Evidence map›Paper›PMID 40813774›Full record

ArticleTranslational psychiatry2025

Recent cannabis use affects the association between baseline immune markers and long-term outcomes in psychosis.

Isabel Kreis, Kristin Fjelnseth Wold, Gina Åsbø, Camilla Bärthel Flaaten, Magnus Johan Engen, Siv Hege Lyngstad, Line Hustad Widing, Mashhood Ahmed Sheikh, Maren Caroline Frogner Werner, Eivind Bakken and 3 more

Abstract read
In one paragraph

Article in Translational psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Isabel KreisCentre for Precision Psychiatry, Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway. isabel.viola.kreis@nkvts.no.ORCID http://orcid.org/0000-0002-1022-699X
Kristin Fjelnseth WoldSection for Clinical Psychosis Research, Department of Research and Innovation, Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway.ORCID http://orcid.org/0000-0003-4445-6010
Gina ÅsbøSection for Clinical Psychosis Research, Department of Research and Innovation, Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway.
Camilla Bärthel FlaatenSection for Clinical Psychosis Research, Department of Research and Innovation, Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway.
Magnus Johan EngenNydalen District Psychiatric Center, Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway.
Siv Hege LyngstadNydalen District Psychiatric Center, Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway.
Line Hustad WidingSection for Clinical Psychosis Research, Department of Research and Innovation, Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway.
Mashhood Ahmed SheikhResearch Institute of Internal Medicine, Oslo University Hospital, Rikshospitalet, Oslo, Norway.
Maren Caroline Frogner WernerDivision of Clinical Neuroscience, Department of Research and Innovation, Oslo University Hospital, Oslo, Norway.
Eivind BakkenSection for Precision Psychiatry, Department of Research and Innovation, Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway.
Thor UelandInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Nils Eiel SteenCentre for Precision Psychiatry, Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.ORCID http://orcid.org/0000-0001-6442-1179
Ingrid MelleSection for Clinical Psychosis Research, Department of Research and Innovation, Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway.ORCID http://orcid.org/0000-0002-9783-548X

Funding

Ministry of Health and Care Services | Helse Sør-Øst RHF (Southern and Eastern Norway Regional Health Authority) 2006258Ministry of Health and Care Services | Helse Sør-Øst RHF (Southern and Eastern Norway Regional Health Authority) 2011085Ministry of Health and Care Services | Helse Sør-Øst RHF (Southern and Eastern Norway Regional Health Authority) 2014102Ministry of Health and Care Services | Helse Sør-Øst RHF (Southern and Eastern Norway Regional Health Authority) 2015088Ministry of Health and Care Services | Helse Sør-Øst RHF (Southern and Eastern Norway Regional Health Authority) 2018093Norges Forskningsråd (Research Council of Norway) 223273Norges Forskningsråd (Research Council of Norway) 287714
6 · The paper itself

Abstract

Aberrant levels of blood markers reflecting inflammation and immune system activation have been implicated in psychotic disorders and linked to psychotic symptom severity. However, their predictive value for the long-term course of psychotic symptoms as well as the potential confounding and moderating role of cannabis use remain underexplored. We tested if baseline levels of immune markers previously linked to psychotic symptoms or treatment response (CRP, IL-1RA, sIL-2R, sTNFR1, sgp130) predicted 10-year outcomes in a first-episode psychosis sample (N = 320), and whether associations were moderated by baseline cannabis use. We assessed psychiatric (re)admissions and number of psychotic episodes during each year of the follow-up period, as well as change in positive psychotic symptom severity from baseline. Apart from sTNFR1, none of the immune markers significantly predicted psychosis outcomes independently of cannabis use. Baseline sTNFR1 was linked to lower risk of both (re)admissions and psychotic episodes, with an increasingly negative association over time. The statistical effects of CRP, IL-1RA, and sgp130 were all dependent on cannabis use. Specifically, negative (CRP, IL-1RA) or positive associations (sgp130) with psychiatric (re)admission risk or psychotic episode risk were observed in cannabis users only. Similarly, sgp130 was negatively associated with symptom change in cannabis users only. Some of these associations varied by follow-up year of the measured outcome (sgp130, IL-1RA). These findings challenge the prognostic and etiological significance of baseline immune markers for the course of positive psychotic symptoms and emphasize the importance of accounting for cannabis use.

Indexed as

Marijuana UsePsychotic DisordersAdolescentAdultBiomarkersC-Reactive ProteinFemaleFollow-Up StudiesHumansInterleukin 1 Receptor Antagonist ProteinMaleReceptors, Tumor Necrosis Factor, Type IYoung AdultBiomarkersC-Reactive ProteinInterleukin 1 Receptor Antagonist ProteinReceptors, Tumor Necrosis Factor, Type I

Identifiers

PMID40813774
PMCPMC12354687

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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.