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Substance use and mental health symptoms in adults with prenatal alcohol exposure 产前酒精暴露成人的物质使用和心理健康症状
IF 2.6 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-05-01 Epub Date: 2025-03-01 DOI: 10.1016/j.ntt.2025.107436
Kallio Hunnicutt-Ferguson , Susan A. Stoner , Julie A. Kable , Therese M. Grant , Claire D. Coles

Background

Substance use and mental health problems have been documented in individuals with prenatal alcohol exposure (PAE) in young adulthood, but little is known about how these patterns progress over time into midlife. The current study examined rates of substance use in a sample of adults with PAE in mid-life compared to a demographically similar contrast group.

Methods

Participants (n = 233) were drawn from two longitudinal cohorts of individuals recruited prenatally and followed into adulthood. Measures of cognition, substance use, and self-reported mental health functioning were obtained.

Results

Differences among groups (PAE no dysmorphology, PAE with dysmorphology, No PAE contrast group) were examined on demographic variables of interest and substance use outcomes. Both PAE groups experienced higher levels of Adverse Childhood Experiences (ACEs) compared to the contrast group. We also observed higher rates of current tobacco use in those with PAE; those with PAE and no dysmorphology had almost twice the rate of current tobacco use as the nonexposed contrast group. We observed similar rates of high risk drinking on the Alcohol Use Identification Test (AUDIT) in all groups. Individuals with PAE also showed high rates of cannabis use compared to national averages. Generalized linear regressions examining predictive effects of PAE on substance use outcomes did not show significant results, though female sex at birth was predictive of current cannabis use. Current alcohol use predicted depression and PTSD symptoms, and significant interactions were observed between PAE group and ACEs on depression, PTSD, anxiety, and psychotic symptoms.

Conclusion

This is one of the only studies to examine rates of alcohol and other substance use among adults in mid-life with PAE. Results suggest that relationships between PAE, substance use, and mental health symptoms are complex, and it will be important for future studies to examine factors associated with high-risk substance use among this vulnerable population.
背景:物质使用和精神健康问题已被记录在成年早期产前酒精暴露(PAE)的个体中,但很少有人知道这些模式是如何随着时间的推移进入中年的。目前的研究检查了中年PAE成人样本的物质使用率,并将其与人口统计学上相似的对照组进行了比较。方法:参与者(n = 233)从产前招募的两个纵向队列中抽取,并随访至成年期。测量认知、物质使用和自我报告的心理健康功能。结果:比较各组(无畸形组、有畸形组、无畸形组)在兴趣和药物使用结果的人口统计学变量上的差异。与对照组相比,两个PAE组的不良童年经历(ace)水平都更高。我们还观察到PAE患者目前的烟草使用率较高;那些患有PAE但没有畸形的人的烟草使用率几乎是未暴露对照组的两倍。我们在酒精使用鉴定测试(AUDIT)中观察到所有组的高危饮酒率相似。与全国平均水平相比,PAE患者的大麻使用率也很高。检验PAE对药物使用结果的预测效果的广义线性回归没有显示出显著的结果,尽管女性出生时的性别可以预测当前的大麻使用情况。当前饮酒可预测抑郁和PTSD症状,PAE组和ace组在抑郁、PTSD、焦虑和精神病症状方面存在显著的相互作用。结论:这是唯一一项研究酒精和其他物质在中年PAE成年人中使用率的研究。结果表明,PAE、药物使用和精神健康症状之间的关系是复杂的,对于未来的研究来说,在这一脆弱人群中检查与高风险药物使用相关的因素将是很重要的。
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引用次数: 0
Co-occurring substance use and mental health symptoms among prenatally substance-exposed emerging adults 在产前物质暴露的新生成人中共同发生的物质使用和精神健康症状
IF 2.6 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-05-01 Epub Date: 2025-06-17 DOI: 10.1016/j.ntt.2025.107498
June-Yung Kim , Sonia Minnes , Meeyoung O. Min , Liat R. Johnson , Lynn T. Singer
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引用次数: 0
Neurobehavioral assessments in preterm pigs 早产儿神经行为评估
IF 2.6 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-05-01 Epub Date: 2025-06-17 DOI: 10.1016/j.ntt.2025.107489
Helen J.K. Sable
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引用次数: 0
Regulatory aspects of neurobehavioral testing in alternate animal models 在替代动物模型中神经行为测试的调节方面
IF 2.6 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-05-01 Epub Date: 2025-06-17 DOI: 10.1016/j.ntt.2025.107490
Elizabeth Green
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引用次数: 0
Exploring how pregnant people in recovery from opioid use disorder describe their child during pregnancy 探索从阿片类药物使用障碍中恢复的孕妇如何在怀孕期间描述他们的孩子
IF 2.6 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-05-01 Epub Date: 2025-03-27 DOI: 10.1016/j.ntt.2025.107449
Katherine L. Guyon-Harris , Regan Carell , Montia D. Brock , Kathryn L. Humphreys , Alissa C. Huth-Bocks

