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Published in: Clinical Reviews in Allergy & Immunology 1/2014

01-02-2014

Marijuana: Respiratory Tract Effects

Authors: Kelly P. Owen, Mark E. Sutter, Timothy E. Albertson

Published in: Clinical Reviews in Allergy & Immunology | Issue 1/2014

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Abstract

Marijuana is the most commonly used drug of abuse in the USA. It is commonly abused through inhalation and therefore has effects on the lung that are similar to tobacco smoke, including increased cough, sputum production, hyperinflation, and upper lobe emphysematous changes. However, at this time, it does not appear that marijuana smoke contributes to the development of chronic obstructive pulmonary disease. Marijuana can have multiple physiologic effects such as tachycardia, peripheral vasodilatation, behavioral and emotional changes, and possible prolonged cognitive impairment. The carcinogenic effects of marijuana are unclear at this time. Studies are mixed on the ability of marijuana smoke to increase the risk for head and neck squamous cell carcinoma, lung cancer, prostate cancer, and cervical cancer. Some studies show that marijuana is protective for development of malignancy. Marijuana smoke has been shown to have an inhibitory effect on the immune system. Components of cannabis are under investigation as treatment for autoimmune diseases and malignancy. As marijuana becomes legalized in many states for medical and recreational use, other forms of tetrahydrocannabinol (THC) have been developed, such as food products and beverages. As most research on marijuana at this time has been on whole marijuana smoke, rather than THC, it is difficult to determine if the currently available data is applicable to these newer products.
Literature
3.
go back to reference Ashton CH (2001) Pharmacology and effects of cannabis: a brief review. Br J Psychiatry 178:101–106PubMed Ashton CH (2001) Pharmacology and effects of cannabis: a brief review. Br J Psychiatry 178:101–106PubMed
4.
go back to reference Mechoulam R, Gaoni Y (1965) A total synthesis of delta-1-tetrahydrocannabinol, the active constituent of hashish. J Am Chem Soc 87:3273–3275PubMed Mechoulam R, Gaoni Y (1965) A total synthesis of delta-1-tetrahydrocannabinol, the active constituent of hashish. J Am Chem Soc 87:3273–3275PubMed
5.
go back to reference Mechoulam R, Parker LA, Gallily R (2002) Cannabidiol: an overview of some pharmacological aspects. J Clin Pharmacol 42:11S–19SPubMed Mechoulam R, Parker LA, Gallily R (2002) Cannabidiol: an overview of some pharmacological aspects. J Clin Pharmacol 42:11S–19SPubMed
6.
go back to reference Mehmedic Z, Chandra S, Slade D, Denham H, Foster S, Patel AS et al (2010) Potency trends of Delta9-THC and other cannabinoids in confiscated cannabis preparations from 1993 to 2008. J Forensic Sci 55:1209–1217PubMed Mehmedic Z, Chandra S, Slade D, Denham H, Foster S, Patel AS et al (2010) Potency trends of Delta9-THC and other cannabinoids in confiscated cannabis preparations from 1993 to 2008. J Forensic Sci 55:1209–1217PubMed
7.
go back to reference Maykut MO (1985) Health consequences of acute and chronic marihuana use. Prog Neuropsychopharmacol Biol Psychiatry 9:209–238PubMed Maykut MO (1985) Health consequences of acute and chronic marihuana use. Prog Neuropsychopharmacol Biol Psychiatry 9:209–238PubMed
8.
go back to reference Huber GL, First MW, Grubner O (1991) Marijuana and tobacco smoke gas-phase cytotoxins. Pharmacol Biochem Behav 40:629–636PubMed Huber GL, First MW, Grubner O (1991) Marijuana and tobacco smoke gas-phase cytotoxins. Pharmacol Biochem Behav 40:629–636PubMed
9.
go back to reference Busch FW, Seid DA, Wei ET (1979) Mutagenic activity of marihuana smoke condensates. Cancer Lett 6:319–324PubMed Busch FW, Seid DA, Wei ET (1979) Mutagenic activity of marihuana smoke condensates. Cancer Lett 6:319–324PubMed
10.
go back to reference Fentiman AF Jr, Foltz RL, Kinzer GW (1973) Identification of noncannabinoid phenols in marihuana smoke condensate using chemical ionization mass spectrometry. Anal Chem 45:580–583PubMed Fentiman AF Jr, Foltz RL, Kinzer GW (1973) Identification of noncannabinoid phenols in marihuana smoke condensate using chemical ionization mass spectrometry. Anal Chem 45:580–583PubMed
11.
go back to reference Haq MZ, Rose SJ, Deiderich LR, Patel AR (1974) Identification and quantitative measurement of some N-heterocyclics in marijuana smoke condensates. Anal Chem 46:1781–1784PubMed Haq MZ, Rose SJ, Deiderich LR, Patel AR (1974) Identification and quantitative measurement of some N-heterocyclics in marijuana smoke condensates. Anal Chem 46:1781–1784PubMed
12.
go back to reference Kettenes-van den Bosch JJ, Salemink CA (1977) Cannabis. XVI. Constituents of marihuana smoke condensate. J Chromatogr 131:422–424PubMed Kettenes-van den Bosch JJ, Salemink CA (1977) Cannabis. XVI. Constituents of marihuana smoke condensate. J Chromatogr 131:422–424PubMed
13.
go back to reference Kier LD, Yamasaki E, Ames BN (1974) Detection of mutagenic activity in cigarette smoke condensates. Proc Natl Acad Sci U S A 71:4159–4163PubMedCentralPubMed Kier LD, Yamasaki E, Ames BN (1974) Detection of mutagenic activity in cigarette smoke condensates. Proc Natl Acad Sci U S A 71:4159–4163PubMedCentralPubMed
14.
go back to reference Lee ML, Novotny M, Bartle KD (1976) Gas chromatography/mass spectrometric and nuclear magnetic resonance spectrometric studies of carcinogenic polynuclear aromatic hydrocarbons in tobacco and marijuana smoke condensates. Anal Chem 48:405–416PubMed Lee ML, Novotny M, Bartle KD (1976) Gas chromatography/mass spectrometric and nuclear magnetic resonance spectrometric studies of carcinogenic polynuclear aromatic hydrocarbons in tobacco and marijuana smoke condensates. Anal Chem 48:405–416PubMed
15.
go back to reference Mann PE, Cohen AB, Finley TN, Ladman AJ (1971) Alveolar macrophages. Structural and functional differences between nonsmokers and smokers of marijuana and tobacco. Lab Invest 25:111–120PubMed Mann PE, Cohen AB, Finley TN, Ladman AJ (1971) Alveolar macrophages. Structural and functional differences between nonsmokers and smokers of marijuana and tobacco. Lab Invest 25:111–120PubMed
16.
go back to reference Novotny M, Lee ML, Bartle KD (1976) A possible chemical basis for the higher mutagenicity of marijuana smoke as compared to tobacco smoke. Experientia 32:280–282PubMed Novotny M, Lee ML, Bartle KD (1976) A possible chemical basis for the higher mutagenicity of marijuana smoke as compared to tobacco smoke. Experientia 32:280–282PubMed
17.
go back to reference Novotny M, Lee ML, Low CE, Raymond A (1976) Analysis of marijuana samples from different origins by high-resolution gas–liquid chromatography for forensic application. Anal Chem 48:24–29PubMed Novotny M, Lee ML, Low CE, Raymond A (1976) Analysis of marijuana samples from different origins by high-resolution gas–liquid chromatography for forensic application. Anal Chem 48:24–29PubMed
18.
go back to reference Okamoto T, Chan PC, So BT (1972) Effect of tobacco, marijuana and benzo(a)pyrene on aryl hydrocarbon hydroxylase in hamster lung. Life Sci II 11:733–741PubMed Okamoto T, Chan PC, So BT (1972) Effect of tobacco, marijuana and benzo(a)pyrene on aryl hydrocarbon hydroxylase in hamster lung. Life Sci II 11:733–741PubMed
19.
go back to reference Patel AR, Gori GB (1975) Preparation and monitoring of marijuana smoke condensate samples. Bull Narc 27:47–54PubMed Patel AR, Gori GB (1975) Preparation and monitoring of marijuana smoke condensate samples. Bull Narc 27:47–54PubMed
20.
go back to reference Rickert WS, Robinson JC, Rogers B (1982) A comparison of tar, carbon monoxide and pH levels in smoke from marihuana and tobacco cigarettes. Can J Public Health 73:386–391PubMed Rickert WS, Robinson JC, Rogers B (1982) A comparison of tar, carbon monoxide and pH levels in smoke from marihuana and tobacco cigarettes. Can J Public Health 73:386–391PubMed
21.
go back to reference Stedman RL (1968) The chemical composition of tobacco and tobacco smoke. Chem Rev 68:153–207PubMed Stedman RL (1968) The chemical composition of tobacco and tobacco smoke. Chem Rev 68:153–207PubMed
22.
go back to reference Swain AP, Cooper JE, Stedman RL (1969) Large-scale fractionation of cigarette smoke condensate for chemical and biologic investigations. Cancer Res 29:579–583PubMed Swain AP, Cooper JE, Stedman RL (1969) Large-scale fractionation of cigarette smoke condensate for chemical and biologic investigations. Cancer Res 29:579–583PubMed
23.
go back to reference Tomkins BA, Jenkins RA, Griest WH, Reagan RR, Holladay SK (1985) Liquid chromatographic determination of benzo[a]pyrene in total particulate matter of cigarette smoke. J Assoc Off Anal Chem 68:935–940PubMed Tomkins BA, Jenkins RA, Griest WH, Reagan RR, Holladay SK (1985) Liquid chromatographic determination of benzo[a]pyrene in total particulate matter of cigarette smoke. J Assoc Off Anal Chem 68:935–940PubMed
24.
go back to reference Wehner FC, van Rensburg SJ, Thiel PG (1980) Mutagenicity of marijuana and Transkei tobacco smoke condensates in the Salmonella/microsome assay. Mutat Res 77:135–142PubMed Wehner FC, van Rensburg SJ, Thiel PG (1980) Mutagenicity of marijuana and Transkei tobacco smoke condensates in the Salmonella/microsome assay. Mutat Res 77:135–142PubMed
25.
go back to reference Hoffmann DBK, Gori GB, Wynder EL (1975) On the carcinogenicity of marijuana smoke. Recent Adv Phytochem 9:63–81 Hoffmann DBK, Gori GB, Wynder EL (1975) On the carcinogenicity of marijuana smoke. Recent Adv Phytochem 9:63–81
26.
go back to reference Moir D, Rickert WS, Levasseur G, Larose Y, Maertens R, White P et al (2008) A comparison of mainstream and sidestream marijuana and tobacco cigarette smoke produced under two machine smoking conditions. Chem Res Toxicol 21:494–502PubMed Moir D, Rickert WS, Levasseur G, Larose Y, Maertens R, White P et al (2008) A comparison of mainstream and sidestream marijuana and tobacco cigarette smoke produced under two machine smoking conditions. Chem Res Toxicol 21:494–502PubMed
27.
