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US: Marijuana Research

Editorial

Scientific American

Wednesday 01 Dec 2004

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The human brain naturally produces and processes compounds closely related
to those found in Cannabis sativa, better known as marijuana [see "The
Brain's Own Marijuana," by Roger A. Nicoll and Bradley E. Alger.] These
compounds are called endogenous cannabinoids or endocannabinoids. As the
journal Nature Medicine put it in 2003, "the endocannabinoid system has an
important role in nearly every paradigm of pain, in memory, in
neurodegeneration and in inflammation." The journal goes on to note that
cannabinoids' "clinical potential is enormous." That potential may include
treatments for pain, nerve injury, the nausea associated with chemotherapy,
the wasting related to AIDS and more.

Yet outdated regulations and attitudes thwart legitimate research with
marijuana. Indeed, American biomedical researchers can more easily acquire
and investigate cocaine. Marijuana is classified as a so-called Schedule 1
drug, alongside LSD and heroin. As such, it is defined as being
potentially addictive and having no medical use, which under the
circumstances becomes a self-fulfilling prophecy.

Any researcher attempting to study marijuana must obtain it through the
National Institute on Drug Abuse ( NIDA ). The U.S. research crop, grown
at a single facility, is regarded as less potent--and therefore less
medicinally interesting--than the marijuana often easily available on the
street. Thus, the legal supply is a poor vehicle for studying the
approximately 60 cannabinoids that might have medical applications.

This system has unintended, almost comic, consequences. For example, it
has created a market for research marijuana, with "buyers" trading journal
co-authorships to "sellers" who already have a marijuana stockpile or
license. The government may also have a stake in a certain kind of
result. One scientist tells of a research grant application to study
marijuana's potential medical benefits. NIDA turned it down. That
scientist rewrote the grant to emphasize finding marijuana's negative
effects. The study was funded.

Some may argue that researchers do not need to study the drug--after all,
there is Marinol, a synthetic version of marijuana's major active compound,
tetrahydrocannabinol, or THC; it relieves nausea and stimulates
appetite. But patients are often disappointed with Marinol as compared
with marijuana. A 1997 editorial in the New England Journal of Medicine
noted that "it is difficult to titrate the therapeutic dose of this drug,
and it is not widely prescribed. By contrast, smoking marijuana produces a
rapid increase in the blood level of the active ingredients and is thus
more likely to be therapeutic."

The reasonable course is to make it easier for American researchers to at
least examine marijuana for possible medical benefits. Great Britain, no
slacker in the war on drugs, takes this approach: the government has
authorized a pharmaceutical firm to grow different strains of marijuana for
clinical trials.

This call for marijuana research is not a closet campaign for drug
legalization--easing research barriers would not require that marijuana be
reclassified, nor would it have any bearing on individual states' decisions
to approve limited use of medical marijuana. As a 1995 editorial in the
Journal of the American Medical Association said, "We are not asking
readers for immediate agreement with our affirmation that marijuana is
medically useful, but we hope they will do more to encourage open and legal
exploration of its potential." After almost a decade of little progress, we
reiterate that sentiment.


 

 

 

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