Background
Evidence indicates involvement of the endocannabinoid (eCB) system in both the pathophysiology
of schizophrenia and working memory (WM) function. Additionally, schizophrenia patients
exhibit relatively strong WM deficits. These findings suggest the possibility that
the eCB system is also involved in WM deficits in schizophrenia. In the present study,
we examined if perturbation of the eCB system can induce abnormal WM activity in healthy
subjects.
Methods
A pharmacological functional magnetic resonance imaging study was conducted with a
placebo-controlled, cross-over design, investigating effects of the eCB agonist Δ9-tetrahydrocannabinol
on WM function in 17 healthy volunteers, by means of a parametric Sternberg item-recognition
paradigm with five difficulty levels.
Results
Performance accuracy was significantly reduced after Δ9-tetrahydrocannabinol. In the
placebo condition, brain activity increased linearly with rising WM load. Δ9-Tetrahydrocannabinol
administration enhanced activity for low WM loads and reduced the linear relationship
between WM load and activity in the WM system as a whole and in left dorsolateral
prefrontal cortex, inferior temporal gyrus, inferior parietal gyrus, and cerebellum
in particular.
Conclusions
Δ9-Tetrahydrocannabinol enhanced WM activity network-wide for low loads, while reducing
the load-dependent response for increasing WM loads. These results indicate that a
challenged eCB system can induce both abnormal WM activity and WM performance deficits
and provide an argument for the possibility of eCB involvement in WM deficits in schizophrenia.
Key Words
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References
- Delta 9-tetrahydrocannabinol (THC) is effective in the treatment of tics in Tourette syndrome: A 6-week randomized trial.J Clin Psychiatry. 2003; 64: 459-465
- Plant, synthetic, and endogenous cannabinoids in medicine.Annu Rev Med. 2006; 57: 553-574
- Cannabis use and risk of psychotic or affective mental health outcomes: A systematic review.Lancet. 2007; 370: 319-328
- Cannabis abuse and the course of recent-onset schizophrenic disorders.Arch Gen Psychiatry. 1994; 51: 273-279
- Excessive brain volume loss over time in cannabis-using first-episode schizophrenia patients.Am J Psychiatry. 2008; 165: 490-496
- Elevated endogenous cannabinoids in schizophrenia.Neuroreport. 1999; 10: 1665-1669
- Studies on [3H]CP-55940 binding in the human central nervous system: Regional specific changes in density of cannabinoid-1 receptors associated with schizophrenia and cannabis use.Neuroscience. 2001; 103: 9-15
- Paranoid schizophrenia is characterized by increased CB(1) receptor binding in the dorsolateral prefrontal cortex.Neuropsychopharmacology. 2011; 36: 1620-1630
- What are the functional consequences of neurocognitive deficits in schizophrenia?.Am J Psychiatry. 1996; 153: 321-330
- Working memory capacity in schizophrenia: A parametric fMRI study.Schizophr Res. 2004; 68: 159-171
- Schizophrenic subjects activate dorsolateral prefrontal cortex during a working memory task, as measured by fMRI.Biol Psychiatry. 1999; 45: 1128-1137
- Physiological dysfunction of the dorsolateral prefrontal cortex in schizophrenia revisited.Cereb Cortex. 2000; 10: 1078-1092
- Excessive recruitment of neural systems subserving logical reasoning in schizophrenia.Brain. 2002; 125: 1793-1807
- A functional magnetic resonance imaging study of working memory abnormalities in schizophrenia.Biol Psychiatry. 2006; 60: 11-21
- Prefrontal cortex dysfunction during working memory performance in schizophrenia: Reconciling discrepant findings.Schizophr Res. 2003; 60: 285-298
- Complexity of prefrontal cortical dysfunction in schizophrenia: More than up or down.Am J Psychiatry. 2003; 160: 2209-2215
- Efficacy and safety of the weight-loss drug rimonabant: A meta-analysis of randomised trials.Lancet. 2007; 370: 1706-1713
- Effects of marijuana on neurophysiological signals of working and episodic memory.Psychopharmacology (Berl). 2004; 176: 214-222
- Neurophysiological and subjective profile of marijuana with varying concentrations of cannabinoids.Behav Pharmacol. 2005; 16: 487-496
- Cannabinoid modulations of resting state EEG theta power and working memory are correlated in humans.J Cogn Neurosci. 2010; 22: 1906-1916
- High-speed scanning in human memory.Science. 1966; 153: 652-654
- Functional anatomical correlates of controlled and automatic processing.J Cogn Neurosci. 2001; 13: 730-743
- fMRI study of effort and information processing in a working memory task.Hum Brain Mapp. 2007; 28: 431-440
- Dissociating the effects of Sternberg working memory demands in prefrontal cortex.Psychiatry Res. 2007; 154: 103-114
