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The U.S. Department of Health and Human Services is required
by law to publish a report on "Drug Abuse and Drug Abuse Research"
every three years. The Second Triennial Report to Congress
was written in 1986 and published in 1987. The title of the
chapter on marijuana research is "Marijuana and the Cannabinoids."(23)
In discussing research on "Marijuana and Reproduction" the
report describes current theories and data on "the effects
of cannabinoids on the hormones that modulate the reproductive
process,"(24) "regular marijuana use"(25), and "effects caused
by the chronic treatment of animals with THC."(26) The review
of research on "Effects Upon Fetal Development" refers to
"marijuana's effects", "marijuana use", "exposure to THC,
cannabinol, and cannabidiol," "cannabinoid administration",
and plasma "cannabinoid levels."(27) A review of research
on "Immune Status" reviews research on "THC", and "marijuana
smokers."(28) Discussion of "Psychomotor Functioning" makes
reference to correlations between "marijuana intoxication"
and "THC or its acid metabolite", and "blood levels of THC"(29)
"High Priority Research Questions" include research on "heavy
use of current higher potency marijuana", "significance of
the cumulation of cannabinoids", and "the retention of THC."(30)
The same pattern of use is present in the Third triennial
report.(31) The relationship between the individual effects
of cannabinoids and their sum total effect in marijuana is
not the objective of modern research, but its fundamental
foundation. Certainly scientists will learn more about marijuana
by learning more about the interrelationships of cannabinoid
effects, but lack of knowledge about these relationships neither
inhibits the production of valid theories about marijuana
nor does it dominate discussion of the effects of marijuana
on the human body. The family relationship among cannabinoids
is viewed by scientists as an asset, not a liability, in their
work to better understand the effects of human, non-therapeutic
use of marijuana.
"The rapid increase in the use of marijuana that occurred
in the late 1960s and early 1970s resulted in an intensive
research effort to identify the effects of cannabinoids on
normal physiological function. There has been particular interest
in the effects of cannabinoids on the brain in an effort to
better understand their behavioral effects. Although much
information has been gathered on the biochemistry of cannabinoids
in the brain, it is unclear whether biochemical effects are
responsible for the behavioral alterations caused by marijuana
use. It is reasonable to ask why answers to this question
have not been forthcoming. Part of the answer may be found
by comparing cannabinoid research with that which has led
to the much better understanding of opiod actions in the brain.
Certainly opiods have been researched much more intensely
for a much longer period of time. Two major factors that led
to the elucidation of the opiod receptors and the subsequent
identification of the endogenous opiods were the availability
of structural analogs with widely varying agonist potencies
and specific antagonist. Although progress in cannabinoid
research lags behind that of opiods, recent evidence suggests
that these same tools are becoming available to cannabinoid
researchers.
"Considerable effort has been expended in synthesizing
cannabinoid analogs largely because of the need to develop
new therapeutic agents.(32) These synthetic analogs have also
been extensively used to characterize cannabinoid actions
. . .
"For the past several years, other synthetic analogs
have been emerging that are both highly potent and highly
stereoselective.(33) It is these properties of the analogs
which suggest very specific mechanisms in the central nervous
system that are involved in the behavioral effects of the
cannabinoids."(34)
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