Am J Psychiatry. 2014 Apr;171(4):416-25. doi: 10.1176/appi.ajp.2013.13030335.
Epidemiological findings suggest that, relative to adults, adolescents are more vulnerable to the adverse persistent effects of cannabis on working memory. However, the potential confounds inherent in human studies preclude direct determination of a cause-and-effect relationship between adolescent cannabis use and heightened susceptibility to persistent working memory impairments. Consequently, the authors examined the effects of repeated exposure to Δ9-tetrahydrocannabinol (THC) on performance of spatial and object working memory tasks in adolescent monkeys.
Seven pairs of male adolescent rhesus monkeys, matched for baseline cognitive performance, received vehicle or THC intravenously 5 days/week for 6 months. Performance on spatial and object memory tasks was assessed 23 or 71 hours after drug administration throughout the study. In addition, acute effects on working memory were also assessed at the beginning and end of the 6-month period.
Relative to the vehicle-exposed control animals, those with repeated THC exposure had a blunted trajectory of accuracy improvements on the spatial working memory task in a delay-dependent manner. Accuracy improvements on the object working memory task did not differ between groups. Relative to the acute effects of THC on working memory at the beginning of the study, neither sensitivity nor tolerance was evident after 6 months of THC exposure.
Because maturation of performance is later for spatial than for object working memory, these findings suggest that persistent effects of THC on cognitive abilities are more evident when exposure coincides with the developmental stage during which the underlying neural circuits are actively maturing.
流行病学研究结果表明,与成年人相比,青少年更容易受到大麻对工作记忆的不良持久影响。然而,人类研究中固有的潜在混杂因素排除了青少年大麻使用与对持久工作记忆损伤的易感性增加之间存在因果关系的直接确定。因此,作者研究了重复接触 Δ9-四氢大麻酚(THC)对青春期猴子进行空间和物体工作记忆任务的表现的影响。
七对匹配基线认知表现的青春期雄性恒河猴,接受安慰剂或 THC 静脉内给药,每周 5 天,持续 6 个月。在整个研究过程中,在药物给药后 23 或 71 小时评估空间和物体记忆任务的表现。此外,还在 6 个月期间的开始和结束时评估急性对工作记忆的影响。
与接受安慰剂暴露的对照动物相比,重复接触 THC 的动物在延迟依赖性方式下空间工作记忆任务的准确性提高轨迹变平。两组之间物体工作记忆任务的准确性提高没有差异。与研究开始时 THC 对工作记忆的急性影响相比,在 6 个月的 THC 暴露后,既没有敏感性也没有耐受性。
由于空间工作记忆的表现成熟较物体工作记忆晚,因此这些发现表明,当暴露与潜在的神经回路积极成熟的发育阶段相同时,THC 对认知能力的持久影响更为明显。