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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
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Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

Mar 26, 2020

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Page 1: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

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

Page 2: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

18 years in cannabinoid research

Page 3: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

Topics of talk

*What are cannabinoids?

*What are the effects of cannabinoids on the body?

*Therapeutic potential of cannabinoids

*What is cannabinoid research indicating

Page 4: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

Topics of talk

*What are cannabinoids?

*What are the effects of cannabinoids on the body?

*Therapeutic potential of cannabinoids

*What is cannabinoid research indicating

Page 5: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

Topics of talk

*What are cannabinoids?

*What are the effects of cannabinoids on the body?

*Therapeutic potential of cannabinoids

*What is cannabinoid research indicating

Page 6: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

Topics of talk

*What are cannabinoids?

*What are the effects of cannabinoids on the body?

*Therapeutic potential of cannabinoids

*What is cannabinoid research indicating

Page 7: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

Cannabinoids Plant-derived (phyto) cannabinoids

Tetrahydrocannabinol (THC)

Cannabinol (CBN)

Cannabidiol (CBD)

Cannabichromene (CBC)

Endocannabinoids

R(+)WIN 55,212-2

CP 55940

JWH 133

Anandamide

2-AG

Synthetic cannabinoids Terpenoids

Limonene

Myrcene

Pinene

Linalool

Page 8: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

Elzinga et al., 2015

Russo, 2011

Terpenoids

Page 9: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

Cannabis sativa Cannabis indica Cannabis ruderalis

Phytocannabinoids

Page 10: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

Male & female flowers of C. sativa

Chandra et al., 2017

Page 11: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

Chandra et al., 2017

Trichomes

Page 12: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

Biosynthesis of cannabinoids/terpenoids

5-Carbon isoprenoids

isopententyl diphosphate (IPP)

dimethylallyl diphosphate (DMAPP)

Adapted from Booth & Bohlmann,

2019

olivetolic acid

farnesyl diphosphate (FPP)

geranyl diphosphate (GPP)

geranyldiphosphate:olivetolate geranyltransferase

Cannabigerolic acid (CBGA)

monoterpene synthases (mono-TPS)

monoterpenes

sesquiterpene synthases (sesqui-TPS)

sesquiterpenes

Tetrahydrocannabinolic acid (THCA)

cannabidiolic acid (CBDA)

cannabichromenic acid (CBCA)

CBC CBD THC CBN

Page 13: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

Cannabinoids

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

psychoactivity No psychoactivty

Tetrahydrocannabinol Canabidiol Cannabinol

Page 14: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

* THC is the predominant psychoactive ingredient

Raphael Mechoulam

Tetrahydrocannabinol (THC)

Page 15: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

Cannabinoids – not just the plant

Page 16: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

William Devane

2-Arachidonoylglycerol (2-AG)

O OH OH

O

N H

O O H

Anandamide

Endocannabinoids

Page 17: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

Role of endogenous cannabinoids

* Precise physiological role unknown

* Inhibit neurotransmission

* Regulation of cell signalling

* Role in CNS development

Page 18: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

Topics of talk

*What are cannabinoids

*What are the effects of cannabinoids on the body

*Therapeutic potential of cannabinoids

*What is cannabinoid research indicating

Page 19: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

Topics of talk

*What are cannabinoids

*What are the effects of cannabinoids on the body

*Therapeutic potential of cannabinoids

*What is cannabinoid research indicating

Page 20: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

How do cannabinoids act

* Cannabinoid receptors

Page 21: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

Cannabinoid receptors - CB1 and CB2

7 transmembrane domains

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

extracellular

intracellular

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Page 22: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

Cannabinoid receptor distribution

Page 23: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

Human exposure to THC

Page 24: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

a) Ion channel changes

What happens after receptor activation

b) Neurotransmission

c) Signal transduction cascades

Page 25: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

Topics of talk

*What are cannabinoids

*What are the effects of cannabinoids on the body

*Therapeutic potential of cannabinoids

*What is cannabinoid research indicating

Page 26: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

Bonini et al., 2018

Emperor Chen Nung Diodorus Siculus

Carl Linnaeus

William O’Shaughnessy

Medical use of C. sativa

Page 27: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

Media coverage in Ireland

Page 28: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

Marinol (dronabinol)

Therapeutic options

Page 29: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

Cesamet (nabilone)

Therapeutic options

Page 30: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

Sativex

THC and canabidiol combination Treat spasticity and neuropathic pain associated with MS

Therapeutic options

Page 31: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

Epidiolex Therapeutic options

Cannabidiol solution Treat early-onset, treatment-resistant epilepsy syndromes

Chandra et al., 2017

Page 32: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

Topics of talk

*What are cannabinoids

*What are the effects of cannabinoids on the body

*Therapeutic potential of cannabinoids

*What is cannabinoid research indicating

Page 33: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

Cannabinoids and tumour growth

Page 34: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

Cannabinoids and tumour growth

Page 35: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

Cannabinoids and inflammation

Contro

l 10 0 0.1 1 10

0

2000

4000

6000

8000

CBD (µM)

IL1α + TNFα

**

+

IL-6

( ρg/

mL)

Data from Prof. Maeve Caldwell lab

Page 36: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

Terpenoids and inflammation

Page 37: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

Cannabinoids and Multiple Sclerosis

Page 38: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

Spasticity

Page 39: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

Endocannabinoid dysregulation

Page 40: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

Cannabinoid research in my lab

Page 41: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

Peripheral blood mononuclear cells (PBMCs)

Page 42: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

PBMCs treated with cannabinoids

PBMCs

Page 43: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

(unpublished)

Beaumont Hospital

Questionnaire EDSS PBMC

Demographics of study participants

Page 44: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

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

Page 45: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

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

Page 46: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

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

Page 47: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

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

Page 48: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

Research group 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

Funding

Acknowledgements

Page 49: Hemp as a plant: Research PerspectiveHemp as a plant: Research Perspective Dr. Eric Downer Assistant Professor in Human Health & Disease, Director BSc Human Health & Disease, Dept.

Blood THC

high

THC – blood versus high