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CB1 receptor and psychosis: friend, foe, or both

Jagadeesh Sridhara Rao, María Alejandra Tangarife, Diego A. Rodríguez‐Soacha, Ram Mukunda

Frontiers in Psychiatry July 22, 2025 DOI: 10.3389/fpsyt.2025.1630080 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Peer reviewed
Key points Contends that schizophrenia and Alzheimer's disease, despite differing onset of psychosis, share limbic system involvement with predominant medial temporal atrophy and common dopaminergic and cholinergic disturbances, and that psychosis affects approximately 40 to 60% of people with Alzheimer's disease.

Abstract

Psychosis is a core issue in Schizophrenia (SZ), whereas in Alzheimer's disease (AD), the prevalence of psychosis, particularly hallucinations and delusions, is approximately 40 to 60% (1). The onset of psychosis varies in SZ and AD but shares similar structural, neurochemical changes, and genetic associations (2). Radiological and pathological studies reveal a common pattern of limbic system involvement in both SZ and AD, with predominant atrophy in the medial temporal regions. Both conditions also share core neurochemical disturbances, particularly affecting the dopaminergic and cholinergic systems (3).

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