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Cannabis Research - Medical Uses - glaucoma
- Authors
- Green K, Zalkow LH, Deutsch HM, Yablonski ME, Oliver N, Symonds CM, Elijah RD
- Title
- Ocular and systemic responses to water soluble material derived from
Cannabis sativa (marihuana).
- Source
- Current Eye Research
- Date
- 1981
- Issue
- 1(2)
- Pages
- 65-75
- Abstract
- A water soluble material, isolated from Cannabis sativa, has been
tested in albino and pigmented rabbits and rhesus monkeys for both
ocular and systemic effects. Intravenous administration produced a
dose-related fall in intraocular pressure in both albino and
pigmented rabbits with concentrations as low as 0.005 mg/animal
being effective, but no response was found in monkeys. High
concentrations (0.2 to 1 mg/animal) induced a hypertensive phase in
intraocular pressure prior to the ocular hypotension; higher
concentrations (2 or 5 mg/animal) also induced antidiuresis and
general relaxation. Tachyphylaxis was found to repeated daily
injections. Alpha and beta-adrenergic antagonists caused some
reduction of the hypertensive phase but had no effect on the
hypotensive phase. Superior cervical ganglionectomy did not
influence the time course of the intraocular pressure response.
Indomethacin inhibited the hypertensive intraocular pressure phase
but was ineffective against the hypotensive phase. Systemic blood
pressure was unchanged following intravenous administration of 0.2
mg material/animal. Aqueous tumor protein concentration was
increased at both 1 and 6 hours after intravenous administration,
becoming greater at the later time. Aqueous humor turnover rate was
substantially reduced reaching a minimum 8.75 hours after
administration. Topical administration was ineffective in eyes when
the epithelium was removed in rabbits with and without pretreatment
with aspirin. Neither gastric nor suppository administration of
large quantities (10 mg or greater) of material had any influence on
intraocular pressure.
- Authors
- ElSohly MA, Harland EC, Benigni DA, Waller CW
- Title
- Cannabinoids in glaucoma II: the effect of different cannabinoids on
intraocular pressure of the rabbit.
- Source
- Current Eye Research
- Date
- 1984 Jun
- Issue
- 3(6)
- Pages
- 841-50
- Abstract
- Thirty-two different cannabinoids were tested for their ability to
reduce intraocular pressure (IOP) in the rabbit. These included many
of delta 9- and delta 8-THC derivatives and metabolites along with
other natural and synthetic cannabinoids. In addition, some
non-cannabinoid constituents of Cannabis were screened using the
same model. All compounds were administered intravenously, while
only a few were tested topically in mineral oil. Water soluble
derivatives of delta 9- and delta 8-THC were prepared and tested
topically in aqueous solution. The data revealed that certain
derivatives of delta 9-and delta 8-THC were more active in lowering
IOP than the parent cannabinoids. In addition, compounds other than
delta 9- and delta 8-THC and their derivatives were shown to have
activity.
- Authors
- Elsohly MA, Harland E, Murphy JC, Wirth P, Waller CW
- Title
- Cannabinoids in glaucoma: a primary screening procedure.
- Source
- Journal of Clinical Pharmacology
- Date
- 1981 Aug-Sep
- Issue
- 21(8-9 Suppl)
- Pages
- 472S-478S
- Abstract
- A procedure was developed for screening of cannabinoids for their
ability to reduce intraocular pressure (IOP) using normal rabbits.
Eight animals per group were used for statistical significance of
data. A negative control group was used for every screen as well as
a positive control with 1.5 mg/kg delta 9-THC given intravenously
(I.V.). All compounds were tested by I.V. injection and IOP
measurements were taken periodically for 5 hours. Data were analyzed
by a computer program which takes into account the change in IOP of
the control group. Following this procedure we found that delta
8-THC, delta 9-THC, cannabinol, and nabilone were active while
cannabidiol was inactive.
- Authors
- Merritt JC, Perry DD, Russell DN, Jones BF
- Title
- Topical delta 9-tetrahydrocannabinol and aqueous dynamics in
glaucoma.
