Kofi
2009-01-09 02:43:26 UTC
Delta-9-THC (a CB1 agonist) increases cortisol and decreases prolactin
[PMID 19083209], as this recent abstract indicates. A drop in
cannabinoid signaling might cause prolactin to rise and cortisol to
drop. High prolactin/low cortisol is sometimes seen in autoimmune
conditions and chronic infections. As I've posted before, gut bacteria
help to regulate mu opioid and cannabinoid receptors in the body and
their loss could conceivably contribute to this problem. And it could
be partially or totally reversed by low-dose naltrexone, which
upregulates the mu opioid receptor (and the mu opioid receptor is vital
for cannabinoid signals).
Psychopharmacology (Berl). 2008 Dec 16;
The effects of cannabinoids on serum cortisol and prolactin in humans.
Ranganathan M, Braley G, Pittman B, Cooper T, Perry E, Krystal J,
D'Souza DC.
Schizophrenia Biological Research Center, VA Connecticut Healthcare
System, West Haven, CT, USA, ***@yale.edu.
BACKGROUND: Cannabis is one of the most widely used illicit substances,
and there is growing interest in the therapeutic applications of
cannabinoids. While known to modulate neuroendocrine function, the
precise acute and chronic dose-related effects of cannabinoids in humans
are not well-known. Furthermore, the existing literature on the
neuroendocrine effects of cannabinoids is limited by small sample sizes
(n = 6-22), heterogeneous samples with regard to cannabis exposure
(lumping users and nonusers), lack of controlling for chronic cannabis
exposure, differing methodologies, and limited dose-response data.
Delta-9-tetrahydrocannabinol (Delta-9-THC) was hypothesized to produce
dose-related increases in plasma cortisol levels and decreases in plasma
prolactin levels. Furthermore, relative to controls, frequent users of
cannabis were hypothesized to show altered baseline levels of these
hormones and blunted Delta-9-THC-induced changes of these hormones.
MATERIALS AND METHODS: Pooled data from a series of laboratory studies
with multiple doses of intravenous Delta-9-THC in healthy control
subjects (n = 36) and frequent users of cannabis (n = 40) was examined
to characterize the acute, chronic, and acute on chronic effects of
cannabinoids on plasma cortisol and prolactin levels. Hormone levels
were measured before (baseline) and 70 min after administration of each
dose of Delta-9-THC. Data were analyzed using linear mixed models with
+70 min hormonal levels as the dependant variable and baseline hormonal
level as the covariate. RESULTS: At socially relevant doses, Delta-9-THC
raised plasma cortisol levels in a dose-dependent manner but frequent
users showed blunted increases relative to healthy controls. Frequent
users also had lower baseline plasma prolactin levels relative to
healthy controls. CONCLUSIONS: These group differences may be related to
the development of tolerance to the neuroendocrine effects of
cannabinoids. Alternatively, these results may reflect inherent
differences in neuroendocrine function in frequent users of cannabis and
not a consequence of cannabis use.
PMID: 19083209
LDN (low dose naltrexone) enhances cannabinoid-induced analgesia [PMID
16286810]
friendly gut bacteria - lactobacillus acidophilus - found in yoghurt and
probiotics boosts the synthesis of receptors for mu opioids and
cannabinoids (CB1 and CB2) - our natural painkillers - in human and
rodent gut cells; rats given probiotics experienced a 20% increase in
their pain threshold or twice that if they had irritable bowel syndrome;
the analgesic effect was similar to morphine and suggests the
microbiology of the intestinal tract influences our visceral perception
<http://www.newscientist.com/article/dn10808.html>, [PMID 17159985]
low-dose naltrexone (4.5mg daily in the evenings for twelve weeks) was
significantly effective in a clinical trial for Crohn¹s disease; effects
lasted up to four weeks after discontinuation; 89% of the seventeen
responded; 65% achieved remission; the most common side effect was sleep
disturbance, reported in seven patients [PMID 17222320]; low-dose
naltrexone also works for 76% of a group of 42 patients with irritable
bowel syndrome; it improved pain and other symptoms; the mean weekly
number of pain-free days increased from 0.5+/-1 to 1.25+/-2.14 [PMID
17080248]
endocannabinoids affect the neuroendocrine regulation of hormone
secretion, including the hypothalamus-pituitary-adrenal (HPA) axis; mice
lacking cannabinoid receptor type 1 (CB1-/-) have significant
dysregulation of the HPA axis; although circadian HPA axis
responsiveness is preserved, CB1-/- mice have an enhanced circadian
drive on the HPA axis causing elevated plasma corticosterone
concentrations at the onset of the dark as compared with normal mice;
CB1-/- pituitary cells had a significantly higher ACTH secretion
response to CRH and forskolin challenges; both types mice respond to a
high-dose dexamethasone test, but response to low-dose dexamethasone is
influenced by genotype; CB1-/- mice show increased CRH mRNA levels in
the paraventricular nucleus of the hypothalamus but not in other
extrahypothalamic areas like the amygdala and piriform cortex, in which
CB1 and CRH mRNA have been colocalized; CB1-/- mice have selective
glucocorticoid receptor mRNA down-regulation in the CA1 region of the
hippocampus but not in the dentate gyrus or paraventricular nucleus;
mineralocorticoid receptor mRNA expression levels were unchanged in
these brain areas; CB1 deficiency enhances the circadian HPA axis
activity peak and leads to central impairment of glucocorticoid feedback
[PMID 17194743]
[PMID 19083209], as this recent abstract indicates. A drop in
cannabinoid signaling might cause prolactin to rise and cortisol to
drop. High prolactin/low cortisol is sometimes seen in autoimmune
conditions and chronic infections. As I've posted before, gut bacteria
help to regulate mu opioid and cannabinoid receptors in the body and
their loss could conceivably contribute to this problem. And it could
be partially or totally reversed by low-dose naltrexone, which
upregulates the mu opioid receptor (and the mu opioid receptor is vital
for cannabinoid signals).