go back to reference Simmons MS, Tashkin DP (1995) The relationship of tobacco and marijuana smoking characteristics. Life Sci 56:2185–2191PubMed Simmons MS, Tashkin DP (1995) The relationship of tobacco and marijuana smoking characteristics. Life Sci 56:2185–2191PubMed
28.
go back to reference Wu TC, Tashkin DP, Djahed B, Rose JE (1988) Pulmonary hazards of smoking marijuana as compared with tobacco. N Engl J Med 318:347–351PubMed Wu TC, Tashkin DP, Djahed B, Rose JE (1988) Pulmonary hazards of smoking marijuana as compared with tobacco. N Engl J Med 318:347–351PubMed
29.
go back to reference Tashkin DP, Gliederer F, Rose J, Chang P, Hui KK, Yu JL et al (1991) Tar, CO and delta 9THC delivery from the 1st and 2nd halves of a marijuana cigarette. Pharmacol Biochem Behav 40:657–661PubMed Tashkin DP, Gliederer F, Rose J, Chang P, Hui KK, Yu JL et al (1991) Tar, CO and delta 9THC delivery from the 1st and 2nd halves of a marijuana cigarette. Pharmacol Biochem Behav 40:657–661PubMed
30.
go back to reference Hashibe M, Straif K, Tashkin DP, Morgenstern H, Greenland S, Zhang ZF (2005) Epidemiologic review of marijuana use and cancer risk. Alcohol 35:265–275PubMed Hashibe M, Straif K, Tashkin DP, Morgenstern H, Greenland S, Zhang ZF (2005) Epidemiologic review of marijuana use and cancer risk. Alcohol 35:265–275PubMed
31.
go back to reference Hazekamp A, Ruhaak R, Zuurman L, van Gerven J, Verpoorte R (2006) Evaluation of a vaporizing device (Volcano) for the pulmonary administration of tetrahydrocannabinol. J Pharm Sci 95:1308–1317PubMed Hazekamp A, Ruhaak R, Zuurman L, van Gerven J, Verpoorte R (2006) Evaluation of a vaporizing device (Volcano) for the pulmonary administration of tetrahydrocannabinol. J Pharm Sci 95:1308–1317PubMed
32.
go back to reference Abrams DI, Vizoso HP, Shade SB, Jay C, Kelly ME, Benowitz NL (2007) Vaporization as a smokeless cannabis delivery system: a pilot study. Clin Pharmacol Ther 82:572–578PubMed Abrams DI, Vizoso HP, Shade SB, Jay C, Kelly ME, Benowitz NL (2007) Vaporization as a smokeless cannabis delivery system: a pilot study. Clin Pharmacol Ther 82:572–578PubMed
33.
go back to reference Pomahacova B, Van der Kooy F, Verpoorte R (2009) Cannabis smoke condensate III: the cannabinoid content of vaporised Cannabis sativa. Inhal Toxicol 21:1108–1112PubMed Pomahacova B, Van der Kooy F, Verpoorte R (2009) Cannabis smoke condensate III: the cannabinoid content of vaporised Cannabis sativa. Inhal Toxicol 21:1108–1112PubMed
34.
go back to reference Van Dam NT, Earleywine M (2010) Pulmonary function in cannabis users: support for a clinical trial of the vaporizer. Int J Drug Policy 21:511–513PubMed Van Dam NT, Earleywine M (2010) Pulmonary function in cannabis users: support for a clinical trial of the vaporizer. Int J Drug Policy 21:511–513PubMed
35.
go back to reference Hollister LE, Gillespie HK, Ohlsson A, Lindgren JE, Wahlen A, Agurell S (1981) Do plasma concentrations of delta 9-tetrahydrocannabinol reflect the degree of intoxication? J Clin Pharmacol 21:171S–177SPubMed Hollister LE, Gillespie HK, Ohlsson A, Lindgren JE, Wahlen A, Agurell S (1981) Do plasma concentrations of delta 9-tetrahydrocannabinol reflect the degree of intoxication? J Clin Pharmacol 21:171S–177SPubMed
36.
go back to reference Huestis MA, Henningfield JE, Cone EJ (1992) Blood cannabinoids. I. Absorption of THC and formation of 11-OH-THC and THCCOOH during and after smoking marijuana. J Anal Toxicol 16:276–282PubMed Huestis MA, Henningfield JE, Cone EJ (1992) Blood cannabinoids. I. Absorption of THC and formation of 11-OH-THC and THCCOOH during and after smoking marijuana. J Anal Toxicol 16:276–282PubMed
37.
go back to reference Ohlsson A, Lindgren JE, Wahlen A, Agurell S, Hollister LE, Gillespie HK (1980) Plasma delta-9 tetrahydrocannabinol concentrations and clinical effects after oral and intravenous administration and smoking. Clin Pharmacol Ther 28:409–416PubMed Ohlsson A, Lindgren JE, Wahlen A, Agurell S, Hollister LE, Gillespie HK (1980) Plasma delta-9 tetrahydrocannabinol concentrations and clinical effects after oral and intravenous administration and smoking. Clin Pharmacol Ther 28:409–416PubMed
38.
go back to reference Watanabe K, Yamaori S, Funahashi T, Kimura T, Yamamoto I (2007) Cytochrome P450 enzymes involved in the metabolism of tetrahydrocannabinols and cannabinol by human hepatic microsomes. Life Sci 80:1415–1419PubMed Watanabe K, Yamaori S, Funahashi T, Kimura T, Yamamoto I (2007) Cytochrome P450 enzymes involved in the metabolism of tetrahydrocannabinols and cannabinol by human hepatic microsomes. Life Sci 80:1415–1419PubMed
39.
go back to reference Bornheim LM, Lasker JM, Raucy JL (1992) Human hepatic microsomal metabolism of delta 1-tetrahydrocannabinol. Drug Metab Dispos 20:241–246PubMed Bornheim LM, Lasker JM, Raucy JL (1992) Human hepatic microsomal metabolism of delta 1-tetrahydrocannabinol. Drug Metab Dispos 20:241–246PubMed
40.
go back to reference Watanabe K, Matsunaga T, Yamamoto I, Funae Y, Yoshimura H (1995) Involvement of CYP2C in the metabolism of cannabinoids by human hepatic microsomes from an old woman. Biol Pharm Bull 18:1138–1141PubMed Watanabe K, Matsunaga T, Yamamoto I, Funae Y, Yoshimura H (1995) Involvement of CYP2C in the metabolism of cannabinoids by human hepatic microsomes from an old woman. Biol Pharm Bull 18:1138–1141PubMed
41.
go back to reference Mazur A, Lichti CF, Prather PL, Zielinska AK, Bratton SM, Gallus-Zawada A et al (2009) Characterization of human hepatic and extrahepatic UDP-glucuronosyltransferase enzymes involved in the metabolism of classic cannabinoids. Drug Metab Dispos 37:1496–1504PubMed Mazur A, Lichti CF, Prather PL, Zielinska AK, Bratton SM, Gallus-Zawada A et al (2009) Characterization of human hepatic and extrahepatic UDP-glucuronosyltransferase enzymes involved in the metabolism of classic cannabinoids. Drug Metab Dispos 37:1496–1504PubMed
42.
go back to reference Hunt CA, Jones RT (1980) Tolerance and disposition of tetrahydrocannabinol in man. J Pharmacol Exp Ther 215:35–44PubMed Hunt CA, Jones RT (1980) Tolerance and disposition of tetrahydrocannabinol in man. J Pharmacol Exp Ther 215:35–44PubMed
43.
go back to reference Yamaori S, Okamoto Y, Yamamoto I, Watanabe K (2011) Cannabidiol, a major phytocannabinoid, as a potent atypical inhibitor for CYP2D6. Drug Metab Dispos 39:2049–2056PubMed Yamaori S, Okamoto Y, Yamamoto I, Watanabe K (2011) Cannabidiol, a major phytocannabinoid, as a potent atypical inhibitor for CYP2D6. Drug Metab Dispos 39:2049–2056PubMed
44.
go back to reference Jiang R, Yamaori S, Okamoto Y, Yamamoto I, Watanabe K (2013) Cannabidiol is a potent inhibitor of the catalytic activity of cytochrome P450 2C19. Drug Metab Pharmacokinet (in press) Jiang R, Yamaori S, Okamoto Y, Yamamoto I, Watanabe K (2013) Cannabidiol is a potent inhibitor of the catalytic activity of cytochrome P450 2C19. Drug Metab Pharmacokinet (in press)
45.
go back to reference Matsuda LA, Lolait SJ, Brownstein MJ, Young AC, Bonner TI (1990) Structure of a cannabinoid receptor and functional expression of the cloned cDNA. Nature 346:561–564PubMed Matsuda LA, Lolait SJ, Brownstein MJ, Young AC, Bonner TI (1990) Structure of a cannabinoid receptor and functional expression of the cloned cDNA. Nature 346:561–564PubMed
46.
go back to reference Chakrabarti A, Onaivi ES, Chaudhuri G (1995) Cloning and sequencing of a cDNA encoding the mouse brain-type cannabinoid receptor protein. DNA Seq 5:385–388PubMed Chakrabarti A, Onaivi ES, Chaudhuri G (1995) Cloning and sequencing of a cDNA encoding the mouse brain-type cannabinoid receptor protein. DNA Seq 5:385–388PubMed
47.
go back to reference Abood ME, Ditto KE, Noel MA, Showalter VM, Tao Q (1997) Isolation and expression of a mouse CB1 cannabinoid receptor gene. Comparison of binding properties with those of native CB1 receptors in mouse brain and N18TG2 neuroblastoma cells. Biochem Pharmacol 53:207–214PubMed Abood ME, Ditto KE, Noel MA, Showalter VM, Tao Q (1997) Isolation and expression of a mouse CB1 cannabinoid receptor gene. Comparison of binding properties with those of native CB1 receptors in mouse brain and N18TG2 neuroblastoma cells. Biochem Pharmacol 53:207–214PubMed
48.
go back to reference Gebremedhin D, Lange AR, Campbell WB, Hillard CJ, Harder DR (1999) Cannabinoid CB1 receptor of cat cerebral arterial muscle functions to inhibit L-type Ca2+ channel current. Am J Physiol 276:H2085–2093PubMed Gebremedhin D, Lange AR, Campbell WB, Hillard CJ, Harder DR (1999) Cannabinoid CB1 receptor of cat cerebral arterial muscle functions to inhibit L-type Ca2+ channel current. Am J Physiol 276:H2085–2093PubMed
49.
go back to reference Stefano GB, Salzet B, Salzet M (1997) Identification and characterization of the leech CNS cannabinoid receptor: coupling to nitric oxide release. Brain Res 753:219–224PubMed Stefano GB, Salzet B, Salzet M (1997) Identification and characterization of the leech CNS cannabinoid receptor: coupling to nitric oxide release. Brain Res 753:219–224PubMed
50.
