Abstract
The chemistry of phytocannabinoids has witnessed renewed interest these last decades as a consequence of reduced restrictions, research on the endocannabinoid system and the development of approved therapeutic treatments based on cannabinoids. The medicinal cannabinoid market constitutes a prolific scenario in current medicine. Most studies, however, have focused on only two major components of Cannabis sativa L., namely, cannabidiol (CBD, 2) and (−)-Δ9-trans-tetrahydrocannabinol (Δ9-trans-THC, 6a), the latter being the main psychoactive compound of this plant. The cis-diastereoisomer of Δ9-trans-THC, Δ9-cis-THC, although also present in the same plant, has been less investigated in terms of biological, medicinal and synthetic perspectives. Interestingly, the cis-fused tetrahydrobenzo [c]chromene motif present in Δ9-cis-THC is embedded in many other natural products which also exhibit interesting biological activities such as anticancer, antifungal, and antiparasitic. This review discloses synthetic approaches that have been established towards the cis-fused tetrahydroisochromene system of Δ9-cis-THC.
Introduction
Plants of the genus Cannabis have been used by different cultures for millennia (). Throughout history this plant has been used in religious acts, for recreational purposes, therapeutic uses for the treatment of pain and different disorders and even as a source of fibers for making cloth and cordage (). Its history has been as extensive as controversial, generally influenced by social belief around marijuana consumption as well as by all the legal restrictions imposed by different governments on the research and use of this plant and its phytocannabinoid components (). Investigations during the last century can be divided into three stages: a chemical one, the biochemical era and the current one focused on the commercialization and legal status. The chemical stage mainly dealt with the identification and characterization of the active components of the plant, having a milestone in 1964 with the isolation, structural elucidation and identification of (−)-Δ9-trans-tetrahydrocannabinol [(−)-Δ9-trans-THC, 6a,Figure 1] as the main psychoactive component of the plant by the group of Mechoulam (; ). The biochemical era began with the identification of the first cannabinoid receptors leading later to the establishment of what today is known as the endocannabinoid system (ECS), which comprises the cannabinoid receptors, endogenous lipid mediators (endocannabinoids) and the corresponding metabolic enzymes (). The relevance that this system has been shown to possess, particularly on key physiological functions and dysfunctions, has promoted increased interest, a boost in research on cannabinoids and most importantly reduced restrictions opening the way for a commercial era involving the approval of medical treatments based on cannabinoids (Vemuri and Makriyannis, 2015). In this context, a plethora of pharmaceutical products and cosmetics appeared containing cannabidiol (CBD, 2) or Δ9-THC (6a). Since 1985, FDA has already approved four treatments based on cannabinoids: Marinol® and Syndros®, based on synthetic 6a as active ingredient, are indicated for the treatment of nausea associated with chemotherapy and anorexia in AIDS patients; Epidiolex®, which contains 2 as active principle, being the first FDA approved treatment to contain a purified extract of the plant and used for the treatment of seizures associated with two severe forms of epilepsy in patients over 2 years of age; and Cesamet®, based on drug nabilone, a synthetic analogue of 6a, is used to treat nausea and chemotherapy-induced vomit ().
FIGURE 1
Phytocannabinoids are biologically active meroterpenoids of mixed polyketide and terpenoid biosynthetic origin (; ; Tahir et al., 2021; ). Structurally isoprenylated resorcinols, main classes of cannabinoids include cannabigerol (1a, CBG), cannabidiol (2, CBD), cannabichromene (3, CBC), cannabinol (4, CBN), Δ8-tetrahydrocannabinol (5, Δ8-THC) and Δ9-tetrahydrocannabinols (6, THCs) (Figure 1). To date, more than a hundred cannabinoids have been found to be produced by Cannabis sativa L. (). Diversification in structure comprises oxidized and cyclized derivatives, analogues with variations in the length of the resorcinyl alkyl chain, and carboxylated versions called acidic cannabinoids which are metabolic precursors in their biosynthesis (e.g., cannabigerolic acid CBGA, 1b).
Although literature review reveals that most research studies have focused on only two major components of the plant [namely, CBD (2) and (−)-trans-Δ9-tetrahydrocannabinol (Δ9-trans-THC, 6a)] (), over the last two decades there has been an increase in interest in the occurrence, synthesis, and medicinal potential of minor components of the plant, known as “minor cannabinoids” or “rare cannabinoids”, probably as a result of reduced restrictions and approvals of cannabinoid-based therapeutic treatments (Walsh et al., 2021; ; ; ). Δ9-trans-THC, (6a) the main psychoactive constituent of Cannabis sativa, features a tetrahydrobenzo[c]chromene motif bearing two stereogenic centers at positions 6a and 10a and thus four stereoisomers can be conceived. Nevertheless, only one of these four compounds is produced in the plant via non-enzymatic decarboxylation of (−)-Δ9-trans-tetrahydrocannabinolic acid [(−)-Δ9-trans THCA, 8], formed in turn by enzyme tetrahydrocannabinolic acid synthase (THCA synthase) from cannabigerolic acid (1b) (Scheme 1). THCA synthase, with the aid of a doubly-covalent attached FAD cofactor (binding residues shown in grey), catalyzes the stereoselective oxidative cyclization of cannabigerolic acid (1b) through oxidized ortho-quinone intermediate 7, which undergoes an intramolecular hetero Diels–Alder reaction to deliver (−)-Δ9-trans-tetrahydrocannabinolic acid 8. While this particular cannabinoid has been assumed as the only relevant isomer since its identification in 1964, the cis-stereoisomers of 6a [(+)- and (−)-Δ9-cis-THC, 6b] have been both obtained via synthesis as well as identified in C. Sativa as minor constituents. The present review discloses the natural occurrence and bioactivity of these minor phytocannabinoids as well as all synthetic approaches that have been established to selectively prepare this medicinally promising enantiomeric pair of natural products.
