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Pharmacology 27; 223-236 (1983)

The Effects of SKF 525-A on the Analgesic and


Barbiturate-Potentiating Activity of A9-Tetrahydrocannabinol
in M ice and Rats
R.D. Sofia, II. Barry, III
Department of Pharmacology. University of Pittsburgh School of Pharmacy. Pittsburgh, Pa., USA

Key Words. A9-Tetrahydrocannabinol • SKF 525-A A9-Tctrahydrocannabinol/SKF


525-A interaction • Analgesia • Sleeping time

Abstract. A9-Tetrahydrocannabinol (THC) markedly potentiated barbital Na sleeping time


in mice and rats. The magnitude and duration o f this effect were markedly enhanced when the
animals were pretreated with SKF 525-A, a nonspecific inhibitor o f liver microsomal
enzymes responsible for drug metabolism. Moreover, depending on the method and species of
animal used, THC was found to be one half (mouse hot plate), one third (mouse tail flick), and
one eighth (rat tail flick) as potent an analgesic as morphine S 0 4. However, pretreatment with
SKF 525-A significantly potentiated the analgesic activity in mice. These data suggest that
intact THC and not necessarily a metabolite(s) is principally responsible for the CNS depres­
sant and analgesic effects observed.

Introduction cal activity o f systemically administered


THC [Mechoulam, 1970; Foltz et al., 1970;
According to several reports [Isbell et al., Christensen et al., 1971; Martin et al.. 1978],
1967; Gershon. 1970; Mechoulam, 1970; If this hypothesis is valid, inhibition o f the
Hollister, 1971] A9-tetrahydrocannabinol metabolism o f THC should attenuate its ef­
(THC) appears to be the major psychoactive fects. However, if the parent compound is the
ingredient of marihuana. Metabolic studies principal source o f the activity, an inhibitor
have indicated that THC is rapidly hydroxy- o f drug metabolism should enhance and pro­
lated in the body via liver microsomal en­ long the effects o f THC. In a preliminary-
zymes to form the metabolite ll-hydroxy- study Sofia and Barn> [1970] have shown
THC [Nilsson ct al., 1970; Agurell et al., that prolongation o f barbital sleeping time in
1970]. This biotransformation has been mice by THC was enhanced in animals that
shown to be mediated by nonspecific hepatic had been pretreated with SKF 525-A, a com­
microsomal oxidases [Truitt, 1971]. Several pound known to nonspecifically inhibit liver
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investigators believe that the 11-hydroxy me­ microsomal enzyme systems responsible for
tabolite is responsible for the pharmacologi­ drug metabolism [Anders, 1971], It has been
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224 Sofia/ Barry

