Detectability of cannabinoids in the serum samples of cannabis users: Indicators of recent cannabis use? A follow-up study.


Journal

Drug testing and analysis
ISSN: 1942-7611
Titre abrégé: Drug Test Anal
Pays: England
ID NLM: 101483449

Informations de publication

Date de publication:
Sep 2021
Historique:
revised: 07 06 2021
received: 28 04 2021
accepted: 07 06 2021
pubmed: 12 6 2021
medline: 22 1 2022
entrez: 11 6 2021
Statut: ppublish

Résumé

Forensic toxicologists are frequently required to predict the time of last cannabis consumption. Several studies suggested the utility of minor cannabinoids as indicators of recent cannabis use. Because several factors influence blood cannabinoid concentrations, the interpretation of serum cannabinoid concentrations remains challenging. To assess the informative value of serum cannabinoid levels in cannabis users (in total N = 117 patients, including 56 patients who stated an exact time of last cannabis use within 24 h before blood sampling), the detectability of cannabinoids, namely, delta-9-tetrahydrocannabinol (delta-9-THC), 11-hydroxy-delta-9-THC, 11-nor-9-carboxy-delta-9-THC, cannabichromene (CBC), cannabidiol (CBD), cannabinol (CBN), cannabidivarin, tetrahydrocannabivarin, cannabigerol (CBG), cannabicyclol, delta-8-THC, tetrahydrocannabinolic acid A, cannabichromenic acid, cannabidiolic acid (CBDA), cannabigerolic acid, cannabicyclolic acid (CBLA), 11-nor-9-carboxy-THCV (THCVCOOH), and 11-nor-CBN-9-COOH, was investigated. Excluding CBDA and CBLA, all investigated cannabinoids were detected in at least one analyzed sample. The interval between cannabis consumption and sample collection (reported by the patients) was not correlated with cannabinoid concentrations. Minor cannabinoids tended to be more easily detected in samples obtained shortly after consumption. However, some samples tested positive for minor cannabinoids despite an interval of several hours or even days between consumption and sampling (according to patients' statements). For instance, CBC, CBG, THCVCOOH, CBD, and CBN in certain cases could be detected more than 24 h after the last consumption of cannabis. Thus, findings of minor cannabinoids should always be interpreted with caution.

Identifiants

pubmed: 34114750
doi: 10.1002/dta.3110
doi:

Substances chimiques

Cannabinoids 0

Types de publication

Journal Article Validation Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

1614-1626

Informations de copyright

© 2021 The Authors. Drug Testing and Analysis published by John Wiley & Sons Ltd.

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Auteurs

Michael Krämer (M)

Institute of Forensic Medicine, Forensic Toxicology, University Hospital Bonn, Bonn, Germany.

Martin Schäper (M)

Institute of Forensic Medicine, Forensic Toxicology, University Hospital Bonn, Bonn, Germany.

Kristina Dücker (K)

Clinic and Polyclinic for Psychiatry and Psychotherapy, University Hospital Bonn, Bonn, Germany.

Alexandra Philipsen (A)

Clinic and Polyclinic for Psychiatry and Psychotherapy, University Hospital Bonn, Bonn, Germany.

Moritz Losacker (M)

Institute of Forensic Medicine, Forensic Toxicology, University Mainz, Mainz, Germany.

Nadine Dreimüller (N)

Department of Psychiatry and Psychotherapy, University Medical Center Mainz, Mainz, Germany.

Jan Engelmann (J)

Department of Psychiatry and Psychotherapy, University Medical Center Mainz, Mainz, Germany.

Burkhard Madea (B)

Institute of Forensic Medicine, Forensic Toxicology, University Hospital Bonn, Bonn, Germany.

Cornelius Hess (C)

Institute of Forensic Medicine, Forensic Toxicology, University Mainz, Mainz, Germany.

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