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Chapter 1 Introduction<br />

extracts also showed a significantly increased antihyperalgesic effects compared to<br />

CBD-alone when tested in a rat model of neuropathic pain (Comelli et al., 2008). The<br />

potential benefits for mankind were supported by the observation that patients taking<br />

synthetic derivative nabilone for neurogenic pain actually preferred cannabis herb and<br />

reported that it relieved not only pain but the associated depression and anxiety<br />

(Williamson and Evans, 2000). Reasons suggested included the more rapid absorption<br />

through the lung than the gut; the presence of other ingredients in plant-derived<br />

cannabis which might give additive or synergistic effects; and the ability of smokers to<br />

self-titrate their dose (Grinspoon and Bakalar, 1995).<br />

The decision to evaluate THC/CBD mixtures as a potential medicine was further<br />

supported by the knowledge that the majority of cannabis used in the UK at the time –<br />

at least for recreational purposes – was in the form of cannabis resin. It was suspected,<br />

but not confirmed, that the majority of anecdotal reports for the efficacy of cannabis in<br />

the UK would be based upon this material. Studies in the USA had shown that<br />

cannabis resin (hashish) typically contained approximately equal quantities of both<br />

cannabinoids, whereas herbal cannabis (marijuana) contained predominantly THC<br />

(ElSohly et al, 1984).<br />

A series of clinical trials was subsequently planned which would require the<br />

propagation chemotypes dominant in cannabinoids other than THC and CBD. Some of<br />

these are also discussed in this thesis.<br />

1.8 Cannabinoid and terpene biosynthesis<br />

The cannabinoids of greatest initial interest in this research, Δ -9 tetrahydrocannabinol<br />

and cannabidiol are referred to as ‘pentyl’ cannabinoids, due the presence of a fivecarbon<br />

chain attached to the aromatic moiety (Figure 1.3). Other pentyl cannabinoids<br />

frequently discussed in this thesis are cannabichromene (CBC) and cannabigerol<br />

(CBG). All four have important propyl analogues. The first step in the synthesis of<br />

pentyl cannabinoids is the condensation reaction of geranylpyrophosphate (GPP) with<br />

olivetolic acid. The resulting product CBGA is the direct precursor for the three major<br />

pentyl cannabinoids tetrahydrocannabinolic acid (THCA) (Fellermeier et al., 2001),<br />

cannabidiolic acid (CBDA) (Taura et al. 1996) and cannabichromenic acid (CBCA)<br />

(Gaoni and Mechoulam, 1966). The enzymes affecting the synthesis of these three<br />

cannabinoids are named THC synthase, CBD synthase and CBC synthase<br />

respectively. The first step in the synthesis of propyl cannabinoids is the condensation<br />

reaction of geranylpyrophosphate (GPP) with diverinic acid. The resultant product<br />

17

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