Why are some noids so horrendous when some are so benign? Should we be more wary of lesser known natural cannabinoids now we know the possible dangers of novel synthetic cannabinoids gone wrong?
What about the structure/action on the
human brain makes makes modern noids so dangerous when compared to previous
noids and thc?
How can we get such radically different responses
from chemicals that act on the same parts of the brain?? (Our cannabinoid
receptors, often specifically the CB1 receptor)
I know about how thc is a partial agonist,
where most noids are full agonists of the CB1 receptor, but JWH-018 was a full
agonist. So that alone doesn't explain the neurotoxicity of modern noids.
We have all these neurotoxic synthetic
noids from hell that cause seizures. And acting on the same receptors we have
thc and cbd, both help TREAT seizures! And cbd is neurogenerative! What abouti
their differences in action on the human body explain this night and day
difference?
Honestly the fact that we can synthesize a
huge number of noids that act on the cannabinoid receptors of our bodies that
are so god-awful that they can give permanent brain damage with one dose, makes
me wary of even natural cannabinoids. We know thc is relatively safe because
there are a huge number of people that have done it for a very long time
(however it does seem to affect working memory over time, and some people can
develop depersonalization disorder). But all these minor cannabinoids in
cannabis that they're breeding to obtain lots of these days: CBG, thcv, delta-8
Thc, etc. Are these new cannabinoids that are becoming available through
genetic breeding safe? How do we know they will not be neurotoxic and
potentially deadly like the synthetic noids?
Not to mention Yangonin in kavakava being
smoked for the first time in the historical use of the plant, and polyphenols
concentrated up in green tea extract taken as a dietary supplement. Both plants
can cause liver damage if you take the extract in excess. The cannabinoid EGCG
in green tea extract is to blame for the liver damage when it is taken in
excess. I don't think we have narrowed down the kavakava liver damage to the
cannabinoid Yangonin yet, but I wouldn't be surprised if it was the culprit.
Why are noids so much worse? And should we
be more wary of natural cannabinoids now that we know the possible horrors of
what synthesized cannabinoids are capable of?
I'd love to hear this community's thoughts
on this. Thanks!
I'm a pharmacologist studying synthetic
cannabinoids. The exact reasons /mechanisms that synthetic cannabinoids have
such a different effects compared to THC/cannabis is not completely understood
but we think it relates to a few key aspects. First, synthetic cannabinoids
typically have very high affinity for cb1, generally anywhere from 10 to 100
fold greater than THC. Affinity is primarily driven by a drug's off rate so if
these compounds park themselves on the receptor for a long time (residency
time) they potentially can keep the receptor active for longer, which is
important in a system not at equilibrium, ie a living system, where
concentration varies over time as drug is absorbed , distributed, metabolized,
excreted. Second, as you mentioned synthetic cannabinoids typically have
greater efficacy than THC meaning a single interaction with a receptor can
produce a larger effect than could occur with cannabis. Third, receptors signal
through many pathways and different drugs can exhibit signaling bias where one
pathway is activated more than another. Not much is known yet about signaling
bias at cannabinoid receptors, let alone synthetic cannabinoids. Fourth,
metabolites continue to activate the receptor and some synthetic cannabinoids
actually get converted very quickly so we're now starting to study those more
and it's being suggested that metabolites may be involved in some of the
adverse effects. Finally, they may not be producing their adverse effects at
cannabinoid receptors. It's been suggested by a few groups in mouse studies
that the seizure activity is via cb1, which is a little counter intuitive
considering that cannabinoids are typically thought to be protective and the
cb1 inverse agonist rimonabant was reported to exacerbate seizures when it was
briefly being used in humans. But that gets very complicated because depending
upon which neuronal systems are being affected, if cb1 receptors are located in
excitatory and inhibitory neurons that converge, differences in receptor
populations can result in one effect at low concentrations and/or efficacy and
opposite effect at high concetrations/efficacy. But other adverse effects like
cardiotoxicity could be via some non cannabinoid mechanism.
But yeah, cannabis for the most part is
safe so if you're going to insist on getting high that would be better. But it
can still cause addiction /dependence, affect fetal development, exacerbate
psychosis and potentially promote development of schizophrenia in susceptible
individuals.
Thank you for your input, this is really
educational! Different metabolites causing the horrible side effects makes a
lot of sense. And I hadn't considered signaling pathways.
Thanks again for taking the time to explain!
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