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One Minute of Marijuana Secondhand Smoke Exposure Substantially Impairs Vascular Endothelial Function
Journal article   Open access

One Minute of Marijuana Secondhand Smoke Exposure Substantially Impairs Vascular Endothelial Function

Xiaoyin Wang, Ronak Derakhshandeh, Jiangtao Liu, Shilpa Narayan, Pooneh Nabavizadeh, Stephenie Le, Olivia M Danforth, Kranthi Pinnamaneni, Hilda J Rodriguez, Emmy Luu, …
Journal of the American Heart Association, v 5(8), pn/a
27 Jul 2016
PMID: 27464788
url
https://doi.org/10.1161/jaha.116.003858View
Published, Version of Record (VoR)CC BY-NC-ND V4.0 Open
url
https://doi.org/10.1161/JAHA.116.003858View
Published, Version of Record (VoR) Open

Abstract

Air Pollution - adverse effects Animals Coronary Circulation - drug effects Endothelium, Vascular - drug effects Female Marijuana Smoking - adverse effects Nitric Oxide - metabolism Nitroglycerin - pharmacology Peripheral Vascular Diseases - etiology Peripheral Vascular Diseases - physiopathology Rats, Sprague-Dawley Smoke - adverse effects Time Factors Vasodilation - drug effects Vasodilator Agents - pharmacology
Despite public awareness that tobacco secondhand smoke (SHS) is harmful, many people still assume that marijuana SHS is benign. Debates about whether smoke-free laws should include marijuana are becoming increasingly widespread as marijuana is legalized and the cannabis industry grows. Lack of evidence for marijuana SHS causing acute cardiovascular harm is frequently mistaken for evidence that it is harmless, despite chemical and physical similarity between marijuana and tobacco smoke. We investigated whether brief exposure to marijuana SHS causes acute vascular endothelial dysfunction. We measured endothelial function as femoral artery flow-mediated dilation (FMD) in rats before and after exposure to marijuana SHS at levels similar to real-world tobacco SHS conditions. One minute of exposure to marijuana SHS impaired FMD to a comparable extent as impairment from equal concentrations of tobacco SHS, but recovery was considerably slower for marijuana. Exposure to marijuana SHS directly caused cannabinoid-independent vasodilation that subsided within 25 minutes, whereas FMD remained impaired for at least 90 minutes. Impairment occurred even when marijuana lacked cannabinoids and rolling paper was omitted. Endothelium-independent vasodilation by nitroglycerin administration was not impaired. FMD was not impaired by exposure to chamber air. One minute of exposure to marijuana SHS substantially impairs endothelial function in rats for at least 90 minutes, considerably longer than comparable impairment by tobacco SHS. Impairment of FMD does not require cannabinoids, nicotine, or rolling paper smoke. Our findings in rats suggest that SHS can exert similar adverse cardiovascular effects regardless of whether it is from tobacco or marijuana.

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114 citations in Scopus

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Cardiac & Cardiovascular Systems
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