Abstract
Currently, peripheral tissue distribution of cannabinoids after treatment is poorly understood. This pilot study sought to examine the early tissue distribution of major cannabinoids 30 minutes following an intraperitoneal injection of vehicle (1:9 Tween 80/SAL), and doses of THC (1 mg/kg) and CBD (5 mg/kg) that are feasible for human consumption in serum, adipose, brain, lung, liver, jejunum, and muscle of male Sprague-Dawley rats. The jejunum and adipose were most enriched in THC. Similarly, CBD was enriched in the jejunum and adipose but also the liver. In contrast, the brain had the lowest concentration of cannabinoids relative to other tissues. The liver had the greatest concentration of the THC metabolites, 11-OH-THC and COOH-THC, compared to all other tissues. Overall, these findings highlight broad tissue distribution and marked differences in tissue concentration not previously appreciated. Thus, as cannabinoid research continues to rapidly grow, consideration of the potential bioactive effects of these molecules in peripheral tissues is warranted in future studies.
Introduction
Legalization of cannabis across Canada and select U.S. states has led to an increase of cannabis-based products being consumed recreationally and for therapeutic outcomes related to pain and inflammation [1, 2]. Upwards of 100 different cannabinoids have been isolated to-date, however, the primary psychoactive component Δ-9-tetrahydrocannabinol (THC) and the non-psychoactive cannabidiol (CBD) are the most well-studied and abundant in commercially available products [3, 4]. Although derived from the same source, THC and CBD exhibit varying pharmacokinetics depending on the mode of consumption and exert differential biological effects [5, 6]. THC is predominantly metabolized in the liver and is converted into the psychoactive metabolite, 11-hydroxy-THC (11-OH-THC), which can be further oxidized to produce the non-psychoactive metabolite, 11-Nor-9-carboxy-THC (THC-COOH) [7]. THC exerts its psychoactive effects as a partial agonist of the CB1 receptor, a G-protein coupled receptor (GPCR) in the endocannabinoid system, which is primarily expressed in the central nervous system [1, 5]. CBD can act as an inverse agonist of the CB1 and CB2 receptor, which are predominantly expressed in immune tissues and expression is induced in the central nervous system during disease or injury [3, 5]. The primary neuroprotective and additional anti-inflammatory effects of CBD are attributed to its role as an agonist of the serotonin GPCR 5-HT1A and the vanilloid TRPV1 receptors, found in the central nervous system [8].
While there is some understanding of differences in bioavailability due to the route of administration, there remains limited understanding of the distribution and concentration of cannabinoids in different organs and tissues. For example, following oral consumption, CBD and THC undergo significant first-pass metabolism in the liver which limits bioavailability to <10%, while inhalation, injection, and transdermal application of cannabinoids bypass the liver resulting in greater bioavailability [4, 7]. Once in circulation, it has been reported in some animal models that the highly lipophilic CBD and THC may distribute to surrounding tissues and organs such as the lungs, adipose, liver, and even across the blood brain barrier [3, 9, 10]. However, studies to date have predominantly focused on blood and brain concentrations following intraperitoneal (IP) injection of CBD and THC. A more complete understanding of tissue distribution will enhance our fundamental understanding of potential sites of biological activity for CBD, THC, and metabolites, which has relevance for understanding their therapeutic potential in human disease or toxicity. Thus, our study examined the acute tissue distribution of major cannabinoids and metabolites 30 minutes following an IP injection of feasibly attainable human doses of THC (1 mg/kg body weight [BW]) and CBD (5 mg/kg BW) in male Sprague-Dawley rats.
Material and methods
Animals
All animal use protocols (#3941) were approved by the Institutional Animal Care Committee at the University of Guelph, which is accredited by the Canadian Council on Animal Care. Male Sprague-Dawley rats obtained from Charles River Laboratories (St Constant, QC, Canada) were used for assessment. Rats were individually housed in opaque plastic cages (48 x 26 x 20 cm), containing bed-o-cob bedding from Harlan Laboratories, Inc. (Mississauga, ON, Canada), a brown paper towel and Crink-l’Nest™ from The Andersons, Inc. (Maumee, OH, USA) and a white paper cup that was 14 cm long and 12 cm in diameter. The colony room was maintained at an ambient temperature of 21°C and a 12/12 h reverse light–dark schedule (lights off at 7 a.m.). Rats were maintained on ad libitum chow and water.
