-9-tetrahydrocannabinol were established. For the multiple-dose study, cannabidiol/cannabidiolic acid mean Cmax was 337.4/602.1 ng/mL with a tmax of 30 minutes and a terminal half-life of 8.6/6.29 hours, respectively. No adverse effects were detected during the multidose study. The predominant metabolite was 11-hydroxy-9-tetrahydrocannabinol. CLINICAL RELEVANCE: Twice daily oral administration of the hemp extract based on 30 mg/kg/32.5 mg/kg of cannabidiol/cannabidiolic acid was well tolerated and maintained plasma concentrations considered to be therapeutic in dogs with osteoarthritis. Findings suggest different cannabinoid metabolism from mammals.


Asunto(s)
Amazona , Cannabidiol , Cannabinoides , Cannabis , Animales , Perros , Cannabidiol/metabolismo , Dronabinol/metabolismo , Cannabinoides/metabolismo , Administración Oral , Extractos Vegetales/efectos adversos , Extractos Vegetales/metabolismo , Mamíferos
2.
Curr Pharm Des ; 29(6): 394-406, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36330630

RESUMEN

Cannabis sativa L. has been used as medicine for thousands of years. Since the early identification of tetrahydrocannabinol (THC) in 1960, pharmacological activities were attributed to a group of unique structures named cannabinoids. For decades, research and development were applied to determine different cannabinoids and their medicinal properties. Nowadays there is evidence that the therapeutic benefits of the plant are based on the synergy of cannabinoids and other secondary metabolites such as terpenes and flavonoids. Differences between the medical performance of isolated compounds like cannabidiol (CBD) or THC and full-spectrum plant extracts are notable. Indeed, the superiority of the last one is provoked by the synergy between various different compounds. This improved medicinal effect is called the entourage effect. Chromatography has become the method of choice for the determination of cannabinoids, terpenes, and flavonoids, so it represents an excellent tool for a proper characterization of the plant and plant derived products. The objective of characterization relies not only in analyzing the fingerprint of cannabis, but also to identify different chemotypes for medical purposes. To understand the contributions of each natural product to this "entourage effect", this review presents an in-depth analysis of the utilization of High-performance liquid chromatography (HPLC), Gas chromatography (GC) and other methods for the analysis of phytocomponents of Cannabis sativa L. In this sense, a representative number of examples and advances made in the field together with limitations and future needs are provided. It can be concluded that standardized protocols and quality control policies and procedures are necessary for the comprehensive analysis of cannabis extracts and derivatives.


Asunto(s)
Cannabidiol , Cannabinoides , Cannabis , Humanos , Cannabis/química , Cannabis/metabolismo , Metabolismo Secundario , Cannabinoides/análisis , Cannabinoides/química , Cannabinoides/farmacología , Cannabidiol/farmacología , Terpenos/análisis , Flavonoides/metabolismo , Cromatografía de Gases , Dronabinol/análisis , Dronabinol/metabolismo , Dronabinol/farmacología
3.
Biomed Pharmacother ; 156: 113899, 2022 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-36279720

RESUMEN

Cannabinoid derivates have been largely used for different medical purpose. In the literature, several methods capable of separating THC and its principles metabolites are described, although Δ8- and Δ9-THC separation has not been completely achieved. THC metabolism has not been fully understood and metabolites plasma distribution in healthy and pathological patients remains to further deepen. The aim of this study was the validation of UHPLC-MS/MS method for the quantification of 10 cannabinoids in human plasma, as important tool for improving clinical efficacy of cannabis administration. Obtained results were in accordance with recommendations of ICH Harmonised Guideline for bioanalytical method validation, showing a good linearity, optimal accuracy as well as satisfactory results in terms of intra-day and inter-day precision and matrix effect. Furthermore, blood sampling study was performed to investigate the better collection method. Optimal separation of Δ-9-tetrahydrocannabinol (Δ9-THC), Δ8-tetrahydrocannabinol (Δ8-THC) was obtained. The present method showed optimal linearity and satisfactory results in terms of specificity and selectivity. Recovery was between 92.0% and 96.5% for all analytes. The matrix-effect showed good performance; no carry over was observed. Cannabinoid metabolites present in higher plasma concentrations were: 11-Hydroxy-Δ9-tetrahydrocannabinol, 11-Nor-9carboxy-Δ9-tetrahydrocannabinol and THC-COOH-glucuronide. Method performance makes it suitable for routine purposes and a potential tool for therapeutic ranges definition. The present work will be used to test several samples in a long-term clinical study, paving the way for further future works.