Objective

Understanding parenting strengths and challenges among pregnant people in recovery from opioid use disorder supports effective intervention delivery. How parents think and feel about their child prenatally has implications for postnatal parenting. In our past work, greater use of positive compared to negative or neutral prenatal descriptors of the child during pregnancy was associated with higher sensitivity, warmth, and engagement during caregiver–infant interactions 12-months postpartum. We analyzed descriptions of the child among pregnant people in recovery compared to a non-substance using sample to further our understanding of potential parenting strengths and risks for people in recovery.

Method

Participants included pregnant people (N = 18; M age = 30.06, SD = 3.33) recruited from an outpatient substance use treatment program providing buprenorphine (recovery sample) and a comparison sample of pregnant people (N = 120; M age = 26.16, SD = 5.71) reporting high rates of economic disadvantage and intimate partner violence, but not substance use. Through a semi-structured interview, participants described the personality of the child they were pregnant with in up to five words/phrases. Each description was coded as positive, neutral, or negative.

Results

Participants in the recovery sample used a greater number of positive words on average (M = 3.5, SD = 1.4) relative to the comparison sample (M = 2.7, SD = 1.5; Cohen's d = 0.56, 95 % confidence interval: LL = 0.06, UL = 1.06). Use of negative descriptors was similar across samples.

Conclusions

Assessing how pregnant people in recovery think and feel about their developing fetus is feasible and could create opportunities for engagement in preventive parenting interventions to support healthy conceptualizations of the child.
目的了解阿片类药物使用障碍恢复期孕妇的育儿优势和挑战,为有效干预提供支持。父母在产前对孩子的看法和感受对产后的养育有影响。在我们过去的研究中,在怀孕期间,与消极或中性的产前描述相比,更多地使用积极的描述与产后12个月的照顾者-婴儿互动中更高的敏感性、温暖度和参与度相关。我们分析了孕妇在康复过程中对孩子的描述,并将其与非物质样本进行了比较,以进一步了解康复过程中潜在的育儿优势和风险。方法纳入孕妇(N = 18;M年龄= 30.06,SD = 3.33),从门诊药物使用治疗项目中招募,提供丁丙诺啡(恢复样本)和比较样本孕妇(N = 120;(年龄= 26.16,SD = 5.71)报告经济劣势和亲密伴侣暴力的发生率较高,但药物使用的发生率较低。通过一个半结构化的访谈,参与者用最多五个单词/短语描述他们怀孕的孩子的性格。每个描述都被编码为积极的、中性的或消极的。结果恢复组的被试平均使用的积极词汇数(M = 3.5, SD = 1.4)高于对照组(M = 2.7, SD = 1.5;Cohen’s d = 0.56, 95%置信区间:LL = 0.06, UL = 1.06)。负面描述符的使用在各个样本中是相似的。结论评估恢复期孕妇对胎儿发育的看法和感受是可行的,可以为参与预防性育儿干预创造机会,以支持孩子的健康受孕。
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引用次数: 0
Associations of prenatal maternal psychosocial stress and depression with neurodevelopmental outcomes in 7.5-month-old infants in the ECHO.CA.IL prospective birth cohorts 产前母亲心理社会压力和抑郁与7.5月龄婴儿神经发育结局的关系
IF 2.6 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-03-01 Epub Date: 2025-01-10 DOI: 10.1016/j.ntt.2025.107431
Nicholas Cragoe , Jenna Sprowles , Stephanie M. Eick , Lynn Harvey , Xavier R. Ramirez , Gloria Arroyo Sugg , Rachel Morello-Frosch , Tracey Woodruff , Susan L. Schantz