- Source
- Journal of Clinical Pharmacology
- Date
- 1981 Aug-Sep
- Issue
- 21(8-9 Suppl)
- Pages
- 467S-471S
- Abstract
- Systemic delta 9-tetrahydrocannabinol (THC), administered either by
smoking marihuana or as synthetic THC in soft gelatin capsules,
lowers ocular tension in various glaucomas, but at the expense of
significant decreases in systolic blood pressure. Topical THC in
light mineral oil vehicles, though effective in laboratory animals,
was not shown effective in 0.05 and 0.1% topical solutions when
administered to six subjects with primary open-angle glaucoma in a
randomized, balanced, double-masked protocol. Light mineral oil,
which has an affinity for corneal epithelium, is an optimum vehicle
for administering drugs whose mechanisms of action are systemic
rather than local within the eye. Further glaucoma research should
therefore proceed with marihuanas containing insignificant levels of
THC (less than 0.4%) and with various local delivery systems of the
ocular-active cannabinoid found in Cannabis sativa.
- Authors
- Innemee HC, Hermans AJ, van Zwieten PA
- Title
- The influence of delta 9-tetrahydrocannabinol on intraocular
pressure in the anaesthetized cat.
- Source
- Documenta Ophthalmologica
- Date
- 1980 Apr 15
- Issue
- 48(2)
- Pages
- 235-41
- Abstract
- delta 9-Tetrahydrocannabinol (delta 9-THC) was injected both
intravenously and into the brain stem via the left vertebral artery.
Contrary to results obtained with clonidine, neither the fall in
intraocular pressure (IOP), nor the arterial hypotension induced by
delta 9-THC, were enhanced after the 'central' administration of the
drug. For clonidine, a central mechanism underlying the ocular
hypotensive effect has recently been proposed. This suggestion is
based upon the enhanced fall in IOP after 'central' administration
of clonidine. The pontomedullary area is considered to be the main
initial target of this drug. Obviously, the IOP-lavering mechanism
of delta 9-THC is different from that of clonidine.
- Authors
- Colasanti BK, Craig CR, Allara RD
- Title
- Intraocular pressure, ocular toxicity and neurotoxicity after
administration of cannabinol or cannabigerol.
- Source
- Experimental Eye Research
- Date
- 1984 Sep
- Issue
- 39(3)
- Pages
- 251-9
- Abstract
- Cannabinol or cannabigerol was administered to cats topically in
doses of 250, 500 and 1000 micrograms as a single drop or
chronically via osmotic minipumps (20 micrograms hr-1) over a period
of 9 days. While cannabinol had a modest effect on intraocular
pressure after a single dose, it caused a more significant reduction
in ocular tension during chronic administration. Cannabigerol had
similar effects, but the magnitude of response to its chronic
administration was greater. Cannabinol but not cannabigerol caused
conjunctival erythema and hyperemia. After systemic administration
of cannabinol (20, 40 or 80 mg kg-1) to rats, 8-13 Hz polyspike
discharges appeared in the electrocorticogram during wakefulness and
during rapid eye movement sleep episodes. Cannabigerol (10, 30 and
100 mg kg-1) lacked this effect. These results indicate that chronic
administration of these cannabinoids lowers ocular tension
considerably. Like marihuana and delta-9-tetrahydrocannabinol,
cannabinol produced both ocular toxicity and neurotoxicity. As
cannabigerol lacked these toxicities, it appears that the ocular
hypotensive effect of this cannabinoid is somewhat dissociable from
both the adverse central and ocular effects accompanying marihuana
intake.
- Authors
- Deutsch HM, Green K, Zalkow LH
- Title
- Isolation of ocular hypotensive agents from Cannabis sativa.