Asunto(s)
Cannabinoides , Espectrometría de Masas en Tándem , Humanos , Espectrometría de Masas en Tándem/métodos , Cannabinoides/metabolismo , Dronabinol/metabolismo , Cromatografía Líquida de Alta Presión/métodos , Monitoreo de Drogas
4.
Planta Med ; 88(12): 1047-1059, 2022 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-34638139

RESUMEN

THC, CBD, and CBN were reported as promising candidates against SARS-CoV2 infection, but the mechanism of action of these three cannabinoids is not understood. This study aims to determine the mechanism of action of THC, CBD, and CBN by selecting two essential targets that directly affect the coronavirus infections as viral main proteases and human angiotensin-converting enzyme2. Tested THC and CBD presented a dual-action action against both selected targets. Only CBD acted as a potent viral main protease inhibitor at the IC50 value of 1.86 ± 0.04 µM and exhibited only moderate activity against human angiotensin-converting enzyme2 at the IC50 value of 14.65 ± 0.47 µM. THC acted as a moderate inhibitor against both viral main protease and human angiotensin-converting enzymes2 at the IC50 value of 16.23 ± 1.71 µM and 11.47 ± 3.60 µM, respectively. Here, we discuss cannabinoid-associated antiviral activity mechanisms based on in silico docking studies and in vitro receptor binding studies.


Asunto(s)
Tratamiento Farmacológico de COVID-19 , Cannabidiol , Cannabinoides , Enzima Convertidora de Angiotensina 2 , Angiotensinas , Antivirales/farmacología , Cannabidiol/metabolismo , Cannabinoides/metabolismo , Cannabinol/metabolismo , Cannabinol/farmacología , Mecanismos de Defensa , Dronabinol/metabolismo , Dronabinol/farmacología , Humanos , Péptido Hidrolasas , Inhibidores de Proteasas/farmacología , ARN Viral , SARS-CoV-2
5.
J Anal Toxicol ; 46(6): 611-618, 2022 Jul 14.
Artículo en Inglés | MEDLINE | ID: mdl-34165142

RESUMEN

The objective of this study was to review the results of umbilical cord drug screening in twins and triplets (multiples) to compare the detected drug(s) and/or drug metabolite(s). Results that did not agree between multiples were considered mismatched and investigated. A retrospective analysis was conducted using de-identified data from a national reference laboratory, and results were compared with data from an academic medical center, where detailed medical chart review was performed. Umbilical cord was analyzed for stimulants, sedatives, opioids and other drugs and metabolites. For the reference laboratory dataset, 23.3% (n = 844) of 3,616 umbilical cords from twins (n = 3,550) or triplets (n = 66) were positive for one or more drugs and/or metabolites. Of these, mismatched results were identified for 37 sets of twins (2.1%) and no sets of triplets. The most frequent mismatches were found in opioids (n = 24), with morphine (n = 5) being the most mismatched of any single analyte in the panel. Mismatches for the marijuana metabolite 11-nor-9-carboxy-delta-9-tetrahydrocannabinol (9-COOH-THC) in the reference laboratory dataset occurred in 6 of 737 sets of twins (0.8%) and no triplets. For the academic medical center dataset, 21.9% (n = 57) of 260 umbilical cords tested positive for one or more drugs and/or metabolite(s). Of these, four mismatches (3.2%) were identified, including 9-COOH-THC (n = 2), phentermine (n = 1) and oxycodone (n = 1), all involving twins. All involved cases where the discrepant analyte was likely present in the negative twin but either slightly below the reporting cutoff threshold or failed analytical quality criteria. Mismatched results of umbilical cord drug screening occur in less than 4% of twins and most often occur when the analyte is slightly above the reporting cutoff in just one infant.


Asunto(s)
Dronabinol , Progenie de Nacimiento Múltiple , Centros Médicos Académicos , Dronabinol/metabolismo , Evaluación Preclínica de Medicamentos , Femenino , Humanos , Estudios Retrospectivos , Cordón Umbilical/metabolismo
6.
Curr Sports Med Rep ; 20(7): 345-350, 2021 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-34234089

RESUMEN

ABSTRACT: Cannabidiol and other cannabinoids are being used more frequently for sports medicine-related conditions. This review will help sports medicine clinicians answer questions that their athletes and active patients have about the potential effectiveness of cannabinoids on common sports medicine conditions. In the article, the authors compare cannabidiol and delta-9-tetrahydrocannabinol effects, noting the difference on the endocannabinoid and nonendocannabinoid receptors. The theoretical benefits of these two compounds and the current legality in the United States surrounding cannabidiol and delta-9-tetrahydrocannabinol use also are addressed.