demonstrated both in vitro [Burstein and on all the other sleeping mice to equalize the source of
Kupfer, 1971; Dingell et al., 1973] and in stimulation. In all cases the onset (in minutes) to loss
of righting (induction time) was also measured. Mean
vivo [Gill and Jones, 1972; Estevez et al.,
induction and sleeping times were calculated and sta­
1974] that SKF 525-A does indeed inhibit tistically evaluated using the Student’s t test for paired
THC metabolism, which supports the earlier comparisons.
findings o f Sofia and Barry [1970] that the
barbital sleeping potentiating activity of Hot Plate Method
The hot plate method of Eddy and Leimbach
THC resides primarily in the unmetabolized
[1953] based on the reaction time in seconds measured
molecule. Subsequent to this it was observed from the onset of the painful stimulus to the response
by Adams and Sofia [1973] that chloram­ of lickingof the forelimbs and jumping was used. Mice
phenicol, another inhibitor o f liver micro­ were placed individually in a 600-ml Pyrex beaker on
somal enzymes responsible for drug metabo­ a hot plate (U.L., Type 1900, Model HP-A1915B,
Thermodyne Corp.. Dubuque. Iowa) maintained at a
lism. also further prolonged barbital sleeping
temperature of 50-60 °C. A control reaction time to
time in rats treated with THC. the painful stimulus was obtained for all mice 24 h
prior to the test for drug effects. The drug or vehicle
treatment was given only to those animals with a con­
Methods trol reaction time of less than 10 s. On the next day, all
drugs were given 30 min prior to the second exposure
These experiments were conducted on male, al­ to the hot plate. A maximum reaction time of 30 s was
bino mice (Swiss-Webster) and rats (Sprague-Dawley) scored when a mouse made no response within that
weighing 20-28 and 140-190 g, respectively, at the time span after exposure. Mean drug reaction times
time they were tested, i.e.. at least 5 days after arriving were compared with pre-drug control reaction times
from the supplier (Hilltop Laboratories. Inc., Scott- and statistically analyzed by the Student's t test for
dale. Pa.. USA). Upon receipt from the supplier all paired comparisons.
animals were randomly assigned and housed in groups
of 6 (rats) or 8 (mice) for use in the following experi­ Tail Flick Method
ments. The tail flick method used for both mice and rats is
THC was kept in a stock solution of 20 mg/ml of essentially the procedure described by D'Amour and
undiluted propylene glycol at -4 °C. The vehicle for Smith [1941] except that the heat source was electrical
THC in rats was undiluted propylene glycol while a rather than a high intensity of light. The apparatus
10% propylene glycol-1% Tween 80-saline solution consisted of a grooved asbestos board which was con­
was used for mice [Sofia et al., 1971. and 1974]. Bar­ structed in such a way that only the tail of the animal
bital Na, morphine SOj and SKF 525-A were dis­ was exposed to a high resistence Nichrome wire. The
solved in saline. All compounds were prepared for intensity of the electrical current passing through the
injection in such a way as to permit a volume of 10 heating element was controlled by a rheostat (Type
and I ml/kg body weight to be administered to mice 500B, Staco Inc.) set at the arbitrary value of nine
and rats, respectively. Each drug and its vehicle were which delivered 10 V to the system. A single manual
administered intraperitoneally except for morphine switch controlled the entire apparatus including an
SO4, which was given subcutaneously. electric timer. The animal’s tail was placed in the
groove, the switch turned on to activate both the heat
Sleeping Time Studies source and timer, and the test terminated when a sud­
Sleeping time following barbital Na administra­ den twitch of the animal's tail indicated the response
tion was measured by the duration in minutes when to the painful stimulus. Control reaction times were
the righting reflex was completely absent during a 5- measured 24 h prior to administration of the drugs or
second observation period while the animal lay on its their vehicles. Animals with a control reaction time
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back. Whenever one of the animals was tested for res­ greater than 7.0 s in this preliminary test were not
toration of the righting reflex, a similar test was made used.
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Interaction of SKF 525-A and THC 225

Results and II were used. In schedule III, THC was


given after the animals had already lost their
Sleeping Time Studies righting reflex. Group 4 shows that SKF 525-
In the initial experiment, three dosing A pretreatment did not further lower, to a
schedules (I, II or III) were used to determine significant degree, the reduction in induction
the optimal time interval between dosing and time produced by THC in dosing schedules II
test for subsequent studies. A 25-mg/kg dose and III.
o f SKF 525-A was given either 30 min before Table II shows the effects o f the three dos­
(I), 15 min after (II) or 60 min after (III) a ing schedules on barbital Na-induced sleep­
300-mg/kg dose o f barbital Na. A 20-mg/kg ing time. Comparison o f the control group ( 1)
dose o f THC was administered to these same with each o f the other three groups revealed
groups 25 min after the SKF 525-A injection highly significant increases in the duration of
(5 min before, 40 or 85 min after the barbitu­ sleeping for each dosing schedule. A combi­
rate, respectively). Changes in the induction nation of SKF 525-A and THC in all dosing
time to barbital Na-induced anesthesia fol­ regimens resulted in a larger prolongation of
lowing these different dosing schedules are sleeping time than either drug when given
shown in table 1. In each dosing schedule, alone. The most profound effect o f THC
comparison o f drug treatment group I (con­ alone was observed when it w'as given 40 min
trol) with group 2 shows that pretreatment after administration o f barbital Na (schedule
with SKF 525-A only did not significantly II). Moreover, this activity w'as significantly
alter the induction time to barbital Na-in­ greater than that noted for either dosing
duced loss o f righting. However, pretreat­ schedules I and III. In addition, the combina­
ment with THC alone (group 3) produced a tion o f SKF 525-A and THC prolonged
significant reduction in the onset to barbital sleeping time equally in dosing schedules I
anesthesia but only when dosing schedules I and II, whereas III produced a lesser effect.

