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11/10/2014 Synthetic Cannabinoids – Research Compounds Synthesis of > 400 cannabinoid compounds by John W. Huffman, Clemson University targeting the endocannabinoid system, for HIV, MS, chemotherapy indications O N O N N O N JWH‐200 JWH‐073 JWH‐018 O Research funded by NIDA (National Institute on Drug Abuse). H Synthetic Cannabinoids – Research Compounds OH THC H O Other notable compounds prepared by pharmaceutical companies and universities CP‐47,497 Pfizer, 1980s analgesic Cannabicyclohexanol Pfizer, 1979 5x more potent than THC HU‐210 Prof. Ralph Mechoulam Hebrew University 100‐800x more potent than THC Longer half‐life than THCz 1 11/10/2014 Synthetic Cannabinoids (SCBs) Illicitly Marketed as “Incense" Late 2000s, two of Huffman's cannabinoid compounds began being sold in Germany as marijuana alternatives, marketed as “incense” under names K2 and Spice. "I figured once it got started in Germany it was going to spread. I'm concerned that it could hurt people," Huffman said. "I think this was something that was more or less inevitable. It bothers me that people are so stupid as to use this stuff." John William Huffman (1932 ‐ ) Professor Emeritus, Clemson University Synthetic Cannabinoids (SCBs) Illicitly Marketed as “Incense” SCBs dissolved in volatile organic solvent (e.g. ethanol, acetone) then sprayed on plant leaves (e.g. Indian Warrior, Lion’s Ear, Dog Rose, Marshmallow leaves). Smoked or vaporized similar to cannabis. Brents, L. K.; Prather, P. L. The K2/Spice Phenomenon: Emergence, Identification, Legislation and Metabolic Characterization of Synthetic Cannabinoids in Herbal Incense Products. Drug Metab. Rev. 2014, 46, 72‐85. 2 11/10/2014 Synthetic Cannabinoids (SCBs) Illicitly Marketed as Incense “Not for Human Consumption” label to avoid subjection to the Federal Analogue Act of 1986 p j g “A controlled substance analogue shall, to the extent intended for human consumption, be treated, for the purposes of any Federal law as a controlled substance in schedule I” Brents, L. K.; Prather, P. L. The K2/Spice Phenomenon: Emergence, Identification, Legislation and Metabolic Characterization of Synthetic Cannabinoids in Herbal Incense Products. Drug Metab. Rev. 2014, 46, 72‐85. Scheduling of Synthetic Cannabinoids and Resulting Changes to “Incense” March 1, 2011: JWH‐018, JWH‐073, CP‐ 47,497, JWH‐200 listed as Schedule I July 9, 2012: Obama signed Synthetic Drug Abuse Prevention Act of 2012 15 SCBs named in Act Composition of SCB “incense” products frequently changes to avoid detection. 3 11/10/2014 Risks of “Synthetic Marijuana” Use • Highly variable and unpredictable drug composition Highly variable and unpredictable drug composition • Uneven distribution of drugs sprayed onto plant matter results in drug “hot spots” • Relatively few studies performed on the pharmacological and toxicological effects of SCDs Medical Issues Associated with “Synthetic Marijuana” Use • Tachycardia h d • Hypertension • Nausea • Vomiting • Convulsions • Agitation • Hallucinations • Psychosis • Aggression • Rhabdomyoloysis • Respiratory depression • Kidney failure • Deaths including suicide 4 11/10/2014 Medical Issues Associated with “Synthetic Marijuana” Use Cannabis versus SCDs Cannabis versus SCDs Effects differ substantially between cannabis and SCDs, potentially due to: 1. SCBs more potent than THC 2. SCB activity at non‐cannabinoid receptors y( ) 3. SCB metabolite activity (versus THC metabolites) 4. Cannabis contains modulators such as CBD; SCBs lack such modulation “Synthetic Cannabis” – One of Many Designer Drugs Designer Drug Designer Drug Structural or functional analog of a controlled substance designed to mimic pharmacological effects of original drug while avoiding illegal status or evading detection. Examples • Analogs of many psychoactive compounds (e.g. opiods, psychostimulants, dissociatives) • Synthetic cannabis • Designer steroids 5 11/10/2014 Gas Chromatography Mass Spectrometry (GC‐MS) Used in Drug Urinalysis Gas chromatography separates compounds primarily based on boiling point; also polarity Mass spectrometry provides molecular weight of compounds plus information on structure based on fragmentation pattern generated via ionization Gas Chromatography (GC) 6 11/10/2014 Sample GC‐MS Trace Mixture of cyclohexane (1.54 min) and toluene (2 43 min) and toluene (2.43 min) MS of peak at 2.43 (toluene) High Performance Liquid Chromatography – Mass Spectrometry (HPLC‐MS) HPLC can be used for separation of compounds that are non‐volatile ‐ e.g. ionic compounds Compounds generally detected via UV light absorbance (254 nm common) 7 11/10/2014 High Performance Liquid Chromatography (HPLC) Testosterone – An Anabolic Steroid Testosterone Endogenous steroid hormone Testosterone: performance enhancing via muscle development, strength or endurance Increases muscle’s protein synthesis Supplemental testosterone is deemed as doping in most athletic competitions Testosterone levels often measured in urine via GC‐MS 8 11/10/2014 T/E Ratio in Urine is Measured by GC‐MS to Determine Doping Testosterone (T) Epitestosterone (E) Inactive though present naturally in adult males Ca. 1:1 ratio T/E (variable) Testosterone/epitestosterone / p ((T/E) ratio in urine is tested by GC‐MS. / ) y Excess of 6:1 is considered “doping.” Administration of testosterone does not affect the levels of epitestosterone. Epitestosterone is banned in competitive sports, even though it’s inactive. Why? Gas Chromatography (GC) Spectrum of Testosterone Derivatives Reference samples Analyte (other components present) Muller et al. J. Chromatography A. 1999, p 275 9 11/10/2014 Designer Drugs ‐ Anabolic Steroids Testosterone Endogenous steroid hormone Androstenedione “Andro” Endogenous testosterone precursor, also supplement Used by Mark McGuire Nandrolone Drug previously used for osteoporosis Used by Linford Christie Tetrahydrogestrinone (THG, “The Clear”) Used by Marion Jones, Jason Giambi BALCO (Victor Conte) scandal Reference Samples Required for GC‐MS and LC‐MS Analysis THG was designed and synthesized to evade detection, since reference sample (analytical standard) was lacking standard) was lacking. Tetrahydrogestrinone (THG, “The Clear”) Used syringe with “The Clear” (THG) submitted to USADA for analytical testing. Gestrinone Known anabolic steroid Prescribed for endometriosis MS fragmentation showed peaks 4 amu higher than gestrinone 10