Cannabinoids
Synthetic THC (98% pure; Toronto Research Chemicals) and CBD (97.4% pure; Toronto Research Chemicals) were first dissolved in ethanol in a graduated cylinder. Tween 80 (Sigma) was added to the solution, and the ethanol was evaporated off with a gentle nitrogen stream, after which saline (SAL) was added. The final vehicle (VEH) solution consisted of 1:9 Tween 80/saline. CBD was prepared to obtain a working concentration of 5 mg/ml and administered as an IP injection at 1 ml/kg (5 mg/kg BW). THC was prepared to obtain a working concentration of 1 mg/ml and administered as an IP injection at 1 ml/kg (1 mg/kg BW). The relatively low doses of CBD and THC were chosen to reflect the upper-range of physiologically feasible human intakes of CBD and THC [11]. Six male rats were included in each of the VEH, CBD, and THC groups.
Sample collection
Rats were sacrificed 30 minutes post-injection by rapid decapitation (restrained in a decapicone; Braintree Scientific, MA, USA), and tissue (brain, epididymal adipose, liver, lung, muscle of the hind leg, blood, and the jejunum of the small intestine) was immediately collected. Then, tissues were flushed with phosphate-buffered saline, flash frozen in liquid nitrogen, and stored at -80°C. All tissue samples were collected from the same site and whole organs were collected (where applicable).
Extraction and quantification of metabolites by LC-MS/MS
The method to extract and quantify CBD, THC, and THC metabolites 11-OHC-THC & THC-COOH from tissues was adapted from [12] and conducted by the Analytical Facility for Bioactive Molecules (AFBM) at SickKids Hospital (Toronto, Ontario, Canada). THC-D3 (internal standard) was purchased from Sigma (St. Louis, MO, USA) and the same quantity was added to all samples. Random frozen samples, 50–80 mg, were weighed and transferred into Precellys homogenization tubes (containing ceramic beads; Bertin Technologies, Rockville, Washington DC) and H2O was added to each tube to achieve a target concentration of 100 mg/mL and homogenized using a Precellys 24 high-throughput homogenizer (Bertin Technologies). Homogenized suspension, 200 μL, (corresponding to 20 mg tissues) was transferred into siliconized round bottom tubes containing the internal standard THC-D3 (100 ng/ml) and 800 μL of H2O for a final volume of 1 mL. For serum, 50 μL of samples was added to siliconized tubes containing 950 μL of H2O instead. An eleven-point standard curve (0–2000 ng) was prepared for each individual tissue. Then, 20 μL of 1 M HCl was add to round bottom tubes and briefly vortexed. Subsequently, 2 mL of 9:1 (v/v) hexane/ethyl acetate was added followed by a brief vortex and centrifuged at 200 x g for 10 minutes. The supernatant was removed and transferred to siliconized conical glass tubes. The extraction with 2 mL of 9:1 (v/v) hexane/ethyl acetate was repeated and the supernatants were combined. Samples and standards were evaporated under a gentle flow of nitrogen with the heater block set to 35°C. The residues were reconstituted in 120 μL of acetonitrile (ACN), centrifuged at 500 x g for 2 minutes with the remaining supernatant transferred into 200 μL glass inserts for liquid chromatography with tandem mass spectrometry (LC-MS/MS) analysis. An Agilent 1290 ultra performance liquid chromatography system (Agilent Technologies, Santa Clara, CA, USA) fitted with a Sciex Q-Trap 5500 mass spectrometer (AB Sciex, Framingham, MA, USA) was used in electron spray ionization mode. Samples were separated using a Kinetex Biphenyl column (2.6 μm, 100Å, 50 x 2.1 mm; Phenomenex, Torrence, CA, USA). A gradient mobile phase of 5 minutes at a flow rate of 0.4 ml/min was used for the elution of THC with mobile phase A (MPA): 0.1% formic acid in water and mobile phase B (MPB): 0.1% formic acid in ACN. The mobile phase gradient was: t = 0 minutes 50% B, t = 2.50 minutes 95% B, t = 2.55 minutes 50% B and t = 4.50 minutes 50%. Data was collected and analyzed by Analyst v 1.6.2 (Sciex). All LC-MS/MS grade solvents were purchased from Caledon Laboratories Ltd (Georgetown, ON, Canada).