Psychopharmacology (Berl). 2008 Dec 16;
The effects of cannabinoids on serum cortisol and prolactin in humans.
Ranganathan M, Braley G, Pittman B, Cooper T, Perry E, Krystal J,
D'Souza DC.
Schizophrenia Biological Research Center, VA Connecticut Healthcare
System, West Haven, CT, USA, ***@yale.edu.
BACKGROUND: Cannabis is one of the most widely used illicit substances,
and there is growing interest in the therapeutic applications of
cannabinoids. While known to modulate neuroendocrine function, the
precise acute and chronic dose-related effects of cannabinoids in humans
are not well-known. Furthermore, the existing literature on the
neuroendocrine effects of cannabinoids is limited by small sample sizes
(n = 6-22), heterogeneous samples with regard to cannabis exposure
(lumping users and nonusers), lack of controlling for chronic cannabis
exposure, differing methodologies, and limited dose-response data.
Delta-9-tetrahydrocannabinol (Delta-9-THC) was hypothesized to produce
dose-related increases in plasma cortisol levels and decreases in plasma
prolactin levels. Furthermore, relative to controls, frequent users of
cannabis were hypothesized to show altered baseline levels of these
hormones and blunted Delta-9-THC-induced changes of these hormones.
MATERIALS AND METHODS: Pooled data from a series of laboratory studies
with multiple doses of intravenous Delta-9-THC in healthy control
subjects (n = 36) and frequent users of cannabis (n = 40) was examined
to characterize the acute, chronic, and acute on chronic effects of
cannabinoids on plasma cortisol and prolactin levels. Hormone levels
were measured before (baseline) and 70 min after administration of each
dose of Delta-9-THC. Data were analyzed using linear mixed models with
+70 min hormonal levels as the dependant variable and baseline hormonal
level as the covariate. RESULTS: At socially relevant doses, Delta-9-THC
raised plasma cortisol levels in a dose-dependent manner but frequent
users showed blunted increases relative to healthy controls. Frequent
users also had lower baseline plasma prolactin levels relative to
healthy controls. CONCLUSIONS: These group differences may be related to
the development of tolerance to the neuroendocrine effects of
cannabinoids. Alternatively, these results may reflect inherent
differences in neuroendocrine function in frequent users of cannabis and
not a consequence of cannabis use.
PMID: 19083209
LDN (low dose naltrexone) enhances cannabinoid-induced analgesia [PMID
16286810]
friendly gut bacteria - lactobacillus acidophilus - found in yoghurt and
probiotics boosts the synthesis of receptors for mu opioids and
cannabinoids (CB1 and CB2) - our natural painkillers - in human and
rodent gut cells; rats given probiotics experienced a 20% increase in
their pain threshold or twice that if they had irritable bowel syndrome;
the analgesic effect was similar to morphine and suggests the
microbiology of the intestinal tract influences our visceral perception
<http://www.newscientist.com/article/dn10808.html>, [PMID 17159985]
low-dose naltrexone (4.5mg daily in the evenings for twelve weeks) was
significantly effective in a clinical trial for Crohn¹s disease; effects
lasted up to four weeks after discontinuation; 89% of the seventeen
responded; 65% achieved remission; the most common side effect was sleep
disturbance, reported in seven patients [PMID 17222320]; low-dose
naltrexone also works for 76% of a group of 42 patients with irritable
bowel syndrome; it improved pain and other symptoms; the mean weekly
number of pain-free days increased from 0.5+/-1 to 1.25+/-2.14 [PMID
17080248]
endocannabinoids affect the neuroendocrine regulation of hormone
secretion, including the hypothalamus-pituitary-adrenal (HPA) axis; mice
lacking cannabinoid receptor type 1 (CB1-/-) have significant
dysregulation of the HPA axis; although circadian HPA axis
responsiveness is preserved, CB1-/- mice have an enhanced circadian
drive on the HPA axis causing elevated plasma corticosterone
concentrations at the onset of the dark as compared with normal mice;
CB1-/- pituitary cells had a significantly higher ACTH secretion
response to CRH and forskolin challenges; both types mice respond to a
high-dose dexamethasone test, but response to low-dose dexamethasone is
influenced by genotype; CB1-/- mice show increased CRH mRNA levels in
the paraventricular nucleus of the hypothalamus but not in other
extrahypothalamic areas like the amygdala and piriform cortex, in which
CB1 and CRH mRNA have been colocalized; CB1-/- mice have selective
glucocorticoid receptor mRNA down-regulation in the CA1 region of the
hippocampus but not in the dentate gyrus or paraventricular nucleus;
mineralocorticoid receptor mRNA expression levels were unchanged in
these brain areas; CB1 deficiency enhances the circadian HPA axis
activity peak and leads to central impairment of glucocorticoid feedback
[PMID 17194743]