go back to reference Yamaguchi F, Macrae AD, Brenner S (1996) Molecular cloning of two cannabinoid type 1-like receptor genes from the puffer fish Fugu rubripes. Genomics 35:603–605PubMed Yamaguchi F, Macrae AD, Brenner S (1996) Molecular cloning of two cannabinoid type 1-like receptor genes from the puffer fish Fugu rubripes. Genomics 35:603–605PubMed
51.
go back to reference Soderstrom K, Leid M, Moore FL, Murray TF (2000) Behaviroal, pharmacological, and molecular characterization of an amphibian cannabinoid receptor. J Neurochem 75:413–423PubMed Soderstrom K, Leid M, Moore FL, Murray TF (2000) Behaviroal, pharmacological, and molecular characterization of an amphibian cannabinoid receptor. J Neurochem 75:413–423PubMed
52.
go back to reference Devane WA, Hanus L, Breuer A, Pertwee RG, Stevenson LA, Griffin G et al (1992) Isolation and structure of a brain constituent that binds to the cannabinoid receptor. Science 258:1946–1949PubMed Devane WA, Hanus L, Breuer A, Pertwee RG, Stevenson LA, Griffin G et al (1992) Isolation and structure of a brain constituent that binds to the cannabinoid receptor. Science 258:1946–1949PubMed
53.
go back to reference Mechoulam R, Ben-Shabat S, Hanus L, Ligumsky M, Kaminski NE, Schatz AR et al (1995) Identification of an endogenous 2-monoglyceride, present in canine gut, that binds to cannabinoid receptors. Biochem Pharmacol 50:83–90PubMed Mechoulam R, Ben-Shabat S, Hanus L, Ligumsky M, Kaminski NE, Schatz AR et al (1995) Identification of an endogenous 2-monoglyceride, present in canine gut, that binds to cannabinoid receptors. Biochem Pharmacol 50:83–90PubMed
54.
go back to reference Sugiura T, Kondo S, Sukagawa A, Nakane S, Shinoda A, Itoh K et al (1995) 2-Arachidonoylglycerol: a possible endogenous cannabinoid receptor ligand in brain. Biochem Biophys Res Commun 215:89–97PubMed Sugiura T, Kondo S, Sukagawa A, Nakane S, Shinoda A, Itoh K et al (1995) 2-Arachidonoylglycerol: a possible endogenous cannabinoid receptor ligand in brain. Biochem Biophys Res Commun 215:89–97PubMed
55.
go back to reference Hanus L, Abu-Lafi S, Fride E, Breuer A, Vogel Z, Shalev DE et al (2001) 2-Arachidonyl glyceryl ether, an endogenous agonist of the cannabinoid CB1 receptor. Proc Natl Acad Sci U S A 98:3662–3665PubMedCentralPubMed Hanus L, Abu-Lafi S, Fride E, Breuer A, Vogel Z, Shalev DE et al (2001) 2-Arachidonyl glyceryl ether, an endogenous agonist of the cannabinoid CB1 receptor. Proc Natl Acad Sci U S A 98:3662–3665PubMedCentralPubMed
56.
go back to reference Gerard CM, Mollereau C, Vassart G, Parmentier M (1991) Molecular cloning of a human cannabinoid receptor which is also expressed in testis. Biochem J 279(Pt 1):129–134PubMed Gerard CM, Mollereau C, Vassart G, Parmentier M (1991) Molecular cloning of a human cannabinoid receptor which is also expressed in testis. Biochem J 279(Pt 1):129–134PubMed
57.
go back to reference Munro S, Thomas KL, Abu-Shaar M (1993) Molecular characterization of a peripheral receptor for cannabinoids. Nature 365:61–65PubMed Munro S, Thomas KL, Abu-Shaar M (1993) Molecular characterization of a peripheral receptor for cannabinoids. Nature 365:61–65PubMed
58.
go back to reference Hirst RA, Lambert DG, Notcutt WG (1998) Pharmacology and potential therapeutic uses of cannabis. Br J Anaesth 81:77–84PubMed Hirst RA, Lambert DG, Notcutt WG (1998) Pharmacology and potential therapeutic uses of cannabis. Br J Anaesth 81:77–84PubMed
59.
go back to reference Mechoulam R, Parker LA (2013) The endocannabinoid system and the brain. Annu Rev Psychol 64:21–47PubMed Mechoulam R, Parker LA (2013) The endocannabinoid system and the brain. Annu Rev Psychol 64:21–47PubMed
60.
go back to reference Onaivi ES (2009) Cannabinoid receptors in brain: pharmacogenetics, neuropharmacology, neurotoxicology, and potential therapeutic applications. Int Rev Neurobiol 88:335–369PubMed Onaivi ES (2009) Cannabinoid receptors in brain: pharmacogenetics, neuropharmacology, neurotoxicology, and potential therapeutic applications. Int Rev Neurobiol 88:335–369PubMed
61.
go back to reference Howlett AC, Barth F, Bonner TI, Cabral G, Casellas P, Devane WA et al (2002) International Union of Pharmacology. XXVII. Classification of cannabinoid receptors. Pharmacol Rev 54:161–202PubMed Howlett AC, Barth F, Bonner TI, Cabral G, Casellas P, Devane WA et al (2002) International Union of Pharmacology. XXVII. Classification of cannabinoid receptors. Pharmacol Rev 54:161–202PubMed
62.
go back to reference Mackie K, Devane WA, Hille B (1993) Anandamide, an endogenous cannabinoid, inhibits calcium currents as a partial agonist in N18 neuroblastoma cells. Mol Pharmacol 44:498–503PubMed Mackie K, Devane WA, Hille B (1993) Anandamide, an endogenous cannabinoid, inhibits calcium currents as a partial agonist in N18 neuroblastoma cells. Mol Pharmacol 44:498–503PubMed
63.
go back to reference Mackie K, Hille B (1992) Cannabinoids inhibit N-type calcium channels in neuroblastoma-glioma cells. Proc Natl Acad Sci U S A 89:3825–3829PubMedCentralPubMed Mackie K, Hille B (1992) Cannabinoids inhibit N-type calcium channels in neuroblastoma-glioma cells. Proc Natl Acad Sci U S A 89:3825–3829PubMedCentralPubMed
64.
go back to reference Mackie K, Lai Y, Westenbroek R, Mitchell R (1995) Cannabinoids activate an inwardly rectifying potassium conductance and inhibit Q-type calcium currents in AtT20 cells transfected with rat brain cannabinoid receptor. J Neurosci 15:6552–6561PubMed Mackie K, Lai Y, Westenbroek R, Mitchell R (1995) Cannabinoids activate an inwardly rectifying potassium conductance and inhibit Q-type calcium currents in AtT20 cells transfected with rat brain cannabinoid receptor. J Neurosci 15:6552–6561PubMed
65.
go back to reference Caulfield MP, Brown DA (1992) Cannabinoid receptor agonists inhibit Ca current in NG108-15 neuroblastoma cells via a pertussis toxin-sensitive mechanism. Br J Pharmacol 106:231–232PubMed Caulfield MP, Brown DA (1992) Cannabinoid receptor agonists inhibit Ca current in NG108-15 neuroblastoma cells via a pertussis toxin-sensitive mechanism. Br J Pharmacol 106:231–232PubMed
66.
go back to reference Childers SR, Deadwyler SA (1996) Role of cyclic AMP in the actions of cannabinoid receptors. Biochem Pharmacol 52:819–827PubMed Childers SR, Deadwyler SA (1996) Role of cyclic AMP in the actions of cannabinoid receptors. Biochem Pharmacol 52:819–827PubMed
67.
go back to reference Pacher P, Mechoulam R (2011) Is lipid signaling through cannabinoid 2 receptors part of a protective system? Prog Lipid Res 50:193–211PubMedCentralPubMed Pacher P, Mechoulam R (2011) Is lipid signaling through cannabinoid 2 receptors part of a protective system? Prog Lipid Res 50:193–211PubMedCentralPubMed
68.
go back to reference Klein TW, Newton C, Larsen K, Lu L, Perkins I et al (2003) The cannabinoid system and immune modulation. J Leukoc Biol 74:486–496PubMed Klein TW, Newton C, Larsen K, Lu L, Perkins I et al (2003) The cannabinoid system and immune modulation. J Leukoc Biol 74:486–496PubMed
69.
go back to reference Felder CC, Joyce KE, Briley EM, Mansouri J, Mackie K, Blond O et al (1995) Comparison of the pharmacology and signal transduction of the human cannabinoid CB1 and CB2 receptors. Mol Pharmacol 48:443–450PubMed Felder CC, Joyce KE, Briley EM, Mansouri J, Mackie K, Blond O et al (1995) Comparison of the pharmacology and signal transduction of the human cannabinoid CB1 and CB2 receptors. Mol Pharmacol 48:443–450PubMed
70.
go back to reference Zhang PW, Ishiguro H, Ohtsuki T, Hess J, Carillo F, Walther D et al (2004) Human cannabinoid receptor 1: 5' exons, candidate regulatory regions, polymorphisms, haplotypes and association with polysubstance abuse. Mol Psychiatry 9:916–931PubMed Zhang PW, Ishiguro H, Ohtsuki T, Hess J, Carillo F, Walther D et al (2004) Human cannabinoid receptor 1: 5' exons, candidate regulatory regions, polymorphisms, haplotypes and association with polysubstance abuse. Mol Psychiatry 9:916–931PubMed
71.
go back to reference Comings DE, Muhleman D, Gade R, Johnson P, Verde R, Saucier G et al (1997) Cannabinoid receptor gene (CNR1): association with i.v. drug use. Mol Psychiatry 2:161–168PubMed Comings DE, Muhleman D, Gade R, Johnson P, Verde R, Saucier G et al (1997) Cannabinoid receptor gene (CNR1): association with i.v. drug use. Mol Psychiatry 2:161–168PubMed
72.
go back to reference Benyamina A, Kebir O, Blecha L, Reynaud M, Krebs MO (2011) CNR1 gene polymorphisms in addictive disorders: a systematic review and a meta-analysis. Addict Biol 16:1–6PubMed Benyamina A, Kebir O, Blecha L, Reynaud M, Krebs MO (2011) CNR1 gene polymorphisms in addictive disorders: a systematic review and a meta-analysis. Addict Biol 16:1–6PubMed
73.
go back to reference Hopfer CJ, Young SE, Purcell S, Crowley TJ, Stallings MC, Corley RP et al (2006) Cannabis receptor haplotype associated with fewer cannabis dependence symptoms in adolescents. Am J Med Genet B Neuropsychiatr Genet 141B:895–901PubMedCentralPubMed Hopfer CJ, Young SE, Purcell S, Crowley TJ, Stallings MC, Corley RP et al (2006) Cannabis receptor haplotype associated with fewer cannabis dependence symptoms in adolescents. Am J Med Genet B Neuropsychiatr Genet 141B:895–901PubMedCentralPubMed
74.