Asunto(s)
Cannabidiol/uso terapéutico , Cannabinoides/uso terapéutico , Medicina Deportiva , Rendimiento Atlético , Conmoción Encefálica/tratamiento farmacológico , Cannabidiol/efectos adversos , Cannabidiol/metabolismo , Cannabinoides/efectos adversos , Cannabinoides/metabolismo , Cannabis/química , Cannabis/clasificación , Dolor Crónico/tratamiento farmacológico , Dronabinol/metabolismo , Dronabinol/uso terapéutico , Endocannabinoides/metabolismo , Endocannabinoides/farmacología , Humanos , Marihuana Medicinal , Osteoartritis/tratamiento farmacológico , Receptor de Serotonina 5-HT1A/metabolismo , Receptores de Cannabinoides/metabolismo , Canales Catiónicos TRPV/metabolismo , Estados Unidos
7.
Cell Physiol Biochem ; 55(S5): 1-14, 2021 May 14.
Artículo en Inglés | MEDLINE | ID: mdl-33984199

RESUMEN

Cannabidiol (CBD), the major non-intoxicating constituent of Cannabis sativa, has gained recent attention due to its putative therapeutic uses for a wide variety of diseases. CBD was discovered in the 1940s and its structure fully characterized in the 1960s. However, for many years most research efforts related to cannabis derived chemicals have focused on D9-tetrahydrocannabinol (THC). In contrast to THC, the lack of intoxicating psychoactivity associated with CBD highlights the potential of this cannabinoid for clinical drug development. This review details in vitro and in vivo studies of CBD related to the eye, the therapeutic potential of cannabidiol for various ocular conditions, and molecular targets and mechanisms for CBD-induced ocular effects. In addition, challenges of CBD applications for clinical ocular therapeutics and future directions are discussed.


Asunto(s)
Cannabidiol/metabolismo , Animales , Cannabis/química , Dronabinol/metabolismo , Humanos , Transducción de Señal/fisiología
8.
Adv Exp Med Biol ; 1264: 1-13, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33332000

RESUMEN

The Cannabis sativa plant has been used medicinally and recreationally for thousands of years, but recently only relatively some of its constituents have been identified. There are more than 550 chemical compounds in cannabis, with more than 100 phytocannabinoids being identified, including Δ9-tetrahydrocannabinol (THC) and cannabidiol (CBD). These phytocannabinoids work by binding to the cannabinoid receptors, as well as other receptor systems. Also within cannabis are the aromatic terpenes, more than 100 of which have been identified. Cannabis and its constituents have been indicated as therapeutic compounds in numerous medical conditions, such as pain, anxiety, epilepsy, nausea and vomiting, and post-traumatic stress disorder. This chapter provides an overview of some of the biological effects of a number of the cannabinoids and terpenes, as well as discussing their known mechanisms of action and evidence of potential therapeutic effects.


Asunto(s)
Cannabinoides/uso terapéutico , Cannabis/química , Cannabidiol/metabolismo , Cannabidiol/uso terapéutico , Cannabinoides/metabolismo , Dronabinol/metabolismo , Dronabinol/uso terapéutico , Humanos , Receptores de Cannabinoides/metabolismo
9.
Essays Biochem ; 64(3): 485-499, 2020 09 23.
Artículo en Inglés | MEDLINE | ID: mdl-32648908

RESUMEN

Thirty years ago, the discovery of a cannabinoid (CB) receptor that interacts with the psychoactive compound in Cannabis led to the identification of anandamide, an endogenous receptor ligand or endocannabinoid. Research on endocannabinoids has since exploded, and additional receptors along with their lipid mediators and signaling pathways continue to be revealed. Specifically, in humans, the release of endocannabinoids from membrane lipids occurs on demand and the signaling process is rapidly attenuated by the breakdown of the ligand suggesting a tight regulation of the endocannabinoid system (ECS). Additionally, the varying distribution of CB receptors between the central nervous system and other tissues allows for the ECS to participate in a wide range of cognitive and physiological processes. Select plant-derived 'phyto'cannabinoids such as Δ-9-tetrahydrocannabinol (Δ9-THC) bind to the CB receptors and trigger the ECS, and in the case of Δ9-THC, while it has therapeutic value, can also produce detrimental effects. Current research is aimed at the identification of additional phytocannabinoids with minimal psychotropic effects with potential for therapeutic development. Although decades of research on the ECS and its components have expanded our understanding of the mechanisms and implications of endocannabinoid signaling in mammals, it continues to evolve. Here, we provide a brief overview of the ECS and its overlap with other related lipid-mediated signaling pathways.


Asunto(s)
Ácidos Araquidónicos/metabolismo , Endocannabinoides/metabolismo , Glicéridos/metabolismo , Alcamidas Poliinsaturadas/metabolismo , Receptor Cannabinoide CB1/metabolismo , Receptor Cannabinoide CB2/metabolismo , Animales , Cannabis/química , Sistema Nervioso Central/metabolismo , Dronabinol/metabolismo , Humanos , Ligandos , Extractos Vegetales/metabolismo , Transducción de Señal
10.
Gac Med Mex ; 155(5): 508-512, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31695229

RESUMEN

Cannabis (marijuana) is one of the most consumed psychoactive substances in the world. The term marijuana is of Mexican origin. The primary cannabinoids that have been studied to date include cannabidiol and delta-9-tetrahydrocannabinol, which is responsible for most cannabis physical and psychotropic effects. Recently, the endocannabinoid system was discovered, which is made up of receptors, ligands and enzymes that are widely expressed in the brain and its periphery, where they act to maintain balance in several homeostatic processes. Exogenous cannabinoids or naturally-occurring phytocannabinoids interact with the endocannabinoid system. Marijuana must be processed in a laboratory to extract tetrahydrocannabinol and leave cannabidiol, which is the product that can be marketed. Some studies suggest cannabidiol has great potential for therapeutic use as an agent with antiepileptic, analgesic, anxiolytic, antipsychotic, anti-inflammatory and neuroprotective properties; however, the findings on cannabinoids efficacy and cannabis-based medications tolerability-safety for some conditions are inconsistent. More scientific evidence is required in order to generate recommendations on the use of medicinal cannabis.


