Identification of Tetrahydrocannabidiol Metabolites in Human Urine
Institute of Forensic Medicine, Forensic Toxicology and Chemistry University of Bern Bern Switzerland
Department of Chemistry, Biochemistry and Pharmaceutical Sciences University of Bern Bern Switzerland
* Correspondence:Willi Schirmer (willi.schirmer@irm.unibe.ch)
ABSTRACT
Tetrahydrocannabidiol (H4CBD) is an emerging semisynthetic cannabinoid, which has been known since 1940. Like hexahydrocannabinol (HHC), it is easily obtained by hydrogenation of available phytocannabinoids, in the case of H4CBD by hydrogenation of cannabidiol (CBD). H4CBD shows a weak affinity for the CB1 receptor, but it is unclear if H4CBD shows psychoactive properties, as reports from users are divided. Only a few countries have placed H4CBD under their narcotic substance law, for example, France and Switzerland. The aim of this study was to identify human Phase I and II metabolites in urine as potential forensic targets. The H4CBD used for this study was bought from an online store and analyzed beforehand using GC–MS. The Phase I and II metabolites were identified using LC‐HR‐MS/MS and GC–MS after trimethylsilylation. The found H4CBD metabolites were carboxylated, hydroxylated, and bishydroxylated species and their glucuronides with hydroxylation and carboxylation positions on the alicyclic moiety and on the side chain. The tentatively identified metabolites were the carboxylic acids 5″‐COOH‐H4CBD and 7‐COOH‐H4CBD, the hydroxylated metabolites (1R,6R)‐OH‐H4CBD, (1R,6S)‐OH‐H4CBD, two epimers of 2″‐OH‐H4CBD, and both epimers of 7‐OH‐H4CBD. The identified bishydroxylated metabolites were side‐chain hydroxylated derivatives of 7‐OH‐H4CBD. Various other hydroxylated metabolites were found, but their exact hydroxylation positions could not be determined. Some ESI+ spectra of the metabolites showed very unusual fragmentation patterns, like the loss of both oxygens from the resorcinol moiety with subsequent ring contraction and the appearance of radical cations for Phase II metabolites. These unusual patterns were noticed for H4CBD and its side‐chain‐altered metabolites.
Graphical
The detection of Phase I and II metabolites of tetrahydrocannabidiol (H4CBD) in urine after oral ingestion of 25‐mg H4CBD by a volunteer is described. The proposed metabolite structures are based on ESI+ spectra recorded by HPLC‐HRMS and EI spectra after trimethylsilylation recorded by GC–MS.
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Article notes
W. Schirmer , I. Mösch , S. Schürch , and W. Weinmann , “Identification of Tetrahydrocannabidiol Metabolites in Human Urine,” Drug Testing and Analysis 17, no. 12 (2025): 2333–2346, 10.1002/dta.3945.PMC1268924540897389
1Introduction
Tetrahydrocannabidiol (H4CBD, also named H4‐CBD or THD) is a fully hydrogenated derivative of cannabidiol (CBD) and was first described in 1940. Jacob and Todd isolated CBD from Egyptian hashish and observed that CBD reacts with two equivalents of hydrogen, indicating the two nonaromatic double bonds of CBD [1]. With the rise and fall of hexahydrocannabinol (HHC) in Europe, other semisynthetic cannabinoids emerged to replace the widely banned HHC. H4CBD is one of these successors, which is easily obtained by hydrogenation of CBD. From CBD, it is known that it acts as a negative allosteric modulator at the CB1 receptor, acting antagonistically [2]. In contrast to CBD, H4CBD (epimeric mixture of (R)‐ and (S)‐H4CBD) has a weak affinity of 145 nM at the CB1 receptor [3]. Δ9‐Tetrahydrocannabinol (Δ9‐THC), the main psychoactive phytocannabinoid, in comparison, has an affinity of 40.7 nM at CB1 [4]. It is therefore assumed that H4CBD might have cannabimimetic effects in higher doses. However, a recent study showed that neither of the H4CBD epimers showed significant CB1 activation in comparison to Δ9‐THC. (S)‐H4CBD showed the strongest CB2 activation of the screened semisynthetic cannabinoids, whereas (R)‐H4CBD showed no significant CB2 activation in comparison with CP55,940 [5]. User reports from drug forums are inconsistent. Some users noted mild psychoactive effects, whereas others reported no effects at all after consumption. It is not clear if the users who noticed psychoactive effects consumed solely H4CBD, as these products are often wrongly declared [6, 7]. In a recent study in Germany in which 79 confiscated samples were analyzed, H4CBD was the most frequently detected semisynthetic cannabinoid apart from HHC [8], probably because, like HHC, it can easily be produced from CBD, whereas other semisynthetic cannabinoids are not obtained from phytocannabinoids [9, 10, 11]. Products containing H4CBD were also reported in Japan and Denmark [7, 12]. Switzerland scheduled H4CBD under its narcotic substance law directory on October 9, 2023 [13].
