Effects of oral Δ-tetrahydrocannabinol on the cerebral processing of olfactory input in healthy non-addicted subjects.

Background: Considering the increasing acknowledgment of the human sense of smell as a significant component of the quality of life, olfactory drug effects gain potential clinical importance. A recent observation in a human experimental context indicated that Δ-tetrahydrocannabinol (THC) impaired th...

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Publicado en:European Journal of Clinical Pharmacology Vol. 73; no. 12; pp. 1579 - 1588
Autores principales: Walter, Carmen, Oertel, Bruno, Felden, Lisa, Nöth, Ulrike, Vermehren, Johannes, Deichmann, Ralf, Lötsch, Jörn
Formato: diagnostic images research tables/charts randomized controlled trial Journal Article
Publicado: Springer Nature Dec2017
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2017
      vid: 73
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00228-017-2331-2
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        atl: Effects of oral Δ-tetrahydrocannabinol on the cerebral processing of olfactory input in healthy non-addicted subjects.
      aug:
        au:
          Walter, Carmen
          Oertel, Bruno
          Felden, Lisa
          Nöth, Ulrike
          Vermehren, Johannes
          Deichmann, Ralf
          Lötsch, Jörn
        affil: Fraunhofer Institute of Molecular Biology and Applied Ecology - Project Group Translational Medicine and Pharmacology (IME-TMP) , Theodor - Stern - Kai 7 60590 Frankfurt am Main Germany
      sug:
        subj:
          Cannabis Pharmacodynamics
          Administration, Oral
          Smell Drug Effects
          Cerebral Cortex Physiology
          Human
          Randomized Controlled Trials
          Placebos
          Crossover Design
          Amygdala
          Hippocampus
          Correlational Studies
          Magnetic Resonance Imaging Methods
          Hydrogen Sulfide
          Aldehydes
      ab: Background: Considering the increasing acknowledgment of the human sense of smell as a significant component of the quality of life, olfactory drug effects gain potential clinical importance. A recent observation in a human experimental context indicated that Δ-tetrahydrocannabinol (THC) impaired the subject's performance in olfactory tests. To further analyze the role of THC in human olfaction, the present report addresses its effects on the central processing of olfactory stimuli. Methods: Employing a placebo-controlled randomized crossover design, an oral dose of 20 mg THC was administered in 15 healthy volunteers. The central processing of olfactory input, consisting of short pulses of gaseous vanillin or hydrogen sulfide, and for comparison, of non-odorous but painful carbon dioxide, were investigated before and after administration of THC or placebo in a pharmacological functional magnet resonance imaging study. Results: Following THC administration, the vanillin stimuli lost their pleasantness and became hedonically inert. This observation had its functional correlate in reduced stimulus-associated brain activations located in the left amygdala, the hippocampus and superior temporal pole (peak MNI coordinates x = − 27, y = − 1, z = − 26 mm p = 0.039). Differences in amygdala activations were significantly correlated with the corresponding differences in vanillin pleasantness ( p = 0.025). By contrast, no effects were observed on the perception of processing of HS stimuli. Conclusions: The results support that THC induced a modulation of the central processing of olfactory input. The THC-induced reduction in the pleasantness of a pleasurable odor was accompanied by reduced activations in the limbic system. Results agree with previous observation of negative effects of cannabinoids on the human sense of smell and strengthen the evidence that THC-based medications will be among drugs with olfactory side effects.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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