El cannabis (marihuana) es una de las sustancias psicoactivas más consumidas en el mundo. El término marihuana es de origen mexicano. Los cannabinoides primarios estudiados hasta la fecha incluyen el cannabidiol y el delta-9-tetrahidrocannabinol (Δ9-THC), responsable de la mayoría de los efectos físicos y psicotrópicos del cannabis. Recientemente se descubrió el sistema endocannabinoide formado por receptores, ligandos y enzimas expresados ampliamente en el cerebro y su periferia, donde actúan para mantener el equilibrio en varios procesos homeostáticos. Los cannabinoides exógenos o fitocannabinoides de origen natural interactúan con el sistema endocannabinoide. La marihuana debe ser procesada en un laboratorio para extraer el tetrahidrocannabinol y dejar el cannabidiol, el producto que se puede comercializar. Algunos estudios otorgan al cannabidiol un gran potencial para el uso terapéutico como antiepiléptico, analgésico, ansiolítico, antipsicótico, antiinflamatorio y neuroprotector, sin embargo, son inconsistentes los hallazgos sobre la eficacia de los cannabinoides y la ­tolerabilidad-seguridad de los medicamentos con base en cannabis para cualquier padecimiento. Se requiere más evidencia científica para generar recomendaciones sobre el uso del cannabis medicinal.


Asunto(s)
Cannabidiol/uso terapéutico , Endocannabinoides/metabolismo , Marihuana Medicinal/uso terapéutico , Animales , Encéfalo/metabolismo , Cannabidiol/aislamiento & purificación , Cannabidiol/metabolismo , Cannabis/química , Dronabinol/aislamiento & purificación , Dronabinol/metabolismo , Dronabinol/farmacología , Humanos , Ratas , Receptor Cannabinoide CB1/metabolismo , Receptor Cannabinoide CB2/metabolismo , Receptores de Cannabinoides/metabolismo , Porcinos , Canales Catiónicos TRPV/metabolismo
11.
BMC Plant Biol ; 18(1): 275, 2018 Nov 12.
Artículo en Inglés | MEDLINE | ID: mdl-30419820

RESUMEN

BACKGROUND: Cannabis possesses a rich spectrum of phytochemicals i.e. cannabinoids, terpenes and phenolic compounds of industrial and medicinal interests. Most of these high-value plant products are synthesised in the disk cells and stored in the secretory cavity in glandular trichomes. Conventional trichome analysis was so far based on optical microscopy, electron microscopy or extraction based methods that are either limited to spatial or chemical information. Here we combine both information to obtain the spatial distribution of distinct secondary metabolites on a single-trichome level by applying Coherent anti-Stokes Raman scattering (CARS), a microspectroscopic technique, to trichomes derived from sepals of a drug- and a fibre-type. RESULTS: Hyperspectral CARS imaging in combination with a nonlinear unmixing method allows to identify and localise Δ9-tetrahydrocannabinolic acid (THCA) in the secretory cavity of drug-type trichomes and cannabidiolic acid (CBDA)/myrcene in the secretory cavity of fibre-type trichomes, thus enabling an easy discrimination between high-THCA and high-CBDA producers. A unique spectral fingerprint is found in the disk cells of drug-type trichomes, which is most similar to cannabigerolic acid (CBGA) and is not found in fibre-type trichomes. Furthermore, we differentiate between different cell types by a combination of CARS with simultaneously acquired two-photon fluorescence (TPF) of chlorophyll a from chloroplasts and organic fluorescence mainly arising from cell walls enabling 3D visualisation of the essential oil distribution and cellular structures. CONCLUSION: Here we demonstrate a label-free and non-destructive method to analyse the distribution of secondary metabolites and distinguish between different cell and chemo-types with high spatial resolution on a single trichome. The record of chemical fingerprints of single trichomes offers the possibility to optimise growth conditions as well as guarantee a direct process control for industrially cultivated medicinal Cannabis plants. Moreover, this method is not limited to Cannabis related issues but can be widely implemented for optimising and monitoring all kinds of natural or biotechnological production processes with simultaneous spatial and chemical information.