In analogy to the metabolism of Δ9‐THC, CBD undergoes hydroxylation on the allylic methyl group at C7 to form the metabolite 7‐OH‐CBD, which is further oxidized to the corresponding acid 7‐COOH‐CBD. These metabolites were found in rat liver after in vitro metabolism and after in vivo experiments in mice liver after application of a CBD suspension [14, 15]. The same metabolites were later found in the urine of a dystonic patient who received treatment with CBD [16]. 7‐OH‐CBD and 7‐COOH‐CBD are commonly used as analytical targets after the consumption of CBD [17, 18, 19]. The aim of this study was to identify urinary Phase I and II metabolites of H4CBD and provide analytical targets for the proof of consumption.
2Materials and Methods
H4CBD was bought from a Swiss online shop before the substance was banned. The product was declared as pure H4CBD and was a reddish resin. It contained 34% (R)‐H4CBD and 23% (S)‐H4CBD, quantified by GC–MS using a single five‐point calibration (see Figure S1). Deionized water (18.2 MΩ·cm) was produced from a Millipore Milli‐Q IQ 7000 system (Billerica, MA, United States). N‐methyl‐N‐trimethylsilyltrifluoracetamide (MSTFA) (≥ 98.5%), n‐butyl acetate (n‐BuOAc) (≥ 99.7%), the n‐alkane standard (C7‐C40, 1000 μg/mL), and ammonium formate (≥ 99.0%) were purchased from Sigma‐Aldrich (Buchs, Switzerland). Ethyl acetate (EtOAc) (for liquid chromatography) and methanol (MeOH) (≥ 99.9%) were purchased from Carl Roth (Karlsruhe, Germany). Formic acid (50%, in water) and acetic acid (AcOH) were purchased from Grogg Chemie (Stettlen, Switzerland). Acetonitrile (MeCN) (≥ 99.9%) was purchased from Thermo Fisher Scientific (Reinach, Switzerland). Chromabond C18 SPE cartridges (3 mL, 500 mg) were purchased from Macherey‐Nagel (Önsingen, Switzerland). (R)‐Tetrahydrocannabidiol ((R)‐H4CBD) and (S)‐tetrahydrocannabidiol ((S)‐H4CBD) were purchased from Cayman Chemical (Ann Arbor, MI, United States). The internal standard (−)‐Δ9‐trans‐tetrahydrocannabinol‐D3 (THC‐D3) was purchased from Cerilliant (Round Rock, TX, United States). Instant buffer I and β‐glucuronidase (BGTurbo) from Finden KURA were used, which were purchased from Specialty Diagnostix (Passau, Germany). An aqueous solution of MeCN (60 V%) and formic acid (0.1 V%) was used for the reconstitution of LC–MS samples.
2.1Self‐Administration Experiment
In a self‐experiment, a cannabis‐abstinent volunteer (60‐year‐old male) orally ingested 25 mg of a well‐characterized H4CBD product after dissolving it in olive oil. Urine samples were collected for 3 days after ingestion, and the first sample was collected 1 h after ingestion. Further samples were collected 3, 13, 17, 27, and 48 h after oral ingestion. The described metabolites were detected in the urine sample 3 h after consumption. No cannabimimetic effects were noticed.