go back to reference Vardakou I, Pistos C, Spiliopoulou C (2010) Spice drugs as a new trend: mode of action, identification and legislation. Toxicol Lett 197:157–162PubMed Vardakou I, Pistos C, Spiliopoulou C (2010) Spice drugs as a new trend: mode of action, identification and legislation. Toxicol Lett 197:157–162PubMed
75.
go back to reference Pertwee RG (2006) Cannabinoid pharmacology: the first 66 years. Br J Pharmacol 147(Suppl 1):S163–171PubMed Pertwee RG (2006) Cannabinoid pharmacology: the first 66 years. Br J Pharmacol 147(Suppl 1):S163–171PubMed
76.
go back to reference Einhorn LH, Nagy C, Furnas B, Williams SD (1981) Nabilone: an effective antiemetic in patients receiving cancer chemotherapy. J Clin Pharmacol 21:64S–69SPubMed Einhorn LH, Nagy C, Furnas B, Williams SD (1981) Nabilone: an effective antiemetic in patients receiving cancer chemotherapy. J Clin Pharmacol 21:64S–69SPubMed
77.
go back to reference Ungerleider JT, Sarna G, Fairbanks LA, Goodnight J, Andrysiak T, Jamison K (1985) THC or compazine for the cancer chemotherapy patient—the UCLA study. Part II: patient drug preference. Am J Clin Oncol 8:142–147PubMed Ungerleider JT, Sarna G, Fairbanks LA, Goodnight J, Andrysiak T, Jamison K (1985) THC or compazine for the cancer chemotherapy patient—the UCLA study. Part II: patient drug preference. Am J Clin Oncol 8:142–147PubMed
78.
go back to reference Struwe M, Kaempfer SH, Geiger CJ, Pavia AT, Plasse TF, Shepard KV et al (1993) Effect of dronabinol on nutritional status in HIV infection. Ann Pharmacother 27:827–831PubMed Struwe M, Kaempfer SH, Geiger CJ, Pavia AT, Plasse TF, Shepard KV et al (1993) Effect of dronabinol on nutritional status in HIV infection. Ann Pharmacother 27:827–831PubMed
79.
go back to reference Smith PF (2004) GW-1000. GW pharmaceuticals. Curr Opin Investig Drugs 5:748–754PubMed Smith PF (2004) GW-1000. GW pharmaceuticals. Curr Opin Investig Drugs 5:748–754PubMed
80.
go back to reference Pope HG Jr, Gruber AJ, Hudson JI, Huestis MA, Yurgelun-Todd D (2002) Cognitive measures in long-term cannabis users. J Clin Pharmacol 42:41S–47SPubMed Pope HG Jr, Gruber AJ, Hudson JI, Huestis MA, Yurgelun-Todd D (2002) Cognitive measures in long-term cannabis users. J Clin Pharmacol 42:41S–47SPubMed
81.
go back to reference Bolla KI, Eldreth DA, Matochik JA, Cadet JL (2005) Neural substrates of faulty decision-making in abstinent marijuana users. NeuroImage 26:480–492PubMed Bolla KI, Eldreth DA, Matochik JA, Cadet JL (2005) Neural substrates of faulty decision-making in abstinent marijuana users. NeuroImage 26:480–492PubMed
82.
go back to reference Crean RD, Crane NA, Mason BJ (2011) An evidence based review of acute and long-term effects of cannabis use on executive cognitive functions. J Addict Med 5:1–8PubMedCentralPubMed Crean RD, Crane NA, Mason BJ (2011) An evidence based review of acute and long-term effects of cannabis use on executive cognitive functions. J Addict Med 5:1–8PubMedCentralPubMed
83.
go back to reference Sarne Y, Asaf F, Fishbein M, Gafni M, Keren O (2011) The dual neuroprotective-neurotoxic profile of cannabinoid drugs. Br J Pharmacol 163:1391–1401PubMed Sarne Y, Asaf F, Fishbein M, Gafni M, Keren O (2011) The dual neuroprotective-neurotoxic profile of cannabinoid drugs. Br J Pharmacol 163:1391–1401PubMed
84.
go back to reference Eubanks LM, Rogers CJ, Beuscher AE IV, Koob GF, Olson AJ, Dickerson TJ et al (2006) A molecular link between the active component of marijuana and Alzheimer's disease pathology. Mol Pharm 3:773–777PubMedCentralPubMed Eubanks LM, Rogers CJ, Beuscher AE IV, Koob GF, Olson AJ, Dickerson TJ et al (2006) A molecular link between the active component of marijuana and Alzheimer's disease pathology. Mol Pharm 3:773–777PubMedCentralPubMed
85.
go back to reference Saito VM, Rezende RM, Teixeira AL (2012) Cannabinoid modulation of neuroinflammatory disorders. Curr Neuropharmacol 10:159–166PubMed Saito VM, Rezende RM, Teixeira AL (2012) Cannabinoid modulation of neuroinflammatory disorders. Curr Neuropharmacol 10:159–166PubMed
86.
go back to reference Stefanis NC, Dragovic M, Power BD, Jablensky A, Castle D, Morgan VA (2013) Age at initiation of cannabis use predicts age at onset of psychosis: the 7- to 8-year trend. Schizophr Bull 39:251–254PubMed Stefanis NC, Dragovic M, Power BD, Jablensky A, Castle D, Morgan VA (2013) Age at initiation of cannabis use predicts age at onset of psychosis: the 7- to 8-year trend. Schizophr Bull 39:251–254PubMed
87.
go back to reference Galvez-Buccollini JA, Proal AC, Tomaselli V, Trachtenberg M, Coconcea C, Chun J et al (2012) Association between age at onset of psychosis and age at onset of cannabis use in non-affective psychosis. Schizophr Res 139:157–160PubMedCentralPubMed Galvez-Buccollini JA, Proal AC, Tomaselli V, Trachtenberg M, Coconcea C, Chun J et al (2012) Association between age at onset of psychosis and age at onset of cannabis use in non-affective psychosis. Schizophr Res 139:157–160PubMedCentralPubMed
88.
go back to reference Dragt S, Nieman DH, Schultze-Lutter F, van der Meer F, Becker H, de Haan L et al (2012) Cannabis use and age at onset of symptoms in subjects at clinical high risk for psychosis. Acta Psychiatr Scand 125:45–53PubMed Dragt S, Nieman DH, Schultze-Lutter F, van der Meer F, Becker H, de Haan L et al (2012) Cannabis use and age at onset of symptoms in subjects at clinical high risk for psychosis. Acta Psychiatr Scand 125:45–53PubMed
89.
go back to reference Zuardi AW, Crippa JA, Hallak JE, Moreira FA, Guimaraes FS (2006) Cannabidiol, a Cannabis sativa constituent, as an antipsychotic drug. Braz J Med Biol Res 39:421–429PubMed Zuardi AW, Crippa JA, Hallak JE, Moreira FA, Guimaraes FS (2006) Cannabidiol, a Cannabis sativa constituent, as an antipsychotic drug. Braz J Med Biol Res 39:421–429PubMed
90.
go back to reference Deiana S (2013) Medical use of cannabis. Cannabidiol: a new light for schizophrenia? Drug Test Anal 5:46–51PubMed Deiana S (2013) Medical use of cannabis. Cannabidiol: a new light for schizophrenia? Drug Test Anal 5:46–51PubMed
91.
go back to reference Van Hoozen BE, Cross CE (1997) Marijuana. Respiratory tract effects. Clin Rev Allergy Immunol 15:243–269PubMed Van Hoozen BE, Cross CE (1997) Marijuana. Respiratory tract effects. Clin Rev Allergy Immunol 15:243–269PubMed
92.
go back to reference Tashkin DP, Reiss S, Shapiro BJ, Calvarese B, Olsen JL, Lodge JW (1977) Bronchial effects of aerosolized delta 9-tetrahydrocannabinol in healthy and asthmatic subjects. Am Rev Respir Dis 115:57–65PubMed Tashkin DP, Reiss S, Shapiro BJ, Calvarese B, Olsen JL, Lodge JW (1977) Bronchial effects of aerosolized delta 9-tetrahydrocannabinol in healthy and asthmatic subjects. Am Rev Respir Dis 115:57–65PubMed
93.
go back to reference Tashkin DP, Shapiro BJ, Frank IM (1973) Acute pulmonary physiologic effects of smoked marijuana and oral 9-tetrahydrocannabinol in healthy young men. N Engl J Med 289:336–341PubMed Tashkin DP, Shapiro BJ, Frank IM (1973) Acute pulmonary physiologic effects of smoked marijuana and oral 9-tetrahydrocannabinol in healthy young men. N Engl J Med 289:336–341PubMed
94.
go back to reference Tashkin DP, Shapiro BJ, Lee YE, Harper CE (1975) Effects of smoked marijuana in experimentally induced asthma. Am Rev Respir Dis 112:377–386PubMed Tashkin DP, Shapiro BJ, Lee YE, Harper CE (1975) Effects of smoked marijuana in experimentally induced asthma. Am Rev Respir Dis 112:377–386PubMed
95.
go back to reference Tashkin DP, Shapiro BJ, Lee YE, Harper CE (1976) Subacute effects of heavy marihuana smoking on pulmonary function in healthy men. N Engl J Med 294:125–129PubMed Tashkin DP, Shapiro BJ, Lee YE, Harper CE (1976) Subacute effects of heavy marihuana smoking on pulmonary function in healthy men. N Engl J Med 294:125–129PubMed
96.
go back to reference Vachon L, FitzGerald MX, Solliday NH, Gould IA, Gaensler EA (1973) Single-dose effects of marihuana smoke. Bronchial dynamics and respiratory-center sensitivity in normal subjects. N Engl J Med 288:985–989PubMed Vachon L, FitzGerald MX, Solliday NH, Gould IA, Gaensler EA (1973) Single-dose effects of marihuana smoke. Bronchial dynamics and respiratory-center sensitivity in normal subjects. N Engl J Med 288:985–989PubMed
97.
go back to reference Wu HD, Wright RS, Sassoon CS, Tashkin DP (1992) Effects of smoked marijuana of varying potency on ventilatory drive and metabolic rate. Am Rev Respir Dis 146:716–721PubMed Wu HD, Wright RS, Sassoon CS, Tashkin DP (1992) Effects of smoked marijuana of varying potency on ventilatory drive and metabolic rate. Am Rev Respir Dis 146:716–721PubMed
98.
go back to reference Vachon L, Sulkowski A, Rich E (1974) Marihuana effects on learning, attention and time estimation. Psychopharmacologia 39:1–11PubMed Vachon L, Sulkowski A, Rich E (1974) Marihuana effects on learning, attention and time estimation. Psychopharmacologia 39:1–11PubMed
99.