SCHEME 1
Synthetic strategies toward Δ9-cis-THC
Shortly after the characterization and identification of (−)-Δ9-trans-THC as the main psychoactive component of Cannabis, cis-THC as a racemic mixture was first obtained by Taylor and co-workers in 1966 (Scheme 2) (Taylor et al., 1966). The group established a one-pot synthetic strategy based on the acid promoted condensation between olivetol (9) and citral (10), giving access to Δ8-trans-THC (which at the time had been identified in the plant as another psychoactive constituent) as well as Δ8-cis-THC and Δ9-cis-THC. In particular, treatment of the substrates with BF3.Et2O in benzene at 5°C–10°C led to the isolation of Δ8-cis-THC, Δ8-trans-THC and derivative Δ8-trans-11, in 20%, 20% and 10%–20% yields, respectively. On the other hand, when the condensation was carried out under milder acid conditions (HCl 0.0005 N) Δ9-cis-THC and Δ9-trans-THC were instead obtained as a mixture hard to separate (12% pure Δ9-cis-THC fraction, ca 25% mixture fraction). During this study, acid treatment was also shown to isomerize Δ9-THC isomers to the corresponding Δ8-THC products, as well as thermal treatment for the case of Δ9-trans-THC when using vapor phase partition chromatography (280°C) and based on these observations the group proposed that the effects of smoking Cannabis may be due to isomer Δ8-THC instead of Δ9-THC (Taylor et al., 1966). The same year, after this report, Gaoni and Mechoulam reevaluated these results and claimed that Δ9-cis-THC does not undergo acid-promoted isomerization toward Δ8-cis-THC and that the structure of the originally proposed product of this transformation (Δ8-cis-THC) should be reassigned to iso-THC (Δ4(8)-12) (). The researchers also indicated that Δ9-trans-THC does not undergo thermal isomerization to Δ8-trans-THC and that the isomerization found by Taylor and co-workers on vapor phase chromatography may have been promoted by the nature of the column support used. Mechoulam later demonstrated that both Δ9-cis-THC and Δ8-trans-THC were inert to oxidation conditions that converted Δ9-trans-THC to cannabinol (). This condensation of olivetol (9) and citral (10) using HCl in EtOH was reinvestigated by Crombie and Ponsford later under reflux conditions for 5 h to afford, after Florisil chromatography, a mixture of Δ9-cis-THC and Δ9-trans-THC in 19% yield (ca 5:1 by NMR analysis) (). Mechoulam and co-workers also repeated the BF3.Et2O promoted direct condensation and found that when the acid was used in low loading (1%) in CH2Cl2 for 1 h at room temperature, Δ9-trans-THC was obtained in 20% yield and isomer Δ9-cis-THC in 5% yield ().
SCHEME 2
In 1967, Fahrenholtz and co-workers reported a novel synthetic approach towards many cannabinoids including Δ9-cis-THC, at the time considered an unnatural isomer of THC (Scheme 3) (). The synthetic strategy began with a von Pechmann condensation between olivetol (9) and diethyl 2-acetylglutarate (13) to afford a coumarin intermediate (14). Intramolecular condensation was then achieved using NaH in DMSO which led to a ketone intermediate (15) which was then protected as a cyclic ketal. Hydrogenation with Raney Ni under vigorous conditions afforded cis-lactone 16, which was treated with MeMgI followed by hydrolysis to afford a ketone intermediate that upon a new sequence of MeMgI treatment followed by hydrolysis yielded alcohol 17. Acid-catalyzed dehydration of this intermediate produced cis-THC in good yield.
SCHEME 3
In 1969, Razdan and Zitko reported that through treatment with p-toluenesulfonic acid (TsOH) in refluxing benzene, Δ9-cis-THC interconverted with cannabicitran (18) and iso-THC’s (12) leading to an equilibrium that favors the iso-THC´s (Scheme 4) (). The acetylation of Δ9-cis-THC was shown to block this process. Cannabicitran (18) is established as an intermediate between Δ9-cis-THC and the iso-THC’s (12), a process that cannot take place with the trans-THC’s since a polycyclic system as cannabicitran cannot be formed with a trans-ring fusion. The group also found that BBr3 isomerizes Δ9-cis-THC to Δ8-trans-THC in 60% yield. The first proposed mechanism involves ionization of the ether linkage followed by epimerization at C-4 via elimination. Almost a decade after this report the group continued to investigate this isomerization making advances on the mechanistic interpretation (Uliss et al., 1978).
SCHEME 4
Also in 1969, Yagen and Mechoulam reported that on BF3.Et2O (5% in dichloromethane) treatment, cannabichromene (CBC, 3) gives rise to a low yield of Δ9-cis-THC (5%) among other isomers. A mechanism based on the intermediacy of cationic species was proposed to account for the transformation (Scheme 5) (Yagen and Mechoulam, 1969).
SCHEME 5