Background

Exposure to maternal stress and depression during pregnancy can have a marked impact on birth outcomes and child development, escalating the likelihood of preterm birth, lower birth weight, and various domains of physical and neurodevelopment.

Methods

The joint ECHO.CA.IL cohort is comprised of the Chemicals in Our Bodies (CIOB) and Illinois Kids Development Study (IKIDS) prospective cohorts, recruiting pregnant women in San Francisco, CA, and Urbana-Champaign, IL, respectively. Using a combined sample of 428 mother-infant dyads, we examined associations between two prenatal measures of maternal stress (perceived stress (PSS) and stressful events (SLE)), as well as maternal depression, and five domains of neurodevelopment via the Ages & Stages Questionnaire (ASQ) administered at 7.5 months. Linear regression models were adjusted for relevant demographic characteristics and used to identify patterns of association.

Results

CIOB mothers were comparatively racially/ethnically diverse (52 % white, 28 % Asian American/Pacific Islander, 12 % Hispanic), while IKIDS mothers were disproportionately white (80 %). Both cohorts demonstrated high levels of maternal education and were similar in terms of other demographic characteristics. CIOB mothers reported higher levels of stress (e.g., SLE: 49.63 % report ≥1 event) compared to IKIDS mothers (e.g., SLE: 16.34 % report ≥1 event). In adjusted linear models, patterns of association were nearly uniformly negative between stress and ASQ measures, with associations between PSS and fine motor skills (β-0.26, CI = -0.52; 0.00) and SLEs and communication skills (β = −2.9245, CI = -6.1643; 0.3152) showing the strongest associations (p < 0.1). Depression showed no significant or clear pattern of association with ASQ scores.

