Front Psychol. 2020 May 14;11:833. doi: 10.3389/fpsyg.2020.00833. eCollection 2020.
Unraveling the Intoxicating and Therapeutic Effects of Cannabis Ingredients on Psychosis and Cognition.
Frontiers in psychology
Marco Colizzi, Mirella Ruggeri, Sagnik Bhattacharyya
Affiliations
Affiliations
- Section of Psychiatry, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
- Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.
PMID: 32528345
PMCID: PMC7247841 DOI: 10.3389/fpsyg.2020.00833
Abstract
Research evidence suggests a dose-response relationship for the association between cannabis use and risk of psychosis. Such relationship seems to reflect an increased risk of psychosis not only as a function of frequent cannabis use, but also of high-potency cannabis use in terms of concentration of Δ-9-tetrahydrocannabinol (Δ9-THC), its main psychoactive component. This finding would be in line with the evidence that Δ9-THC administration induces transient psychosis-like symptoms in otherwise healthy individuals. Conversely, low-potency varieties would be less harmful because of their lower amount of Δ9-THC and potential compresence of another cannabinoid, cannabidiol (CBD), which seems to mitigate Δ9-THC detrimental effects. A growing body of studies begins to suggest that CBD may have not only protective effects against the psychotomimetic effects of Δ9-THC but even therapeutic properties on its own, opening new prospects for the treatment of psychosis. Despite being more limited, evidence of the effects of cannabis on cognition seems to come to similar conclusions, with increasing Δ9-THC exposure being responsible for the cognitive impairments attributed to recreational cannabis use while CBD preventing such effects and, when administered alone, enhancing cognition. Molecular evidence indicates that Δ9-THC and CBD may interact with cannabinoid receptors with almost opposite mechanisms, with Δ9-THC being a partial agonist and CBD an inverse agonist/antagonist. With the help of imaging techniques, pharmacological studies
Copyright © 2020 Colizzi, Ruggeri and Bhattacharyya.
Keywords: cannabidiol; cognition; endocannabinoid system; psychosis; Δ-9-tetrahydrocannabinol
References
- JAMA Psychiatry. 2016 Nov 1;73(11):1173-1179 - PubMed
- Schizophr Res. 2016 Mar;171(1-3):62-7 - PubMed
- Arch Gen Psychiatry. 2012 Jan;69(1):27-36 - PubMed
- Psychol Med. 2018 Oct;48(14):2346-2352 - PubMed
- Psychopharmacology (Berl). 2002 Oct;164(1):61-70 - PubMed
- Br J Psychiatry. 2006 Jun;188:519-26 - PubMed
- Exp Clin Psychopharmacol. 2018 Dec;26(6):582-598 - PubMed
- Nat Prod Rep. 2016 Nov 23;33(12):1357-1392 - PubMed
- Biol Psychiatry. 2005 Mar 15;57(6):594-608 - PubMed
- Am J Epidemiol. 2002 Aug 15;156(4):319-27 - PubMed
- Mol Psychiatry. 2012 Dec;17(12):1152-5 - PubMed
- Schizophr Bull. 2016 Sep;42(5):1262-9 - PubMed
- Psychol Med. 2014 Dec;44(16):3435-44 - PubMed
- Drug Alcohol Depend. 2014 Nov 1;144:12-41 - PubMed
