Institute of Forensic Medicine and Toxicology, First Faculty of Medicine, Charles University and General University Hospital in Prague, 121 08 Prague 2, Czech Republic; Department of Analytical Chemistry, Faculty of Science, Charles University, Albertov 6, 128 43 Prague 2, Czech Republic.
National Institute of Mental Health, Topolová 748, 250 67 Klecany, Czech Republic; Department of Physiology, Faculty of Science, Charles University, Albertov 6, 128 43 Prague 2, Czech Republic.
Eur Neuropsychopharmacol. 2017 Dec;27(12):1223-1237. doi: 10.1016/j.euroneuro.2017.10.037. Epub 2017 Nov 10.
Metabolic and behavioural effects of, and interactions between Δ9-tetrahydrocannabinol (THC) and cannabidiol (CBD) are influenced by dose and administration route. Therefore we investigated, in Wistar rats, effects of pulmonary, oral and subcutaneous (sc.) THC, CBD and THC+CBD. Concentrations of THC, its metabolites 11-OH-THC and THC-COOH, and CBD in serum and brain were determined over 24h, locomotor activity (open field) and sensorimotor gating (prepulse inhibition, PPI) were also evaluated. In line with recent knowledge we expected metabolic and behavioural interactions between THC and CBD. While cannabinoid serum and brain levels rapidly peaked and diminished after pulmonary administration, sc. and oral administration produced long-lasting levels of cannabinoids with oral reaching the highest brain levels. Except pulmonary administration, CBD inhibited THC metabolism resulting in higher serum/brain levels of THC. Importantly, following sc. and oral CBD alone treatments, THC was also detected in serum and brain. S.c. cannabinoids caused hypolocomotion, oral treatments containing THC almost complete immobility. In contrast, oral CBD produced mild hyperlocomotion. CBD disrupted, and THC tended to disrupt PPI, however their combination did not. In conclusion, oral administration yielded the most pronounced behavioural effects which corresponded to the highest brain levels of cannabinoids. Even though CBD potently inhibited THC metabolism after oral and sc. administration, unexpectedly it had minimal impact on THC-induced behaviour. Of central importance was the novel finding that THC can be detected in serum and brain after administration of CBD alone which, if confirmed in humans and given the increasing medical use of CBD-only products, might have important legal and forensic ramifications.
Δ9-四氢大麻酚(THC)和大麻二酚(CBD)的代谢和行为效应及其相互作用受到剂量和给药途径的影响。因此,我们在 Wistar 大鼠中研究了肺内、口服和皮下(sc.)给予 THC、CBD 和 THC+CBD 的效应。在 24 小时内测定血清和脑中 THC、其代谢物 11-OH-THC 和 THC-COOH 以及 CBD 的浓度,并评估运动活动(旷场)和感觉运动门控(前脉冲抑制,PPI)。根据最近的知识,我们预期 THC 和 CBD 之间存在代谢和行为相互作用。虽然肺内给药后大麻素的血清和脑水平迅速达到峰值并减少,但 sc. 和口服给药产生了持久的大麻素水平,口服达到了最高的脑水平。除了肺内给药,CBD 抑制了 THC 的代谢,导致血清/脑 THC 水平升高。重要的是,在 sc. 和口服单独给予 CBD 后,也在血清和脑中检测到 THC。sc. 大麻素引起运动活动减少,含有 THC 的口服治疗几乎完全不动。相比之下,口服 CBD 产生轻度多动。CBD 破坏了 PPI,而 THC 则倾向于破坏 PPI,但它们的组合没有。总之,口服给药产生了最明显的行为效应,这与大麻素在脑中的最高水平相对应。尽管 CBD 在口服和 sc. 给药后强烈抑制了 THC 的代谢,但出乎意料的是,它对 THC 引起的行为几乎没有影响。至关重要的是,新发现 CBD 单独给药后可在血清和脑中检测到 THC,如果在人类中得到证实,并且鉴于 CBD 单一产品的医疗用途不断增加,这可能会产生重要的法律和法医后果。