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Which Came First? Utility of Preclinical Models in Cracking the Chicken-or-Egg Relationship between Cannabis Use and Schizophrenia

Amanda C. Lee, Jibran Y. Khokhar

Current Addiction Reports February 27, 2026 DOI: 10.1007/s40429-026-00714-6 (opens in new tab)

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Study at a glance

AI-extracted from the abstract
Characteristics Review Peer reviewed
Population Preclinical rodent models
Topics Cannabis
Keywords Rodent model Schizophrenia Preclinical Psychosis Circuitry
Key findings Preclinical rodent models show that cannabinoid exposure can alter schizophrenia-like behaviors and neural effects, with outcomes shaped by route of administration, dose, and type of cannabinoid.

Abstract

Purpose of Review The association between cannabis use and schizophrenia is a growing public health concern, particularly in vulnerable populations. This review synthesizes insights from recent studies to investigate how preclinical rodent models can help clarify this relationship. Recent Findings Increasingly advanced paradigms have been developed, including various translationally-relevant rodent models and ecologically valid cannabis administration routes, to better simulate human use patterns and vulnerability, as well as studies combining both genetic and environmental risk factors. Together, these models show that cannabinoid exposure can alter schizophrenia-like behaviours and neural effects related to hyperlocomotion, sensorimotor gating deficits, social withdrawal, and anhedonia. The route of administration, dose, and type of cannabinoid shape these outcomes. Summary Preclinical rodent models allow for controlled investigations that would be impossible and unethical in human studies. Recent models have contributed to our understanding of how genetic, pharmacological, and neurodevelopmental factors interact with cannabinoid exposure and neural circuitry to produce schizophrenia-relevant outcomes. Such findings are critical for identifying periods of heightened vulnerability and informing evidence-based prevention and intervention strategies.

Comparable studies

Other preclinical and animal studies on cannabis, most cited first.

Study Year Design Participants
Cognitive Impairment Induced by Delta9-tetrahydrocannabinol Occurs through Heteromers between Cannabinoid CB1 and Serotonin 5-HT2A Receptors Mice 2015 Preclinical study
Interaction of drugs of abuse and maintenance treatments with human P-glycoprotein (ABCB1) and breast cancer resistance protein (ABCG2). hMDR1- and hBCRP-transfected HEK293 cells and hMDR1- and hBCRP-MDCKII cells 2010 In vitro study
Long-term hippocampal interneuronopathy drives sex-dimorphic spatial memory impairment induced by prenatal THC exposure Mice prenatally exposed to THC, including conditional CB1R knockout mice 2020 Animal experimental study
Chronic cannabis promotes pro-hallucinogenic signaling of 5-HT2A receptors through Akt/mTOR pathway Mice exposed to chronic THC early in life 2018 Animal experimental study
Effects of cannabinoid drugs on the deficit of prepulse inhibition of startle in an animal model of schizophrenia: the SHR strain Spontaneously hypertensive rats (SHRs) and Wistar rats 2014 Animal experimental study

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