- Source
- Journal of Clinical Pharmacology
- Date
- 1981 Aug-Sep
- Issue
- 21(8-9 Suppl)
- Pages
- 479S-485S
- Abstract
- Recent work in our laboratories has shown that a hydrophilic
fraction from Cannabis sativa (marihuana) has extremely potent
intraocular pressure (IOP)-lowering activity as measured in albino
rabbits when delivered by intravenous injection. A crude extract
reduced IOP by 50-60 per cent (to the episcleral venous pressure) at
dosage levels of about 500 micrograms/animal. Fractionation of this
material by solvent extraction, high-performance liquid
chromatography, and gel filtration chromatography has produced
samples with high activity at 50 micrograms/animal. The active
material has been shown to be noncannabinoid and of high molecular
weight.
- Id Code
- 75203518
- Authors
- Purnell WD, Gregg JM
- Title
- Delta(9)-tetrahydrocannabinol,, euphoria and intraocular pressure in
man.
- Source
- Annals of Ophthalmology
- Date
- 1975 Jul
- Issue
- 7(7)
- Pages
- 921-3
- Abstract
- Delta(9)-tetrahydrocannabinol (THC), an active narcotic principle of
marijuana, was solubilized and administered intravenously to two
male volunteers. Changes in intraocular pressure were recorded and
compared to changes in the cortical effects of THC, as indicated by
the subjects' report of degree of "high." The peak effect of THC on
the central nervous system coincided well with the reduction of
intraocular pressure induced by the drug; hypotony, however,
outlasted euphoria. The results indicate that THC may have value as
a hypotonizing ocular medicant.
- Id Code
- 77236186
- Authors
- Cooler P, Gregg JM
- Title
- Effect of delta-9-tetrahydrocannabinol on intraocular pressure in
humans.
- Source
- Southern Medical Journal
- Date
- 1977 Aug
- Issue
- 70(8)
- Pages
- 951-4
- Abstract
- As early as 1971, it was noted that smoking marijuana lowered
intraocular pressure. In this study one of the active components of
marijuana, delta-9-tetrahydrocannabinol, was given intravenously to
ten subjects with normal intraocular pressures. Two strengths were
used--0.022 mg/kg of body weight and 0.044 mg/kg of body weight.
Intraocular pressure was found to decrease as much as 51% of
baseline normal with an average decrease of 37%. Heart rate
increased in a range of 22% and 65% of the resting pulse.
Respiratory rate was not affected. No analgesic properties were
demonstrated by either cutaneous or periosteal stimulation. Anxiety
levels were increased by delta-9-tetrahydrocannabinol over placebo
and diazepam (Valium). The mechanism of action is still uncertain
but it is believed by some workers to be similar to that of a
beta-adrenergic stimulator.
- Id Code
- 91268694
- Authors
- Colasanti BK
- Title
- A comparison of the ocular and central effects of delta
9-tetrahydrocannabinol and cannabigerol.
- Source
- Journal of Ocular Pharmacology
- Date
- 1990 Winter
- Issue
- 6(4)
- Pages
- 259-69
- Abstract
- Both delta 9-tetrahydrocannabinol (delta 9-THC) and cannabigerol,
two naturally occurring marihuana cannabinoids, produced only a
modest fall in intraocular pressure after acute topical application
to the eyes of cats. After chronic administration unilaterally to
the cornea via Alzet osmotic minipumps and connecting extraocular
cannulas, however, a considerable fall in ocular tension amounting
to 4 to 7 mm Hg occurred. After systemic administration of delta
9-THC to rats, polyspike discharges appeared in the cortical
electroencephalogram initially during wakefulness and behavioral
depression. These polyspikes subsequently became evident within
rapid eye movement sleep episodes. Cannabigerol was devoid of this
effect. After removal of either sympathetic or parasympathetic input
to the eyes of cats, the intraocular pressure lowering effect of
delta 9-THC was not changed. Neither delta 9-THC nor cannabigerol
altered the rate of formation of aqueous humor. On the other hand,
both cannabinoids produced a two-to three-fold increase in aqueous
outflow facility. These results suggest that cannabigerol and
related cannabinoids may have therapeutic potential for the
treatment of glaucoma.
- Id Code
- 87127659
- Authors
- Liu JH, Dacus AC
- Title
- Central nervous system and peripheral mechanisms in ocular
hypotensive effect of cannabinoids.