Table I. The effect of various dosing time schedules on induction of barbital Na (300 mg/kg) sleeping time in
mice administered THC (20 mg/kg) and SKF 525-A (25 mg/kg) alone or in combination

Drug treatment group Induction time at various dosing schedules, min

1 11 III
-5 1 40 85

1 Vehicle + vehicle + barbital Na 71.38 ± 7.81 61.38 ± 2.87 53.63 ± 1.83


2 SKF 525-A + vehicle + barbital Na 61.88 ± 0.93 57.63 ± 4.74 57.50 ± 1.84
3 Vehicle + THC + barbital Na 51.25 ± 0.84* 50.88 ± 0.89** 53.13 ± 2.27
4 SKF 525-A + THC + barbital Na 47.00 ± 1.55** 48.00 ± 1.54** 50.50 ± 1.30

Each value represents the mean ± the standard error for each group (n = 8). * p < 0.05: ** p < 0.001.
1 Interval from barbital to THC or its vehicle (in min). SKF 525-A or its vehicle was injected 25 min prior to
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THC or its vehicle.


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226 Sofia/Barry

Using only dosing schedule I and replacing alone reliably prolonged barbital sleeping
the barbital Na injection with an equal vol­ time at both 10 mg/kg (p < 0.001) and 20
ume o f saline, THC (20 mg/kg) and SKF 525- mg/kg (p < 0.001). In addition, a dose-
A (25 mg/kg) alone or in combination did not related response to THC is indicated by a sig­
cause any mice to sleep. nificantly longer sleeping time with 20 than
In the next study the effect o f various 10 mg/kg (p < 0.01). Figure 1 also shows that
combinations o f doses o f THC and SKF 525- the effect o f THC was greatly enhanced by
A on barbital sleeping time were tested in pretreatment with SKF 525-A. With 10
mice and rats. Using dosing schedule II, all mg/kg of THC plus 12.5 mg/kg o f SKF 525-
animals were injected intraperitoneally with A sleeping time was significantly longer than
barbital sodium (300 mg/kg in mice and 240 after 10 mg/kg o f THC alone (p < 0.001);
mg/kg in rats), followed 15 min later by SKF likewise, 20 mg/kg o f THC plus the lower
525-A (12.5 or 25.0 mg/kg) or saline, and 40 dose o f SKF 525-A prolonged sleeping time
min after barbital Na by THC (10 or 20 over 20 mg/kg o f THC alone (p < 0.01). The
mg/kg) or its vehicle. The experiments were higher dose of SKF 525-A (25.0 mg/kg) also
replicated and the data pooled for each ex­ enhanced the effect o f both doses o f THC,
perimental condition (n = 16 for mice and n = but there was no significant difference be­
12 for rats). tween the two doses o f SKF 525-A in con­
Figure 1 shows the mean sleeping time junction with any o f the three dosage condi­
and standard error o f the mean for the 16 tions for THC (0, 10 and 20 mg/kg). Poten­
mice in each o f the treatment groups. The tiating effects o f THC and SKF 525-A when
first three bars show minimal effects o f SKF given in combination, compared with the
525-A with a significant difference only be­ effect of either drug alone, were shown by the
tween zero and 12.5 mg/kg (p < 0.05). THC fact that the lower doses o f both compounds

Table II. The effect of various dosing lime schedules on the duration of barbital Na (300 mg/kg) sleeping time
in mice administered THC (20 mg/kg) and SKF 525-A (25 mg/kg) alone or in combination

Drug treatment group Sleeping time of various dosing schedules. min

I 11 iu
-5> 40 85

1 Vehicle + vehicle + barbital Na 42.50 ± 6.29 31.88 ± 1.26 38.63 ± 1.43


2 SKF 525-A + vehicle + barbital Na 68.25 ± 3.66* 46.75 ± 3.46* 52.13 ± 5.39*
3 Vehicle + THC + barbital Na 80.50 ± 10.13*** 134.00 ± 15.98*** 53.38 ± 3.12**
4 SKF 525-A + THC + barbital Na 244.75 ± 19.95*** 223.63 ± 10.46*** 140.88 ± 28.09***

Each value represents the mean + the standard error for each group (n = 8). * p < 0.05: ** p < 0.005:
*** p < 0.001.
1 Interval from barbital to THC or its vehicle (min). SKF 525-A or its vehicle was injected 25 min prior to
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THC or its vehicle.