Data analysis
All analyses were conducted in SAS University Edition (SAS Institute Inc.; Cary, North Carolina). Cannabinoid results outside of the highest or lowest point on the standard curve were not included in the calculation of the mean and standard deviation for their respective tissues.
Results
Table 1 reports concentrations of 4 major cannabinoids in 7 different tissues. No cannabinoids were found in any of the tissues collected from rats that received VEH (data not shown). The jejunum and adipose were observed to have the highest concentrations of THC 30 minutes following IP injection. CBD was also enriched in the jejunum and adipose, but also the liver. Brain had the lowest concentration of cannabinoids relative to other tissues. In rats which received THC injections, the liver had the highest concentration of THC metabolites, 11-OH-THC and COOH-THC, when compared to all other tissues. Serum was the only other tissue which had greater concentrations of 11-OH-THC and COOH-THC compared to concentrations of THC. CBD was given at a concentration of 5 mg/kg compared to 1 mg/kg of THC, thus as expected, higher concentrations of CBD was found comparatively to THC in a majority of tissues. All relevant data are within the manuscript and S1 Data.
Table 1. Concentration of cannabinoids 30 minutes following IP injection.
CANNABINOID | ADIPOSE | BRAIN | JEJUNUM | LIVER | LUNG | MUSCLE | SERUM |
---|---|---|---|---|---|---|---|
THCa | 2947.5 ± 705.9 | 28.9 ± 8.5 | 2258.3 ± 1367.9 | 55.2 ± 41.1 | 49.1 ± 24.5 | 190.0 ± 387.4 | 18.1 ± 5.6 |
11-OH-THCa | n/c | 72.9 ± 38.2 | 110.15 ± 69.9c | 414.8 ± 128.5 | 87.3 ± 29.0c | 55.2 ± 20.8 | 25.5 ± 13.4 |
11-COOH-THCa | 7.6 ± 1.7c | n/d | 40.6 ± 14.8 | 307.2 ± 99.5 | n/c | n/d | 22.5 ± 16.2 |
CBDb | 1013.3 ± 428.3c | 153.8 ± 52.2 | 10372.0 ± 11351.4d | 2810.0 ± 1133.5 | 465.3 ± 296.3 | 176.0 ± 77.5 | 118.1 ± 32.9 |
Values are expressed as ng/g of tissue. Serum is expressed as ng/ml ± standard deviation. n/d; Non-detectable peak. n/c; Not enough data points to calculate. n = 6 for all groups unless otherwise specified.
aOnly rats injected with THC were included in analysis.
bOnly rats injected with CBD were included in analysis.
cn = 3; 3 samples were excluded which were outside the highest or lowest point of the standard curve.
dn = 4; 2 samples were excluded which were outside the highest or lowest point of the standard curve.
Discussion
To the authors’ knowledge, this is one of the first studies conducted which has described the concentration of multiple cannabinoids in 7 different tissues. This pilot study provides an important whole-body perspective on the potential distribution and therefore potential sites of action. This is important given that cannabinoid activity and metabolism across tissues are likely interrelated. Low doses of both CBD and THC were chosen to reflect values feasible for human consumption. Herein, we report that the jejunum and adipose were enriched by either THC or CBD (Table 1), which is likely due to the close proximity to the injection site [5]. Our results also show the highest concentration of THC metabolites, 11-OH-THC and COOH-THC, were found in the liver. The liver is the main site of THC metabolization, thus it is expected that the highest concentration of metabolites are found in this tissue, which is consistent with known pharmacokinetic studies of THC metabolites in rodents [7].
Brain and blood (whole, serum and plasma) are the most commonly assessed tissues reported in the literature. The mean concentration of 28.9 ng/g and 18.1 ng/ml of THC found in the brain and serum respectively, are similar in range with other studies reporting concentrations following IP injection in rats ranging from 0.5–10 mg/kg of THC 30 minutes to 2 hours post-injection [6, 9, 13, 14]. Similar concentrations of CBD, as reported in Table 1, have also been seen in other rodent models following IP injection ranging from 5–10 mg/kg of CBD 30 minutes to 1-hour post-injection [6, 15, 16]. With the relatively short timeframe of our tissue collection following IP injection, 30 minutes, it is notable that detectable levels of both CBD and THC were found in the brain. CBD has exhibited potent neuroprotective properties via its actions on 5-HT1A which is predominantly found in the brain and spleen [8]. CB1 receptors are also primarily located in the central nervous system but, growing evidence shows CB1 has a wider distribution outside of the central nervous system in peripheral tissues, much like the CB2 receptor [17]. Thus, CBD and THC could impart biological actions, including neuroprotective and analgesic effects, by acting on both centrally and peripherally located receptors in a relatively short amount of time [3, 8].