go back to reference Tashkin DP, Shapiro BJ, Frank IM (1974) Acute effects of smoked marijuana and oral delta9-tetrahydrocannabinol on specific airway conductance in asthmatic subjects. Am Rev Respir Dis 109:420–428PubMed Tashkin DP, Shapiro BJ, Frank IM (1974) Acute effects of smoked marijuana and oral delta9-tetrahydrocannabinol on specific airway conductance in asthmatic subjects. Am Rev Respir Dis 109:420–428PubMed
100.
go back to reference Bernstein JG, Kuehnle JC, Mendelson JH (1976) Medical implications of marijuana use. Am J Drug Alcohol Abuse 3:347–361PubMed Bernstein JG, Kuehnle JC, Mendelson JH (1976) Medical implications of marijuana use. Am J Drug Alcohol Abuse 3:347–361PubMed
101.
go back to reference Laviolette M, Belanger J (1986) Role of prostaglandins in marihuana-induced bronchodilation. Respiration 49:10–15PubMed Laviolette M, Belanger J (1986) Role of prostaglandins in marihuana-induced bronchodilation. Respiration 49:10–15PubMed
102.
go back to reference Renaud AM, Cormier Y (1986) Acute effects of marihuana smoking on maximal exercise performance. Med Sci Sports Exerc 18:685–689PubMed Renaud AM, Cormier Y (1986) Acute effects of marihuana smoking on maximal exercise performance. Med Sci Sports Exerc 18:685–689PubMed
103.
go back to reference Steadward RD, Singh M (1975) The effects of smoking marihuana on physical performance. Med Sci Sports 7:309–311PubMed Steadward RD, Singh M (1975) The effects of smoking marihuana on physical performance. Med Sci Sports 7:309–311PubMed
104.
go back to reference Steffens S, Pacher P (2012) Targeting cannabinoid receptor CB(2) in cardiovascular disorders: promises and controversies. Br J Pharmacol 167:313–323PubMed Steffens S, Pacher P (2012) Targeting cannabinoid receptor CB(2) in cardiovascular disorders: promises and controversies. Br J Pharmacol 167:313–323PubMed
105.
go back to reference Gong H Jr, Fligiel S, Tashkin DP, Barbers RG (1987) Tracheobronchial changes in habitual, heavy smokers of marijuana with and without tobacco. Am Rev Respir Dis 136:142–149PubMed Gong H Jr, Fligiel S, Tashkin DP, Barbers RG (1987) Tracheobronchial changes in habitual, heavy smokers of marijuana with and without tobacco. Am Rev Respir Dis 136:142–149PubMed
106.
go back to reference Roth MD, Arora A, Barsky SH, Kleerup EC, Simmons M, Tashkin DP (1998) Airway inflammation in young marijuana and tobacco smokers. Am J Respir Crit Care Med 157:928–937PubMed Roth MD, Arora A, Barsky SH, Kleerup EC, Simmons M, Tashkin DP (1998) Airway inflammation in young marijuana and tobacco smokers. Am J Respir Crit Care Med 157:928–937PubMed
107.
go back to reference Fligiel SE, Beals TF, Tashkin DP, Paule MG, Scallet AC, Ali SF et al (1991) Marijuana exposure and pulmonary alterations in primates. Pharmacol Biochem Behav 40:637–642PubMed Fligiel SE, Beals TF, Tashkin DP, Paule MG, Scallet AC, Ali SF et al (1991) Marijuana exposure and pulmonary alterations in primates. Pharmacol Biochem Behav 40:637–642PubMed
108.
go back to reference Barbers RG, Gong H Jr, Tashkin DP, Oishi J, Wallace JM (1987) Differential examination of bronchoalveolar lavage cells in tobacco cigarette and marijuana smokers. Am Rev Respir Dis 135:1271–1275PubMed Barbers RG, Gong H Jr, Tashkin DP, Oishi J, Wallace JM (1987) Differential examination of bronchoalveolar lavage cells in tobacco cigarette and marijuana smokers. Am Rev Respir Dis 135:1271–1275PubMed
109.
go back to reference Barbers RG, Evans MJ, Gong H Jr, Tashkin DP (1991) Enhanced alveolar monocytic phagocyte (macrophage) proliferation in tobacco and marijuana smokers. Am Rev Respir Dis 143:1092–1095PubMed Barbers RG, Evans MJ, Gong H Jr, Tashkin DP (1991) Enhanced alveolar monocytic phagocyte (macrophage) proliferation in tobacco and marijuana smokers. Am Rev Respir Dis 143:1092–1095PubMed
110.
go back to reference Wallace JM, Oishi JS, Barbers RG, Simmons MS, Tashkin DP (1994) Lymphocytic subpopulation profiles in bronchoalveolar lavage fluid and peripheral blood from tobacco and marijuana smokers. Chest 105:847–852PubMed Wallace JM, Oishi JS, Barbers RG, Simmons MS, Tashkin DP (1994) Lymphocytic subpopulation profiles in bronchoalveolar lavage fluid and peripheral blood from tobacco and marijuana smokers. Chest 105:847–852PubMed
111.
go back to reference Sarafian TA, Kouyoumjian S, Khoshaghideh F, Tashkin DP, Roth MD (2003) Delta 9-tetrahydrocannabinol disrupts mitochondrial function and cell energetics. Am J Physiol Lung Cell Mol Physiol 284:L298–306PubMed Sarafian TA, Kouyoumjian S, Khoshaghideh F, Tashkin DP, Roth MD (2003) Delta 9-tetrahydrocannabinol disrupts mitochondrial function and cell energetics. Am J Physiol Lung Cell Mol Physiol 284:L298–306PubMed
112.
go back to reference Sarafian TA, Magallanes JA, Shau H, Tashkin D, Roth MD (1999) Oxidative stress produced by marijuana smoke. An adverse effect enhanced by cannabinoids. Am J Respir Cell Mol Biol 20:1286–1293PubMed Sarafian TA, Magallanes JA, Shau H, Tashkin D, Roth MD (1999) Oxidative stress produced by marijuana smoke. An adverse effect enhanced by cannabinoids. Am J Respir Cell Mol Biol 20:1286–1293PubMed
113.
go back to reference Sarafian TA, Tashkin DP, Roth MD (2001) Marijuana smoke and delta(9)-tetrahydrocannabinol promote necrotic cell death but inhibit Fas-mediated apoptosis. Toxicol Appl Pharmacol 174:264–272PubMed Sarafian TA, Tashkin DP, Roth MD (2001) Marijuana smoke and delta(9)-tetrahydrocannabinol promote necrotic cell death but inhibit Fas-mediated apoptosis. Toxicol Appl Pharmacol 174:264–272PubMed
114.
go back to reference Sarafian T, Habib N, Mao JT, Tsu IH, Yamamoto ML, Hsu E et al (2005) Gene expression changes in human small airway epithelial cells exposed to delta9-tetrahydrocannabinol. Toxicol Lett 158:95–107PubMed Sarafian T, Habib N, Mao JT, Tsu IH, Yamamoto ML, Hsu E et al (2005) Gene expression changes in human small airway epithelial cells exposed to delta9-tetrahydrocannabinol. Toxicol Lett 158:95–107PubMed
115.
go back to reference Bloom JW, Kaltenborn WT, Paoletti P, Camilli A, Lebowitz MD (1987) Respiratory effects of non-tobacco cigarettes. Br Med J (Clin Res Ed) 295:1516–1518 Bloom JW, Kaltenborn WT, Paoletti P, Camilli A, Lebowitz MD (1987) Respiratory effects of non-tobacco cigarettes. Br Med J (Clin Res Ed) 295:1516–1518
116.
go back to reference Sherrill DL, Krzyzanowski M, Bloom JW, Lebowitz MD (1991) Respiratory effects of non-tobacco cigarettes: a longitudinal study in general population. Int J Epidemiol 20:132–137PubMed Sherrill DL, Krzyzanowski M, Bloom JW, Lebowitz MD (1991) Respiratory effects of non-tobacco cigarettes: a longitudinal study in general population. Int J Epidemiol 20:132–137PubMed
117.
go back to reference Taylor DR, Poulton R, Moffitt TE, Ramankutty P, Sears MR (2000) The respiratory effects of cannabis dependence in young adults. Addiction 95:1669–1677PubMed Taylor DR, Poulton R, Moffitt TE, Ramankutty P, Sears MR (2000) The respiratory effects of cannabis dependence in young adults. Addiction 95:1669–1677PubMed
118.
go back to reference Aldington S, Williams M, Nowitz M, Weatherall M, Pritchard A, McNaughton A et al (2007) Effects of cannabis on pulmonary structure, function and symptoms. Thorax 62:1058–1063PubMed Aldington S, Williams M, Nowitz M, Weatherall M, Pritchard A, McNaughton A et al (2007) Effects of cannabis on pulmonary structure, function and symptoms. Thorax 62:1058–1063PubMed
119.
go back to reference Tashkin DP, Simmons MS, Sherrill DL, Coulson AH (1997) Heavy habitual marijuana smoking does not cause an accelerated decline in FEV1 with age. Am J Respir Crit Care Med 155:141–148PubMed Tashkin DP, Simmons MS, Sherrill DL, Coulson AH (1997) Heavy habitual marijuana smoking does not cause an accelerated decline in FEV1 with age. Am J Respir Crit Care Med 155:141–148PubMed
120.
go back to reference Taylor DR, Fergusson DM, Milne BJ, Horwood LJ, Moffitt TE, Sears MR et al (2002) A longitudinal study of the effects of tobacco and cannabis exposure on lung function in young adults. Addiction 97:1055–1061PubMed Taylor DR, Fergusson DM, Milne BJ, Horwood LJ, Moffitt TE, Sears MR et al (2002) A longitudinal study of the effects of tobacco and cannabis exposure on lung function in young adults. Addiction 97:1055–1061PubMed
121.
go back to reference Moore BA, Augustson EM, Moser RP, Budney AJ (2005) Respiratory effects of marijuana and tobacco use in a U.S. sample. J Gen Intern Med 20:33–37PubMedCentralPubMed Moore BA, Augustson EM, Moser RP, Budney AJ (2005) Respiratory effects of marijuana and tobacco use in a U.S. sample. J Gen Intern Med 20:33–37PubMedCentralPubMed
122.
go back to reference Tetrault JM, Crothers K, Moore BA, Mehra R, Concato J, Fiellin DA (2007) Effects of marijuana smoking on pulmonary function and respiratory complications: a systematic review. Arch Intern Med 167:221–228PubMedCentralPubMed Tetrault JM, Crothers K, Moore BA, Mehra R, Concato J, Fiellin DA (2007) Effects of marijuana smoking on pulmonary function and respiratory complications: a systematic review. Arch Intern Med 167:221–228PubMedCentralPubMed
123.