- Source
- Archives of Ophthalmology
- Date
- 1987 Feb
- Issue
- 105(2)
- Pages
- 245-8
- Abstract
- Systemic administration of cannabinoids decreases intraocular
pressure (IOP). To determine whether the mechanism of action
originates in the central nervous system, we administered various
cannabinoids into the cerebral ventricles of conscious New Zealand
albino rabbits. When delta 9-tetrahydrocannabinol (delta 9-THC),
delta 8-tetrahydrocannabinol, cannabinol, and cannabidiol were given
intravenously, only delta 9-THC produced dose-dependent ocular
hypotension and miosis. Bolus administration into the cerebral
ventricles or ventriculocisternal perfusion of delta 9-THC did not
change IOP or pupil size. In urethane-anesthetized rabbits, IOP and
blood pressure were lowered by intravenous administration of delta
9-THC but not by bolus cerebral administration. These observations
indicate that the action of cannabinoids on IOP does not originate
in the central nervous system. Alteration of blood pressure may be
involved in the mechanism of ocular hypotension induced by delta
9-THC.
- Id Code
- 93026157
- Authors
- Muchtar S, Almog S, Torracca MT, Saettone MF, Benita S
- Title
- A submicron emulsion as ocular vehicle for
delta-8-tetrahydrocannabinol: effect on intraocular pressure in
rabbits.
- Source
- Ophthalmic Research
- Date
- 1992
- Issue
- 24(3)
- Pages
- 142-9
- Abstract
- delta 8-Tetrahydrocannabinol (delta 8-THC), a known antiglaucoma
lipophilic drug, was incorporated in a submicron emulsion for ocular
administration. The mean droplet size of the emulsion was 130 +/- 41
nm, and no droplet was larger than 400 nm. No change in pH, particle
size distribution or zeta potential was noted after sterilization by
steam autoclaving or long-term storage over 9 months. An intense and
long-lasting intraocular pressure (IOP)-depressant effect was
observed after ocular application (50 microliters) of the THC
emulsion, 0.4% (w/w), to rabbits with ocular hypertension
(chymotrypsin model). Lesser effects were observed in normotensive
rabbits. No irritation effect of either the emulsion vehicle or THC
emulsion on the rabbit eyes was detected. These results underline
the promising properties of submicron emulsions as vehicles for
lipophilic ophthalmic drugs. The mechanism by which the emulsion
induced the marked delta 8-THC antiglaucoma effect remains unclear.
However, the possible involvement of delta 8-THC systemic absorption
in the hypotensive effect induced by the emulsion cannot be excluded
and will be the subject of further investigation.
- Authors
- - Porcella A, Casellas P, Gessa GL, Pani L
- Title
- - Cannabinoid receptor CB1 mRNA is highly expressed in the rat ciliary
body: implications for the antiglaucoma properties of marihuana
- Language
- - ENG
- Date
- - 1998 Jul 15
- Issue
- - 0169-328X
- Source
- - Brain Res Mol Brain Res
- Pages
- - 240-5
- Abstract
- - We used RT-PCR to measure relative differences in cannabinoid receptor
(CB) mRNAs in the rat eye, comparing CB1 or CB2 transcripts to that of
the normalizing reference gene beta2 microglobulin (beta2m).
Significantly higher levels of CB1 mRNA levels were found in the
ciliary body (0.84+/-0.05% of beta2m) than in the iris, (0.34+/-0.04%
of beta2m), retina (0.07+/-0.005% of beta2m) and choroid (0.06+/-0.005%
of beta2m). CB2 mRNA was undetectable. This expression pattern supports
a specific role for the CB1 receptor in controlling intraocular
pressure, helping to explain the antiglaucoma property of cannabinoids.
Copyright 1998 Elsevier Science B.V. All rights reserved.
- Research Institute
- - Center for Neuropharmacology, C.N.R. and "B.B. Brodie" Department of
Neuroscience, University of Cagliari, via Porcell, 4, 09124-I Cagliari,
Italy
- Source
- - Brain Res Mol Brain Res 1998 Jul 15;58(1-2):240-5