A Cannabinoid Hypothesis of Schizophrenia: Pathways to Psychosis.

Q3 Medicine Innovations in clinical neuroscience Pub Date : 2022-07-01
Rachel Little, Dale D'Mello
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Abstract

Background: Observations regarding psychostimulant and psychedelic drug-induced psychotic states led to the dopamine, serotonin, and glutamate hypotheses of schizophrenia. Expanding knowledge about the endocannabinoid system and the impact of exogenous cannabinoids on the brain and behavior have elucidated several putative pathways to cannabis-induced psychosis.

Objective: The purpose of the present article was to describe these pathways and propose a cannabinoid hypothesis of schizophrenia.

Main points: The endocannabinoid system was reviewed. Evidence regarding the effect of delta 9-tetrahydrocannabinol (THC) on the brain was described. A connection between cannabis use and first-episode psychosis was elucidated.

Conclusion: Understanding the putative pathways to cannabis-induced psychosis might lead to targeted therapeutic interventions and prevention of schizophrenia in susceptible individuals.

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精神分裂症的大麻素假说:通往精神病的途径。
背景:对精神兴奋剂和致幻剂引起的精神状态的观察导致了精神分裂症的多巴胺、血清素和谷氨酸假说。关于内源性大麻素系统和外源性大麻素对大脑和行为的影响的不断扩大的知识已经阐明了大麻诱导精神病的几种假定途径。目的:本文的目的是描述这些途径,并提出精神分裂症的大麻素假说。主要内容:对内源性大麻素系统进行了综述。关于δ 9-四氢大麻酚(THC)对大脑的影响的证据被描述。大麻使用和首发精神病之间的联系被阐明。结论:了解大麻诱导精神疾病的可能途径可能有助于对易感个体进行针对性的治疗干预和预防精神分裂症。
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来源期刊
Innovations in clinical neuroscience
Innovations in clinical neuroscience Medicine-Psychiatry and Mental Health
CiteScore
2.10
自引率
0.00%
发文量
87
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