go back to reference Tan WC, Lo C, Jong A, Xing L, Fitzgerald MJ, Vollmer MJ et al (2009) Marijuana and chronic obstructive lung disease: a population-based study. CMAJ 180:814–820PubMedCentralPubMed Tan WC, Lo C, Jong A, Xing L, Fitzgerald MJ, Vollmer MJ et al (2009) Marijuana and chronic obstructive lung disease: a population-based study. CMAJ 180:814–820PubMedCentralPubMed
124.
go back to reference Tashkin DP (2009) Does smoking marijuana increase the risk of chronic obstructive pulmonary disease? CMAJ 180:797–798PubMedCentralPubMed Tashkin DP (2009) Does smoking marijuana increase the risk of chronic obstructive pulmonary disease? CMAJ 180:797–798PubMedCentralPubMed
125.
go back to reference Hancox RJ, Poulton R, Ely M, Welch D, Taylor DR, McLachlan CR et al (2010) Effects of cannabis on lung function: a population-based cohort study. Eur Respir J 35:42–47PubMedCentralPubMed Hancox RJ, Poulton R, Ely M, Welch D, Taylor DR, McLachlan CR et al (2010) Effects of cannabis on lung function: a population-based cohort study. Eur Respir J 35:42–47PubMedCentralPubMed
126.
go back to reference Pletcher MJ, Vittinghoff E, Kalhan R, Richman J, Safford M, Sidney S et al (2012) Association between marijuana exposure and pulmonary function over 20 years. JAMA 307:173–181PubMed Pletcher MJ, Vittinghoff E, Kalhan R, Richman J, Safford M, Sidney S et al (2012) Association between marijuana exposure and pulmonary function over 20 years. JAMA 307:173–181PubMed
127.
go back to reference Lee MH, Hancox RJ (2011) Effects of smoking cannabis on lung function. Expert Rev Respir Med 5:537–546 (quiz 547)PubMed Lee MH, Hancox RJ (2011) Effects of smoking cannabis on lung function. Expert Rev Respir Med 5:537–546 (quiz 547)PubMed
128.
go back to reference Tashkin DP, Simmons MS, Tseng CH (2012) Impact of changes in regular use of marijuana and/or tobacco on chronic bronchitis. COPD 9:367–374PubMed Tashkin DP, Simmons MS, Tseng CH (2012) Impact of changes in regular use of marijuana and/or tobacco on chronic bronchitis. COPD 9:367–374PubMed
129.
go back to reference Tashkin DP, Coulson AH, Clark VA, Simmons M, Bourque LB, Duann S et al (1987) Respiratory symptoms and lung function in habitual heavy smokers of marijuana alone, smokers of marijuana and tobacco, smokers of tobacco alone, and nonsmokers. Am Rev Respir Dis 135:209–216PubMed Tashkin DP, Coulson AH, Clark VA, Simmons M, Bourque LB, Duann S et al (1987) Respiratory symptoms and lung function in habitual heavy smokers of marijuana alone, smokers of marijuana and tobacco, smokers of tobacco alone, and nonsmokers. Am Rev Respir Dis 135:209–216PubMed
130.
go back to reference Henderson RL, Tennant FS, Guerry R (1972) Respiratory manifestations of hashish smoking. Arch Otolaryngol 95:248–251PubMed Henderson RL, Tennant FS, Guerry R (1972) Respiratory manifestations of hashish smoking. Arch Otolaryngol 95:248–251PubMed
131.
go back to reference Chopra GS (1973) Studies on psycho-clinical aspects of long-term marihuana use in 124 cases. Int J Addict 8:1015–1026PubMed Chopra GS (1973) Studies on psycho-clinical aspects of long-term marihuana use in 124 cases. Int J Addict 8:1015–1026PubMed
132.
go back to reference Boulougouris JC, Panayiotopoulos CP, Antypas E, Liakos A, Stefanis C (1976) Effects of chronic hashish use on medical status in 44 users compared with 38 controls. Ann N Y Acad Sci 282:168–172PubMed Boulougouris JC, Panayiotopoulos CP, Antypas E, Liakos A, Stefanis C (1976) Effects of chronic hashish use on medical status in 44 users compared with 38 controls. Ann N Y Acad Sci 282:168–172PubMed
133.
go back to reference Sparacino CM, Hyldburg PA, Hughes TJ (1990) Chemical and biological analysis of marijuana smoke condensate. NIDA Res Monogr 99:121–140PubMed Sparacino CM, Hyldburg PA, Hughes TJ (1990) Chemical and biological analysis of marijuana smoke condensate. NIDA Res Monogr 99:121–140PubMed
134.
go back to reference Cottrell JC, Sohn SS, Vogel WH (1973) Toxic effects of marihuana tar on mouse skin. Arch Environ Health 26:277–278PubMed Cottrell JC, Sohn SS, Vogel WH (1973) Toxic effects of marihuana tar on mouse skin. Arch Environ Health 26:277–278PubMed
135.
go back to reference Walaszek Z, Hanausek M, Slaga TJ (2007) The role of skin painting in predicting lung cancer. Int J Toxicol 26:345–351PubMed Walaszek Z, Hanausek M, Slaga TJ (2007) The role of skin painting in predicting lung cancer. Int J Toxicol 26:345–351PubMed
136.
go back to reference Leuchtenberger C, Leuchtenberger R, Ritter U, Inui N (1973) Effects of marijuana and tobacco smoke on DNA and chromosomal complement in human lung explants. Nature 242:403–404PubMed Leuchtenberger C, Leuchtenberger R, Ritter U, Inui N (1973) Effects of marijuana and tobacco smoke on DNA and chromosomal complement in human lung explants. Nature 242:403–404PubMed
137.
go back to reference Sherman MP, Aeberhard EE, Wong VZ, Simmons MS, Roth MD, Tashkin DP (1995) Effects of smoking marijuana, tobacco or cocaine alone or in combination on DNA damage in human alveolar macrophages. Life Sci 56:2201–2207PubMed Sherman MP, Aeberhard EE, Wong VZ, Simmons MS, Roth MD, Tashkin DP (1995) Effects of smoking marijuana, tobacco or cocaine alone or in combination on DNA damage in human alveolar macrophages. Life Sci 56:2201–2207PubMed
138.
go back to reference Chan PC, Sills RC, Braun AG, Haseman JK, Bucher JR (1996) Toxicity and carcinogenicity of delta 9-tetrahydrocannabinol in Fischer rats and B6C3F1 mice. Fundam Appl Toxicol 30:109–117PubMed Chan PC, Sills RC, Braun AG, Haseman JK, Bucher JR (1996) Toxicity and carcinogenicity of delta 9-tetrahydrocannabinol in Fischer rats and B6C3F1 mice. Fundam Appl Toxicol 30:109–117PubMed
139.
go back to reference Hall W, MacPhee D (2002) Cannabis use and cancer. Addiction 97:243–247PubMed Hall W, MacPhee D (2002) Cannabis use and cancer. Addiction 97:243–247PubMed
140.
go back to reference Talaska G, Schamer M, Bailey JR, Ali SF, Scallet AC, Slikker W et al (1992) No increase in carcinogen-DNA adducts in the lungs of monkeys exposed chronically to marijuana smoke. Toxicol Lett 63:321–332PubMed Talaska G, Schamer M, Bailey JR, Ali SF, Scallet AC, Slikker W et al (1992) No increase in carcinogen-DNA adducts in the lungs of monkeys exposed chronically to marijuana smoke. Toxicol Lett 63:321–332PubMed
141.
go back to reference Zhang ZF, Morgenstern H, Spitz MR, Tashkin DP, Yu GP, Marshall JR et al (1999) Marijuana use and increased risk of squamous cell carcinoma of the head and neck. Cancer Epidemiol Biomarkers Prev 8:1071–1078PubMed Zhang ZF, Morgenstern H, Spitz MR, Tashkin DP, Yu GP, Marshall JR et al (1999) Marijuana use and increased risk of squamous cell carcinoma of the head and neck. Cancer Epidemiol Biomarkers Prev 8:1071–1078PubMed
142.
go back to reference Feng BJ, Khyatti M, Ben-Ayoub W, Dahmoul S, Ayad M, Maachi F et al (2009) Cannabis, tobacco and domestic fumes intake are associated with nasopharyngeal carcinoma in North Africa. Br J Cancer 101:1207–1212PubMedCentralPubMed Feng BJ, Khyatti M, Ben-Ayoub W, Dahmoul S, Ayad M, Maachi F et al (2009) Cannabis, tobacco and domestic fumes intake are associated with nasopharyngeal carcinoma in North Africa. Br J Cancer 101:1207–1212PubMedCentralPubMed
143.
go back to reference Gillison ML, D'Souza G, Westra W, Sugar E, Xiao W, Begum S et al (2008) Distinct risk factor profiles for human papillomavirus type 16-positive and human papillomavirus type 16-negative head and neck cancers. J Natl Cancer Inst 100:407–420PubMed Gillison ML, D'Souza G, Westra W, Sugar E, Xiao W, Begum S et al (2008) Distinct risk factor profiles for human papillomavirus type 16-positive and human papillomavirus type 16-negative head and neck cancers. J Natl Cancer Inst 100:407–420PubMed
144.
go back to reference Llewellyn CD, Linklater K, Bell J, Johnson NW, Warnakulasuriya S (2004) An analysis of risk factors for oral cancer in young people: a case–control study. Oral Oncol 40:304–313PubMed Llewellyn CD, Linklater K, Bell J, Johnson NW, Warnakulasuriya S (2004) An analysis of risk factors for oral cancer in young people: a case–control study. Oral Oncol 40:304–313PubMed
145.
go back to reference Llewellyn CD, Johnson NW, Warnakulasuriya KA (2004) Risk factors for oral cancer in newly diagnosed patients aged 45 years and younger: a case–control study in Southern England. J Oral Pathol Med 33:525–532PubMed Llewellyn CD, Johnson NW, Warnakulasuriya KA (2004) Risk factors for oral cancer in newly diagnosed patients aged 45 years and younger: a case–control study in Southern England. J Oral Pathol Med 33:525–532PubMed
146.
go back to reference Aldington S, Harwood M, Cox B, Weatherall M, Beckert L, Hansell A et al (2008) Cannabis use and cancer of the head and neck: case–control study. Otolaryngol Head Neck Surg 138:374–380PubMedCentralPubMed Aldington S, Harwood M, Cox B, Weatherall M, Beckert L, Hansell A et al (2008) Cannabis use and cancer of the head and neck: case–control study. Otolaryngol Head Neck Surg 138:374–380PubMedCentralPubMed
147.
go back to reference Rosenblatt KA, Daling JR, Chen C, Sherman KJ, Schwartz SM (2004) Marijuana use and risk of oral squamous cell carcinoma. Cancer Res 64:4049–4054PubMed Rosenblatt KA, Daling JR, Chen C, Sherman KJ, Schwartz SM (2004) Marijuana use and risk of oral squamous cell carcinoma. Cancer Res 64:4049–4054PubMed
148.