2.2LC‐QqTOF
Urine sample preparation was performed according to Schirmer et al. [20]. For the analysis of Phase I metabolites, 800‐μL urine, 100‐μL instant buffer I, and 5‐μL β‐glucuronidase were incubated for 15 min at 50°C. The solution was extracted with 1‐mL n‐BuOAc by shaking it for 10 min, centrifuging for 10 min (13,000 rpm [17,190 g], 8°C), and separating the organic layer. The organic phase was evaporated to dryness at 50°C under a stream of nitrogen and reconstituted in a 100‐μL reconstitution solution. For the analysis of Phase II metabolites, 800‐μL urine was mixed with 100 μL of an ammonium formate (10 M) solution and extracted with 1‐mL cold MeCN. The organic layer was evaporated to dryness and dissolved with 200‐μL reconstitution solution. Samples were analyzed on a Dionex Ultimate 3000 HPLC system (Thermo Fisher Scientific, Reinach, Switzerland), which was coupled to a TripleTOF 5600 mass spectrometer (Sciex, Toronto, Canada). For the data acquisition, Analyst TF software (Version 1.7) was used, and data processing was performed with Peak View (Version 1.2.0.3) and Sciex OS (Version 2.0.0.45330). Mass spectra were acquired in positive ionization mode (ESI+) using an IonDrive Turbo V ion source with a TurboIonSpray probe. The curtain gas and the ion source gases 1 and 2 were set to 55.0 psi, the ion spray voltage floating was 5500 V, and the source temperature was 650°C. Chromatography was performed on a Kinetex C8 column, 50 × 2.1 mm, 2.6 μm, 100 Å. For the analysis of Phase I metabolites after deglucuronidation, a gradient method consisting of mobile phase A (0.1% aqueous formic acid [%V]) and mobile phase B (MeCN with 0.1% formic acid [%V]) with the following gradient was used: 0–5 min, 45%–62% B; 5–14.5 min, 62% B; 14.5–14.6 min, 62%–45% B; and 14.6–15 min, 45% B. The flow rate was 0.3 mL/min, the injection volume was 2.5 μL, and the column oven was set to 25.0°C. For the analysis of Phase II metabolites, the gradient was changed to the following: 0–5 min, 30%–40% B; 5–14.5 min, 40% B; 14.5–14.6 min, 40%–30% B; and 14.6–15 min, 30% B. The instrument was operated in IDA (information‐dependent data acquisition) and in SWATH mode (sequential window acquisition of all theoretical mass spectra). A survey scan from m/z 100 to 950 was applied for IDA, which triggered the acquisition of product ion mass spectra from m/z 50 to 950. For SWATH mode, a mass range was scanned from m/z 100 to 950, acquiring product ion spectra in windows of 35 Da from m/z 50 to 950. A collision energy with a collision energy spread of 35 ± 15 V was used for IDA and SWATH mode [21].
3LC‐QqLIT
The sample solutions after deglucuronidation as described above were analyzed using a Dionex Ultimate 3000 HPLC system (Thermo Fisher Scientific, Reinach, Switzerland) coupled to a QTRAP 4500 mass spectrometer (Sciex, Toronto, Canada), which was equipped with an IonDrive Turbo V ion source with TurboIonSpray probe. The curtain gas and the ion source gases 1 and 2 were set to 35.0 psi, the source temperature was 600°C, and the ion spray voltage was 5500 V. The column, mobile phases, injection volume, column oven temperature, flow rate, and gradient are the same as described for the analysis of deglucuronidated samples (Phase I metabolites) in the LC‐QqTOF section. Mass spectra were acquired in positive ionization mode (ESI+). A multiple reaction monitoring method was developed for the detection of H4CBD and its metabolites, and the relevant transitions with their corresponding potentials are shown in Table 1.