Conclusion

This study found negative associations between prenatal maternal stress and infant neurodevelopment in the combined ECHO.CA.IL cohort, suggesting that prenatal stress is associated with delayed development of motor and communication skills during infancy. The inconclusive links between maternal depression and ASQ outcomes leave open the question regarding the influence of prenatal depression on early child neurodevelopment.
背景:在怀孕期间暴露于母亲的压力和抑郁会对出生结果和儿童发育产生显著影响,增加早产、低出生体重的可能性,以及身体和神经发育的各个领域。方法:联合ECHO.CA.IL队列由我们体内的化学物质(CIOB)和伊利诺斯州儿童发展研究(IKIDS)前瞻性队列组成,分别在加州旧金山和伊利诺斯州厄巴纳-香槟招募孕妇。使用428对母婴组合样本,我们通过7.5 个月的年龄和阶段问卷(ASQ)检查了母亲压力的两种产前测量(感知压力(PSS)和压力事件(SLE))以及母亲抑郁与神经发育的五个领域之间的关联。线性回归模型根据相关的人口统计学特征进行调整,并用于确定关联模式。结果:CIOB母亲的种族/民族相对多样化(52% %为白人,28% %为亚裔美国人/太平洋岛民,12% %为西班牙裔),而IKIDS母亲的白人比例过高(80% %)。两个队列都显示出高水平的母亲教育,并且在其他人口统计学特征方面相似。与IKIDS母亲(sle: 16.34 %报告≥1个事件)相比,CIOB母亲报告的压力水平更高(例如,sle: 49.63 %报告≥1个事件)。在调整后的线性模型中,压力与ASQ测量之间的关联模式几乎一致为负,PSS与精细运动技能之间存在关联(β-0.26, CI = -0.52;0.00)、SLEs和沟通能力(β = -2.9245,CI = -6.1643;结论:本研究发现,在ECHO.CA.IL联合队列中,产前母亲压力与婴儿神经发育呈负相关,提示产前压力与婴儿运动和沟通技能发育迟缓有关。母亲抑郁和ASQ结果之间不确定的联系留下了关于产前抑郁对儿童早期神经发育影响的问题。
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引用次数: 0
Gene × environment interaction between heterozygous deletion of the ADHD risk gene latrophilin-3 (adgrl3) and developmental deltamethrin exposure in Sprague Dawley rats Sprague Dawley大鼠ADHD风险基因嗜乳蛋白-3 (latrophilin-3, adgrl3)杂合缺失与发育期溴氰菊酯暴露的基因×环境相互作用
IF 2.6 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-03-01 Epub Date: 2025-02-21 DOI: 10.1016/j.ntt.2025.107435
Charles V. Vorhees, Adam L. Fritz, Brooke M. Gollaway, Michael T. Williams
The prevalence of attention deficit hyperactivity disorder (ADHD) is 9.8 % in U.S. children. Several variants of Latrophiln-3 (LPHN-3) are associated with ADHD. Using CRISPR/Cas9 we deleted exon 3 in rats to create a global Lphn3 knockout. These rats are hyperactive, startle hyper-reactive, impulsive, and have impaired working, spatial, and egocentric learning and memory. Deltamethrin (DLM) is a widely used pyrethroid insecticide. Several epidemiological studies report an increase in ADHD prevalence in children exposed to pyrethroids. Developmental exposure to DLM in rats results in multiple behavioral deficits. The present experiment tested whether Lphn3 disruption interacts with developmental DLM exposure. Because Lphn3−/− rats are severely impaired, we used Lphn3+/− (Hets) because they have an intermediate phenotype. Rats were treated by gavage once/day from postnatal day 6–20 with DLM resulting in four groups: Lphn3-Het + DLM (1.0 mg/kg), Lphn3-Het + Corn Oil (CO), Lphn3+/+ (wildtype: WT) + DLM, and WT + CO. From 31 litters, 19–27 offspring per genotype per treatment per sex were obtained with not more than 1 rat of each group and sex used from any one litter. Adult offspring were tested for exploration (open-field), 72-h home-cage activity, startle, novel object recognition (NOR), radial water maze (RWM), Morris water maze (MWM), and Cincinnati water maze (CWM). On MWM acquisition trials and the reversal probe trial, Lphn3-Het-DLM rats performed worse than other groups. This group also was impaired learning the CWM. No interactions were found for open-field, home-cage, startle, NOR, or RWM. The results show that the ADHD risk gene Lphn3 in combination with developmental DLM exposure has selective adverse effects compared with either factor alone.
