A robust new study led by researchers from Stanford University has found a strong association between increased risk of heart attack and regular marijuana use. The study indicates THC can trigger inflammation in blood vessel cells and the researchers call for medical marijuana users to be aware of potential cardiovascular risks.
Published in the journal Cell, the new study first analyzed data from around 500,000 people, looking at the relationship between marijuana use and heart attack. After controlling for age, gender and body weight, the data showed those subjects who smoked marijuana more than once a month were much more likely to have a heart attack before the age of 50 compared to non-users.
The next step was to investigate how marijuana could be increasing a person’s risk of heart attack. Focusing particularly on THC, the researchers discovered the cannabinoid did promote inflammation in human endothelial cells grown in the lab. Inflammation of endothelial cells – the cells that line the inside of blood vessels and the heart – is a key indicator of heart disease.
“Marijuana has a significantly adverse effect on the cardiovascular system,” said co-lead author on the new study, Mark Chandy. “As more states legalize marijuana use, I expect we will begin to see a rise in heart attacks and strokes in the coming years. Our studies of human cells and mice clearly outline how THC exposure initiates a damaging molecular cascade in the blood vessels. It’s not a benign drug.”
The final part of the research was an investigation to find molecules that could block the pro-inflammatory properties of THC without interrupting the psychoactive effects of the drug. The main action of THC is binding to CB1 receptors, so the researchers used machine-learning to screen a massive volume of molecules known to bind to CB1 and block the effects of THC.