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People who smoke marijuana do not appear to be
at increased risk for developing lung cancer, new research suggests.
While a clear increase in cancer risk was seen among cigarette smokers in the
study, no such association was seen for regular cannabis users.
Even very heavy, long-term marijuana users who had smoked more than 22,000
joints over a lifetime seemed to have no greater risk than infrequent marijuana
users or nonusers.
The findings surprised the study’s researchers, who expected to see an increase
in cancer among people who smoked marijuana regularly in their youth.
"We know that there are as many or more carcinogens and co-carcinogens in
marijuana smoke as in cigarettes," researcher Donald Tashkin, MD, of UCLA’s
David Geffen School of Medicine tells WebMD. "But we did not find any evidence
for an increase in cancer risk for even heavy marijuana smoking." Carcinogens
are substances that cause cancer.
Tashkin presented the findings today at The American Thoracic Society’s 102nd
International Conference, held in San Diego.
Boomers Reaching Cancer Age
The study population was limited to people who were younger than 60 because
people older than that would probably not have used marijuana in their teens and
early adult years.
“People who may have smoked marijuana in their youth are just now getting to the
age when cancers are being seen,” Tashkin says.
A total of 611 lung cancer patients living in Los Angeles County, and 601
patients with other cancers of the head and neck were compared with 1,040 people
without cancer matched for age, sex, and the neighborhood they lived in.
All the participants were asked about lifetime use of marijuana, tobacco, and
alcohol, as well as other drugs, their diets, occupation, family history of lung
cancer, and socioeconomic status.
The heaviest marijuana users in the study had smoked more than 22,000 joints,
while moderately heavy smokers had smoked between 11,000 and 22,000 joints.
While two-pack-a-day or more cigarette smokers were found to have a 20-fold
increase in lung cancer risk, no elevation in risk was seen for even the very
heaviest marijuana smokers.
The more tobacco a person smoked, the greater their risk of developing lung
cancer and other cancers of the head and neck. But people who smoked more
marijuana were not at increased risk compared with people who smoked less and
people who didn’t smoke at all.
The THC Connection
Studies suggest that marijuana smoke contains 50% higher concentrations of
chemicals linked to lung cancerlung cancer than cigarette smoke. Marijuana
smokers also tend to inhale deeper than cigarette smokers and hold the inhaled
smoke in their lungs longer.
So why isn’t smoking marijuana as dangerous as smoking cigarettes in terms of
cancercancer risk?
The answer isn’t clear, but the experts say it might have something to do with
tetrahydrocannabinol, or THC, which is a chemical found in marijuana smoke.
Cellular studies and even some studies in animal models suggest that THC has
antitumor properties, either by encouraging the death of genetically damaged
cells that can become cancerous or by restricting the development of the blood
supply that feeds tumors, Tashkin tells WebMD.
In a review of the research published last fall, University of Colorado
molecular biologist Robert Melamede, PhD, concluded that the THC in cannabis
seems to lessen the tumor-promoting properties of marijuana smoke.
The nicotine in tobacco has been shown to inhibit the destruction of
cancer-causing cells, Melamede tells WebMD. THC does not appear to do this and
may even do the opposite.
While there was a suggestion in the newly reported study that smoking marijuana
is weakly protective against lung cancer, Tashkin says the very weak association
was probably due to chance.
Cancer risk among cigarette smokers was not influenced by whether or not they
also smoked marijuana.
“We saw no interaction between marijuana and tobacco, and we certainly would not
recommend that people smoke marijuana to protect themselves against cancer,” he
says.
Sources:
American Thoracic Society 102nd
International Conference, San Diego, May 23, 2006. Donald Tashkin, MD, professor
of medicine, David Geffen School of Medicine, University of California at Los
Angeles. Robert Melamede, PhD, molecular biologist, University of Colorado at
Colorado Springs. WebMD Medical News: “Pot Smoke: Less Carcinogenic Than
Tobacco?”
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