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Summary
Research by Greiss et al. (2024) found that cannabis-derived terpenes do not weaken lung immunity. They had no negative impact on inflammation, showed potential to enhance macrophage activity, and caused no toxicity. The study also found no strong entourage effect with THC in this positive potential, reinforcing terpenes’ safety and selective immune benefits.
Cannabis (Cannabis sativa L.) has gained global recognition for its medicinal and recreational use, primarily due to its cannabinoid content, including tetrahydrocannabinol (THC) and cannabidiol (CBD). However, another class of compounds—terpenes—have gained momentum in research for their potential health benefits. Terpenes are responsible for the distinctive aroma of cannabis and have shown heavy potential to possess anti-inflammatory, antimicrobial, and immune-modulating properties.
A recent study by Greiss et al. (2024) explored the effects of cannabis-derived terpenes on alveolar macrophages, the immune cells that protect the lungs from airborne pathogens. Their research provides new insights into how terpenes interact with the immune system, revealing that certain terpenes may influence macrophage activity without causing immune suppression.
What Are Terpenes and Why Are They Important?

Terpenes are naturally occurring aromatic compounds found in various plants, including cannabis. With over 200 terpenes in cannabis, each strain has a unique combination that contributes to its flavor, scent, and potential therapeutic effects. Some of the most researched terpenes in cannabis include:
- Limonene is found in citrus peels and is associated with stress relief and anti-inflammatory effects.
- Pinene is present in pine trees and is known for its bronchodilator properties, which may support lung function.
- Linalool is common in lavender and recognized for its calming effects and potential immune regulation.
- Caryophyllene is found in black pepper and is unique for its ability to interact with cannabinoid receptors.
Many users and researchers have suggested that terpenes may work synergistically with cannabinoids in what is known as the “entourage effect,” where these compounds enhance each other’s therapeutic properties. However, the precise biological impact of terpenes—particularly on the immune system—has remained unclear.
Cannabis Terpenes and Lung Immunity: What the Research Shows
Alveolar macrophages are specialized immune cells found in the lungs. Their primary role is to patrol the respiratory system, identifying and neutralizing harmful pathogens, pollutants, and other inhaled particles. Because cannabis users have shown a preference to inhalation, it is essential to understand how its compounds influence lung immunity.
The study by Greiss et al. (2024) investigated whether cannabis-derived terpenes could:
- Modulate the inflammatory response of alveolar macrophages when exposed to bacterial components.
- Influence macrophage phagocytosis, or their ability to engulf harmful particles.
- Interact with THC to enhance or alter its effects on immune function.
Key Positive Findings: The Role of Terpenes in Immune Modulation
Terpenes Do Not Suppress Immune Function

One of the study’s most essential takeaways is that cannabis-derived terpenes do not negatively impact lung immune cells. When exposed to lipopolysaccharide (LPS)—a bacterial component that triggers inflammation—alveolar macrophages maintained their normal immune responses even in the presence of terpenes.
This means that terpenes do not impair the lung’s natural defenses, making them a safe component of cannabis in terms of immune function. Unlike some cannabinoids, which are known to suppress inflammation, terpenes allow the immune system to function as intended, reducing concerns about potential immune suppression in cannabis users.
Selective Enhancement of Phagocytosis
Phagocytosis is the process by which macrophages engulf and destroy harmful particles, including bacteria. The study found that:
- The researchers used ‘Terpene Mix B,” which enhanced the macrophage uptake of IgG-opsonized particles.
- This outcome suggests that certain terpenes may help strengthen macrophage activity, making immune cells more efficient at clearing specific foreign particles.
While the terpene mixtures did not significantly increase the uptake of E. coli, their ability to improve phagocytosis of immune-tagged particles suggests that terpenes may play a role in targeted immune responses. This finding is particularly relevant for lung immunity, as alveolar macrophages are essential in defending against inhaled environmental pollutants and allergens.
No Evidence of Cytotoxicity
A significant concern with inhaled substances is whether they damage lung cells. The study confirmed that cannabis-derived terpenes do not cause toxicity in alveolar macrophages at the tested concentrations.
- Cell viability remained intact, indicating that terpenes do not cause undue stress or harm immune cells.
- This finding reinforces the safety profile of terpenes, at least in the context of alveolar macrophages.
Potential Implications for Lung Health
The fact that terpenes did not suppress immune responses or impair cell viability suggests that they may have protective qualities in lung health. Given that some terpenes (e.g., pinene) have bronchodilator properties, they could support respiratory function in individuals with lung conditions. While further research is needed, these findings open new possibilities for using terpenes in therapeutic applications, such as in inhalable medicines or treatments for inflammatory lung diseases.
Rethinking the Entourage Effect: What About THC and Terpenes?
One of the most debated aspects of cannabis research is the entourage effect—the idea that terpenes and cannabinoids enhance each other’s effects. The study tested this by combining THC with terpenes to see if their effects on macrophage function changed. The results showed that:
- THC did not significantly alter phagocytosis or inflammation.
- Adding terpenes to THC did not produce any additional immune-modulating effects.
While this suggests that terpenes do not necessarily amplify THC’s effects on immune cells, it does not rule out their potential synergistic benefits in other physiological systems. More research is needed to determine whether different terpene-cannabinoid combinations might yield different results in human studies.
The Bigger Picture: What Does This Mean for Cannabis Consumers?

For cannabis users, especially those who consume cannabis via inhalation, these findings provide essential reassurance:
Terpenes are not harmful to lung immune function.
Certain terpenes may enhance specific immune responses.
Cannabis inhalation is unlikely to compromise lung immunity due to terpenes alone.
While smoking cannabis still carries potential risks related to combustion byproducts, these results heavily suggest that terpenes themselves do not weaken lung defenses.
For those interested in cannabis-based therapies, these findings highlight the potential of terpenes as immune-modulating compounds. Future studies may explore how individual terpenes affect different aspects of the immune system, potentially leading to new applications in respiratory health, inflammation management, and infection control.
Conclusion: A Promising Future for Terpene Research
The study by Greiss et al. (2024) provides valuable insights into how cannabis-derived terpenes interact with lung immune cells. While they do not dramatically alter immune function, certain terpenes may enhance macrophage activity, supporting the idea that these compounds could have therapeutic potential in lung health.
An essential aspect of the study is that researchers found terpenes do not suppress immune responses or harm lung cells, reinforcing their safety profile in cannabis consumption. As interest in cannabis terpenes grows, more research will be needed to uncover their potential benefits in medicine and human health fully.
For now, cannabis users can feel confident that terpenes—beyond their aroma—may contribute to a balanced immune response without compromising lung function.

© Mike Robinson, The Researcher, Founder of Genevieve’s Dream
(Reprints of our blog are allowed with proper linkback to this website)