Evidence map›Paper›PMID 19629449›Full record

ReviewPsychopharmacology2009

Role of cannabis and endocannabinoids in the genesis of schizophrenia.

Emilio Fernandez-Espejo, Maria-Paz Viveros, Luis Núñez, Bart A Ellenbroek, Fernando Rodriguez de Fonseca

Abstract readReview
PubMed Publisher
In one paragraph

Review in Psychopharmacology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 1 pooled it
15.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 1 synthesis or guideline pooled it, 149 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Exploring causal mechanisms of psychosis risk.Neuroscience and biobehavioral reviews · 2024
    Review
  7. Article
  8. Stress, Environment and Early Psychosis.Current neuropharmacology · 2024
    Review
  9. Article
  10. Article
  11. Article
  12. The effects of preventative cannabidiol in a maleFrontiers in cellular neuroscience · 2022
    Article
  13. Review
  14. Article
  15. Review
  16. Review
  17. Review
  18. Article
  19. Non-Genetic Factors in Schizophrenia.Current psychiatry reports · 2019
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Emilio Fernandez-EspejoDepartamento de Fisiología Médica, Facultad de Medicina, Universidad de Sevilla, Seville, Spain. efespejo@us.es
Maria-Paz Viveros
Luis Núñez
Bart A Ellenbroek
Fernando Rodriguez de Fonseca
Evotec (Germany) · DEUniversidad Complutense de Madrid · ESUniversidad de Sevilla · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

rationaleCannabis abuse and endocannabinoids are associated to schizophrenia.

objectivesIt is important to discern the association between schizophrenia and exogenous Cannabis sativa, on one hand, and the endogenous cannabinoid system, on the other hand.

resultsOn one hand, there is substantial evidence that cannabis abuse is a risk factor for psychosis in genetically predisposed people, may lead to a worse outcome of the disease, or it can affect normal brain development during adolescence, increasing the risk for schizophrenia in adulthood. Regarding genetic predisposition, alterations affecting the cannabinoid CNR1 gene could be related to schizophrenia. On the other hand, the endogenous cannabinoid system is altered in schizophrenia (i.e., increased density of cannabinoid CB1 receptor binding in corticolimbic regions, enhanced cerebrospinal fluid anandamide levels), and dysregulation of this system can interact with neurotransmitter systems in such a way that a "cannabinoid hypothesis" can be integrated in the neurobiological hypotheses of schizophrenia. Finally, there is also evidence that some genetic alterations of the CNR1 gene can act as a protectant factor against schizophrenia or can induce a better pharmacological response to atypical antipsychotics.

conclusionsCannabis abuse is a risk factor for psychosis in predisposed people, it can affect neurodevelopment during adolescence leading to schizophrenia, and a dysregulation of the endocannabinoid system can participate in schizophrenia. It is also worth noting that some specific cannabinoid alterations can act as neuroprotectant for schizophrenia or can be a psychopharmacogenetic rather than a vulnerability factor.

Indexed as

EndocannabinoidsAdolescentAnimalsCannabinoid Receptor ModulatorsCannabisGenetic Predisposition to DiseaseHumansMarijuana AbuseReceptor, Cannabinoid, CB1Risk FactorsSchizophreniaCannabinoid Receptor ModulatorsEndocannabinoidsReceptor, Cannabinoid, CB1

Identifiers

PMID19629449
OpenAlexW2070039924

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.