| Q1/Da | Q3/Da | DP/V | ce/V | CXP/V | Name |
|---|---|---|---|---|---|
| 318.2 | 196.3 | 88 | 32 | 7 | THC‐D3 MRM 1 |
| 318.2 | 123.0 | 100 | 43 | 8 | THC‐D3 MRM 2 |
| 319.2 | 83.0 | 60 | 24 | 16 | H4CBD MRM 1 |
| 319.2 | 55.0 | 60 | 60 | 13 | H4CBD MRM 2 |
| 319.2 | 181.0 | 60 | 20 | 9 | H4CBD MRM 3 |
| 335.3 | 271.2 | 60 | 20 | 10 | H4CBD‐OH MRM 1 |
| 335.3 | 137.0 | 60 | 20 | 10 | H4CBD‐OH MRM 2 |
| 335.3 | 193.1 | 60 | 20 | 10 | H4CBD‐OH MRM 3 |
| 335.3 | 191.1 | 60 | 20 | 10 | H4CBD‐OH MRM 4 |
| 349.2 | 193.1 | 60 | 20 | 10 | H4CBD‐COOH MRM 1 |
| 349.2 | 211.1 | 60 | 20 | 10 | H4CBD‐COOH MRM 2 |
| 349.2 | 139.2 | 60 | 20 | 10 | H4CBD‐COOH MRM 3 |
4GC–MS
Sample preparation and analysis were performed according to Schirmer et al. [20]. Reference solutions were prepared by evaporating 50 μL of a 10‐μg/mL solution under a stream of nitrogen to dryness. To the residue, 25‐μL MSTFA and 25‐μL EtOAc were added. The solutions were incubated at 90°C for 40 min. The sample solutions were prepared by incubating 1‐mL urine with 100‐μL instant buffer I and 5‐μL β‐glucuronidase at 50°C for 15 min. The mixture was extracted twice with 500 μL n‐BuOAc by shaking for 10 min and centrifuging for 10 min (13,000 rpm [17,190 g], 8°C). The organic phases were combined and evaporated to dryness under a stream of nitrogen. The residue was dissolved in 1‐mL MeCN, diluted with 2‐mL water, and purified by solid‐phase extraction. The Chromabond C18 cartridges (3 mL, 500 mg) were conditioned with 2‐mL MeOH and 2‐mL AcOH (0.1 M). The sample solutions were loaded onto the cartridges, and they were washed with 1‐mL AcOH (0.1 M), 1‐mL aqueous MeCN (40 V%), and 1‐mL aqueous MeCN (70 V%). For the elution, 1.5‐mL MeCN was used, and the eluate was evaporated to dryness under a stream of nitrogen at 70°C. 25‐μL MSTFA and 25‐μL EtOAc were added, and the mixture was incubated at 90°C for 40 min. The extracts and reference solutions were analyzed using an 8890 gas chromatograph with a 7693A autosampler coupled to a 5977B mass selective detector (Agilent, Basel, Switzerland). MassHunter Workstation GCMS Data Acquisition (Version 10.1.49) was used for acquisition and Enhanced ChemStation (F.01.03.2357) (Agilent) for data analysis. A 5% phenylmethylsiloxane column (HP‐5 ms Ultra Inert, 30 m, 250 μm i.d., 0.25‐μm film thickness; Agilent J&W) was used. Helium with a constant flow of 1 mL/min was used as the carrier gas. The injection volume was 1 μL in pulsed splitless mode. The oven temperature started at 80°C and was ramped with 10°C/min to 300°C and held for 1 min, resulting in a total separation time of 23 min. The quadrupole temperature was 150°C, and the source temperature was 230°C. EI mass spectra were obtained with an ionization energy of 70 eV. The scan range was from m/z 40 to 650, with a scan speed of 1.562 s−1.
