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Reintoxication: the release of fat‐stored Δ 9 ‐tetrahydrocannabinol (THC) into blood is enhanced by food deprivation or ACTH exposure
Author(s) -
Gunasekaran N,
Long LE,
Dawson BL,
Hansen GH,
Richardson DP,
Li KM,
Arnold JC,
McGregor IS
Publication year - 2009
Publication title -
british journal of pharmacology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.432
H-Index - 211
eISSN - 1476-5381
pISSN - 0007-1188
DOI - 10.1111/j.1476-5381.2009.00399.x
Subject(s) - lipolysis , in vivo , endocrinology , adipose tissue , medicine , chemistry , tetrahydrocannabinol , metabolite , cannabinoid , pharmacology , biology , receptor , microbiology and biotechnology
Background and purpose: Δ 9 ‐tetrahydrocannabinol (THC), the main psychoactive constituent of cannabis, accumulates in adipose tissue where it is stored for long periods of time. Here we investigated whether conditions that promote lipolysis can liberate THC from adipocytes to yield increased blood levels of THC. Experimental approach: In vitro studies involved freshly isolated rat adipocytes that were incubated with THC before exposure to the lipolytic agent adrenocorticotrophic hormone (ACTH). A complementary in vivo approach examined the effects of both food deprivation and ACTH on blood levels of THC in rats that had been repeatedly injected with THC (10 mg·kg −1 ) for 10 consecutive days. Lipolysis promoted by ACTH or food deprivation was indexed by measurement of glycerol levels. Key results: ACTH increased THC levels in the medium of THC‐pretreated adipocytes in vitro . ACTH also enhanced THC release from adipocytes in vitro when taken from rats repeatedly pretreated with THC in vivo . Finally, in vivo ACTH exposure and 24 h food deprivation both enhanced the levels of THC and its metabolite, (‐)‐11‐nor‐9‐carboxy‐Δ 9 ‐tetrahydrocannabinol (THC‐COOH) in the blood of rats that had been pre‐exposed to repeated THC injections. Conclusions and implications: The present study shows that lipolysis enhances the release of THC from fat stores back into blood. This suggests the likelihood of ‘reintoxication’ whereby food deprivation or stress may raise blood THC levels in animals chronically exposed to the drug. Further research will need to confirm whether this can lead to functional effects, such as impaired cognitive function or ‘flashbacks’.