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Part of the book series: Current Topics in Behavioral Neurosciences ((CTBN,volume 1))

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Abstract

Since the discovery of the endocannabinoid system, a growing body of psychiatric research has emerged focusing on the potential role of this system in schizophrenia. On the basis of earlier epidemiological studies and results from animal models, endocannabinoids and their relation to symptoms are considered in clinical studies as well as in post-mortem analyses of cannabinoid CB1 receptor densities. A possible neurobiological mechanism for the deleterious influence of cannabis use in schizophrenia is discussed, involving the disruption of endogenous cannabinoid signalling and function.

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Abbreviations

ACC:

Anterior cingulate cortex

CSF:

Cerebrospinal fluid

PCC:

Posterior cingulate cortex

References

  • Andreasson S, Allebeck P, Engstrom A et al. (1987) Cannabis and schizophrenia. A longitudinal study of Swedish conscripts. Lancet 2:1483–1486

    Article  PubMed  CAS  Google Scholar 

  • Andreasson S, Allebeck P, Rydberg U (1989) Schizophrenia in users and nonusers of cannabis. A longitudinal study in Stockholm County. Acta Psychiat Scand 79:505–510

    Article  PubMed  CAS  Google Scholar 

  • Arseneault L, Cannon M, Poulton R et al. (2002) Cannabis use in adolescence and risk for adult psychosis: longitudinal prospective study. Br Med J 325:1212–1213

    Article  Google Scholar 

  • Arseneault L, Cannon M, Witton J et al. (2004) Causal association between cannabis and psychosis: examination of the evidence. Br J Psychiatry 184:110–117

    Article  PubMed  Google Scholar 

  • Dean B, Sundram S, Bradbury R et al. (2001) Studies on [3H]CP-55940 binding in the human central nervous system: regional specific changes in density of cannabinoid-1 receptors associated with schizophrenia and cannabis use. Neuroscience 103:9–15

    Article  PubMed  CAS  Google Scholar 

  • D'Souza CD, Perry E, MacDougall L et al. (2004) The psychotomimetic effects of intravenous delta-9-tetrahydrocannabinol in healthy individuals: implications for psychosis. Neuropsychopharmacology 29:1558–1572

    Article  PubMed  Google Scholar 

  • D'Souza DC, Abi-Saab WM, Madonick S et al. (2005) Delta-9-tetrahydrocannabinol effects in schizophrenia: implications for cognition, psychosis, and addiction. Biol Psychiatry 57:594–608

    Article  PubMed  Google Scholar 

  • Eggan SM, Hashimoto T, Lewis DA (2008) Reduced cortical cannabinoid 1 receptor messenger RNA and protein expression in schizophrenia. Arch Gen Psychiatry 65:772–784

    Article  PubMed  Google Scholar 

  • Emrich HM, Leweke FM, Schneider U (1997) Towards a cannabinoid hypothesis of schizophrenia: cognitive impairments due to a dysregulation of the endogenous cannabinoid system. Pharmacol Biochem Behav 56:803–807

    Article  PubMed  CAS  Google Scholar 

  • Giuffrida A, Parsons LH, Kerr TM et al. (1999) Dopamine activation of endogenous cannabinoid signaling in dorsal striatum. Nat Neurosci 2:358–363

    Article  PubMed  CAS  Google Scholar 

  • Giuffrida A, Leweke FM, Gerth CW et al. (2004) Cerebrospinal anandamide levels are elevated in acute schizophrenia and are inversely correlated with psychotic symptoms. Neuropsychopharmacology 29:2108–2114

    Article  PubMed  CAS  Google Scholar 

  • Gregg L, Barrowclough C, Haddock G (2007) Reasons for increased substance use in psychosis. Clin Psychol Rev 27:494–510

    Article  PubMed  Google Scholar 

  • Henquet C, Krabbendam L, Spauwen J et al. (2005) Prospective cohort study of cannabis use, predisposition for psychosis, and psychotic symptoms in young people. Br Med J 330:11–16

    Article  Google Scholar 

  • Koethe D, Gerth CW, Neatby MA et al. (2006) Disturbances of visual information processing in early states of psychosis and experimental delta-9-tetrahydrocannabinol altered states of consciousness. Schizophr Res 88:142–150

    Article  PubMed  Google Scholar 

  • Koethe D, Llenos IC, Dulay JR et al. (2007) Expression of CB1 cannabinoid receptor in the anterior cingulate cortex in schizophrenia, bipolar disorder, and major depression. J Neural Transm 114:1055–1063

    Article  PubMed  CAS  Google Scholar 

  • Kovasznay B, Fleischer J, Tanenberg Karant M et al. (1997) Substance use disorder and the early course of illness in schizophrenia and affective psychosis. Schizophr Bull 23:195–201

    PubMed  CAS  Google Scholar 

  • Leweke FM, Kampmann C, Radwan M et al. (1998) The effects of tetrahydrocannabinol on the recognition of emotionally charged words: an analysis using event-related brain potentials. Neuropsychobiology 37:104–111

    Article  PubMed  CAS  Google Scholar 

  • Leweke FM, Giuffrida A, Wurster U et al. (1999a) Elevated endogenous cannabinoids in schizophrenia. Neuroreport 10:1665–1669