Acid-promoted isomerization of cannabichromene (3) by Yagen and Mechoulam (1969).
In 1970, Razdan and co-workers reported an asymmetric strategy towards THC-derivatives based on the use of a carene derivative (Scheme 6) (
SCHEME 6

Asymmetric synthesis of (+)-Δ9-cis-THC reported by
Taylor’s direct condensation between olivetol (9) and citral (10) was reinvestigated by Razdan and co-workers in 1975 using HCl (0.5 N) in EtOH/benzene for structure-activity relationship studies during their program on THC analogues (Uliss et al., 1975b). The reaction led to the formation of Δ9-cis-THC in 10% yield and regioisomer Δ9-cis-21 in 20% yield (Scheme 7). The same year the group reported a synthetic strategy to prepare Δ8-cis-THC, an isomer that had not been previously prepared in the THC series (Uliss et al., 1975a). The asymmetric version of this strategy was then realized accomplishing the preparation of (+)-Δ9-cis-THC and (+)-Δ8-cis-THC in 0.7% and 0.06% yields, respectively (Uliss et al., 1977).
SCHEME 7

Reinvestigation of Taylor’s condensation approach by the group of Uliss et al. (1975a).
Based on a Diels–Alder approach previously developed by Taylor and Strojny (1960), the group of Razdan reported in 1977 an entry to Δ9-cis-THC via prior preparation of cis-CBD (Scheme 8) (
SCHEME 8

Synthesis of Δ9-cis-THC from cis-CBD (1977).
In 1979 Luteijn and Spronck reported an alternative synthesis of (±)-Δ9-cis-THC based on the reaction between olivetol bis(tetrahydropyranyl ether)homocuprate (26) and dehydrolinalool acetate (27) (Scheme 9, overall yield 20%) (
SCHEME 9

Synthesis of (±)-Δ9-cis-THC reported by
In 1984, Rickards’ group showed that the use of olivetol di (methoxymethyl)ether as coupling partner of citral (10) enables an efficient route to (±)-Δ9-cis-THC (Scheme 10) (
SCHEME 10

Synthesis of Δ9-cis-THC reported by the group of
A major breakthrough in the total synthesis of THC natural products was achieved in 2014, when the group of Carreira established an efficient catalytic asymmetric synthetic strategy to access any stereoisomer of Δ9-THC (Scheme 11) (
SCHEME 11

Catalytic asymmetric synthesis of all Δ9-THC stereoisomers (2014).
More recently, another asymmetric and straightforward approach towards (−)-Δ9-cis-THC, also applicable to many analogues, was reported by Dorsch and Schneider. The group reinvestigated the bicyclization reaction studied by Rickards and found that chiral imidodiphosphorimidates (IDPis, e.g., 34), as sterically confined Brønsted acid catalysts, allow the cyclization to proceed with high yield and selectivities (Scheme 12) (
SCHEME 12

