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2016 ; 41
(10
): 2596-605
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Cannabis Abusers Show Hypofrontality and Blunted Brain Responses to a Stimulant
Challenge in Females but not in Males
#MMPMID27156854
Wiers CE
; Shokri-Kojori E
; Wong CT
; Abi-Dargham A
; Demiral ?B
; Tomasi D
; Wang GJ
; Volkow ND
Neuropsychopharmacology
2016[Sep]; 41
(10
): 2596-605
PMID27156854
show ga
The extent to which cannabis is deleterious to the human brain is not well
understood. Here, we test whether cannabis abusers (CA) have impaired frontal
function and reactivity to dopaminergic signaling, which are fundamental to
relapse in addiction. We measured brain glucose metabolism using PET and
[(18)F]FDG both at baseline (placebo) and after challenge with methylphenidate
(MP), a dopamine-enhancing drug, in 24 active CA (50% female) and 24 controls
(HC; 50% female). Results show that (i) CA had lower baseline glucose metabolism
than HC in frontal cortex including anterior cingulate, which was associated with
negative emotionality. (ii) MP increased whole-brain glucose metabolism in HC but
not in CA; and group by challenge effects were most profound in putamen, caudate,
midbrain, thalamus, and cerebellum. In CA, MP-induced metabolic increases in
putamen correlated negatively with addiction severity. (iii) There were
significant gender effects, such that both the group differences at baseline in
frontal metabolism and the attenuated regional brain metabolic responses to MP
were observed in female CA but not in male CA. As for other drug addictions,
reduced baseline frontal metabolism is likely to contribute to relapse in CA. The
attenuated responses to MP in midbrain and striatum are consistent with decreased
brain reactivity to dopamine stimulation and might contribute to addictive
behaviors in CA. The gender differences suggest that females are more sensitive
than males to the adverse effects of cannabis in brain.
|*Sex Characteristics
[MESH]
|Adult
[MESH]
|Brain/*diagnostic imaging/drug effects
[MESH]
|Central Nervous System Stimulants/pharmacology
[MESH]