- J Neurosci. 2019 Oct 16;39(42):8250-8258 - PubMed
- PLoS One. 2013 Oct 24;8(10):e76635 - PubMed
- JAMA Psychiatry. 2018 Nov 1;75(11):1107-1117 - PubMed
- J Psychopharmacol. 2009 Nov;23(8):979-83 - PubMed
- J Addict Res Ther. 2013 Apr 24;Suppl 4: - PubMed
- Hum Psychopharmacol. 2013 Jul;28(4):379-89 - PubMed
- Proc Natl Acad Sci U S A. 2016 Feb 2;113(5):E500-8 - PubMed
- BMC Neurosci. 2012 Feb 15;13:18 - PubMed
- Front Psychiatry. 2019 Feb 19;10:63 - PubMed
- J Clin Psychiatry. 1995 Oct;56(10):485-6 - PubMed
- BMJ. 2002 Nov 23;325(7374):1212-3 - PubMed
- Neurotherapeutics. 2015 Oct;12(4):699-730 - PubMed
- Neuropsychopharmacology. 2015 May;40(6):1343-52 - PubMed
- Br J Pharmacol. 2008 Jan;153(2):199-215 - PubMed
- Eur Neuropsychopharmacol. 2015 Jan;25(1):26-37 - PubMed
- Lancet. 1987 Dec 26;2(8574):1483-6 - PubMed
- Psychol Med. 2016 Mar;46(4):841-54 - PubMed
- BMJ. 2019 Apr 4;365:l1141 - PubMed
- Lancet Psychiatry. 2015 Mar;2(3):233-8 - PubMed
- Eur Neuropsychopharmacol. 2018 Jul;28(7):850-862 - PubMed
- Psychopharmacology (Berl). 2019 Dec 9;: - PubMed
- Exp Clin Psychopharmacol. 2012 Oct;20(5):420-429 - PubMed
- Int J Mol Sci. 2018 Mar 13;19(3): - PubMed
- Eur Neuropsychopharmacol. 2015 Mar;25(3):325-34 - PubMed
- Neurosci Biobehav Rev. 2018 May;88:26-41 - PubMed
- Biol Psychiatry. 2016 Apr 1;79(7):595-603 - PubMed
- Philos Trans R Soc Lond B Biol Sci. 2012 Dec 5;367(1607):3216-28 - PubMed
- Brain Sci. 2019 Apr 25;9(4): - PubMed
- Br J Pharmacol. 2015 Oct;172(20):4790-805 - PubMed
- Biol Psychiatry. 2016 Apr 1;79(7):516-25 - PubMed
- Curr Pharm Des. 2012;18(32):5045-54 - PubMed
- Addiction. 2012 Jun;107(6):1174-84 - PubMed
- Addiction. 2005 May;100(5):612-8 - PubMed
- Psychopharmacology (Berl). 2018 Jul;235(7):1923-1932 - PubMed
- Braz J Psychiatry. 2019 Jan-Mar;41(1):9-14 - PubMed
- Psychol Med. 2018 Dec;48(16):2748-2756 - PubMed
- Physiol Rev. 2009 Jan;89(1):309-80 - PubMed
- Br J Psychiatry. 2010 Oct;197(4):285-90 - PubMed
- J Psychopharmacol. 2006 Sep;20(5):683-6 - PubMed
- BMJ. 2002 Nov 23;325(7374):1199 - PubMed
- Neuropharmacology. 2017 Sep 15;124:89-104 - PubMed
- Psychol Med. 2003 Jan;33(1):15-21 - PubMed
- Nat Rev Neurosci. 2015 Jan;16(1):30-42 - PubMed
- Nature. 1993 Sep 2;365(6441):61-5 - PubMed
- Schizophr Res. 2015 Oct;168(1-2):185-90 - PubMed
- Addict Biol. 2019 Sep 2;:e12827 - PubMed
- Psychol Med. 2014 Nov;44(15):3315-28 - PubMed
- Br J Psychiatry. 2018 Apr;212(4):195-196 - PubMed
- JAMA Psychiatry. 2018 Jun 1;75(6):585-595 - PubMed
- Br J Pharmacol. 2007 Mar;150(5):613-23 - PubMed
- Br J Psychiatry. 2010 Jun;196(6):447-53 - PubMed
- Biochem Pharmacol. 1995 Jun 29;50(1):83-90 - PubMed
- Front Immunol. 2018 Sep 21;9:2009 - PubMed
- J Psychopharmacol. 2016 Feb;30(2):140-51 - PubMed
- Lancet Psychiatry. 2016 Oct;3(10):947-953 - PubMed
- Neurobiol Aging. 2005 May;26(5):665-72 - PubMed
- Science. 1992 Dec 18;258(5090):1946-9 - PubMed
- JAMA Psychiatry. 2013 Jan;70(1):107-20 - PubMed