5Investigated H4CBD Product
The investigated H4CBD resin “for recreational use” was analyzed by GC–MS: (R)‐H4CBD and (S)‐H4CBD were quantified using a single 5‐point calibration, and a single determination was performed. THC‐D3 was used as an internal standard. The quantification was run on another GC–MS device using identical instruments (Agilent 8890 gas chromatograph coupled to a 5977B mass spectrometer). This sample contained stearic acid and palmitic acid, presumably from the extraction of CBD from CBD‐rich Cannabis plants. In addition, not fully hydrogenated CBD was detected (H2CBD) in the product.
6Results and Discussion
An overview of the Phase I and II metabolites that were identified by LC‐QqTOF can be found in Table 2. Table 2 shows the retention times and relevant ions of the metabolites. The trimethylsilyl derivatives of Phase I metabolites, which were identified by GC–MS, are found in Table 3. The Kováts indices [22], retention times, and relevant fragment ions are listed. The Kováts indices were calculated according to van Den Dool and Kratz [23].
| Metabolite | Glucuronide | R t /min | Relevant ions/Da |
|---|---|---|---|
| M1, (R,S)‐H4CBD | 9.35 | 319.2632, 181.1223, 139.1481, 97.1012, 83.0855, 69.0699, 57.0699, 55.0542 | |
| M2, 7‐COOH‐H4CBD | 3.12 | 349.2373, 331.2268, 313.2162, 303.2319, 285.2213, 227.1794, 137.1325 | |
| M3, 5″‐COOH‐H4CBD | 4.51 | 349.2373, 331.2268, 313.2162, 303.2319, 211.0965, 193.0859, 139.1481, 83.0855 | |
| M4, OH‐H4CBD a | 7.74 | 335.2573, 271.2420, 197.1172, 179.1067, 137.1325, 83.0855, 81.0699 | |
| M5, OH‐H4CBD a | 7.13 | 335.2573, 271.2420, 197.1172, 179.1067, 137.1325, 83.0855, 81.0699 | |
| M6, 2″OH‐H4CBD | 4.87 | 335.2573, 317.2475, 261.1849, 179.1067, 137.1325, 123.0441, 83.0855 | |
| M7, 2″OH‐H4CBD | 4.56 | 335.2573, 317.2475, 261.1849, 179.1067, 137.1325, 123.0441, 83.0855 | |
| M8, 7‐OH‐H4CBD | 4.37 | 335.2573, 317.2475, 193.1223, 181.1223, 137.1325, 123.0441, 95.0855, 81.0699 | |
| M9, 7‐OH‐H4CBD | 3.64 | 335.2573, 317.2475, 193.1223, 181.1223, 137.1325, 123.0441, 95.0855, 81.0699 | |
| M10, diOH‐H4CBD b | 1.96 | 351.2530, 333.2424, 315.2319, 287.2369, 269.2264, 193.1223, 137.1325, 81.0699 | |
| M11, H4CBD | M1 | 11.34 | 495.2952, 459.2741, 384.2659•, 319.2632 |
| M12, H4CBD | M1 | 11.82 | 495.2952, 459.2741, 384.2659•, 319.2632 |
| M13, 5″‐COOH‐H4CBD | M3 | 10.04 | 525.2694, 414.2401•, 349.2373, 331.2268, 211.0965, 193.0859, 139.1481, 83.0855 |
| M14, 7‐COOH‐H4CBD | M2 | 9.39 | 525.2694, 457.1857, 349.2373, 331.2268, 303.2319, 281.1536, 193.1223, 181.1223 |
| M15, OH‐H4CBD a | M6 | 5.07 | 511.2902, 400.2608•, 335.2573, 317.2475, 261.1849, 179.1067 |
| M16, OH‐H4CBD | 5.79 | 511.2902, 335.2573, 317.2475, 193.1223, 181.1223 | |
| M17, OH‐H4CBD | 7.18 | 511.2902, 335.2573, 317.2475, 193.1223, 137.1325 | |
| M18, 7‐OH‐H4CBD | M8, M9 | 8.59 | 511.2902, 443.2064, 335.2573, 317.2475, 193.1223, 181.1223 |
| M19, 7‐OH‐H4CBD | M8, M9 | 9.32 | 511.2902, 443.2064, 335.2573, 317.2475, 193.1223, 181.1223 |
