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Cannabis Use and Neuroadaptation: A Call for Δ9-Tetrahydrocannabinol Challenge Studies

Johannes G. Ramaekers, Eef L. Theunissen, Peter van Ruitenbeek, Natasha L. Mason

Frontiers in Psychiatry April 14, 2022 DOI: 10.3389/fpsyt.2022.870750 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Theoretical or philosophical paper Peer reviewed
Topics Cannabis CBD
Keywords Effects of cannabis Neurocognitive Delta-9-tetrahydrocannabinol Cannabinoid Cognition Receptor
Citations 6
Key points Proposes that acute THC dosing studies can directly assess neuroadaptations in chronic cannabis users and inform models of compulsive use.

Abstract

Currently, the assessment of the neurobehavioral consequences of repeated cannabis use is restricted to studies in which brain function of chronic cannabis users is compared to that of non-cannabis using controls. The assumption of such studies is that changes in brain function of chronic users are caused by repeated and prolonged exposure to acute cannabis intoxication. However, differences in brain function between chronic cannabis users and non-users might also arise from confounding factors such as polydrug use, alcohol use, withdrawal, economic status, or lifestyle conditions. We propose a methodology that highlights the relevance of acute Δ 9 -tetrahydrocannabinol (THC) dosing studies for a direct assessment of neuroadaptations in chronic cannabis users. The approach includes quantification of neurochemical, receptor, and functional brain network changes in response to an acute cannabis challenge, as well as stratification of cannabis using groups ranging from occasional to cannabis-dependent individuals. The methodology allows for an evaluation of THC induced neuroadaptive and neurocognitive changes across cannabis use history, that can inform neurobiological models on reward driven, compulsive cannabis use.

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Study Year Design Participants
Delta-8, Delta-10, HHC, THC-O, THCP, and THCV: What Should We Call These Products? 2023 Theoretical or philosophical paper
Model Psychoses Induced by LSD-25 in Normals 1956 Historical analysis
Is there a specific ‘cannabis psychosis’? 2004 Theoretical or philosophical paper
Peak-experience and the entheogenic use of cannabis in world religions 2021 Theoretical or philosophical paper
Out of Harm's Way?: Illicit Drug Use, Medicalization and the Law 2003 Theoretical or philosophical paper

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