注意缺陷多动障碍(ADHD)在美国儿童中的患病率为9.8% %。Latrophiln-3 (LPHN-3)的几种变体与ADHD有关。使用CRISPR/Cas9,我们在大鼠中删除了外显子3,以创建全局Lphn3敲除。这些老鼠过度活跃,惊吓过度反应,冲动,工作,空间和以自我为中心的学习和记忆受损。溴氰菊酯(DLM)是一种广泛使用的拟除虫菊酯类杀虫剂。几项流行病学研究报告称,接触拟除虫菊酯的儿童ADHD患病率有所增加。大鼠发育暴露于DLM会导致多种行为缺陷。本实验测试了Lphn3破坏是否与发育性DLM暴露相互作用。由于Lphn3-/-大鼠严重受损,我们使用Lphn3+/- (hts),因为它们具有中间表型。老鼠被填喂法在断奶后6 20天每天一次DLM导致四组:Lphn3-Het + DLM (1.0毫克/公斤),Lphn3-Het + 玉米油(CO), Lphn3 + / +(野生型:WT) + DLM,和WT + 有限公司从31窝中,每个处理每个性别获得每个基因型19-27只后代,每组不超过1只大鼠。对成年子代进行探索(野外)、72h家笼活动、惊吓、新目标识别(NOR)、径向水迷宫(RWM)、莫里斯水迷宫(MWM)和辛辛那提水迷宫(CWM)测试。在MWM获取实验和逆转探针实验中,Lphn3-Het-DLM大鼠表现较其他各组差。这组在学习CWM方面也有障碍。野外、家庭笼、惊吓、NOR或RWM均未发现相互作用。结果表明,ADHD风险基因Lphn3与发育性DLM暴露相结合,与单独的任何因素相比,具有选择性的不良反应。
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引用次数: 0
Tricresylphosphate isomers: A review of toxicity pathways 三磷酸三酯异构体:毒性途径的综述。
IF 2.6 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-03-01 Epub Date: 2025-02-06 DOI: 10.1016/j.ntt.2025.107432
Marta Tkachuk, Nataliya Matiytsiv
Synthetiс organophosphates are a large group of chemicals, annually produced by an industry with their further application as oil additives, flame retardants, plasticizers, warfare agents and insecticides for domestic use and in the control of vector-borne diseases. Consequently, organophosphates are often detected in the environment and human samples, which can have adverse effects on ecosystems and human health. This review aimed to summarize recent findings about different aspects of tricresyl phosphate mixture and separate isomers toxicity, including their impact on nervous, endocrine, and reproductive systems studied in animal models or in vitro. We also discuss the underlying molecular and cellular mechanisms involved in these processes, which comprise inhibition of neuropathy target esterase (NTE), overactivation of neuregulin1/ErbB and MAPK signaling pathways, impairment of glutamate signaling as well as interaction with nuclear hormone. Finally, we outline potential therapeutic targets and promising agents as important directions for future research.
合成有机磷酸盐是一大类化学品,每年由某一工业生产,并进一步用作石油添加剂、阻燃剂、增塑剂、战争剂和杀虫剂,供家庭使用和用于控制病媒传播的疾病。因此,经常在环境和人类样本中检测到有机磷,这可能对生态系统和人类健康产生不利影响。本文综述了近年来在动物模型和体外研究中关于磷酸三甲酰基混合物和单独异构体毒性的不同方面的发现,包括它们对神经系统、内分泌系统和生殖系统的影响。我们还讨论了参与这些过程的潜在分子和细胞机制,包括神经病变靶酯酶(NTE)的抑制,神经调节蛋白1/ErbB和MAPK信号通路的过度激活,谷氨酸信号通路的损伤以及与核激素的相互作用。最后,我们概述了潜在的治疗靶点和有前景的药物作为未来研究的重要方向。
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引用次数: 0
Dl-3-n-butylphthalein inhibits neuronal apoptosis and ferroptosis after cerebral ischemia-reperfusion injury in rats by regulating CXCR4 dl -3-正丁苯酞通过调节CXCR4抑制大鼠脑缺血再灌注损伤后神经元凋亡和铁凋亡。
IF 2.6 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-03-01 Epub Date: 2025-02-14 DOI: 10.1016/j.ntt.2025.107434
Sifan Xu , Qi Wang , Yu Qin, Qian Yang, Yang Xu, Zhiming Zhou