| M20, OH‐H4CBD a | 12.41 | 511.2902, 335.2573, 317.2475, 299.2369, 271.2420, 197.1172, 179.1067, 137.1325 | |
| M21, OH‐H4CBD a | 12.67 | 511.2902, 335.2573, 317.2475, 299.2369, 271.2420, 197.1172, 179.1067, 137.1325 | |
| M22, OH‐H4CBD a | 14.43 | 511.2902, 335.2573, 317.2475, 299.2369, 271.2420, 197.1172, 179.1067, 137.1325 | |
| M23, diOH‐H4CBD b | 3.51 | 527.2851, 351.2530, 333.2424, 193.1223, 181.1223 | |
| M24, diOH‐H4CBD c | 5.25 | 527.2851, 351.2530, 333.2424, 137.1325 | |
| M25, diOH‐H4CBD c | 5.67 | 527.2851, 351.2530, 333.2424, 193.1223, 137.1325 |
| Metabolite (trimethylsilylated) | R t /min | RRI | Relevant ions/Da (70 eV) |
|---|---|---|---|
| M26, (R)‐H4CBD | 17.03 | 2235 | 462, 377, 337 |
| M27, (S)‐H4CBD | 17.66 | 2307 | 462, 377, 337 |
| M28, 7‐COOH‐H4CBD | 19.70 | 2560 | 564, 447, 337, 317 |
| M29, 5″‐COOH‐H4CBD | 20.30 | 2640 | 564, 479, 439, 354, 214 |
| M30, (1R,6S)‐OH‐H4CBD | 18.62 | 2424 | 550, 476, 392, 377, 342 |
| M31, OH‐H4CBD a | 19.01 | 2473 | 550, 465, 425 |
| M32, (1R,6R)‐OH‐H4CBD | 19.03 | 2475 | 550, 377, 350, 337, 173 |
| M33, 7‐OH‐H4CBD | 19.15 | 2491 | 550, 447, 337 |
| M34, 7‐OH‐H4CBD | 19.55 | 2541 | 550, 447, 337 |
| M35, OH‐H4CBD a | 19.59 | 2547 | 550, 465, 425 |
| M36, diOH‐H4CBD b | 20.86 | 2716 | 638, 535, 465, 425, 372, 357 |
| M37, diOH‐H4CBD b | 21.37 | 2787 | 638, 535, 499, 425 |
7Conclusions
The epimers of H4CBD and their respective glucuronides can be used as analytical targets, but might not be present because of metabolization, depending on the time between consumption and urine sampling. In this case, the side‐chain hydroxylated metabolites M4 and M5, and the metabolite M8, which is presumably an epimer of 7‐OH‐H4CBD, might be better targets as they were very abundant in the chromatogram. Further investigations are needed to elucidate the structures of the very abundant side‐chain hydroxylated metabolites M4 and M5. A method for the determination of H4CBD and its metabolites should also include the carboxylic acids 7‐COOH‐H4CBD and 5″‐COOH‐H4CBD, and it is assumed that they accumulate after frequent H4CBD consumption. The same metabolites can be analyzed as TMS derivatives by GC–MS. Glucuronides of the discussed metabolites would also suit as forensic markers. Currently, no analytical standards for the proof of H4CBD consumption are available besides (R)‐H4CBD and (S)‐H4CBD.
Conflicts of Interest
The authors declare no conflicts of interest.
Supporting information
Acknowledgments
PD Dr. Urs Duthaler and Dr. Vanessa Hofmann from the Institute of Forensic Medicine Basel are acknowledged for providing product ion spectra of 7‐COOH‐CBD, which are shown in Figures S42 and S43. Open access publishing facilitated by Universitat Bern, as part of the Wiley ‐ Universitat Bern agreement via the Consortium Of Swiss Academic Libraries.
Data Availability Statement
The data that support the findings of this study are available from the corresponding author upon reasonable request.