go back to reference Hashibe M, Morgenstern H, Cui Y, Tashkin DP, Zhang ZF, Cozen W et al (2006) Marijuana use and the risk of lung and upper aerodigestive tract cancers: results of a population-based case–control study. Cancer Epidemiol Biomarkers Prev 15:1829–1834PubMed Hashibe M, Morgenstern H, Cui Y, Tashkin DP, Zhang ZF, Cozen W et al (2006) Marijuana use and the risk of lung and upper aerodigestive tract cancers: results of a population-based case–control study. Cancer Epidemiol Biomarkers Prev 15:1829–1834PubMed
149.
go back to reference Berthiller J, Lee YC, Boffetta P, Wei Q, Sturgis EM, Greenland S et al (2009) Marijuana smoking and the risk of head and neck cancer: pooled analysis in the INHANCE consortium. Cancer Epidemiol Biomarkers Prev 18:1544–1551PubMedCentralPubMed Berthiller J, Lee YC, Boffetta P, Wei Q, Sturgis EM, Greenland S et al (2009) Marijuana smoking and the risk of head and neck cancer: pooled analysis in the INHANCE consortium. Cancer Epidemiol Biomarkers Prev 18:1544–1551PubMedCentralPubMed
150.
go back to reference Liang C, McClean MD, Marsit C, Christensen B, Peters E, Nelson HH et al (2009) A population-based case–control study of marijuana use and head and neck squamous cell carcinoma. Cancer Prev Res (Phila) 2:759–768 Liang C, McClean MD, Marsit C, Christensen B, Peters E, Nelson HH et al (2009) A population-based case–control study of marijuana use and head and neck squamous cell carcinoma. Cancer Prev Res (Phila) 2:759–768
151.
go back to reference Mehra R, Moore BA, Crothers K, Tetrault J, Fiellin DA (2006) The association between marijuana smoking and lung cancer: a systematic review. Arch Intern Med 166:1359–1367PubMed Mehra R, Moore BA, Crothers K, Tetrault J, Fiellin DA (2006) The association between marijuana smoking and lung cancer: a systematic review. Arch Intern Med 166:1359–1367PubMed
152.
go back to reference Aldington S, Harwood M, Cox B, Weatherall M, Beckert L, Hansell A et al (2008) Cannabis use and risk of lung cancer: a case–control study. Eur Respir J 31:280–286PubMedCentralPubMed Aldington S, Harwood M, Cox B, Weatherall M, Beckert L, Hansell A et al (2008) Cannabis use and risk of lung cancer: a case–control study. Eur Respir J 31:280–286PubMedCentralPubMed
153.
go back to reference Chen AL, Chen TJ, Braverman ER, Acuri V, Kemer M, Varshavskiy M et al (2008) Hypothesizing that marijuana smokers are at a significantly lower risk of carcinogenicity relative to tobacco-non-marijuana smokers: evidenced based on statistical reevaluation of current literature. J Psychoactive Drugs 40:263–272PubMed Chen AL, Chen TJ, Braverman ER, Acuri V, Kemer M, Varshavskiy M et al (2008) Hypothesizing that marijuana smokers are at a significantly lower risk of carcinogenicity relative to tobacco-non-marijuana smokers: evidenced based on statistical reevaluation of current literature. J Psychoactive Drugs 40:263–272PubMed
154.
go back to reference Sidney S, Quesenberry CP Jr, Friedman GD, Tekawa IS (1997) Marijuana use and cancer incidence (California, United States). Cancer Causes Control 8:722–728PubMed Sidney S, Quesenberry CP Jr, Friedman GD, Tekawa IS (1997) Marijuana use and cancer incidence (California, United States). Cancer Causes Control 8:722–728PubMed
155.
go back to reference Daling JR, Doody DR, Sun X, Trabert BL, Weiss NS, Chen C et al (2009) Association of marijuana use and the incidence of testicular germ cell tumors. Cancer 115:1215–1223PubMedCentralPubMed Daling JR, Doody DR, Sun X, Trabert BL, Weiss NS, Chen C et al (2009) Association of marijuana use and the incidence of testicular germ cell tumors. Cancer 115:1215–1223PubMedCentralPubMed
156.
go back to reference Trabert B, Sigurdson AJ, SweeneyAM SSS, McGlynn KA (2011) Marijuana use and testicular germ cell tumors. Cancer 117:848–853PubMedCentralPubMed Trabert B, Sigurdson AJ, SweeneyAM SSS, McGlynn KA (2011) Marijuana use and testicular germ cell tumors. Cancer 117:848–853PubMedCentralPubMed
157.
go back to reference Lacson JC, Carroll JD, Tuazon E, Castelao EJ, Bernstein L, Cortessis VK (2012) Population-based case–control study of recreational drug use and testis cancer risk confirms an association between marijuana use and nonseminoma risk. Cancer 118:5374–5383PubMedCentralPubMed Lacson JC, Carroll JD, Tuazon E, Castelao EJ, Bernstein L, Cortessis VK (2012) Population-based case–control study of recreational drug use and testis cancer risk confirms an association between marijuana use and nonseminoma risk. Cancer 118:5374–5383PubMedCentralPubMed
158.
go back to reference Efird JT, Friedman GD, Sidney S, Klatsky A, Habel LA, Udaltsova NV et al (2004) The risk for malignant primary adult-onset glioma in a large, multiethnic, managed-care cohort: cigarette smoking and other lifestyle behaviors. J Neurooncol 68:57–69PubMed Efird JT, Friedman GD, Sidney S, Klatsky A, Habel LA, Udaltsova NV et al (2004) The risk for malignant primary adult-onset glioma in a large, multiethnic, managed-care cohort: cigarette smoking and other lifestyle behaviors. J Neurooncol 68:57–69PubMed
159.
go back to reference Munson AE, Harris LS, Friedman MA, Dewey WL, Carchman RA (1975) Antineoplastic activity of cannabinoids. J Natl Cancer Inst 55:597–602PubMed Munson AE, Harris LS, Friedman MA, Dewey WL, Carchman RA (1975) Antineoplastic activity of cannabinoids. J Natl Cancer Inst 55:597–602PubMed
160.
go back to reference Guindon J, Hohmann AG (2011) The endocannabinoid system and cancer: therapeutic implication. Br J Pharmacol 163:1447–1463PubMed Guindon J, Hohmann AG (2011) The endocannabinoid system and cancer: therapeutic implication. Br J Pharmacol 163:1447–1463PubMed
161.
go back to reference Torres S, Lorente M, Rodriguez-Fornes F, Hernandez-Tiedra S, Salazar M, Garcia-Taboada E et al (2011) A combined preclinical therapy of cannabinoids and temozolomide against glioma. Mol Cancer Ther 10:90–103PubMed Torres S, Lorente M, Rodriguez-Fornes F, Hernandez-Tiedra S, Salazar M, Garcia-Taboada E et al (2011) A combined preclinical therapy of cannabinoids and temozolomide against glioma. Mol Cancer Ther 10:90–103PubMed
162.
go back to reference Galiegue S, Mary S, Marchand J, Dussossoy D, Carriere D, Carayon P et al (1995) Expression of central and peripheral cannabinoid receptors in human immune tissues and leukocyte subpopulations. Eur J Biochem 232:54–61PubMed Galiegue S, Mary S, Marchand J, Dussossoy D, Carriere D, Carayon P et al (1995) Expression of central and peripheral cannabinoid receptors in human immune tissues and leukocyte subpopulations. Eur J Biochem 232:54–61PubMed
163.
go back to reference Croxford JL, Yamamura T (2005) Cannabinoids and the immune system: potential for the treatment of inflammatory diseases? J Neuroimmunol 166:3–18PubMed Croxford JL, Yamamura T (2005) Cannabinoids and the immune system: potential for the treatment of inflammatory diseases? J Neuroimmunol 166:3–18PubMed
164.
go back to reference Klein TW, Newton C, Friedman H (1998) Cannabinoid receptors and immunity. Immunol Today 19:373–381PubMed Klein TW, Newton C, Friedman H (1998) Cannabinoid receptors and immunity. Immunol Today 19:373–381PubMed
165.
go back to reference Lau RJ, Tubergen DG, Barr M Jr, Domino EF, Benowitz N, Jones RT (1976) Phytohemagglutinin-induced lymphocyte transformation in humans receiving delta9-tetrahydrocannabinol. Science 192:805–807PubMed Lau RJ, Tubergen DG, Barr M Jr, Domino EF, Benowitz N, Jones RT (1976) Phytohemagglutinin-induced lymphocyte transformation in humans receiving delta9-tetrahydrocannabinol. Science 192:805–807PubMed
166.
go back to reference White SC, Brin SC, Janicki BW (1975) Mitogen-induced blastogenic responses of lymphocytes from marihuana smokers. Science 188:71–72PubMed White SC, Brin SC, Janicki BW (1975) Mitogen-induced blastogenic responses of lymphocytes from marihuana smokers. Science 188:71–72PubMed
167.
go back to reference Nahas GG, Suciu-Foca N, Armand JP, Morishima A (1974) Inhibition of cellular mediated immunity in marihuana smokers. Science 183:419–420PubMed Nahas GG, Suciu-Foca N, Armand JP, Morishima A (1974) Inhibition of cellular mediated immunity in marihuana smokers. Science 183:419–420PubMed
168.
go back to reference El-Gohary M, Eid MA (2004) Effect of cannabinoid ingestion (in the form of bhang) on the immune system of high school and university students. Hum Exp Toxicol 23:149–156PubMed El-Gohary M, Eid MA (2004) Effect of cannabinoid ingestion (in the form of bhang) on the immune system of high school and university students. Hum Exp Toxicol 23:149–156PubMed
169.
go back to reference Rachelefsky GS, Opelz G, Mickey MR, Lessin P, Kiuchi M, Silverstein MJ et al (1976) Intact humoral and cell-mediated immunity in chronic marijuana smoking. J Allergy Clin Immunol 58:483–490PubMed Rachelefsky GS, Opelz G, Mickey MR, Lessin P, Kiuchi M, Silverstein MJ et al (1976) Intact humoral and cell-mediated immunity in chronic marijuana smoking. J Allergy Clin Immunol 58:483–490PubMed
170.
go back to reference Abrams DI, Hilton JF, Leiser RJ, Shade SB, Elbeik TA, Aweeka FT et al (2003) Short-term effects of cannabinoids in patients with HIV-1 infection: a randomized, placebo-controlled clinical trial. Ann Intern Med 139:258–266PubMed Abrams DI, Hilton JF, Leiser RJ, Shade SB, Elbeik TA, Aweeka FT et al (2003) Short-term effects of cannabinoids in patients with HIV-1 infection: a randomized, placebo-controlled clinical trial. Ann Intern Med 139:258–266PubMed
171.