    Article  PubMed  CAS  Google Scholar 

  • Leweke FM, Schneider U, Thies M et al. (1999b) Effects of synthetic Δ9-tetrahydrocannabinol on binocular depth inversion of natural and artificial objects in man. Psychopharmacology 142:230–235

    Article  PubMed  CAS  Google Scholar 

  • Leweke FM, Schneider U, Radwan M et al. (2000) Different effects of nabilone and cannabidiol on binocular depth inversion in man. Pharmacol Biochem Behav 66:175–181

    Article  PubMed  CAS  Google Scholar 

  • Leweke FM, Koethe D, Gerth CW et al. (2005) The endocannabinoid modulator cannabidiol as an antipsychotic. Results from the first controlled clinical trial in acute schizophrenia. Biol Psychiat 57:S135

    Google Scholar 

  • Leweke FM, Giuffrida A, Koethe D et al. (2007a) Anandamide levels in cerebrospinal fluid of first-episode schizophrenic patients: impact of cannabis use. Schizophr Res 94(1–3):29–36

    Article  PubMed  Google Scholar 

  • Linszen DH, Dingemans PM, Lenior ME (1994) Cannabis abuse and the course of recent-onset schizophrenic disorders. Arch Gen Psychiatry 51:273–279

    PubMed  CAS  Google Scholar 

  • Meltzer HY, Arvanitis L, Bauer D et al. (2004) Placebo-controlled evaluation of four novel compounds for the treatment of schizophrenia and schizoaffective disorder. Am J Psychiatry 161:975–984

    Article  PubMed  Google Scholar 

  • Moreau de Tours J-J (1845) Du hachisch et de l'aliénation mentale, Études psychologiques. Paris, Fortin et Masson

    Google Scholar 

  • Newell KA, Deng C, Huang XF (2006) Increased cannabinoid receptor density in the posterior cingulate cortex in schizophrenia. Exp Brain Res 172:556–560

    Article  PubMed  CAS  Google Scholar 

  • Poncelet M, Barnouin M-C, Breliere J-C et al. (1999) Blockade of cannabinoid (CB1) receptors by SR 141716 selectively antagonizes drug-induced reinstatement of exploratory behaviour in gerbils. Psychopharmacology 144:144–150

    Article  PubMed  CAS  Google Scholar 

  • Schneider M (2008) Puberty as a highly vulnerable developmental period for the consequences of cannabis exposure. Addict Biol 13:253–263

    Article  PubMed  Google Scholar 

  • Schneider M, Koch M (2003) Chronic pubertal, but not adult chronic cannabinoid treatment impairs sensorimotor gating, recognition memory, and the performance in a progressive ratio task in adult rats. Neuropsychopharmacology 28:1760–1769

    Article  PubMed  CAS  Google Scholar 

  • Schneider M, Koch M (2005) Deficient social and play behavior in juvenile and adult rats after neonatal cortical lesion: effects of chronic pubertal cannabinoid treatment. Neuropsychopharmacology 30:944–957

    Article  PubMed  CAS  Google Scholar 

  • Schneider M, Drews E, Koch M (2005) Behavioral effects in adult rats of chronic prepubertal treatment with the cannabinoid receptor agonist WIN 55, 212-2. Behav Pharmacol 16:447–454

    Article  PubMed  CAS  Google Scholar 

  • Sundram S (2006) Cannabis and neurodevelopment: implications for psychiatric disorders. Hum Psychopharmacol 21:245–254

    Article  PubMed  CAS  Google Scholar 

  • van Os J, Bak M, Hanssen M et al. (2002) Cannabis use and psychosis: a longitudinal population-based study. Am J Epidemiol 156:319–327

    Article  PubMed  Google Scholar 

  • Veen ND, Selten JP, van der Tweel I et al. (2004) Cannabis use and age at onset of schizophrenia. Am J Psychiatry 161:501–506

    Article  PubMed  Google Scholar 

  • Zammit S, Allebeck P, Andreasson S et al. (2002) Self reported cannabis use as a risk factor for schizophrenia in Swedish conscripts of 1969: historical cohort study. Br Med J 325:1199–1203

    Article  Google Scholar 

  • Zavitsanou K, Garrick T, Huang XF (2004) Selective antagonist [3H]SR141716A binding to cannabinoid CB1 receptors is increased in the anterior cingulate cortex in schizophrenia. Prog Neuropsychopharmacol Biol Psychiatry 28:355–360

    Article  PubMed  CAS  Google Scholar 

  • Zuardi AW, Rodrigues JA, Cunha JM (1991) Effects of cannabidiol in animal models predictive of antipsychotic activity. Psychopharmacology 104:260–264

    Article  PubMed  CAS  Google Scholar 

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Acknowledgements

This research was funded by the Stanley Medical Research Institute (01-315 and 03-NV-003 to FML) and the Koeln Fortune Program (108-2000 to FML). I gratefully acknowledge the contributions of Drs. L. Kranaster, D. Koethe, C.W. Gerth, C. Hoyer, B.M. Nolden, C. Mauss, D. Schreiber, F. Pahlisch, and C. Jöpen to this research.

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Correspondence to F. Markus Leweke .

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© 2009 Springer-Verlag Berlin Heidelberg

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Leweke, F.M. (2009). Schizophrenia. In: Kendall, D., Alexander, S. (eds) Behavioral Neurobiology of the Endocannabinoid System. Current Topics in Behavioral Neurosciences, vol 1. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-88955-7_16

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