Asunto(s)
Cannabinoides/química , Cannabis/química , Aceites Volátiles/metabolismo , Espectrometría Raman/métodos , Tricomas/química , Monoterpenos Acíclicos , Alquenos/química , Alquenos/metabolismo , Cannabinoides/metabolismo , Dronabinol/química , Dronabinol/metabolismo , Imagenología Tridimensional , Microscopía Electrónica de Rastreo , Monoterpenos/química , Monoterpenos/metabolismo , Plantas Medicinales , Metabolismo Secundario , Terpenos/química , Terpenos/metabolismo
12.
Planta Med ; 84(4): 225-233, 2018 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-29161743

RESUMEN

An advanced Mendelian Cannabis breeding program has been developed utilizing chemical markers to maximize the yield of phytocannabinoids and terpenoids with the aim to improve therapeutic efficacy and safety. Cannabis is often divided into several categories based on cannabinoid content. Type I, Δ9-tetrahydrocannabinol-predominant, is the prevalent offering in both medical and recreational marketplaces. In recent years, the therapeutic benefits of cannabidiol have been better recognized, leading to the promotion of additional chemovars: Type II, Cannabis that contains both Δ9-tetrahydrocannabinol and cannabidiol, and cannabidiol-predominant Type III Cannabis. While high-Δ9-tetrahydrocannabinol and high-myrcene chemovars dominate markets, these may not be optimal for patients who require distinct chemical profiles to achieve symptomatic relief. Type II Cannabis chemovars that display cannabidiol- and terpenoid-rich profiles have the potential to improve both efficacy and minimize adverse events associated with Δ9-tetrahydrocannabinol exposure. Cannabis samples were analyzed for cannabinoid and terpenoid content, and analytical results are presented via PhytoFacts, a patent-pending method of graphically displaying phytocannabinoid and terpenoid content, as well as scent, taste, and subjective therapeutic effect data. Examples from the breeding program are highlighted and include Type I, II, and III Cannabis chemovars, those highly potent in terpenoids in general, or single components, for example, limonene, pinene, terpinolene, and linalool. Additionally, it is demonstrated how Type I - III chemovars have been developed with conserved terpenoid proportions. Specific chemovars may produce enhanced analgesia, anti-inflammatory, anticonvulsant, antidepressant, and anti-anxiety effects, while simultaneously reducing sequelae of Δ9-tetrahydrocannabinol such as panic, toxic psychosis, and short-term memory impairment.


Asunto(s)
Cannabinoides/biosíntesis , Cannabis/metabolismo , Biomarcadores/metabolismo , Cannabidiol/metabolismo , Cannabinoides/farmacología , Cannabis/genética , Dronabinol/análogos & derivados , Dronabinol/metabolismo , Fitomejoramiento
13.
Epilepsy Behav ; 70(Pt B): 313-318, 2017 05.
Artículo en Inglés | MEDLINE | ID: mdl-28087250

RESUMEN

The use of cannabis products in the treatment of epilepsy has long been of interest to researchers and clinicians alike; however, until recently very little published data were available to support its use. This article summarizes the available scientific data of pharmacology from human and animal studies on the major cannabinoids which have been of interest in the treatment of epilepsy, including ∆9-tetrahydrocannabinol (∆9-THC), cannabidiol (CBD), ∆9-tetrahydrocannabivarin (∆9-THCV), cannabidivarin (CBDV), and ∆9-tetrahydrocannabinolic acid (Δ9-THCA). It has long been known that ∆9-THC has partial agonist activity at the endocannabinoid receptors CB1 and CB2, though it also binds to other targets which may modulate neuronal excitability and neuroinflammation. The actions of Δ9-THCV and Δ9-THCA are less well understood. In contrast to ∆9-THC, CBD has low affinity for CB1 and CB2 receptors and other targets have been investigated to explain its anticonvulsant properties including TRPV1, voltage gated potassium and sodium channels, and GPR55, among others. We describe the absorption, distribution, metabolism, and excretion of each of the above mentioned compounds. Cannabinoids as a whole are very lipophilic, resulting in decreased bioavailability, which presents challenges in optimal drug delivery. Finally, we discuss the limited drug-drug interaction data available on THC and CBD. As cannabinoids and cannabis-based products are studied for efficacy as anticonvulsants, more investigation is needed regarding the specific targets of action, optimal drug delivery, and potential drug-drug interactions. This article is part of a Special Issue titled Cannabinoids and Epilepsy.


Asunto(s)
Anticonvulsivantes/uso terapéutico , Cannabinoides/uso terapéutico , Cannabis , Epilepsia/tratamiento farmacológico , Animales , Anticonvulsivantes/metabolismo , Anticonvulsivantes/farmacología , Cannabidiol/metabolismo , Cannabidiol/farmacología , Cannabidiol/uso terapéutico , Cannabinoides/farmacología , Dronabinol/análogos & derivados , Dronabinol/metabolismo , Dronabinol/farmacología , Dronabinol/uso terapéutico , Combinación de Medicamentos , Epilepsia/metabolismo , Humanos , Receptor Cannabinoide CB1/agonistas , Receptor Cannabinoide CB1/metabolismo , Resultado del Tratamiento
14.
Pediatr Emerg Care ; 33(5): 344-345, 2017 May.
Artículo en Inglés | MEDLINE | ID: mdl-27299295

RESUMEN

We report a case of mild cannabinoid poisoning in a preschool child, after 3-week ingestion of hemp seed oil prescribed by his pediatrician to strengthen his immune system. The patient presented neurological symptoms that disappeared after intravenous hydration. A possible mild withdrawal syndrome was reported after discharge. The main metabolite of Δ-tetrahydrocannabinol was detected in urine, and very low concentration of Δ-tetrahydrocannabinol was detected in the ingested product. This is, as far as we know, the first report of cannabinoid poisoning after medical prescription of hemp seed oil in a preschool child.