Limitations
This was a pilot study and several limitations are noted for future work. MS quantification is inherently variable [18], thus, data from this study may be used to estimate sample size requirements in future studies. Future work would benefit from examining tissues at multiple timepoints, allowing for a better assessment of cannabinoid kinetics and distribution over time. We have shown that cannabinoids distribute widely in whole tissues, but there may be potential differences within specific tissue regions that have distinct biological roles. Although IP injection is commonly used in experimental studies, oral intake and inhalation are far more common and relevant methods of consumption in real world scenarios which markedly affects absorption and metabolism. Our study only included male rats, thus potential sex differences due to metabolic differences is unknown and should be investigated in future work [13].
Conclusion
The findings of the present study enhance our understanding of the tissue distribution of cannabinoids. By examining whole body tissue distribution this pilot study sheds light on the potential activity of THC and CBD on a variety of tissues which may help to inform future study designs examining the broader biological effects of cannabinoids. This study demonstrated wide variation in the tissue distribution and concentrations of major cannabinoids in 7 different tissues following IP injection of THC or CBD in rats. Thus, consideration of peripherical tissues in future cannabinoid research is warranted.
Supporting information
Acknowledgments
We would like to thank Ashley St. Pierre and Fatima Sultani from AFBM at SickKids Hospital, Toronto, Canada for assistance with the cannabinoid analysis.
Data Availability
All relevant data are within the manuscript and its Supporting Information files.
Funding Statement
L.A.P Canadian Institutes of Health Research (grant No.388239) and Natural Sciences and Engineering Research Council (grant No.03629). https://cihr-irsc.gc.ca/e/193.html https://www.nserc-crsng.gc.ca/index_eng.asp Funders did not play any role in in the study design, data collection and analysis, decision to publish, or preparation of the manuscript.
References
- 1.Lotsch J, Weyer-Menkhoff I, Tegeder I. Current evidence of cannabinoid-based analgesia obtained in preclinical and human experimental settings. Eur J Pain. 2018;22(3):471–84. Epub 2017/11/22. doi: 10.1002/ejp.1148 . [DOI] [PubMed] [Google Scholar]
- 2.Rotermann M. Analysis of trends in the prevalence of cannabis use and related metrics in Canada. Statistics Canada. 2019;30(6):3–13. 10.25318/82-003-x201900600001-eng. [DOI] [PubMed] [Google Scholar]
- 3.Chayasirisobhon S. Mechanisms of Action and Pharmacokinetics of Cannabis. Perm J. 2020;25:1–3. Epub 2021/02/27. doi: 10.7812/TPP/19.200 . [DOI] [PMC free article] [PubMed] [Google Scholar]
- 4.Millar SA, Stone NL, Yates AS, O’Sullivan SE. A Systematic Review on the Pharmacokinetics of Cannabidiol in Humans. Front Pharmacol. 2018;9:1365. Epub 2018/12/12. doi: 10.3389/fphar.2018.01365 ; PubMed Central PMCID: PMC6275223. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 5.Lucas CJ, Galettis P, Schneider J. The pharmacokinetics and the pharmacodynamics of cannabinoids. Br J Clin Pharmacol. 2018;84(11):2477–82. Epub 2018/07/13. doi: 10.1111/bcp.13710 ; PubMed Central PMCID: PMC6177698. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 6.Hlozek T, Uttl L, Kaderabek L, Balikova M, Lhotkova E, Horsley RR, et al. Pharmacokinetic and behavioural profile of THC, CBD, and THC+CBD combination after pulmonary, oral, and subcutaneous administration in rats and confirmation of conversion in vivo of CBD to THC. Eur Neuropsychopharmacol. 2017;27(12):1223–37. Epub 2017/11/14. doi: 10.1016/j.euroneuro.2017.10.037 . [DOI] [PubMed] [Google Scholar]