Asymmetric synthesis of (−)-Δ9-cis-THC by
It should be noted that some of the presented strategies, such as Rickards’ synthetic sequence, have also been used for the preparation of other natural products bearing the cis-fused tetrahydro-6H-benzo[c]chromene system of Δ9-cis-THC. These natural products can be found in species other than Cannabis sativa and include, for instance, perrottetinene from different Radula liverwort species (Toyota et al., 1994;
Natural occurrence and biological activity of cis-THC isomers
In 1977, Smith and Kempfert reported for the first time the isolation of Δ9-cis-THC from a natural source (Smith and Kempfert, 1977). Natural Δ9-cis-THC was found as a contaminant during routine analysis of samples of marijuana. An amount of 460 g of dried plant material afforded ca 1 mg of the compound which absolute stereochemistry was assigned as (6aS,10aR) based on circular dichroism studies. The researchers found that this natural product was prominent in samples that had high content of CBD. In general, samples that had CBD:THC ratios of ca 16:1 were found to exhibit trans:cis ratios of THC of about 1:1 to 2:1 (phenotype considered as non-narcotic hemp). Phenotypes having ratios less than 1 showed trans-THC:cis-THC ratios greater than 10:1. The total concentration of Δ9-cis-THC in plants having a phenotype ratio greater than ca 2 was relatively constant at ca 0.04% of the dry plant weight. On the other hand, plants having low amounts or lacking CBD did not exhibit detectable amounts of Δ9-cis-THC. Remarkably, this natural product as well as other cis-homologues (different alkyl branched chains) and carboxylated versions were identified more recently in C. sativa L. varieties (
Mechoulam and co-workers were the first to report in1971 on the biological activity of Δ9-cis-THC. The group found that (±)-Δ9-cis-THC was inactive in behavioral tests in adult Rhesus monkeys at doses of 1.5 mg/kg (
In 2021, the groups of Appendino, Carreira and Gertsch published a thorough study on Δ9-cis-THC addressing its natural occurrence, chirality and pharmacological activity (
On the other hand, the same year, first patents appeared on the potential therapeutic use of each enantiomer of Δ9-cis-THC based on animal models of disease (
Concluding remarks
Cis-THC, as well as other natural products bearing the cis-fused tetrahydrobenzo[c]chromene motif, demonstrated an interesting biological activity profile. A review such as this is hoped to enhance both synthetic chemists and medicinal chemists in their pursuit of discovering the biological potential of natural products including Δ9-cis-THC and related systems, leading to more simple, straightforward, and selective synthetic processes as well as greater application possibilities.
Statements
Author contributions
All authors listed have made a substantial, direct, and intellectual contribution to the work and approved it for publication.
Funding
Support from Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET, PUE-2016, PIP 2021-2023-1045), Agencia Nacional de Promoción Científica y Tecnológica (ANPCyT, PICT-2021-353, PICT-2018-4150), and Universidad Nacional de Rosario (BIO 580, UNR-80020180300024UR, 80020210200028UR) is acknowledged. Work in Novara (DC) was supported by MIUR (PRIN 2017, Project 2017WN73 PL, Bioactivity-directed exploration of the phytocannabinoid chemical space).
Acknowledgments
LG thanks CONICET for fellowship.
Conflict of interest
The authors MR and DC declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision.
The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Publisher’s note
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Summary
Keywords
stereoselective synthesis, cannabinoids, THC, isochromenes, hetero-Diels-Alder, bioactive natural products
Citation
Gurgone L, La-Venia A, Caprioglio D and Riveira MJ (2023) Synthetic approaches to cis-THC, a promising scaffold in medicinal chemistry. Front. Nat. Produc. 2:1225627. doi: 10.3389/fntpr.2023.1225627
Received
19 May 2023
Accepted
20 July 2023
Published
02 August 2023
Volume
2 - 2023
Edited by
Olumayokun Olajide, University of Huddersfield, United Kingdom
Reviewed by
Daniele Passarella, University of Milan, Italy
Yang Qu, University of New Brunswick Fredericton, Canada
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© 2023 Gurgone, La-Venia, Caprioglio and Riveira.
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*Correspondence: Martín J. Riveira, riveira@iquir-conicet.gov.ar
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