Lovelace Biomedical, Albuquerque, New Mexico, USA.
Canopy Growth Corporation, Smith Falls, Ontario, Canada.
Cannabis Cannabinoid Res. 2023 Apr;8(2):360-373. doi: 10.1089/can.2022.0121. Epub 2022 Oct 26.
Cannabidiol (CBD) is primarily consumed through ingestion and inhalation. Little is known about how CBD pharmacokinetics differ between routes of administration, and duration of pulmonary exposure. Pharmacokinetics, brain distribution, and urinary elimination of CBD and its major metabolites (6-hydroxy-cannabidiol [6-OH-CBD], 7-hydroxy-cannabidiol [7-OH-CBD], 7-carboxy-cannabidiol [7-COOH-CBD], and CBD-glucuronide) were evaluated in adult Sprague-Dawley rats following a single oral CBD ingestion (10 mg/kg in medium chain triglyceride oil; 24 male animals), and 1 or 14 days of repeated inhalation (0.9-13.9 mg/kg in propylene glycol [41%/59% by weight]; 5 male and 5 female animals per dose). Blood and brain tissue were collected at a single time point from each animal. Collection times were staggered from 5 min to 24 h postoral gavage or first (blood only) and final inhalation. Urine was collected 24 h postoral gavage or final inhalation. Samples were analyzed through liquid chromatography-mass spectrometry (LC-MS/MS). CBD was more rapidly absorbed following inhalation than ingestion (T=5 min and 2 h, respectively). Inhalation resulted in a dose-responsive increase in CBD C and AUC. CBD C was 24-fold higher following the highest pulmonary dose (13.9 mg/kg) versus an oral dose of comparable concentration (10 mg/kg). C and AUC (0-16 h) trended higher following repeated exposure. Elimination was notably faster with repeated CBD inhalation (=5.3 and 2.4 h on days 1 and 14, respectively). While metabolites were detectable in plasma, AUC (0-2 h) was at least 10- (7-OH-CBD, 7-COOH-CBD) to 100- (6-OH-CBD) fold lower than the parent compound. Metabolite concentration trended higher following repeated inhalation (6.7 mg/kg CBD); AUC (0-16 h) was ∼1.8-, ∼1.4-, and ∼2.4-fold higher following 14 days of exposure for 6-OH-CBD, 7-OH-CBD, and 7-COOH-CBD, respectively. CBD was detectable in brain homogenate tissue 24-h after 14-day inhalation (>3.5 mg/kg deposited dose) or a single oral administration. CBD metabolites were only measurable in brain tissue following the highest inhaled dose (13.9 mg/kg CBD). CBD, but not metabolites, was detectable in urine for all dose groups following 2 weeks of CBD inhalation. Neither CBD nor metabolites were present in urine after oral administration. CBD pharmacokinetics differ across oral and pulmonary routes of administration and acute or repeated dosing.
大麻二酚(CBD)主要通过摄入和吸入来消费。目前对于 CBD 药代动力学在不同给药途径之间的差异以及肺部暴露时间的长短知之甚少。在单次口服大麻二酚(中链甘油三酯油中的 10mg/kg;24 只雄性动物)和 1 或 14 天重复吸入(丙二醇中的 0.9-13.9mg/kg[重量比为 41%/59%];每组 5 只雄性和 5 只雌性动物)后,评估了成年 Sprague-Dawley 大鼠 CBD 的药代动力学、脑分布和尿排泄及其主要代谢物(6-羟基大麻二酚[6-OH-CBD]、7-羟基大麻二酚[7-OH-CBD]、7-羧酸大麻二酚[7-COOH-CBD]和大麻二酚葡萄糖醛酸苷)。从每个动物的单个时间点采集血液和脑组织。采集时间从口服灌胃后 5 分钟到 24 小时,或第一次(仅血液)和最后一次吸入之间错开。在口服灌胃或最后一次吸入后 24 小时收集尿液。通过液相色谱-质谱法(LC-MS/MS)分析样品。与口服相比,吸入后 CBD 的吸收更快(分别为 5 分钟和 2 小时)。吸入导致 CBD C 和 AUC 呈剂量反应性增加。与口服剂量相当浓度(10mg/kg)相比,最高肺剂量(13.9mg/kg)后 CBD C 高 24 倍。重复暴露后 C 和 AUC(0-16 小时)呈上升趋势。重复吸入 CBD 后的消除速度明显加快(第 1 天和第 14 天分别为 5.3 和 2.4 小时)。虽然代谢物可在血浆中检测到,但 AUC(0-2 小时)至少低 10-(7-OH-CBD、7-COOH-CBD)至 100-(6-OH-CBD)倍于母体化合物。重复吸入后代谢物浓度呈上升趋势(6.7mg/kg CBD);在 14 天的暴露后,6-OH-CBD、7-OH-CBD 和 7-COOH-CBD 的 AUC(0-16 小时)分别高约 1.8-、1.4-和 2.4 倍。在 14 天吸入后 24 小时(>3.5mg/kg 沉积剂量)或单次口服后可在脑组织匀浆中检测到 CBD。只有在吸入最高剂量(13.9mg/kg CBD)后才能在脑组织中测量到 CBD 代谢物。在 2 周 CBD 吸入后,所有剂量组均可在尿液中检测到 CBD,但不能检测到代谢物。口服后,CBD 和代谢物均未出现在尿液中。CBD 药代动力学在口服和肺部给药途径以及急性或重复给药之间存在差异。