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Anandamide levels in cerebrospinal fluid of first-episode schizophrenic patients: impact of cannabis use.
Schizophr Res 2007; 94(1-3):29-36SR

Abstract

BACKGROUND

Previous studies have shown that cerebrospinal fluid (CSF) from schizophrenic patients contains significantly higher levels of the endogenous cannabinoid anandamide than does CSF from healthy volunteers. Moreover, CSF anandamide levels correlated inversely with psychotic symptoms, suggesting that anandamide release in the central nervous system (CNS) may serve as an adaptive mechanism countering neurotransmitter abnormalities in acute psychoses. In the present study we examined whether cannabis use may alter such a mechanism.

METHODS

We used liquid chromatography/mass spectrometry (LC/MS) to measure anandamide levels in serum and CSF from first-episode, antipsychotic-naïve schizophrenics (n=47) and healthy volunteers (n=81). Based on reported patterns of cannabis use and urine delta9-tetrahydrocannabinol (delta9-THC) tests, each subject group was further divided into two subgroups: 'low-frequency' and 'high-frequency' cannabis users (lifetime use < or = 5 times and > 20 times, respectively). Serum delta9-THC was investigated to determine acute use and three patients were excluded from the analysis due to detectable delta9-THC levels in serum.

RESULTS

Schizophrenic low-frequency cannabis users (n=25) exhibited > 10-fold higher CSF anandamide levels than did schizophrenic high-frequency users (n=19, p=0.008), healthy low-frequency (n=55, p<0.001) or high-frequency users (n=26, p<0.001). In contrast, no significant differences in serum anandamide levels were found among the four subgroups. CSF anandamide levels and disease symptoms were negatively correlated in both user groups.

CONCLUSIONS

The results indicate that frequent cannabis exposure may down-regulate anandamide signaling in the CNS of schizophrenic patients, but not of healthy individuals. Thus, our findings suggest that alterations in endocannabinoid signaling might be an important component of the mechanism through which cannabis impacts mental health.

Authors+Show Affiliations

Department of Psychiatry and Psychotherapy, University of Cologne, Kerpener Str. 62, 50924 Cologne, Germany. leweke@ecnp.netNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17566707

Citation

Leweke, F Markus, et al. "Anandamide Levels in Cerebrospinal Fluid of First-episode Schizophrenic Patients: Impact of Cannabis Use." Schizophrenia Research, vol. 94, no. 1-3, 2007, pp. 29-36.
Leweke FM, Giuffrida A, Koethe D, et al. Anandamide levels in cerebrospinal fluid of first-episode schizophrenic patients: impact of cannabis use. Schizophr Res. 2007;94(1-3):29-36.
Leweke, F. M., Giuffrida, A., Koethe, D., Schreiber, D., Nolden, B. M., Kranaster, L., ... Piomelli, D. (2007). Anandamide levels in cerebrospinal fluid of first-episode schizophrenic patients: impact of cannabis use. Schizophrenia Research, 94(1-3), pp. 29-36.
Leweke FM, et al. Anandamide Levels in Cerebrospinal Fluid of First-episode Schizophrenic Patients: Impact of Cannabis Use. Schizophr Res. 2007;94(1-3):29-36. PubMed PMID: 17566707.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Anandamide levels in cerebrospinal fluid of first-episode schizophrenic patients: impact of cannabis use. AU - Leweke,F Markus, AU - Giuffrida,Andrea, AU - Koethe,Dagmar, AU - Schreiber,Daniela, AU - Nolden,Brit M, AU - Kranaster,Laura, AU - Neatby,Miriam A, AU - Schneider,Miriam, AU - Gerth,Christoph W, AU - Hellmich,Martin, AU - Klosterkötter,Joachim, AU - Piomelli,Daniele, Y1 - 2007/06/13/ PY - 2007/02/17/received PY - 2007/04/06/revised PY - 2007/04/25/accepted PY - 2007/6/15/pubmed PY - 2007/10/12/medline PY - 2007/6/15/entrez SP - 29 EP - 36 JF - Schizophrenia research JO - Schizophr. Res. VL - 94 IS - 1-3 N2 - BACKGROUND: Previous studies have shown that cerebrospinal fluid (CSF) from schizophrenic patients contains significantly higher levels of the endogenous cannabinoid anandamide than does CSF from healthy volunteers. Moreover, CSF anandamide levels correlated inversely with psychotic symptoms, suggesting that anandamide release in the central nervous system (CNS) may serve as an adaptive mechanism countering neurotransmitter abnormalities in acute psychoses. In the present study we examined whether cannabis use may alter such a mechanism. METHODS: We used liquid chromatography/mass spectrometry (LC/MS) to measure anandamide levels in serum and CSF from first-episode, antipsychotic-naïve schizophrenics (n=47) and healthy volunteers (n=81). Based on reported patterns of cannabis use and urine delta9-tetrahydrocannabinol (delta9-THC) tests, each subject group was further divided into two subgroups: 'low-frequency' and 'high-frequency' cannabis users (lifetime use < or = 5 times and > 20 times, respectively). Serum delta9-THC was investigated to determine acute use and three patients were excluded from the analysis due to detectable delta9-THC levels in serum. RESULTS: Schizophrenic low-frequency cannabis users (n=25) exhibited > 10-fold higher CSF anandamide levels than did schizophrenic high-frequency users (n=19, p=0.008), healthy low-frequency (n=55, p<0.001) or high-frequency users (n=26, p<0.001). In contrast, no significant differences in serum anandamide levels were found among the four subgroups. CSF anandamide levels and disease symptoms were negatively correlated in both user groups. CONCLUSIONS: The results indicate that frequent cannabis exposure may down-regulate anandamide signaling in the CNS of schizophrenic patients, but not of healthy individuals. Thus, our findings suggest that alterations in endocannabinoid signaling might be an important component of the mechanism through which cannabis impacts mental health. SN - 0920-9964 UR - https://www.unboundmedicine.com/medline/citation/17566707/abstract/Anandamide_levels_in_cerebrospinal_fluid_of_first_episode_schizophrenic_patients:_Impact_of_cannabis_use L2 - https://linkinghub.elsevier.com/retrieve/pii/S0920-9964(07)00190-9 DB - PRIME DP - Unbound Medicine ER -