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THC and CBD: Similarities and differences between siblings.

Nephi Stella

Neuron February 1, 2023 DOI: 10.1016/j.neuron.2022.12.022 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Review Peer reviewed
Topics Cannabis CBD
Key findings Argues that THC and CBD differ dramatically in mechanisms and effects, with THC associated with impairments and increased mental health disease incidence, and high-dose CBD linked to significant side effects; recent discoveries may inform therapeutics and safe use.

Abstract

Δ9-tetrahydrocannabinol (THC) and its sibling, cannabidiol (CBD), are produced by the same Cannabis plant and have similar chemical structures but differ dramatically in their mechanisms of action and effects on brain functions. Both THC and CBD exhibit promising therapeutic properties; however, impairments and increased incidence of mental health diseases are associated with acute and chronic THC use, respectively, and significant side effects are associated with chronic use of high-dose CBD. This review covers recent molecular and preclinical discoveries concerning the distinct mechanisms of action and bioactivities of THC and CBD and their impact on human behavior and diseases. These discoveries provide a foundation for the development of cannabinoid-based therapeutics for multiple devastating diseases and to assure their safe use in the growing legal market of Cannabis-based products.