Hemp as a plant: Research Perspective

Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept. Physiology, Trinity College Dublin, IRELAND 18 years in research Topics of talk

*What are ?

*What are the effects of cannabinoids on the body?

*Therapeutic potential of cannabinoids

*What is cannabinoid research indicating Topics of talk

*What are cannabinoids?

*What are the effects of cannabinoids on the body?

*Therapeutic potential of cannabinoids

*What is cannabinoid research indicating Topics of talk

*What are cannabinoids?

*What are the effects of cannabinoids on the body?

*Therapeutic potential of cannabinoids

*What is cannabinoid research indicating Topics of talk

*What are cannabinoids?

*What are the effects of cannabinoids on the body?

*Therapeutic potential of cannabinoids

*What is cannabinoid research indicating Plant-derived (phyto) cannabinoids (THC) Cannabinoids (CBN)

Cannabidiol (CBD)

Cannabichromene (CBC)

Endocannabinoids

Anandamide

2-AG Terpenoids

Synthetic cannabinoids Limonene R(+)WIN 55,212-2 Myrcene

CP 55940 Pinene

JWH 133 Terpenoids

Russo, 2011

Elzinga et al., 2015 Phytocannabinoids

Cannabis sativa indica Cannabis ruderalis Male & female flowers of C. sativa

Chandra et al., 2017 Trichomes

Chandra et al., 2017 Biosynthesis of cannabinoids/terpenoids sesquiterpenes

sesquiterpene synthases (sesqui-TPS) farnesyl diphosphate (FPP)

5-Carbon isoprenoids

isopententyl diphosphate dimethylallyl diphosphate (IPP) (DMAPP)

monoterpene synthases (mono-TPS) geranyl diphosphate (GPP)

monoterpenes

geranyldiphosphate:olivetolate geranyltransferase

Cannabigerolic acid (CBGA)

Tetrahydrocannabinolic acid (THCA) (CBDA) (CBCA)

Adapted from THC CBN CBD CBC Booth & Bohlmann, 2019

Cannabinoids *Cannabis contains a family of ~ 100-120 related compounds termed “cannabinoids”

Canabidiol Cannabinol Tetrahydrocannabinol

No psychoactivty psychoactivity Tetrahydrocannabinol (THC)

* THC is the predominant psychoactive ingredient

Raphael Mechoulam Cannabinoids – not just the plant Endocannabinoids

O OH O OH William Devane

2-Arachidonoylglycerol

(2-AG) O O H N H

Anandamide Role of endogenous cannabinoids

* Precise physiological role unknown

* Inhibit neurotransmission

* Regulation of cell signalling

* Role in CNS development Topics of talk

*What are cannabinoids

*What are the effects of cannabinoids on the body

*Therapeutic potential of cannabinoids

*What is cannabinoid research indicating Topics of talk

*What are cannabinoids

*What are the effects of cannabinoids on the body

*Therapeutic potential of cannabinoids

*What is cannabinoid research indicating How do cannabinoids act

* Cannabinoid receptors

Cannabinoid receptors - CB1 and CB2

NH S 2 C D C V I N K S F M N K W K Q K L extracellular K L P P N R D G F G I L Q Q S V F H P S L L K N V Y D V T A I A V D F H F L F L P L E D I M V F V V K T I A L S L Y S F L I A V L Y L L A S C F T V V G F M P M G L V I F A T A I V I W C W G L C L F T G S F S I T V G N L V T L T A M W T L I I T S N E L A D L V S C L L L V S V N V V S F I L V P L V L L S L A F L V A I F L I I L T V T L V A Y I V C H F I G I A K A Y A Y V A K S R L R D P M R L S H L R P S Y I Y R I Y D I S T M K R C H I V L Q A R D S R K W I I A M C intracellular L R I PO 4 I D L A H M H F F E P R S P R R K H A I T P G L A Y R H S S S V Q T S A T E T R R Q V G K D Q G V K 7 transmembrane domains CO O H

CB1 – CB2 homology -68% sequence homology in transmembrane -44% throughout entire protein

Cannabinoid receptor distribution Human exposure to THC What happens after receptor activation

a) Ion channel changes

b) Neurotransmission

c) Signal transduction cascades Topics of talk

*What are cannabinoids

*What are the effects of cannabinoids on the body

*Therapeutic potential of cannabinoids

*What is cannabinoid research indicating Medical use of C. sativa Emperor Chen Nung Diodorus Siculus

William O’Shaughnessy Carl Linnaeus

Bonini et al., 2018 Media coverage in Ireland Therapeutic options

Marinol ()

Therapeutic options Cesamet ()

Therapeutic options

Sativex

THC and canabidiol combination

Treat spasticity and neuropathic pain associated with MS

Therapeutic options Epidiolex

Cannabidiol solution

Treat early-onset, treatment-resistant epilepsy syndromes

Chandra et al., 2017 Topics of talk

*What are cannabinoids

*What are the effects of cannabinoids on the body

*Therapeutic potential of cannabinoids

*What is cannabinoid research indicating Cannabinoids and tumour growth Cannabinoids and tumour growth Cannabinoids and inflammation

** 8000

6000

g/mL) + ρ 4000

IL-6( 2000

0

0 1 CBD (µM) 10 0.1 10 Control IL1α + TNFα

Data from Prof. Maeve Caldwell lab Terpenoids and inflammation Cannabinoids and Multiple Sclerosis Spasticity Endocannabinoid dysregulation Cannabinoid research in my lab Peripheral blood mononuclear cells (PBMCs) PBMCs treated with cannabinoids

PBMCs Demographics of study participants

Beaumont Hospital

(unpublished)

EDSS Questionnaire PBMC Take home message

*Large array of cannabinoids in the plant

*Cannabinoids have diverse effects on the body

*Therapeutic angles for cannabinoids exist

*Downer lab – peripheral and central analysis Take home message

*Large array of cannabinoids in the plant

*Cannabinoids have diverse effects on the body

*Therapeutic angles for cannabinoids exist

*Downer lab – peripheral and central analysis Take home message

*Large array of cannabinoids in the plant

*Cannabinoids have diverse effects on the body

*Therapeutic angles for cannabinoids exist

*Downer lab – peripheral and central analysis Take home message

*Large array of cannabinoids in the plant

*Cannabinoids have diverse effects on the body

*Therapeutic angles for cannabinoids exist

*Downer lab – peripheral and central analysis Acknowledgements Research group Funding Current: John-Mark Fitzpatrick Sarah Duggan Dr. Sonia Pereira Dr. Johana Velasquez

Industry collaborators GW Research Ltd

Clinical collaborators Dr. Orla Hardiman (TCD/Beaumont) Dr. Lisa Costelloe (Beaumont) Dr. Orna O’Toole (MUH) Dr. Brian Sweeney (CUH) Dr. Aisling Ryan (CUH) Dr. Owen Cronin (CUH) Dr. Joe McKenna (CUDSH) Dr. Christine McCreary (CUDSH)

Contact [email protected] @downerlab

THC – blood versus high

Blood THC

high