go back to reference Ignatowska-Jankowska B, Jankowski M, Glac W, Swiergel AH (2009) Cannabidiol-induced lymphopenia does not involve NKT and NK cells. J Physiol Pharmacol 60(Suppl 3):99–103PubMed Ignatowska-Jankowska B, Jankowski M, Glac W, Swiergel AH (2009) Cannabidiol-induced lymphopenia does not involve NKT and NK cells. J Physiol Pharmacol 60(Suppl 3):99–103PubMed
172.
go back to reference Cabral GA, Stinnett AL, Bailey J, Ali SF, Paule MG, Scallet AC et al (1991) Chronic marijuana smoke alters alveolar macrophage morphology and protein expression. Pharmacol Biochem Behav 40:643–649PubMed Cabral GA, Stinnett AL, Bailey J, Ali SF, Paule MG, Scallet AC et al (1991) Chronic marijuana smoke alters alveolar macrophage morphology and protein expression. Pharmacol Biochem Behav 40:643–649PubMed
173.
go back to reference Roth MD, Whittaker K, Salehi K, Tashkin DP, Baldwin GC (2004) Mechanisms for impaired effector function in alveolar macrophages from marijuana and cocaine smokers. J Neuroimmunol 147:82–86PubMed Roth MD, Whittaker K, Salehi K, Tashkin DP, Baldwin GC (2004) Mechanisms for impaired effector function in alveolar macrophages from marijuana and cocaine smokers. J Neuroimmunol 147:82–86PubMed
174.
go back to reference Kusher DI, Dawson LO, Taylor AC, Djeu JY (1994) Effect of the psychoactive metabolite of marijuana, delta 9-tetrahydrocannabinol (THC), on the synthesis of tumor necrosis factor by human large granular lymphocytes. Cell Immunol 154:99–108PubMed Kusher DI, Dawson LO, Taylor AC, Djeu JY (1994) Effect of the psychoactive metabolite of marijuana, delta 9-tetrahydrocannabinol (THC), on the synthesis of tumor necrosis factor by human large granular lymphocytes. Cell Immunol 154:99–108PubMed
175.
go back to reference Kawakami Y, Klein TW, Newton C, Djeu JY, Dennert G, Specter S et al (1988) Suppression by cannabinoids of a cloned cell line with natural killer cell activity. Proc Soc Exp Biol Med 187:355–359PubMed Kawakami Y, Klein TW, Newton C, Djeu JY, Dennert G, Specter S et al (1988) Suppression by cannabinoids of a cloned cell line with natural killer cell activity. Proc Soc Exp Biol Med 187:355–359PubMed
176.
go back to reference Specter SC, Klein TW, Newton C, Mondragon M, Widen R, Friedman H (1986) Marijuana effects on immunity: suppression of human natural killer cell activity of delta-9-tetrahydrocannabinol. Int J Immunopharmacol 8:741–745PubMed Specter SC, Klein TW, Newton C, Mondragon M, Widen R, Friedman H (1986) Marijuana effects on immunity: suppression of human natural killer cell activity of delta-9-tetrahydrocannabinol. Int J Immunopharmacol 8:741–745PubMed
177.
go back to reference Wang M, Richards AL, Friedman H, Djeu JY (1991) Selective inhibition of natural killer but not natural cytotoxic activity in a cloned cell line by delta-9-tetrahydrocannabinol. J Leukoc Biol 50:192–197PubMed Wang M, Richards AL, Friedman H, Djeu JY (1991) Selective inhibition of natural killer but not natural cytotoxic activity in a cloned cell line by delta-9-tetrahydrocannabinol. J Leukoc Biol 50:192–197PubMed
178.
go back to reference Shivers SC, Newton C, Friedman H, Klein TW (1994) Delta 9-Tetrahydrocannabinol (THC) modulates IL-1 bioactivity in human monocyte/macrophage cell lines. Life Sci 54:1281–1289PubMed Shivers SC, Newton C, Friedman H, Klein TW (1994) Delta 9-Tetrahydrocannabinol (THC) modulates IL-1 bioactivity in human monocyte/macrophage cell lines. Life Sci 54:1281–1289PubMed
179.
go back to reference Zhu W, Newton C, Daaka Y, Friedman H, Klein TW (1994) Delta 9-tetrahydrocannabinol enhances the secretion of interleukin 1 from endotoxin-stimulated macrophages. J Pharmacol Exp Ther 270:1334–1339PubMed Zhu W, Newton C, Daaka Y, Friedman H, Klein TW (1994) Delta 9-tetrahydrocannabinol enhances the secretion of interleukin 1 from endotoxin-stimulated macrophages. J Pharmacol Exp Ther 270:1334–1339PubMed
180.
go back to reference Zheng ZM, Specter S, Friedman H (1992) Inhibition by delta-9-tetrahydrocannabinol of tumor necrosis factor alpha production by mouse and human macrophages. Int J Immunopharmacol 14:1445–1452PubMed Zheng ZM, Specter S, Friedman H (1992) Inhibition by delta-9-tetrahydrocannabinol of tumor necrosis factor alpha production by mouse and human macrophages. Int J Immunopharmacol 14:1445–1452PubMed
181.
go back to reference Fischer-Stenger K, Dove Pettit DA, Cabral GA (1993) Delta 9-tetrahydrocannabinol inhibition of tumor necrosis factor-alpha: suppression of post-translational events. J Pharmacol Exp Ther 267:1558–1565PubMed Fischer-Stenger K, Dove Pettit DA, Cabral GA (1993) Delta 9-tetrahydrocannabinol inhibition of tumor necrosis factor-alpha: suppression of post-translational events. J Pharmacol Exp Ther 267:1558–1565PubMed
182.
go back to reference Blanchard DK, Newton C, Klein TW, Stewart WE 2nd, Friedman H (1986) In vitro and in vivo suppressive effects of delta-9-tetrahydrocannabinol on interferon production by murine spleen cells. Int J Immunopharmacol 8:819–824PubMed Blanchard DK, Newton C, Klein TW, Stewart WE 2nd, Friedman H (1986) In vitro and in vivo suppressive effects of delta-9-tetrahydrocannabinol on interferon production by murine spleen cells. Int J Immunopharmacol 8:819–824PubMed
183.
go back to reference Cabral GA, Lockmuller JC, Mishkin EM (1986) Delta 9-tetrahydrocannabinol decreases alpha/beta interferon response to herpes simplex virus type 2 in the B6C3F1 mouse. Proc Soc Exp Biol Med 181:305–311PubMed Cabral GA, Lockmuller JC, Mishkin EM (1986) Delta 9-tetrahydrocannabinol decreases alpha/beta interferon response to herpes simplex virus type 2 in the B6C3F1 mouse. Proc Soc Exp Biol Med 181:305–311PubMed
184.
go back to reference Zhu W, Igarashi T, Friedman H, Klein TW (1995) Delta 9-tetrahydrocannabinol (THC) causes the variable expression of IL2 receptor subunits. J Pharmacol Exp Ther 274:1001–1007PubMed Zhu W, Igarashi T, Friedman H, Klein TW (1995) Delta 9-tetrahydrocannabinol (THC) causes the variable expression of IL2 receptor subunits. J Pharmacol Exp Ther 274:1001–1007PubMed
185.
go back to reference Beshay M, Kaiser H, Niedhart D, Reymond MA, Schmid RA (2007) Emphysema and secondary pneumothorax in young adults smoking cannabis. Eur J Cardiothorac Surg 32:834–838PubMed Beshay M, Kaiser H, Niedhart D, Reymond MA, Schmid RA (2007) Emphysema and secondary pneumothorax in young adults smoking cannabis. Eur J Cardiothorac Surg 32:834–838PubMed
186.
go back to reference Hii SW, Tam JD, Thompson BR, Naughton MT (2008) Bullous lung disease due to marijuana. Respirology 13:122–127PubMed Hii SW, Tam JD, Thompson BR, Naughton MT (2008) Bullous lung disease due to marijuana. Respirology 13:122–127PubMed
187.
go back to reference Hii S, Naughton MT, Young A (2006) Marijuana lung. Intern Med J 36:270–271PubMed Hii S, Naughton MT, Young A (2006) Marijuana lung. Intern Med J 36:270–271PubMed
188.
go back to reference Gao Z, Wood-Baker R, Harle R, Muller K, Hauser J, Reid DW (2010) “Bong lung” in cystic fibrosis: a case report. J Med Case Rep 4:371PubMedCentralPubMed Gao Z, Wood-Baker R, Harle R, Muller K, Hauser J, Reid DW (2010) “Bong lung” in cystic fibrosis: a case report. J Med Case Rep 4:371PubMedCentralPubMed
189.
go back to reference Hazouard E, Koninck JC, Attucci S, Fauchier-Rolland F, Brunereau L, Diot P (2001) Pneumorachis and pneumomediastinum caused by repeated Muller's maneuvers: complications of marijuana smoking. Ann Emerg Med 38:694–697PubMed Hazouard E, Koninck JC, Attucci S, Fauchier-Rolland F, Brunereau L, Diot P (2001) Pneumorachis and pneumomediastinum caused by repeated Muller's maneuvers: complications of marijuana smoking. Ann Emerg Med 38:694–697PubMed
190.
go back to reference Luque MA 3rd, Cavallaro DL, Torres M, Emmanual P, Hillman JV (1987) Pneumomediastinum, pneumothorax, and subcutaneous emphysema after alternate cocaine inhalation and marijuana smoking. Pediatr Emerg Care 3:107–109PubMed Luque MA 3rd, Cavallaro DL, Torres M, Emmanual P, Hillman JV (1987) Pneumomediastinum, pneumothorax, and subcutaneous emphysema after alternate cocaine inhalation and marijuana smoking. Pediatr Emerg Care 3:107–109PubMed
191.
go back to reference Kagen SL (1981) Aspergillus: an inhalable contaminant of marihuana. N Engl J Med 304:483–484PubMed Kagen SL (1981) Aspergillus: an inhalable contaminant of marihuana. N Engl J Med 304:483–484PubMed
192.
go back to reference Gargani Y, Bishop P, Denning DW (2011) Too many mouldy joints—marijuana and chronic pulmonary aspergillosis. Mediterr J Hematol Infect Dis 3:e2011005PubMedCentralPubMed Gargani Y, Bishop P, Denning DW (2011) Too many mouldy joints—marijuana and chronic pulmonary aspergillosis. Mediterr J Hematol Infect Dis 3:e2011005PubMedCentralPubMed
193.
go back to reference Schwartz IS (1985) Marijuana and fungal infection. Am J Clin Pathol 84:256PubMed Schwartz IS (1985) Marijuana and fungal infection. Am J Clin Pathol 84:256PubMed
Metadata
Title
Marijuana: Respiratory Tract Effects
Authors
Kelly P. Owen
Mark E. Sutter
Timothy E. Albertson
Publication date
01-02-2014
Publisher
Springer US
Published in
Clinical Reviews in Allergy & Immunology / Issue 1/2014
Print ISSN: 1080-0549
Electronic ISSN: 1559-0267
DOI
https://doi.org/10.1007/s12016-013-8374-y

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