- A parametric study of prefrontal cortex involvement in human working memory.Neuroimage. 1997; 5: 49-62
- Pharmacological Imaging of the Cannabinoid System (PhICS): Towards understanding the role of the brain endocannabinoid system in human cognition.Int J Methods Psychiatr Res. 2011; 20: 10-27
- Evidence for involvement of the insula in the psychotropic effects of THC in humans: A double-blind, randomized pharmacological MRI study.Int J Neuropsychopharmacol. 2011; 14: 1377-1388
- Delta 9-tetrahydrocannabinol induces dopamine release in the human striatum.Neuropsychopharmacology. 2009; 34: 759-766
- Effect of intrapulmonary tetrahydrocannabinol administration in humans.J Psychopharmacol. 2008; 22: 707-716
- The use of analogue scales in rating subjective feelings.Br J Med Psychol. 1974; 47: 211-218
- Psychedelic effects of ketamine in healthy volunteers: Relationship to steady-state plasma concentrations.Anesthesiology. 1998; 88: 82-88
- Cardiorespiratory effects on default-mode network activity as measured with fMRI.Hum Brain Mapp. 2009; 30: 3031-3042
- Enhanced sensitivity with fast three-dimensional blood-oxygen-level-dependent functional MRI: Comparison of SENSE-PRESTO and 2D-EPI at 3 T.NMR Biomed. 2008; 21: 663-676
- Practice and the dynamic nature of working memory.in: van Raalten T.R. The Automatic Brain; Studies on Practice and Brain Function in Healthy Subjects and Patients with Schizophrenia. Utrecht University, Utrecht, The Netherlands2009
- Circular analysis in systems neuroscience: The dangers of double dipping.Nat Neurosci. 2009; 12: 535-540
- A functional MRI study of working memory task in euthymic bipolar disorder: Evidence for task-specific dysfunction.Bipolar Disord. 2004; 6: 550-564
- Spatial working memory deficits in obsessive compulsive disorder are associated with excessive engagement of the medial frontal cortex.Neuroimage. 2003; 20: 2271-2280
- Maintenance of multiple working memory items by temporal segmentation.Neuroscience. 2006; 139: 237-249
- Neurophysiological factors in human information processing capacity.Brain. 2004; 127: 517-525
- Practice induces function-specific changes in brain activity.PLoS One. 2008; 3: e3270
- Left dorsolateral prefrontal cortex dysfunction in medication-naive schizophrenia.Schizophr Res. 2010; 123: 22-29
- Control of goal-directed and stimulus-driven attention in the brain.Nat Rev Neurosci. 2002; 3: 201-215
- Effect of COMT Val108/158 Met genotype on frontal lobe function and risk for schizophrenia.Proc Natl Acad Sci U S A. 2001; 98: 6917-6922
- Executive subprocesses in working memory: Relationship to catechol-O-methyltransferase Val158Met genotype and schizophrenia.Arch Gen Psychiatry. 2003; 60: 889-896
- Catechol O-methyltransferase val158-met genotype and individual variation in the brain response to amphetamine.Proc Natl Acad Sci U S A. 2003; 100: 6186-6191
- Impact of complex genetic variation in COMT on human brain function.Mol Psychiatry. 2006; 11 (797): 867-877
- Variation in GRM3 affects cognition, prefrontal glutamate, and risk for schizophrenia.Proc Natl Acad Sci U S A. 2004; 101: 12604-12609
- Genetic variation in AKT1 is linked to dopamine-associated prefrontal cortical structure and function in humans.J Clin Invest. 2008; 118: 2200-2208
- Epistasis between catechol-O-methyltransferase and type II metabotropic glutamate receptor 3 genes on working memory brain function.Proc Natl Acad Sci U S A. 2007; 104: 12536-12541
- An experimental study of catechol-O-methyltransferase val(158)met moderation of delta-9-tetrahydrocannabinol-induced effects on psychosis and cognition.Neuropsychopharmacology. 2006; 31: 2748-2757
- The molecular logic of endocannabinoid signalling.Nat Rev Neurosci. 2003; 4: 873-884
- Endocannabinoid-mediated control of synaptic transmission.Physiol Rev. 2009; 89: 309-380
- BOLD functional MRI in disease and pharmacological studies: Room for improvement?.Magn Reson Imaging. 2007; 25: 978-988
Article info
Publication history
Published online: February 20, 2012
Accepted:
January 12,
2012
Received in revised form:
December 23,
2011
Received:
July 15,
2011
Identification
Copyright
© 2012 Society of Biological Psychiatry. Published by Elsevier Inc. All rights reserved.
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- Cannabinoids, Working Memory, and SchizophreniaBiological PsychiatryVol. 71Issue 8
- PreviewIn this issue, Bossong et al. (1) report that delta-9-tetrahydrocannabinol (THC), the primary psychoactive constituent in cannabis, can induce both abnormal working memory (WM) performance and altered brain activity. Based on these findings, they suggest a role for endocannabinoids in both prefrontal cortical function and the pathophysiology of schizophrenia.
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