Asunto(s)
Cannabinoides/envenenamiento , Cannabis/efectos adversos , Dronabinol/orina , Aceites de Plantas/uso terapéutico , Intoxicación/diagnóstico , Semillas/efectos adversos , Síndrome de Abstinencia a Sustancias/diagnóstico , Preescolar , Citocromo P-450 CYP2C9/metabolismo , Citocromo P-450 CYP3A/metabolismo , Dronabinol/metabolismo , Humanos , Infusiones Intravenosas/métodos , Masculino , Aceites de Plantas/administración & dosificación , Aceites de Plantas/efectos adversos , Intoxicación/etiología , Intoxicación/terapia , Síndrome de Abstinencia a Sustancias/etiología , Resultado del Tratamiento
15.
Eur J Gastroenterol Hepatol ; 29(2): 135-143, 2017 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-27792038

RESUMEN

Cannabis sativa, a subspecies of the Cannabis plant, contains aromatic hydrocarbon compounds called cannabinoids. [INCREMENT]-Tetrahydrocannabinol is the most abundant cannabinoid and is the main psychotropic constituent. Cannabinoids activate two types of G-protein-coupled cannabinoid receptors: cannabinoid type 1 receptor and cannabinoid type 2 receptor. There has been ongoing interest and development in research to explore the therapeutic potential of cannabis. [INCREMENT]-Tetrahydrocannabinol exerts biological functions on the gastrointestinal (GI) tract. Cannabis has been used for the treatment of GI disorders such as abdominal pain and diarrhea. The endocannabinoid system (i.e. endogenous circulating cannabinoids) performs protective activities in the GI tract and presents a promising therapeutic target against various GI conditions such as inflammatory bowel disease (especially Crohn's disease), irritable bowel syndrome, and secretion and motility-related disorders. The present review sheds light on the role of cannabis in the gut, liver, and pancreas and also on other GI symptoms, such as nausea and vomiting, cannabinoid hyperemesis syndrome, anorexia, weight loss, and chronic abdominal pain. Although the current literature supports the use of marijuana for the treatment of digestive disorders, the clinical efficacy of cannabis and its constituents for various GI disorders remains unclear.


Asunto(s)
Dronabinol/uso terapéutico , Enfermedades Gastrointestinales/tratamiento farmacológico , Marihuana Medicinal/uso terapéutico , Dolor Abdominal/tratamiento farmacológico , Anorexia/tratamiento farmacológico , Anorexia/metabolismo , Cannabis , Enfermedades del Sistema Digestivo/tratamiento farmacológico , Enfermedades del Sistema Digestivo/metabolismo , Dronabinol/metabolismo , Endocannabinoides/metabolismo , Enfermedades Gastrointestinales/metabolismo , Motilidad Gastrointestinal , Humanos , Enfermedades Inflamatorias del Intestino/tratamiento farmacológico , Enfermedades Inflamatorias del Intestino/metabolismo , Síndrome del Colon Irritable/tratamiento farmacológico , Síndrome del Colon Irritable/metabolismo , Cirrosis Hepática/metabolismo , Náusea/tratamiento farmacológico , Náusea/metabolismo , Enfermedades Pancreáticas/tratamiento farmacológico , Receptores de Cannabinoides/metabolismo , Vómitos/tratamiento farmacológico , Vómitos/metabolismo
16.
Med Hypotheses ; 81(4): 619-22, 2013 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-23896215

RESUMEN

Palmitoylethanolamide (PEA) is a fatty acid amide showing some pharmacodynamic similarities with Δ9-tetrahydrocannabinol, the principal psychoactive compound present in the cannabis plant. Like Δ9-tetrahydrocannabinol, PEA can produce a direct or indirect activation of cannabinoid receptors. Furthermore, it acts as an agonist at TRPV1 receptor. The hypothesis is that PEA has anti-craving effects in cannabis dependent patients, is efficacious in the treatment of withdrawal symptoms, produces a reduction of cannabis consumption and is effective in the prevention of cannabis induced neurotoxicity and neuro-psychiatric disorders.