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Interaction of SKF 525-A and THC 227

resulted in reliably longer mean sleeping


times than twice the dose (25.0 mg/kg) of
SKF 525-A alone (p < 0.001) or twice the
dose (20 mg/kg) o f THC alone (p < 0.05).
The mean interval from barbital administra­
tion to the loss of righting reflex ranged from
49 to 55 min among the nine treatment
groups with no statistically reliable difference
among them. Since this was almost the same
as the 40-min interval from barbital to THC
administration, table III shows that the aver­
age waking time was approximately 2-3 h
after administration o f THC alone and more
than 3 h following THC preceded by SKF
525-A.
Figure 2 graphically represents the mean
sleeping time and standard error o f the mean
for the 12 rats in each o f the treatment condi­
tions. The results are closely similar to those
obtained with mice. The principal difference
between the two species was that neither dose
Fig. 1. Duration of sleeping time (mean ± SE)
o f SKF 525-A when given alone significantly
after administration of barbital (300 mg/kg) in mice
altered barbital sleeping time in rats. Both treated with THC alone or in combination with SKF
doses o f THC when given alone significantly 525-A.

Table III. The effect of treatment with SKF 525-A (25 mg/kg) and THC (20 mg/kg). alone or in combination,
on sleeping time induced by various doses of barbital Na in mice

Drug treatment group Sleeping time with barbital Na. min

100 mg/kg 200 mg/kg 300 mg/kg

Vehicle + vehicle _ 34.14 ± 5.05 31.88 ± 1.26


SKF 525-A + vehicle - 52.13 ± 7.90 46.75 ± 3.46*
Vehicle + THC - 66.88 ± 10.83* 134.00 ± 15.98***
SKF 525-A + THC “ 116.88 ± 20.33** 223.68 ± 10.46***

Each value represents the mean ± the standard error for each group (n = 8). * p < 0.05 for difference from
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vehicle + vehicle treatment. ** p < 0.005 for difference from vehicle + vehicle treatment. *** p < 0.001 for
difference from vehicle + vehicle treatment.
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228 Sofia/Barry

followed. Mice were administered 100, 200


750 - SKF 525-A, 250 mg /kg
and 300 mg/kg o f barbital Na intraperitone-
ally, followed 15 min later by 25 mg/kg of
KF 525-A or saline, and 40 min after the bar­
biturate by 20 mg/kg o f THC or its vehicle.
Table III shows that 100 mg/kg of barbital
alone or in combination with THC and SKF
525-A failed to induce anesthesia in mice.
However, ‘preanesthetic excitation' was ob­
served after this dose o f barbital and was con­
spicuously enhanced in mice given the barbi­
turate in combination with THC alone or
THC plus SKF 525-A. Sleeping time for mice
given 200 or 300 mg/kg o f barbital only did
not result in a dose-related response. How­
THC, mg/kg ever, when pretreated with THC alone or
THC plus SKF 525-A, barbital Na-induced
anesthesia was markedly potentiated and in a
Fig. 2. Duration of sleeping time (mean ± SE)
after administration of barbital (240 mg/kg) in rats dose-related manner.
treated with THC alone or in combination with SKF The duration o f effect for THC and the
525-A. combination o f THC with SKF 525-A on
barbital sleeping time were studied (table IV).
enhanced barbital sleeping time (p < 0.001) Groups o f 8 mice each were given 25 mg/kg
in a dose-related manner (10 mg/kg < 20 o f SKF 525-A or its vehicle followed 25 min
mg/kg; p < 0.05). The combination o f THC later by 20 mg/kg o f THC or its vehicle, alone
with 12.5 mg/kg o f SKF 525-A resulted in a or in combination with SKF 525-A. Barbital
significantly longer (p < 0.005) duration o f (300 mg/kg) was then administered at var­
barbital sleeping time than after the same ious time intervals following THC or its ve­
dose o f THC alone (p < 0.005 for 10 mg/kg: hicle from 5 min to 48 h and 5 min. Mean
p < 0.001 for 20 mg/kg). Potentiation was control (vehicle + vehicle) sleeping time was
evidenced by the fact that the effect on sleep­ quite consistent except for a significantly
ing time o f the lower doses of both drugs was lower value at 4 h and 5 min preceding bar­
significantly greater than twice the dose (25 bital administration. A significant elevation
mg/kg) o f SKF 525-A alone (p < 0.001) or o f barbital sleeping time was seen after ad­
twice the dose (20 mg/kg) o f THC alone (p < ministration o f SKF 525-A alone, compared
0.05). with the longer interval, only when given 30
In the next experiment various doses o f min before the barbiturate (5 min time inter­
barbital were used to determine whether val for the THC shown in table IV). Mice
lower doses of the barbiturate might also be treated with THC slept significantly longer
potentiated by THC when administered than control animals through 4 h and 5 min
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alone or in combination with SKF 525-A. As prior to barbital injection with the peak effect
in the previous study dosing schedule II was occurring at the 1-hour and 5-min interval.
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Interaction ofSK F S25-A and THC 229