- JAMA Psychiatry. 2019 Jun 5;: - PubMed
- Br J Pharmacol. 2007 Nov;152(5):583-93 - PubMed
- Eur Neuropsychopharmacol. 2015 Aug;25(8):1201-24 - PubMed
- Am J Psychiatry. 2016 Aug 1;173(8):781-9 - PubMed
- Sci Rep. 2017 Nov 3;7(1):15025 - PubMed
- Neuropsychopharmacology. 2010 Feb;35(3):764-74 - PubMed
- Transl Psychiatry. 2019 Aug 22;9(1):203 - PubMed
- Proc Natl Acad Sci U S A. 2012 Oct 2;109(40):E2657-64 - PubMed
- JAMA Psychiatry. 2017 Jun 1;74(6):579-588 - PubMed
- Expert Opin Emerg Drugs. 2009 Mar;14(1):43-65 - PubMed
- Curr Addict Rep. 2017;4(2):62-74 - PubMed
- Mol Psychiatry. 2019 Feb 15;: - PubMed
- Front Public Health. 2018 Jun 07;6:162 - PubMed
- Neurosci Biobehav Rev. 2019 Jan;96:45-55 - PubMed
- F1000 Med Rep. 2013;5:1 - PubMed
- Am J Psychiatry. 2004 Jun;161(6):975-84 - PubMed
- Curr Drug Abuse Rev. 2012 Mar;5(1):32-40 - PubMed
- BMJ. 2005 Jan 1;330(7481):11 - PubMed
- Psychol Med. 2019 Aug 19;:1-10 - PubMed
- J Psychopharmacol. 2010 Jan;24(1):135-7 - PubMed
- Molecules. 2018 May 20;23(5): - PubMed
- Addiction. 2016 Oct;111(10):1764-73 - PubMed
- JAMA. 2015 Jun 23-30;313(24):2456-73 - PubMed
- Lancet Psychiatry. 2019 Dec;6(12):995-1010 - PubMed
- Neuropsychopharmacology. 2004 Aug;29(8):1558-72 - PubMed
- Braz J Psychiatry. 2010 Mar;32(1):56-61 - PubMed
- Neurosci Biobehav Rev. 2018 Oct;93:1-25 - PubMed
- Br J Pharmacol. 2015 Feb;172(3):737-53 - PubMed
- Drug Metab Rev. 2018 Feb;50(1):3-13 - PubMed
- Biol Psychiatry. 2016 Apr 1;79(7):539-48 - PubMed
- MMWR Morb Mortal Wkly Rep. 2015 Jun 12;64(22):618-9 - PubMed
- Am J Med Genet. 2002 Dec 8;114(8):949-55 - PubMed
- J Nerv Ment Dis. 1990 Aug;178(8):473-80 - PubMed
- Ther Adv Psychopharmacol. 2019 Nov 08;9:2045125319881916 - PubMed
- Br J Psychiatry. 2015 Jan;206(1):77-8 - PubMed
- Neurosci Biobehav Rev. 2016 May;64:359-81 - PubMed
- J Neuroimmune Pharmacol. 2018 Dec;13(4):438-452 - PubMed
- Lancet. 2018 Nov 10;392(10159):1923-1994 - PubMed
- Psychol Med. 2020 Jan 29;:1-11 - PubMed
- Nat Med. 2017 Jun;23(6):782-787 - PubMed
- Curr Psychiatry Rep. 2016 Feb;18(2):12 - PubMed
- Neurotherapeutics. 2015 Oct;12(4):735-46 - PubMed
- Exp Clin Psychopharmacol. 2019 Oct 31;: - PubMed
- Lancet Psychiatry. 2019 May;6(5):427-436 - PubMed
- Psychopharmacology (Berl). 2020 Apr;237(4):1121-1130 - PubMed
- Prog Brain Res. 2018;242:179-216 - PubMed
- Schizophr Res. 2016 Feb;170(2-3):311-7 - PubMed
- Cortex. 2016 Aug;81:231-8 - PubMed
- J Psychopharmacol. 2015 Feb;29(2):97-115 - PubMed
- Eur Arch Psychiatry Clin Neurosci. 2019 Feb;269(1):17-35 - PubMed
- Psychol Med. 2012 Feb;42(2):391-400 - PubMed
- Am J Psychiatry. 2018 Mar 1;175(3):225-231 - PubMed
- Curr Pharm Des. 2016;22(42):6380-6391 - PubMed
- Psychol Med. 2016 Jan;46(1):177-88 - PubMed
- Transl Psychiatry. 2012 Mar 20;2:e94 - PubMed
- Arch Gen Psychiatry. 2009 Apr;66(4):442-51 - PubMed
- Psychol Med. 2012 Jun;42(6):1321-8 - PubMed
- Nature. 1990 Aug 9;346(6284):561-4 - PubMed
Publication Types
Grant support