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US: Cannabis linked to risk of miscarriage in US study

James Randerson, science correspondent

The Guardian

Wednesday 02 Aug 2006

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Women who smoke cannabis in the early stages of pregnancy could risk
miscarriage or an ectopic pregnancy, according to a study. Experiments
on mice showed that embryos in females given the drug during pregnancy
were more likely to develop abnormally and not make it to the uterus.
THC, the chemical in cannabis that gives the high, alters the balance of
natural signalling molecules in the reproductive systems that govern
development and implantation of the embryo in the womb.

"This raises concern," said Sudhansu Dey at the Vanderbilt University
Medical Centre in Nashville. If the same was true in humans then smoking
cannabis might mean "that pre-implantation embryo development will be
abnormal and that the embryo might get trapped in the oviduct instead of
going to the uterus", he said.

THC (or tetrahydrocannabinol) affects the system because it is
chemically similar to signalling molecules in the body called
cannabinoids. One of these, anandamide, controls development of the
embryo by binding to receptors on it. The level of anandamide in the
reproductive system is crucial for normal development.

But if THC swamps the system, for example in a cannabis smoker, it
disrupts this fine control.

To show this effect the team set up pumps which continuously injected
nine pregnant mice with THC. The researchers later killed the mice and
found that the embryos in all of them had been held up in the oviduct,
the tube linking the ovary to the uterus. This is the equivalent of an
ectopic pregnancy in humans. In mice not exposed to THC the embryos
proceeded to the womb normally. The embryos in THC-treated mice also had
more cell abnormalities, suggesting developmental problems that would
lead to miscarriage. The results are reported in the Journal of Clinical
Investigation.

The results echo research on tobacco smokers, showing that they are more
prone to ectopic pregnancies. Experiments on hamsters have shown that
nicotine and tobacco smoke prevent normal transport of embryos to the
uterus.

Men do not escape either. Previous research has found that cannabis
smokers produce less semen, containing fewer sperm. THC binding to
cannabinoid receptors on sperm can prevent binding with eggs. Professor
Dey also points out that his findings suggest problems for obesity drugs
which affect the cannabinoid system. Because these can bind to the same
chemical receptors in the body as its own cannabinoids, he worries that
they may have the unintended consequence of harming a woman's fertility.
http://www.guardian.co.uk/drugs/Story/0,,1835197,00.html

 

 

 

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