Table IV. The effect ofSKF 525-A (25 mg/kg) and THC (20 mg'kg) alone or in combination on barbital Na
(300 mg/kg) sleeping time in mice at various time intervals following barbiturate administration

Time Sleeping time, min


interval1
vehicle + vehicle SKF 525-A + vehicle vehicle + THC SKF 525-A + THC

5 min 52.50 ± 6.29 68.25 ± 3.66* 80.50 ± 10.13** 244.75 ± 19.95**


1 h. 5 min 49.38 ± 2.95 50.13 ± 3.78 109.75 ± 6.84** 285.13 ± 14.18**
2 h, 5 min 45.00 ± 4.94 39.50 ± 4.73 76.63 ± 7.07** 204.75 ± 18.26**
4 h, 5 min 33.38 ± 1.75* 44.00 ± 4.52 65.88 ± 6.06* 172.50 ± 12.77**
24 h. 5 min 47.13 ± 2.32 49.25 ± 2.60 54.00 ± 2.83 72.38 ± 6.14**
48 h. 5 min 47.13 ± 2.20 40.00 ± 2.88 55.13 ± 1.53 56.75 ± 2.06

Each value represents the mean + the standard error for each group (n = 8). * p < 0.01 for difference from
48 h. 5 min. ** p < 0.001 for difference from 48 h. 5 min.
1 For THC administration before barbital Na.

Table V. Analgesic activity of THC and morphine S 0 4 in mice using the hot plate method

Test drug and dose Reaction time, s Drugxontrol


mg/kg response ratio
control1 drug treated

Vehicle 2.61 ± 0.28 3.33 + 0.22 1.28

THC
5.0 2.45 + 0.28 4.28 ± 0.33* 1.75
10.0 3.04 + 0.19 6.95 + 0.63* 2.29
20.0 2.78 ± 0.19 11.16 + 1.37* 4.02
40.0 2.38 ± 0.16 11.08 ± 1.54* 4.65

Saline 4.35 ± 0.31 4.88 ± 0.17 1.12

Morphine S 04 administered subcutaneously


1.25 4.20 + 0.19 5.43 ± 0.34 1.29
2.5 4.55 ± 0.26 7.70 + 0.48* 1.69
5.0 4.11 ± 0 . 1 5 9.47 ± 0.63* 2.30
10.0 3.97 ± 0.20 17.53 + 1.54* 4.42

Each value represents the mean + the standard error for each group (n = 8). * p < 0.001.
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1 Control reaction limes were obtained 24 h prior to drug treatment.


2 Administered subcutaneously.
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230 Sofia/Barry

Fig. 3. Dose response curves for the analgesic ac­


tivity of THC and morphine SO.i in mice using the hot
plate test.
Fig. 4. The analgesic activity of THC alone or in
combination with SKF 525-A using the hot plate
method in mice.

