Data on the mutagenicity, developmental toxicity and carcinogenicity of can
nabis are reviewed in this article. The available evidence on the possible
mutagenic effects of cannabinoids is still inconclusive. there is no consen
sus on the induction of point mutations, while some experimental results su
ggest that cannabinoids may cause chromosomal damage. Concerning the develo
pmental effects of cannabis, an increased embryolethality and somatic growt
h retardation have been observed in animals, as well as changes in motor be
haviour, after perinatal exposure to cannabinoids. An elevated risk for inf
ertility has been suggested for women smoking marijuana. On the other hand,
intrauterine exposure to cannabinoids may be followed by changes of behavi
our later in childhood. Finally, the experimental work concerning the possi
ble carcinogenic action of cannabinoids has shown that cannabis acts as a t
umour promotor in animals. Epidemiological studies have incriminated cannab
is smoking for the development of head and neck carcinomas and for carcinom
as of the respiratory tract in humans, but several confounding factors have
rendered this evidence inconclusive. At least part of the great popularity
of cannabis smoking is due to the widespread belief that it is harmless. H
owever, the studies presented in this review show that, despite their low a
cute toxicity profile, cannabinoids represent several risks in terms of chr
onic toxicity.