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Effects of Δ9-THC and Type-1 Cannabinoid Receptor Agonists in the Elevated Plus Maze Test of Anxiety: A Systematic Review and Meta-Analysis.

Lia P Iglesias, Lucas Bedeschi, Daniele C Aguiar, Laila Asth, Fabrício A. Moreira

Cannabis and Cannabinoid Research February 2023 DOI: 10.1089/can.2022.0078 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Systematic review and meta-analysis Peer reviewed
Population Rodents (experimental animals) exposed to the elevated plus maze
Interventions type-1 cannabinoid receptor agonists (full or partial selective or not)
Dose THC: 0.075-1 mg/kg (low-dose anxiolytic range) and 1-10 mg/kg (high-dose anxiogenic range)
Measures elevated plus maze
Topics Anxiety Cannabis
Keywords Cb1 receptor Animal models Anxiolytics Cannabinoids Elevated plus maze
Key findings Cannabinoids tend to reduce anxiety-like behavior at low doses, but THC produces anxiolytic-like effects at low doses (0.075-1 mg/kg) and anxiogenic-like effects at high doses (1-10 mg/kg). Some studies report no effect regardless of dose, and motor impairment at high doses may confound results.

Abstract

Δ9-THC (the main active compound from Cannabis sativa) and related cannabinoids have been used as drugs of abuse and as medications. They induce a complex set of emotional responses in humans and experimental animals, consisting of either anxiolysis or heightened anxiety. These discrepant effects pose a major challenge for data reproducibility and for developing new cannabinoid-based medicines. In this study, we review and analyze previous data on cannabinoids and anxiety-like behavior in experimental animals. Systematic review and meta-analysis on the effects of type-1 cannabinoid receptor agonists (full or partial, selective or not) in rodents exposed to the elevated plus maze, a widely used test of anxiety-like behavior. Cannabinoids tend to reduce anxiety-like behavior if administered at low doses. THC effects are moderated by the dose factor, with anxiolytic- and anxiogenic-like effects occurring at low-dose (0.075-1 mg/kg) and high-dose (1-10 mg/kg) ranges, respectively. However, some studies report no effect at all regardless of the dose tested. Finally, motor impairment represents a potential confounding factor when high doses are administered. The present analysis may contribute to elucidate the experimental factors underlying cannabinoid effects on anxiety-like behavior and facilitate data reproducibility in future studies.

Comparable studies

Other systematic reviews and meta-analyses on cannabis for anxiety, most cited first.

Study Year Design Participants
Medicinal cannabis for psychiatric disorders: a clinically-focused systematic review 2020 Systematic review
Cannabis, a cause for anxiety? A critical appraisal of the anxiogenic and anxiolytic properties 2020 Systematic review
What are the psychological effects of using synthetic cannabinoids? A systematic review Synthetic cannabinoid users, natural cannabis users, and non-users from 17 studies 2019 Systematic review
“Noids” in a nutshell: everything you (don’t) want to know about synthetic cannabimimetics 2014 Systematic review and descriptive analysis
Subjective, behavioral and neurobiological effects of cannabis and cannabinoids in social anxiety. Patients with social anxiety disorder or healthy volunteers performing tasks that... 2024 Systematic review

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