Objective

To investigate the anti-apoptosis and anti-ferroptosis effects of dl-3-n-butylphthalide (dl-NBP) on cerebral ischemia-reperfusion injury (CIRI) in rats, and the potential involvement of cysteine-X-cysteine chemokine receptor 4 (CXCR4).

Methods

The differentially expressed genes between healthy people and stroke patients were screened by GEO database. A transient middle cerebral artery occlusion rat model was used to induce CIRI in vivo. Rats were randomly divided into sham group, tMCAO group, and dl-NBP + tMCAO group. The therapeutic effect of dl-NBP in vivo and its effect on apoptosis and ferroptosis in brain tissues were evaluated. An in vitro oxygen-glucose deprivation/reperfusion (OGD/R) model was established to simulate CIRI in cultured PC12 cells, and the effects of dl-NBP on apoptosis and ferroptosis were examined. In this model, CXCR4 expression was assessed by western blotting and its involvement in dl-NBP-mediated protection assessed by inhibition with AMD3100.

Results

In the stroke-related GSE22255 and GSE66724 datasets, a total of six genes with increased co-expression were found, including CXCR4. Dl-NBP treatment significantly reduced both the volume of cerebral infarction and the degree of cerebral edema, and improved neurological function in rats. dl-NBP reduced the degree of apoptosis and ferroptosis and alleviated CIRI both in vivo and in vitro. The pro-survival effects of dl-NBP were significantly reversed after CXCR4 inhibition with AMD3100.