Pretreatment with SKF 525-A plus THC tion, a dose-related response for the analgesic
caused a significant prolongation of barbital activity of both THC and morphine S 0 4 is
sleeping time when given 24 h and 5 min indicated by an elevation in reaction time
before the barbiturate. Only 48 h and 5 min with increasing doses. However, for THC
after pretreatment was there no enhancement similar elevations were obtained after both
o f the THC effect by SKF 525-A as indicated the 20- and 40-mg/kg doses, indicating that a
by sleeping time returning to control values. ceiling effect had occurred.
These data suggest a relatively long duration The ratios between drug and predrug reac­
o f effect for this combination of drugs. Simi­ tion times, as shown in figure 3, indicate that
larly, the peak effect also occurred after the the analgesic potency of THC is approxi­
1-hour and 5-min pretreatment time inter­ mately half that of morphine, since the dose
val. necessary to give a ratio of 2.30 is 5.0 mg/kg
for morphine S 0 4 and approximately 10.0
Hot Plate Studies mg/kg for THC.
Table V shows that all doses of THC and The effect o f SKF 525-A pretreatment on
all but the lowest dose of morphine (1.25 THC-induced analgesia in the hot plate test is
mg/kg) displayed highly significant analgesic shown in figure 4. On the drug day, 25 mg/kg
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activity. The vehicles for both drugs were of SKF 525-A or its vehicle (saline) was given
without significant analgesic effect. In addi­ intraperitoneally 30 min prior to the admin-
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interaction of SKF 525-A and THC 231

Table VI. Duration of action for the analgesic effect produced by THC (20 mg/ kg) alone or in combination
with SKF 525-A (25 mg/kg)

Treatment and Reaction time, s Testtcontrol


time interval, h
control1 test2

Saline + THC
0.25 4.98 ± 0.33 8.75 ± 0.42* 1.76
0.5 5.01 ± 0.15 8.27 ± 0.32* 1.65
1 4.46 ± 0.26 7.81 ± 0.33* 1.75
2 4.81 ± 0.32 7.43 ± 0.48* 1.54
4 5.03 ± 0.19 6.07 ± 0.30** 1.21
8 5.16 ± 0.22 5.03 ± 0.21 0.98
24 4.90 ± 0.31 5.40 ± 0.24 1.10

SKF 525-A + THC


0.25 5.11 ± 0.30 9.05 ± 0.47* 1.77
0.5 4.86 ± 0.31 9.45 ± 0.65* 1.94
1 4.52 ± 0.30 9.52 ± 0.50* 2.11
2 5.02 ± 0.25 8.15 ± 0.59* 1.62
4 4.95 ± 0.33 7.68 ± 0.59* 1.55
8 4.90 ± 0.21 7.08 ± 0.30* 1.44
24 4.53 ± 0.27 5.26 ± 0.26*** 1.16

Each value represents the mean ± the standard error for each group (n = 8). * p < 0.001; ** p < 0.025;
*** p < 0.05.
1 Tested 24 h prior to treatment.
2 Tested 30 min after treatment.

istration o f various doses o f THC (5, 10 and seen because at the high dose o f 20 mg/kg the
20 mg/kg). Drug reaction times were mea­ combination with SKF 525-A increased the
sured 30 min following the injection o f THC. ratio only slightly (from 4.80 to 5.30).
SKF 525-A alone did not elicit an analgesic In the next experiment the duration o f the
response. All doses o f THC in combination analgesic effect o f THC in combination with
with SKF 525-A produced greater analgesic SKF 525-A or saline was studied. 24 h prior
effects than the same doses o f THC adminis­ to drug administration, control reaction
tered alone. The potency o f THC following times were obtained for all animals. On the
pretreatment with SKF 525-A was approxi­ test day, half the groups were pretreated in-
mately three times greater than THC alone traperitoneally with 25 mg/kg ofSK F 525-A
shown by the same ratio o f 3.50 with 15.0 and the remaining groups received saline, fol­
mg/kg o f THC alone and only 5.0 mg/kg of lowed 30 min later by THC (20 mg/kg) or its
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THC when combined with SKF 525-A. A vehicle. At time intervals o f 0.25, 0.5, 1,2, 4,
ceiling effect for THC plus SKF 525-A can be 8 and 24 h after THC administration, the
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232 Sofia/Barr\

