Medical News: High-potency cannabis damages key brain structure

Honor Whiteman2015/11/30英语学习

摘要: 高效力大麻(如Skunk)的频繁使用与大脑胼胝体白质结构损伤相关,这种损伤表现为平均扩散率(MD)升高,且无论使用者是否患有精神病均存在此现象。

  • 频繁使用高效力大麻(如Skunk)与胼胝体白质损伤显著相关,该区域富含THC作用的 cannabinoid 受体。
  • 研究发现,高效力大麻使用者无论是否患有精神病,其大脑白质损伤程度均高于低效力或偶尔使用者。
  • THC浓度近年来持续上升,而高THC含量的大麻已被多项研究关联至更高的精神病风险。
  • 研究人员呼吁加强对公众、医疗人员及政策制定者关于高效力大麻潜在神经危害的教育。

吸食高效能大麻会使大脑关键组织受损

Senior researcher Dr. Paola Dazzan, of the Institute of Psychiatry, Psychology & Neuroscience at King’s College London in the UK, and colleagues publish their findings in the journal Psychological Science.

In the US, cannabis is the most commonly used illicit drug. Skunk is a more potent form of cannabis, typically stronger in smell and containing higher levels of the main active ingredient delta-9-tetrahydrocannabinol (THC).

Studies have increasingly associated the use of skunk cannabis with increased risk of psychosis - a term used to describe hallucinations and delusions that arise from some mental disorders, such as schizophrenia. Another study by King’s College published earlier this year, for example, linked high-potency skunk use to a fivefold greater psychosis risk.

For this latest study, Dr. Dazzan and colleagues investigated how the high-potency drug affects brain structure. They note that gaining a better understanding of this association is important, particularly since levels of THC in skunk-like cannabis have been increasing in recent years, and this ingredient itself has been linked to increased psychosis risk.

Heavy users of high-potency cannabis showed greatest brain damage

To reach their findings, the team enrolled 54 individuals with first-episode psychosis and 43 healthy participants. Using the Cannabis Experience Questionnaire, information was gathered on subjects’ past use of cannabis, stimulants and other recreational drugs.

Each participant underwent a magnetic resonance imaging (MRI) technique known as diffusion tensor imaging (DTI), which allowed the researchers to closely analyze their brain structure.

Specifically, the team assessed the corpus callosum - a white matter structure that connects the right and left hemispheres of the brain, allowing communication between the two. The team notes that this brain region has lots of cannabinoid receptors, which THC targets.

The researchers found that participants who had a history of frequent high-potency skunk use demonstrated much higher mean-diffusivity (MD) in the corpus callosum - a marker of white matter damage - than low-potency users and those who used the drug occasionally. What is more, this association was found in subjects both with and without psychosis.

Commenting on the results, Dr. Dazzan says:

“We found that frequent use of high-potency cannabis significantly affects the structure of white matter fibers in the brain, whether you have psychosis or not. This reflects a sliding scale where the more cannabis you smoke and the higher the potency, the worse the damage will be.”

Based on the findings of this study and others showing how cannabis may damage the brain, Dr. Dazzan says there is an “urgent need” to educate health professionals, policymakers and the general public about the health risks that may arise with cannabis use.

Medical News Today recently reported on a study suggesting marijuana users are at greater risk of stroke caused by intracranial arterial stenosis - the narrowing of an artery inside the brain.

常见问题

高效力大麻如何影响大脑结构?

高效力大麻的频繁使用会损害胼胝体白质结构,表现为平均扩散率(MD)升高,这反映了白质完整性下降。

这种大脑损伤是否只出现在精神病患者中?

不是。研究发现,无论是否患有精神病,频繁使用高效力大麻的人都会出现类似的白质损伤。

为什么胼胝体特别容易受大麻影响?

因为胼胝体含有大量 cannabinoid 受体,而大麻中的主要活性成分THC正是通过作用于这些受体产生效应。

参考资料

High-potency cannabis and the risk of psychosis: a systematic review and meta-analysis

King's College London 早前研究指出高效力大麻使精神病风险增加五倍。

Psychological Science - Dazzan et al. study on cannabis and white matter integrity

本研究发表于《Psychological Science》,由伦敦国王学院精神病学、心理学与神经科学研究所主导。

Marijuana use linked to intracranial arterial stenosis and stroke risk

Medical News Today 报道的另一项研究提示大麻使用可能增加脑动脉狭窄相关中风风险。