Smoke
marijuana and you'll soon be hooked on harder drugs, society
warned. Smoke marijuana and you'll sooner be hooked on potato
chips, the smoker discovered. The threat of more dangerous addictions
aside, an attack of the munchies was unavoidable.
People
have known about the connection between marijuana and appetite for
centuries. In China and India, people have used it for millenniums
to help coax the sick to eat. These days, doctors with the same
aim can prescribe a pill containing a synthetic version of tetrahydrocannabinol
(or THC)--marijuana's main active ingredient. Scientists, however,
are just beginning to understand why the weed affects eating. They
hope that such knowledge will lead to new drugs--legal ones. Drugs
to help obese people lose weight; drugs to stimulate the appetites
of people with cancer or AIDS without making them high. Drugs for
nausea, too, which THC also helps suppress. Neuroscientists, in
particular, are excited about marijuana research because of what
it is revealing about the chemistry of the brain.
It
is now known that THC mimics chemicals made naturally by our brains--chemicals
that influence a smorgasbord of bodily functions including movement,
thought and perception. Studying these brain chemicals (known as
"endogenous cannabinoids") is increasing our understanding
of an array of medical conditions--among them pain, Parkinson's
disease, Tourette's syndrome and memory loss. Drug companies are
working busily to develop new therapies based on this knowledge.
"Today, I think we can fairly say that the endogenous cannabinoids
are a major system by which brain cells communicate with one another,"
says Daniele Piomelli, professor of pharmacology at UC Irvine. "It's
a whole new era of neurobiological research."
Until
recently, scientists didn't think marijuana could teach them much
of anything about the brain. The weed, they thought, wasn't going
to be like morphine, which led researchers to discover crucial brain
chemicals such as opiate receptors--key to the perception of pleasure
and pain--and endorphins, the body's own natural painkillers. Instead,
THC was thought to alter the mind in a messy and random kind of
way that didn't involve any particular part of brain chemistry.
But
just over a decade ago, researchers discovered a receptor in the
brain that THC fits snugly into, like a key in a lock. The receptor
resides in the membrane of certain brain cells--and when THC binds,
those brain cells send signals, creating the effects of a "high":
the munchies, alterations in mood, thought and perception as well
as impaired coordination and memory.
Presumably,
the receptor didn't evolve in brains to give people pleasurable
sensations should they happen to smoke a certain plant. Indeed,
its discovery immediately triggered a search for the brain's own
version of THC--a naturally occurring chemical lurking somewhere
in our brains--one that binds the receptor under normal, undrugged
circumstances. The search commenced, and finally, in 1992, after
years of sifting through extracts of pig brain, scientists in Israel
found the chemical.
They
called it "anandamide," from the Sanskrit word for "bliss."
Tracking
Down the Effects of Cannabinoids
Today,
the researchers, led by Raphael Mechoulam of the Hebrew University
of Jerusalem, have found two more such chemicals in mammal brains.
And scientists have so far found two receptors to which those chemicals
bind. By studying where the cannabinoids and receptors are made,
and what happens when they're interfered with, researchers are figuring
out what jobs the chemicals do in the day-to-day running of our
bodies.
The
naturally occurring chemical has very different effects from inhaled
THC, which floods the system, distorts perception and produces a
"high," often interfering with the jobs that the brain's
own chemical performs.
Cannabinoids,
for instance, play a crucial part in fine-tuning signals that certain
brain cells send to each other, according to three research papers
published in March in the journals Nature and Neuron. Scientists
had been searching for some time for chemicals that can do this
fine-tuning trick, which is important, among other things, for controlling
movement and forging memories.
The
chemicals also play a part in blood pressure regulation. Cannabinoid
receptors, it turns out, aren't just in our brains--they're also
in tiny blood vessels that dilate when they're exposed to cannabinoids.
And cannabinoids seem to contribute to the all-important decision
of when to start eating and when to stop--choices that are decided
by a bunch of chemicals that duke it out in a primitive part of
our brain, the hypothalamus. On one side of the ring are the appetite
stimulators--chemicals that prompt us to eat. There are a variety
of these stimuli.
On
the other side of the ring are molecules, such as leptin, that put
the brakes on feeding. One only has to look at a rat or mouse lacking
the ability to make or respond to leptin to see why such a brake
is important: leptin-lacking animals become hugely obese.
Now,
in an April paper in the journal Nature, scientists have provided
evidence that the endogenous cannabinoids are a normal part of this
process--helping to stimulate appetite
In
the study, a research team led by Dr. George Kunos, scientific director
of the National Institute on Alcohol Abuse and Alcoholism in Bethesda,
Md., deprived mice of food for 18 hours. Then they watched to see
how much the animals ate when they were finally given some rodent
chow. Mice that had been engineered to lack the cannabinoid receptor
didn't eat as much as the normal mice, the scientists found--presumably
because an important part of their appetite machinery had been removed.
And
mutant mice that don't make leptin produce extra amounts of appetite-enhancing
cannabinoid in their hypothalamus--which could be partly why such
mice become grossly fat. What's more, a drug that sticks tightly
to the cannabinoid receptor and stops it from doing its job reduces
feeding in mice--presumably because, once again, a portion of the
appetite-stimulating machinery has been blocked.
Could
this drug do something similar in humans and help overweight people
shed flab? The French pharmaceutical company Sanofi-Synthelabo has
been testing just that. In a four-month trial, 400 people were given
doses of varying strength of the receptor blocker. By trial's end,
those taking the highest dose had lost about 11 pounds after four
months, says Gerard Le Fur, head of research and development for
the company. There's still a great deal to be learned about cannabinoids,
muses Mechoulam: For now, for instance, scientists have only the
vaguest idea how these small, fatty chemicals are made.
And
there is still a lot to learn about the part cannabinoids play in
regulating so many aspects of our biology: nausea, immunity, stress,
sleep, reproduction and more. Just last month, Mechoulam says, a
research paper in the Lancet reported that abnormal anandamide levels
may be linked to miscarriages. Kunos and colleagues suspect that
the body's cannabinoids are involved in alcohol abuse. The pace
of discovery is brisk. "It is a very exciting time," said
Mechoulam. Marijuana Studies Studying marijuana's effects on the
brain has led to the discovery of important brain chemicals called
endogenous cannabinoids, as well as cannabinoid receptors that bind
them. These substances are present in many parts of the brain and
are involved in many brain functions. Here are some of the regions
and some of the functions they help regulate.