Evidence map›Paper›PMID 39477366›Full record

Observational studyBMJ mental health2024

Association between cannabis use and brain structure and function: an observational and Mendelian randomisation study.

Saba Ishrat, Daniel F Levey, Joel Gelernter, Klaus Ebmeier, Anya Topiwala

Abstract readObservational Study
In one paragraph

Observational study in BMJ mental health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
  2. Article
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  4. Article
  5. Review
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.

Saba IshratDepartment of Psychiatry, University of Oxford, Warneford Hospital, Oxford, UK saba.ishrat@stx.ox.ac.uk.ORCID http://orcid.org/0009-0009-6599-9226
Daniel F LeveyDivision of Human Genetics, Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.
Joel GelernterDivision of Human Genetics, Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.
Klaus EbmeierDepartment of Psychiatry, University of Oxford, Warneford Hospital, Oxford, UK.ORCID http://orcid.org/0000-0002-5190-7038
Anya TopiwalaDepartment of Psychiatry, University of Oxford, Warneford Hospital, Oxford, UK.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Genomics of PTSD and Related TraitsI01CX001849 · VA · VA CONNECTICUT HEALTHCARE SYSTEM · PI GELERNTER, JOEL, STEIN, MURRAY B. · 2019 to 2022
–
CSRD VA I01 CX001849NCATS NIH HHS UL1 TR001863Wellcome Trust
6 · The paper itself

Abstract

backgroundCannabis use during adolescence and young adulthood has been associated with brain harm, yet despite a rapid increase in cannabis use among older adults in the past decade, the impact on brain health in this population remains understudied.

objectiveTo explore observational and genetic associations between cannabis use and brain structure and function.

methodsWe examined 3641 lifetime cannabis users (mean (SD) age 61.0 (7.1) years) and 12 255 controls (mean (SD) age 64.5 (7.5) years) from UK Biobank. Brain structure and functional connectivity were measured using multiple imaging-derived phenotypes. Associations with cannabis use were assessed using multiple linear regression controlling for potential confounds. Bidirectional two-sample Mendelian randomisation analyses were used to investigate potential causal relationships.

findingsCannabis use was associated with multiple measures of brain structure and function. Participants with a history of cannabis use had poorer white matter integrity, as assessed by lower fractional anisotropy and higher mean diffusivity in the genu of the corpus callosum, as well as weaker resting-state functional connectivity in brain regions underlying the default mode and central executive networks. Mendelian randomisation analyses found no support for causal relationships underlying associations between cannabis use and brain structure or function.

conclusionsAssociations between lifetime cannabis use and brain structure and function in later life are probably not causal in nature and might represent residual confounding. CLINICAL IMPLICATIONS: Cannabis use is associated with differences in brain structure and function. Further research is needed to understand the mechanisms underlying these associations, which do not appear to be causal.

Indexed as

BrainMendelian Randomization AnalysisAgedFemaleHumansMagnetic Resonance ImagingMaleMarijuana UseMiddle AgedUnited KingdomWhite MatterCross-Sectional StudiesSubstance misuse

Identifiers

PMID39477366
PMCPMC11529520

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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.