Evidence map›Paper›PMID 42181294›Full record

ArticleBiological psychiatry global open science2026

Genetic Pathways Point to the Biology Underlying the Association Between Cannabis Use Disorder and Psychosis.

Isabelle Austin-Zimmerman, Qiang Li, Emma C Johnson, Giulia Trotta, Edoardo Spinazzola, Jonathan R I Coleman, Zhikun Li, Benjamin W Bond, Diego Quattrone, Daniel F Levey and 6 more

Abstract read
In one paragraph

Article in Biological psychiatry global open science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

16 authors.

Isabelle Austin-ZimmermanSocial, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.
Qiang LiSocial, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.
Emma C JohnsonDepartment of Psychiatry, Washington University School of Medicine, St. Louis, Missouri.
Giulia TrottaSocial, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.
Edoardo SpinazzolaSouth London and Maudsley NHS Mental Health Foundation Trust, London, United Kingdom.
Jonathan R I ColemanSocial, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.
Zhikun LiSocial, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.
Benjamin W BondRoyal College of Surgeons, Dublin, Ireland.
Diego QuattroneSocial, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.
Daniel F LeveyDivision of Human Genetics, Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut.
Joel GelernterDivision of Human Genetics, Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut.
Sameer JauharDivision of Psychiatry, Imperial College London, London, United Kingdom.
Robin M MurraySouth London and Maudsley NHS Mental Health Foundation Trust, London, United Kingdom.
Pak ShamDepartment of Psychiatry, University of Hong Kong, Pok Fu Lam, Hong Kong, China.
Evangelos VassosSocial, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.
Marta Di FortiSocial, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Cannabis use is associated with increased risk of psychotic disorders, but the underlying biological mechanisms remain unclear. We used genetic data to investigate the molecular pathways contributing to the association between cannabis use disorder (CUD) and psychosis. Methods: We conducted a cross-disorder meta-analysis of genome-wide association studies (GWASs) on schizophrenia and bipolar I disorder ( Results: We identified 553 independent genome-wide significant loci for psychosis, including 122 novel associations. More pathways were nominally associated with psychosis and CUD than expected by chance. MR analyses supported bidirectional causal effects (psychosis on CUD β Conclusions: Our findings highlight shared and distinct molecular pathways linking CUD and psychosis. Glutamate signaling emerged as a key mechanism across analysis strategies, while MR-CLUST revealed heterogeneous causal routes from cannabis use to psychosis. These insights may inform risk prediction and targeted interventions for cannabis-related psychosis.

Indexed as

Bipolar disorderCannabis useCannabis use disorderGeneticsPsychosisSchizophrenia

Identifiers

PMID42181294
PMCPMC13196363

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.