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Are the effects of cannabis dependence on glucose metabolism similar to schizophrenia? An FDG PET understanding.

Shubhangi R Parkar, Seethalakshmi Ramanathan, Narendra Nair, Shefali A Batra, Shilpa A Adarkar, Purushottam Kund, Nawab Singh Baghel, S H Moghe

Indian Journal of Psychiatry January 2011 DOI: 10.4103/0019-5545.75552 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Case-control cross-sectional study Peer reviewed
Population Male volunteers with cannabis dependence, schizophrenia, and normal controls
Measures FDG PET, MANOVA, Chow tests
Topics Addiction Cannabis
Keywords Cannabis dependence Fdg PET Interregional relationships Schizophrenia
Key findings Glucose uptake differed significantly in medial and lateral temporal regions between cannabis dependence and schizophrenia groups. Interregional metabolic relationships in mesocortical and cortical-subcortical-cerebellum circuits differed significantly between cannabis dependence and controls, but not between cannabis dependence and schizophrenia. The authors suggest cannabis dependence alters interregional relationships similarly to schizophrenia, indicating cannabis could potentially contribute to psychosis by altering neural circuits.

Abstract

Cannabis has been associated with transient psychotic states; however, the causal relationship between cannabis and schizophrenia continues to remain a matter of debate. Epidemiological and some biological studies hint at cannabis being an independent risk factor for schizophrenia; this has not been definitively proved. We aimed to understand the patterns of glucose uptake in important brain regions among individuals with cannabis dependence and schizophrenia. Furthermore, we compared the interregional metabolic rates in pertinent neural circuits among individuals with cannabis dependence, schizophrenia and normal controls. This is a case-control cross-sectional study that was carried out by a general psychiatry department in collaboration with a nuclear diagnosis unit. Male volunteers with cannabis dependence, schizophrenia and normal controls underwent FDG PET scanning. Glucose uptakes in pre-selected regions of interest were compared using MANOVA. Finally, Chow tests were used to compare interregional metabolic relationships in the mesocortical and cortical-subcortical-cerebellum circuits. Significant differences (P<0.05) were noted among individuals with cannabis dependence and schizophrenia in the medial and lateral temporal regions. When the neural circuits were compared, significant interregional differences (P<0.05) were noted between individuals with cannabis dependence and normal controls. However, among individuals with cannabis dependence and schizophrenia, no significant differences (P>0.05) were noted in these patterns. Our findings suggest that cannabis dependence can alter interregional relationships in a manner similar to schizophrenia. This indicates that cannabis could potentially play a role in the development of psychosis by altering neural circuits.

Comparable studies

Other cross-sectional and survey studies on cannabis for addiction, most cited first.

Study Year Design Participants
Persisting Reductions in Cannabis, Opioid, and Stimulant Misuse After Naturalistic Psychedelic Use: An Online Survey Online survey respondents 2020 Cross-sectional survey
User perceptions of the benefits and harms of hallucinogenic drug use: A web-based questionnaire study Users of hallucinogenic drugs who completed a web-based questionnaire 2010 Cross-sectional survey n = 600
Neural Correlates of the Severity of Cocaine, Heroin, Alcohol, MDMA and Cannabis Use in Polysubstance Abusers: A Resting-PET Brain Metabolism Study Polysubstance users enrolled in residential treatment 2012 Cross-sectional n = 49
MDMA Use by Paris Medical Students: Prevalence and Characteristics Paris VII medical students 2020 Cross-sectional study n = 592
Personality Characteristics of Adolescents with Hallucinogen, Methamphetamine, and Cannabis Dependence: A Comparative Study Adolescents referred to a residential substance abuse treatment program with... 2005 Cross-sectional comparison n = 60

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