Fig. 5. Dose response curves for the analgesic ac­ Fig. 6. Dose response curves for the analgesic ac­
tivity of THC and morphine S 0 4 in mice using the tail tivity of THC and morphine S 0 4 in rats using the tail
(lick method. flick method.

mice were subjected to the painful stimulus and 21.5 for THC. Figure 6 indicates that in
o f the hot plate and drug reaction times rats THC has only one eighth the analgesic
recorded. Table VI reveals that the onset o f potency o f morphine, with a drug to control
analgesic activity following administration of ratio of 2.00 being obtained with approxi­
THC alone was quite rapid, i.e.. a highly sig­ mately 4.0 mg/kg o f morphine compared to
nificant response at 0.25 h which persisted 33.5 mg/kg o f THC. Neither saline nor the
for up to 4 h. In mice pretreated with SKF vehicle for THC displayed any significant
525-A. the onset was equally rapid but the analgesic effect in mice or rats.
duration o f action for the analgesic effect o f The effect o f SKF 525-A pretreatment (25
THC was statistically elevated even 24 h fol­ mg/kg i.p.) 30 min before injection o f THC is
lowing its injection. shown in figure 7. It can be observed that in
mice all doses o f THC in combination with
Tail Flick Studies SKF 525-A produced a greater analgesic ef­
Figure 5 depicts the ratio o f drug to con­ fect than the same doses o f THC alone. The
trol reaction times as a function o f dose for difference was statistically reliable (p < 0.05)
each drug in the mouse tail flick test. Accord­ for all doses except the lowest (2.5 mg/kg). A
ing to these data, THC is one third as potent threefold increase in the potency o f THC
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as morphine S 0 4 since a ratio o f 2.00 was after pretreatment with SKF 525-A was indi­
obtained with 7.5 mg/kg o f morphine S 0 4 cated by the drug to control response ratio of
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Interaction of SKF 525-A and THC 233

THC, mg/kg THC. mg/kg

Fig. 7. The analgesic activity of THC alone or in Fig. 8. The analgesic activity of THC alone or in
combination with SKF 525-A in mice using the tail combination with SKF 525-A in rats using the tail
flick method. flick method.

2.00 obtained with 7.0 mg/kg with THC with the data presented by Kubena and Barry
alone and 21.5 mg/kg with both drugs. A ceil­ [1970]. Since barbital Na is virtually unme­
ing effect, at a ratio between 2.50 and 3.00, tabolized and excreted as the intact drug
was indicated by the failure o f 20 mg/kg o f [Burns ct al., 1957], a central, synergistic de­
THC after SKF 525-A pretreatment to in­ pressant activity o f THC can be suggested.
crease the ratio above this level found with However, this explanation for the potentiat­
the lower dose o f 10 mg/kg after SKF 525-A ing effect o f marihuana extract and THC on
and with 40 mg/kg o f THC given alone. Fig­ pentobarbital and hexobarbital sleeping
ure 8 shows that in rats SKF 525-A also times [Bcycet al., 1963: Garriott et al., 1967]
increased the analgesic response o f THC, but cannot be made with complete certainty
at all doses tested this effect was only margin­ since both barbiturates are metabolized by
ally reliably significant. the liver microsomal enzymes. Enhancement
o f their depressant action could be due to
inhibition by THC o f liver microsomal en­
Discussion zyme systems responsible for their degrada­
tion.
In the present study THC markedly pro­ The analgesic action o f THC [Bicher and
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longed barbital Na-induced sleeping time in Mechoulam, 1968; Dewey et al., 1970; Bux-
mice and rats, which is in good agreement baum, 1972; Sofia et al., 1973, 1975; Chesher
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234 Sofia/Barry

