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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
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
1 11 III
-5 1 40 85
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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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
I 11 iu
-5> 40 85
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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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
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
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
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
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
Each value represents the mean + the standard error for each group (n = 8). * p < 0.001.
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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)
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
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
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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their anti-nociceptive effect in mice. Br. J. Phar Isbell. H.; Gorodetzsky, C.W.; Jasinski, D.; Claussen,
macol. 49: 588-594 (1973). U.; Spulak. F.; Körte, F.: Effects of (-)-A’-trans-
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236 Sofia/Barry
tetrahydrocannabinol in man. Psychopharmaco- Sofia, R.D.: Barry. H.. Ill: Depressant effect of A1-
logia 11: 184-188 (1967). tetrahydrocannabinol enhanced by inhibition of
Kaymakcalan, S.; Turker, R.K.; Turker, M.N.: its metabolism. Eur. J. Pharmacol. 13: 134-137
Analgesic effect of A9-tetrahydrocannabinol in the (1970).
dog. Psychopharmacologia 35: 123-128 (1974). Sofia, R.D.; Kubena. R.K.: Barry. H.. Ill: Comparison
Kubena, R.K.; Barry. H.. Ill: Interactions of A'-tetra- of four vehicles for intraperitoneal administration
hydrocannabinol with barbiturates and metham- of A'-tetrahydrocannabinol. J. Pharm. Pharmac.
phetamine. J. Pharmac. exp. Ther. 173: 94-100 23: 889-891 (1971).
(1970). Sofia, R.D.; Kubena, R.K.: Barry, H.. Ill: Comparison
Martin, B.R.; Carney, J.M.; Balster. R.L.; Harris. L.S.: of four vehicles and four routes for administering
Behavioral activity, distribution and metabolism A9-tetrahydrocannabinol. J. pharm. Sci. 63: 939-
of 3H-A9-THC in monkey brain following an intra 941 (1974).
ventricular injection. Pharmacologist 20: 164 Sofia. R.D.; Nalepa. S.D.: Harakal. J.J.; Vassar. H.B.:
(1978). Anti-edema and analgesic properties of A9-tetrahy-
Mclssac. W.M.; Fritchie. G.E.; Idanpaam-Heikkila. drocannabinol (THC). J. Pharmac. exp. Ther. 186:
J.R.; Ho, B.T.; Englert, C.F.: Distribution of mari 646-655 (1973).
huana in monkey brain and concomitant behav Sofia, R.D.; Vassar. H.B.: Knobloch, L.C.: Compara
ioral effects. Nature, Lond. 230: 593-594 (1971). tive analgesic activity of various naturally occur
Mechoulam, R.: Marihuana chemistry. Science 168: ring cannabinoids in mice and rats. Psychophar
1159-1166 (1970). macologia 40: 285-295 (1975).
Nilsson, I.M.; Agurell, S.; Nilsson, J.L.G.; Ohlsson, Truitt, E.B.. Jr.: Biological disposition of tetrahydro-
A.; Sandberg, F.; Wahlqvist. M.: A'-Tetrahydro- cannabinols. Pharmac. Rev. 23: 273-278 (1971).
cannabinol: structure of a major metabolite.
Science 168: 1228-1229 (1970).
Scheckel, C.K.: Boff. E.: Dahlen. P.: Smart. T.: Behav Received: December 18. 1982
ioral effects in monkeys of racemates of two bio Accepted: January 8, 1983
logically active marijuana constituents. Science
160: 1467-1469 (1968). R.D. Sofia.Vice President.
Sofia, R.D.: The lethal effects of A9-tctrahydrocanna- Preclinical Research,
binol in mice enhanced by pretreatment with SKF Wallace Laboratories.
525-A or chloramphenicol. Eur. J. Pharmacol. 26: Half Acre Road.
383-385 (1974). Cranbury. NJ 08512 (USA)