Brain Imaging of Cannabinoid Receptors

The primary goals of this project are to examine whether use of cannabis alters brain
cannabinoid type 1 receptor (CB1R) availability in females, and if severity of cannabis
withdrawal is correlated with CB1 receptor availability. CB1R are widely distributed in the
human brain and can be quantified using PET imaging with the radiotracer 11C-OMAR
(Carbon-11-OMAR). The effects MJ use on brain CB1R have not been studied in females. The
current study will enroll 10 female MJ users in an inpatient protocol that includes
administration of smoked MJ, followed by monitored abstinence with daily behavioral
assessments, and PET imaging with 11C-OMAR. PET data will collected in 10 matched controls
for comparison. The proposed study is an important first step to determine whether localized
CB1R changes in female MJ users help explain, and provide a neurobiological target for
intervention. Results will increase knowledge of cannabinoid mechanisms of cannabis use and
severity of dependence in females, an understudied population.

- Female, healthy adult volunteers who are either MJ users and nonusers (controls)

- 18-45 years of age

- serum creatinine and hepatic enzymes (AST, ALT) must be within the normal limits

- Women of child bearing potential must meet one of the following three criteria:

1. negative pregnancy test by serum pregnancy test 2 .Following a reliable method of
birth control 3. Agreeing to follow a reliable method of birth control during the
study and for 1 month following all study procedures

Additional inclusion criteria for MJ users

- Regular MJ use

- present MJ positive urine

- meet Diagnostic and Statistical Manual, version 5 (DSM-5) criteria for cannabis use
disorder (CUD)

Additional inclusion non-users

- report no MJ use

- present a MJ-negative urine

Exclusion Criteria:

- < 5th grade reading level

- Current Diagnostic and Statistical Manual, version 5 (DSM-5) psychiatric disorder;

- Current DSM-5 alcohol or substance use disorder (excluding MJ or nicotine)

- Recent Illicit drug use or positive drug test

- Using MJ under the guidance of MD;

- History of seizures, closed head trauma;

- unstable hypertension;

- conditions preventing magnetic resonance imaging (MRI) such as implanted metal,
claustrophobia, or anatomical abnormalities (e.g., enlarged ventricles, brain
lesions);

- Use of medications or herbal supplements which may be counter indicated as determined
by study physician

- Have had exposure to ionizing radiation that in combination with the study's estimated
radiation exposure would result in a cumulative exposure that exceeds recommended
exposure limits of 5 rem per year.

- Presence or history of drug allergy, or allergic disease diagnosed and treated by a
physician.

- any serious medical condition in whom participation is contraindicated.