et al., 1973; Kaymakcalan et al., 1974] was cific inhibitor o f liver microsomal enzymes
confirmed in the present study using the hot responsible for drug metabolism [Anders,
plate and tail flick methods on mice and rats. 1971], enhanced and prolonged the analgesic
THC, following intraperitoneal administra­ and barbital sleeping time potentiating ac­
tion to mice, was approximately half as po­ tions o f THC. These data along with our ear­
tent an analgesic as morphine SO4 when the lier observations [Sofia and Barry, 1970] sug­
latter was given subcutaneously and evalu­ gest that THC itself is primarily responsible
ated in the hot plate test. This is precisely the for the depressant and analgesic effects ob­
potency observed in the mouse hot plate test served after its administration. Moreover,
as reported by Bicher and Mechoulam Sofia [1974] has clearly demonstrated that
[1968]. However, the analgesic potency o f the lethal effect o f THC is also markedly
THC compared to morphine was only 1 to 3 enhanced by pretreatment with either SKF
in mice when measured by the tail flick 525-A or chloramphenicol.
response. This same degree o f analgesic po­ Cook et al. [1954] have reported that the
tency for THC was reported by Dewey et al. duration o f action for the inhibiting effect of
[1970] when comparing percent analgesic ef­ SKF 525-A on liver microsomal enzymes is
fect in mice using the above methods. In the at least 15 h. The enhancement o f the action
rat tail flick bioassay, THC was only one o f THC on barbital sleeping time and analge­
eighth as potent as morphine. Moreover, a sia following pretreatment with SKF 525-A
definite species difference exists for the was greater than 24 h. Further evidence sup­
analgesic response to THC. Using the tail porting a potentiating rather than an additive
flick method, the latency to the pain response effect of SKF 525-A on THC behavioral
was 50% higher than control in mice with an effects was provided by the fact that SKF
intraperitoneal dose o f 11.0 mg/kg, while in 525-A alone had minimal to no effects on
rats it took approximately 19.0 mg/kg for the barbital sleeping time or analgesia. Only
same drug effect. These data suggest that when the rat tail flick procedure was used, a
mice are nearly twice as sensitive as rats to method which was less sensitive to the
the analgesic actions o f THC. In addition, the analgesic actions o f THC, were the pain-
hot plate method appears to be a more reli­ inhibiting actions o f the drug not signifi­
able procedure than the tail flick method for cantly potentiated by SKF 525-A. Based on
determining the analgesic effect o f THC in these data one cannot say that the 11 -hy­
mice. droxy metabolite, or any other metabolite,
Several investigators [Mechoulam, 1970; lacks pharmacological actions; however, it is
Truitt, 1971; Foltz et al., 1970; Christensen et likely that THC is at least equally or even the
al.. 1971; Martin et al.. 1978] have suggested more potent o f the two compounds in poten­
that a metabolite o f THC, i.e., 11-hydroxy- tiating barbital sleeping time and producing
THC, is a more potent psychoactive agent analgesia. This speculation is in good agree­
than the parent compound and is largely ment with findings o f Scheckel et al. [1968]
responsible for the effects observed following and Mclssac et al. [1971] who have demon­
THC administration. Results o f the present strated more pronounced depressant effects
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investigation clearly show that pretreatment when concentrations o f unmetabolized THC


o f mice and rats with SKF 525-A, a nonspe­ in body tissues were the highest.
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Interaction of SKF S25-A and THC 235

Acknowledgements Christensen, H.D.; Freudenthal, R.I.; Gidley, J.T.;


Rosenfeld, R.; Bocgli, G.; Testino, L.; Brine. D.R.;
THC was received from the National Institute of Pitt, C.G.; Wall, M.E.: Activity of A8- and A’-
Mental Health through the courtesy of Monique tetrahydrocannabinol and related compounds in
Braude, PhD, Executive Secretary of the FDA-NIMH the mouse. Science 172: 165-167 (1971).
Psychotomimetic Agents Advisory Committee. SKF Cook, L.; Toner, J.J.; Fellows, E.J.: The effect of ß-
525-A was generously supplied by Smith, Kline & diethylaminocthyldiphenylpropylacetate hydro­
French, Inc.. Philadelphia. Pa. This report was sup­ chloride (SKF 525-A) on hexobarbital. J. Phar­
ported by Prcdoctoral Training grant GM-1217 from mac. exp. Ther. I l l : 131-141 (1954).
the National Institute of General Medical Sciences D'Amour, F.E.; Smith, D.L.: A method for determin­
and Research grant M H-13595 to Herbert Barry, III, ing loss of pain sensation. J. Pharmac. exp. Ther.
from the National Institute of Mental Health. 72: 74-79 (1941).
Dewey, W.L.; Harris, L.S.; Howes, J.F.; Kennedy,
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