Asunto(s)
Endocannabinoides/uso terapéutico , Etanolaminas/uso terapéutico , Abuso de Marihuana/tratamiento farmacológico , Modelos Biológicos , Ácidos Palmíticos/uso terapéutico , Canales Catiónicos TRPV/agonistas , Amidas , Ácidos Araquidónicos/química , Dronabinol/química , Dronabinol/metabolismo , Endocannabinoides/química , Endocannabinoides/farmacología , Etanolaminas/química , Etanolaminas/farmacología , Humanos , Estructura Molecular , Ácidos Palmíticos/química , Ácidos Palmíticos/farmacología , Alcamidas Poliinsaturadas/química , Síndrome de Abstinencia a Sustancias/tratamiento farmacológico
17.
Biochem Biophys Res Commun ; 435(1): 76-81, 2013 May 24.
Artículo en Inglés | MEDLINE | ID: mdl-23611779

RESUMEN

The purpose of the current study was to apply a high throughput assay to systematically screen a library of food and drug administration (FDA)-approved drugs as potential ligands for the cannabinoid receptor 2 (CB2). A cell-based, homogenous time resolved fluorescence (HTRF) method for measuring changes in intracellular cAMP levels was validated and found to be suitable for testing ligands that may act on CB2. Among the 640 FDA-approved drugs screened, raloxifene, a drug used to treat/prevent post-menopausal osteoporosis, was identified for the first time to be a novel CB2 inverse agonist. Our results demonstrated that by acting on CB2, raloxifene enhances forskolin-stimulated cAMP accumulation in a concentration-dependant manner. Furthermore, our data showed that raloxifene competes concentration-dependently for specific [(3)H]CP-55,940 binding to CB2. In addition, raloxifene pretreatment caused a rightward shift of the concentration-response curves of the cannabinoid agonists CP-55,940, HU-210, and WIN55,212-2. Raloxifene antagonism is most likely competitive in nature, as these rightward shifts were parallel and were not associated with any changes in the efficacy of cannabinoid agonists on CB2. Our discovery that raloxfiene is an inverse agonist for CB2 suggests that it might be possible to repurpose this FDA-approved drug for novel therapeutic indications for which CB2 is a target. Furthermore, identifying raloxifene as a CB2 inverse agonist also provides important novel mechanisms of actions to explain the known therapeutic effects of raloxifene.


Asunto(s)
Conservadores de la Densidad Ósea/farmacología , Clorhidrato de Raloxifeno/farmacología , Receptor Cannabinoide CB2/agonistas , Benzoxazinas/metabolismo , Benzoxazinas/farmacología , Unión Competitiva , Conservadores de la Densidad Ósea/metabolismo , Colforsina/farmacología , AMP Cíclico/metabolismo , Ciclohexanoles/metabolismo , Ciclohexanoles/farmacología , Relación Dosis-Respuesta a Droga , Dronabinol/análogos & derivados , Dronabinol/metabolismo , Dronabinol/farmacología , Aprobación de Drogas , Evaluación Preclínica de Medicamentos , Células HEK293 , Humanos , Morfolinas/metabolismo , Morfolinas/farmacología , Naftalenos/metabolismo , Naftalenos/farmacología , Clorhidrato de Raloxifeno/metabolismo , Receptor Cannabinoide CB2/genética , Receptor Cannabinoide CB2/metabolismo , Transfección , Tritio , Estados Unidos , United States Food and Drug Administration
18.
Drug Alcohol Depend ; 119(1-2): 64-71, 2011 Dec 01.
Artículo en Inglés | MEDLINE | ID: mdl-21684088

RESUMEN

BACKGROUND: To meet the treatment needs of the growing number of adolescents who seek help for cannabis use problems, new or supplementary types of treatment are needed. We investigated whether multidimensional family therapy (MDFT) was more effective than cognitive behavioral therapy (CBT) in treatment-seeking adolescents with a DSM-IV cannabis use disorder in The Netherlands. METHODS: One hundred and nine adolescents participated in a randomized controlled trial, with study assessments at baseline and at 3, 6, 9 and 12 months following baseline. They were randomly assigned to receive either outpatient MDFT or CBT, both with a planned treatment duration of 5-6 months. Main outcome measures were cannabis use, delinquent behavior, treatment response and recovery at one-year follow-up, and treatment intensity and retention. RESULTS: MDFT was not found to be superior to CBT on any of the outcome measures. Adolescents in both treatments did show significant and clinically meaningful reductions in cannabis use and delinquency from baseline to one-year follow-up, with treatment effects in the moderate range. A substantial percentage of adolescents in both groups met the criteria for treatment response at month 12. Treatment intensity and retention was significantly higher in MDFT than in CBT. Post hoc subgroup analyses suggested that high problem severity subgroups at baseline may benefit more from MDFT than from CBT. CONCLUSIONS: The current study indicates that MDFT and CBT are equally effective in reducing cannabis use and delinquent behavior in adolescents with a cannabis use disorder in The Netherlands.


