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UK: Cannabis smokers 'at risk of brittle bone disease'

John von Radowitz

The Independent

Monday 23 May 2005

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Excessive use of cannabis may lead to brittle bones, new research suggests.

Scientists have found that molecules on the surface of bone cells are
targeted by cannabis chemicals.

They discovered that drugs which block these cannabinoid receptors may
prevent bone loss. But the flip-side to the research is that smoking
cannabis is likely to promote osteoporosis.

Professor Stuart Ralston, who led the research at the University of
Aberdeen, said: "We hadn't studied cannabis users, but the work we've done
would suggest that if you use a lot of cannabis it could stimulate
bone-absorbing cells, and that would be bad."

The study's findings are published as ministers prepare to review existing
cannabis laws.

Receptors are molecules that act like a "lock" into which other molecules
fit. Molecules that affect cells are activated when they bind to specific
receptors.

Professor Ralston's team was investigating the way natural cannabinoids in
the body attach to receptors to help regulate bone density and turnover.

The "endogenous" cannabinoids seemed to stimulate the absorption of bone -
and it was likely that chemicals in cannabis did the same.

Because the molecules have a similar structure, they are likely to bind to
the same receptors, the professor said. "It is very likely, almost
certain," he said.

Mouse experiments showed that blocking the cannabinoid receptors
effectively inhibited bone loss. Conversely, stimulating them with drugs
that mimicked the effects of cannabis was detrimental to bone.

"This is an important finding since it demonstrates that the receptors
which cannabis acts upon are not only important in the nervous system, but
also in the control of bone metabolism," said Professor Ralston, who is now
at the University of Edinburgh.

"That compounds which blocked cannabinoid receptors are highly effective at
preventing bone loss is particularly exciting, since it shows that these
drugs could provide us with a completely new approach to the treatment of
osteoporosis." The findings appear in the online edition of the journal
Nature Medicine.

Professor Ralston, one of Britain's leading osteoporosis experts, said he
saw many patients with bone loss who used drugs of various types. But he
pointed out that diet, smoking, and other lifestyle issues may also be
involved. "If using cannabis is one of the factors involved, we ought to
know about it," he added.

More than 250,000 people in Britain suffer osteoporosis-related fractures
each year, with related health costs exceeding UKP1.7bn. A spokesman for
the National Osteoporosis Society said: "This looks to be a new area of
research and we are not aware that there has been a lot of research into
this issue. It is encouraging from our point of view that new areas are
being explored in osteoporosis research."

Health warnings

Cannabis was reclassified from a class B to a class C drug in January 2004.
Since then research has revealed new risks.

- A study in Belgium found that cannabis doubles the risk of schizophrenia,
hallucination and paranoia among a genetically susceptible group.

- According to the Institute of Psychiatry at King's College London, one in
four people carries genes that increase vulnerability to psychosis illness
if he or she smokes cannabis as a teenager. Other illnesses such as
depression have also been linked to the drug.

- Scientists at Queen's University, Belfast, have warned that use of the
drug by men can damage sperm, reducing fertility.

- Researchers in New Zealand have found that heavy cannabis users are ten
times more likely to be injured, or to injure others, in car accidents.

 

 

 

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