Conclusion

Dl-NBP has anti-apoptotic and anti-ferroptotic effects on CIRI both in vivo and in vitro, and this effect is mediated by CXCR4.
目的:探讨dl-3-正丁基酞(dl-NBP)对大鼠脑缺血再灌注损伤(CIRI)的抗凋亡和抗铁凋亡作用及其与半胱氨酸- x -半胱氨酸趋化因子受体4 (CXCR4)的关系。方法:采用GEO数据库筛选健康人与脑卒中患者的差异表达基因。采用一过性大脑中动脉闭塞大鼠模型,在体内诱导CIRI。将大鼠随机分为假手术组、tMCAO组和dl-NBP + tMCAO组。观察dl-NBP在体内的治疗效果及对脑组织凋亡和铁下垂的影响。建立体外氧糖剥夺/再灌注(OGD/R)模型,模拟体外培养PC12细胞的CIRI,观察dl-NBP对细胞凋亡和铁凋亡的影响。在该模型中,通过western blotting评估CXCR4的表达,并通过AMD3100抑制评估其参与dl- nbp介导的保护作用。结果:在卒中相关的GSE22255和GSE66724数据集中,共发现6个共表达增加的基因,其中包括CXCR4。Dl-NBP治疗大鼠脑梗死体积和脑水肿程度均明显减少,神经功能明显改善。dl-NBP在体内和体外均能降低细胞凋亡和铁下垂程度,减轻CIRI。AMD3100抑制CXCR4后,dl-NBP的促生存作用明显逆转。结论:Dl-NBP在体内和体外均对CIRI具有抗凋亡和抗铁沉作用,其作用机制是由CXCR4介导的。
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引用次数: 0
Cannabinoids in hair and their prospective association with mental and physical health outcomes in adolescents 头发中的大麻素及其与青少年心理和身体健康结果的前瞻性关联。
IF 2.6 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-03-01 Epub Date: 2025-02-08 DOI: 10.1016/j.ntt.2025.107433
Isabel R. Aks , Herry Patel , William E. Pelham III , Marilyn A. Huestis , Natasha E. Wade
<div><h3>Background</h3><div>Cannabis is one of the most widely used drugs in early adolescence, a crucial time for development. Cannabinoids within the cannabis plant (e.g., delta-9-tetrahydrocannabinol [THC], and cannabidiol [CBD]) are suggested to have a range of health implications. These may differ by sex, given sex differences in the endocannabinoid system (ECS). Yet, how aspects of mental and physical health are related to cannabis use as measured by hair concentrations, both within early adolescence and across sexes, is so far inconclusive.</div></div><div><h3>Methods</h3><div>We analyzed hair toxicology data from three cannabinoid analytes (THC, CBD, and 11-nor-9-carboxy-THC [THCCOOH]) and multiple mental and physical health measures in 9–15 year-old youth (49 % female) from the Adolescent Brain Cognitive Development (ABCD) Study (<em>N</em> = 2262). Two-part linear regression models were fit to assess the effects of cannabis constituent presence, concentrations, and THC concentrations + CBD presence on externalizing and internalizing symptoms, physical and strengthening exercise, asthma presence, and sleep duration. Secondary analyses fit the same models but stratified by sex. Finally, to further characterize these relationships, we conducted two exploratory analyses: we assessed health variables prospectively and concurrently predicting cannabinoid concentrations. False discovery rate corrections were employed for all analyses.</div></div><div><h3>Results</h3><div>In the full sample, greater THC concentrations predicted more frequent strength exercise one year later; greater CBD concentrations predicted fewer strength exercise days; and greater THCCOOH concentrations predicted shorter sleep duration. Among males, cannabinoids differentially predicted exercise days; greater THC and THCCOOH concentrations predicted shorter sleep duration. Among females, greater THC and THCCOOH concentrations predicted strength exercise frequency, and THC concentrations predicted shorter sleep duration. In exploratory models, asthma presence predicted THCCOOH concentration one year later. Concurrently, THC concentration alone and in the presence of CBD predicted both sleep duration and lower exercise days, while THCCOOH concentration predicted lower exercise days, less asthma presence, as well as greater internalizing and externalizing symptoms.</div></div><div><h3>Conclusion</h3><div>In a nationwide study of youth ages 9–15 years old, we found cannabinoid hair concentrations predicted differences in health outcomes a year later, suggesting potential differential mechanisms for THC and CBD effects on health. Furthermore, sex-specific observations in these prospective associations emphasize the importance of considering sex assigned at birth when investigating correlates of cannabis use. Analysis of cannabinoid hair concentrations can reveal key links to mental health, physical activity, and sleep, aiding understanding of complex cannabis effects.</div></d
背景:大麻是青少年早期最广泛使用的药物之一,这是发育的关键时期。大麻植物中的大麻素(例如,德尔塔-9-四氢大麻酚[THC]和大麻二酚[CBD])被认为具有一系列健康影响。鉴于内源性大麻素系统(ECS)的性别差异,这些可能因性别而异。然而,心理和身体健康的各个方面与大麻的使用之间的关系,通过头发浓度来衡量,无论是在青春期早期还是跨性别,到目前为止还没有定论。方法:我们分析了来自青少年大脑认知发展(ABCD)研究(N = 2262)的9-15岁 青年(49% %女性)的三种大麻素分析物(THC、CBD和11-no -9-羧基四氢大麻酚[THCCOOH])的头发毒理学数据和多项心理和身体健康指标。两部分线性回归模型拟合评估大麻成分存在、浓度和THC浓度+ CBD存在对外化和内化症状、身体和强化运动、哮喘存在和睡眠时间的影响。二次分析符合相同的模型,但按性别分层。最后,为了进一步表征这些关系,我们进行了两项探索性分析:我们前瞻性地评估了健康变量,同时预测了大麻素浓度。所有分析均采用错误发现率修正。结果:在整个样本中,THC浓度越高,一年后力量锻炼的频率越高;CBD浓度越高,力量锻炼天数越少;thccoooh浓度越高,睡眠时间越短。在男性中,大麻素对锻炼天数的预测存在差异;四氢大麻酚和四氢大麻酚浓度越高,睡眠时间越短。在女性中,更大的四氢大麻酚和四氢大麻酚浓度预测力量运动频率,四氢大麻酚浓度预测更短的睡眠时间。在探索性模型中,哮喘的存在预测了一年后THCCOOH的浓度。同时,THC浓度单独和CBD存在时预测睡眠时间和较短的运动天数,而thccoooh浓度预测较短的运动天数,较少的哮喘存在以及更大的内化和外化症状。结论:在一项针对9-15岁 青少年的全国性研究中,我们发现大麻素头发浓度预测了一年后健康结果的差异,这提示了THC和CBD对健康影响的潜在差异机制。此外,在这些前瞻性关联中的性别特异性观察强调了在调查大麻使用相关因素时考虑出生性别的重要性。对头发中大麻素浓度的分析可以揭示与心理健康、身体活动和睡眠的关键联系,有助于理解大麻的复杂影响。
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Neurotoxicology and teratology
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