Asunto(s)
Terapia Cognitivo-Conductual/métodos , Terapia Familiar/métodos , Delincuencia Juvenil/rehabilitación , Abuso de Marihuana/terapia , Adolescente , Cannabis , Terapia Cognitivo-Conductual/estadística & datos numéricos , Dronabinol/metabolismo , Dronabinol/orina , Terapia Familiar/estadística & datos numéricos , Femenino , Estudios de Seguimiento , Humanos , Masculino , Países Bajos , Escalas de Valoración Psiquiátrica , Psicotrópicos/metabolismo , Psicotrópicos/orina , Proyectos de Investigación , Autoinforme , Factores de Tiempo , Resultado del Tratamiento
19.
Planta Med ; 76(14): 1629-33, 2010 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-20354950

RESUMEN

An efficient in vitro propagation protocol for rapidly producing Cannabis sativa plantlets from young leaf tissue was developed. Using gas chromatography-flame ionization detection (GC-FID), high THC yielding elite female clone of a drug-type CANNABIS variety (MX) was screened and its vegetatively propagated clones were used for micropropagation. Calli were induced from leaf explant on Murashige and Skoog medium supplemented with different concentrations (0.5, 1.0, 1.5, and 2.0 µM) of indole- 3-acetic acid (IAA), indole- 3- butyric acid (IBA), naphthalene acetic acid (NAA), and 2,4-dichlorophenoxy-acetic acid (2,4-D) in combination with 1.0 µM of thidiazuron (TDZ) for the production of callus. The optimum callus growth and maintenance was in 0.5 µM NAA plus 1.0 µM TDZ. The two-month-old calli were subcultured to MS media containing different concentrations of cytokinins (BAP, KN, TDZ). The rate of shoot induction and proliferation was highest in 0.5 µM TDZ. Of the various auxins (IAA, IBA, and NAA) tested, regenerated shoots rooted best on half strength MS medium (1/2 - MS) supplemented with 2.5 µM IBA. The rooted plantlets were successfully established in soil and grown to maturity with no gross variations in morphology and cannabinoids content at a survival rate of 95 % in the indoor growroom.


Asunto(s)
Cannabis/fisiología , Clonación de Organismos/métodos , Dronabinol/metabolismo , Regeneración , Técnicas de Cultivo de Tejidos , Cannabis/crecimiento & desarrollo , Cannabis/metabolismo , Hojas de la Planta/metabolismo , Hojas de la Planta/fisiología , Raíces de Plantas/crecimiento & desarrollo , Raíces de Plantas/metabolismo , Raíces de Plantas/fisiología , Brotes de la Planta/crecimiento & desarrollo , Brotes de la Planta/metabolismo , Brotes de la Planta/fisiología
20.
J Anal Toxicol ; 34(8): 516-20, 2010 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-21258613

RESUMEN

A liquid chromatography-tandem mass spectrometry (LC-MS-MS)method was developed for the analysis of marijuana cannabinoids in mouse brain tissue using an Applied Biosystems 3200 Q trap with a turbo V source for TurbolonSpray attached to a Shimadzu SCL HPLC system. The method included cannabichromene (CBC),cannabidiol (CBD), Δ9-tetrahydrocannabinol (THC), 11-hydroxytetrahydrocannabinol (11-OH-THC), and 11-nor-Δ9-tetrahydrocannabinol-9-carboxylic acid (THC-COOH). These compounds were isolated by liquid-liquid extraction using cold acetonitrile. The following transition ions were monitored by multiple reaction monitoring (MRM): m/z 315>193, 315>259 for THC/CBD/CBC; m/z 331>193, 331>105 for 11-OH-THC; m/z 345>299, 345>193 for THC-COOH; m/z 318>196 for THC-d3; m/z 334>196 for 11-OH-THC-d3, and m/z 348>302 for THC-COOH-d3. Linearity for THC, 1-OH-THC, and THC-COOH was 1-200 ng/g; for CBC and CBD, it was 0.5-20 ng/g. Within-run and between-run precisions for all the analytes yielded coefficients of variation of < 20%. Four C57BL6 mice were sacrificed 20 min after nose-only exposure to the smoke of 200 mg of marijuana containing 0.44 mg CBC, 0.93 mg CBD, and 8.81 mg THC. The mean brain concentrations were 3.9 ± 1.5 ng/g CBC, 21 ± 3.9 ng/g CBD, 364 ± 74 ng/g THC, and 28 ± 5.9 ng/g 11-OH-THC. THC-COOH was not detected. The relative mean brain cannabinoid concentrations correlated to the amounts of the cannabinoids in the inhaled marijuana.


Asunto(s)
Encéfalo/metabolismo , Cannabidiol/metabolismo , Cannabinoides/metabolismo , Cannabis/metabolismo , Dronabinol/metabolismo , Extractos Vegetales/farmacocinética , Animales , Cannabidiol/análisis , Cannabinoides/análisis , Cromatografía Líquida de Alta Presión , Dronabinol/análisis , Exposición por Inhalación , Límite de Detección , Masculino , Fumar Marihuana/metabolismo , Ratones , Ratones Endogámicos C57BL , Extractos Vegetales/administración & dosificación , Reproducibilidad de los Resultados , Espectrometría de Masas en Tándem , Distribución Tisular
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