- 7.Huestis MA. Human cannabinoid pharmacokinetics. Chem Biodivers. 2007;4(8):1770–804. Epub 2007/08/23. doi: 10.1002/cbdv.200790152 ; PubMed Central PMCID: PMC2689518. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 8.Silvestro S, Schepici G, Bramanti P, Mazzon E. Molecular Targets of Cannabidiol in Experimental Models of Neurological Disease. Molecules. 2020;25(21). Epub 2020/11/12. doi: 10.3390/molecules25215186 ; PubMed Central PMCID: PMC7664437. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 9.Ruiz CM, Torrens A, Castillo E, Perrone CR, Cevallos J, Inshishian VC, et al. Pharmacokinetic, behavioral, and brain activity effects of Delta(9)-tetrahydrocannabinol in adolescent male and female rats. Neuropsychopharmacology. 2021;46(5):959–69. Epub 2020/09/15. doi: 10.1038/s41386-020-00839-w ; PubMed Central PMCID: PMC8115040. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 10.Kreuz DS, Axelrod J. Delta-9-Tetrahydrocannabinol: Localization in Body Fat. Science. 1973;179:391–3. doi: 10.1126/science.179.4071.391 [DOI] [PubMed] [Google Scholar]
- 11.Gorelick DA, Goodwin RS, Schwilke E, Schwope DM, Darwin WD, Kelly DL, et al. Tolerance to effects of high-dose oral delta9-tetrahydrocannabinol and plasma cannabinoid concentrations in male daily cannabis smokers. J Anal Toxicol. 2013;37(1):11–6. Epub 2012/10/18. doi: 10.1093/jat/bks081 ; PubMed Central PMCID: PMC3584989. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 12.Kraemer M, Broecker S, Diehl BWK, Madea B, Hess C. Palmitic acid ester of tetrahydrocannabinol (THC) and palmitic acid diester of 11-hydroxy-THC—Unsuccessful search for additional THC metabolites in human body fluids and tissues. Forensic Sci Int. 2019;294:86–95. Epub 2018/11/28. doi: 10.1016/j.forsciint.2018.11.005 . [DOI] [PubMed] [Google Scholar]
- 13.Wiley JL, Burston JJ. Sex differences in Delta(9)-tetrahydrocannabinol metabolism and in vivo pharmacology following acute and repeated dosing in adolescent rats. Neurosci Lett. 2014;576:51–5. Epub 2014/06/10. doi: 10.1016/j.neulet.2014.05.057 ; PubMed Central PMCID: PMC4106361. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 14.Klein C, Karanges E, Spiro A, Wong A, Spencer J, Huynh T, et al. Cannabidiol potentiates Delta(9)-tetrahydrocannabinol (THC) behavioural effects and alters THC pharmacokinetics during acute and chronic treatment in adolescent rats. Psychopharmacology (Berl). 2011;218(2):443–57. Epub 2011/06/15. doi: 10.1007/s00213-011-2342-0 . [DOI] [PubMed] [Google Scholar]
- 15.Xu C, Chang T, Du Y, Yu C, Tan X, Li X. Pharmacokinetics of oral and intravenous cannabidiol and its antidepressant-like effects in chronic mild stress mouse model. Environ Toxicol Pharmacol. 2019;70:103202. Epub 2019/06/08. doi: 10.1016/j.etap.2019.103202 . [DOI] [PubMed] [Google Scholar]
- 16.Zieba J, Sinclair D, Sebree T, Bonn-Miller M, Gutterman D, Siegel S, et al. Cannabidiol (CBD) reduces anxiety-related behavior in mice via an FMRP-independent mechanism. Pharmacol Biochem Behav. 2019;181:93–100. Epub 2019/05/08. doi: 10.1016/j.pbb.2019.05.002 . [DOI] [PubMed] [Google Scholar]
- 17.Kilaru A, Chapman KD. The endocannabinoid system. Essays Biochem. 2020;64(3):485–99. Epub 2020/07/11. doi: 10.1042/EBC20190086 . [DOI] [PubMed] [Google Scholar]
- 18.Citti C, Russo F, Sgro S, Gallo A, Zanotto A, Forni F, et al. Pitfalls in the analysis of phytocannabinoids in cannabis inflorescence. Anal Bioanal Chem. 2020;412(17):4009–22. Epub 2020/04/15. doi: 10.1007/s00216-020-02554-3 . [DOI] [PubMed] [Google Scholar]