Cortes-Briones Jose, Skosnik Patrick D, Mathalon Daniel, Cahill John, Pittman Brian, Williams Ashley, Sewell R Andrew, Ranganathan Mohini, Roach Brian, Ford Judith, D'Souza Deepak Cyril
1] Psychiatry Service, VA Connecticut Healthcare System, West Haven, CT, USA [2] Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.
1] Psychiatry Service, VA Connecticut Healthcare System, West Haven, CT, USA [2] Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA [3] Abraham Ribicoff Research Facilities, Connecticut Mental Health Center, New Haven, CT, USA.
Neuropsychopharmacology. 2015 Aug;40(9):2124-34. doi: 10.1038/npp.2015.53. Epub 2015 Apr 24.
Gamma (γ)-band oscillations play a key role in perception, associative learning, and conscious awareness and have been shown to be disrupted by cannabinoids in animal studies. The goal of this study was to determine whether cannabinoids disrupt γ-oscillations in humans and whether these effects relate to their psychosis-relevant behavioral effects. The acute, dose-related effects of Δ-9-tetrahydrocannabinol (Δ(9)-THC) on the auditory steady-state response (ASSR) were studied in humans (n=20) who completed 3 test days during which they received intravenous Δ(9)-THC (placebo, 0.015, and 0.03 mg/kg) in a double-blind, randomized, crossover, and counterbalanced design. Electroencephalography (EEG) was recorded while subjects listened to auditory click trains presented at 20, 30, and 40 Hz. Psychosis-relevant effects were measured with the Positive and Negative Syndrome scale (PANSS). Δ(9)-THC (0.03 mg/kg) reduced intertrial coherence (ITC) in the 40 Hz condition compared with 0.015 mg/kg and placebo. No significant effects were detected for 30 and 20 Hz stimulation. Furthermore, there was a negative correlation between 40 Hz ITC and PANSS subscales and total scores under the influence of Δ(9)-THC. Δ(9)-THC (0.03 mg/kg) reduced evoked power during 40 Hz stimulation at a trend level. Recent users of cannabis showed blunted Δ(9)-THC effects on ITC and evoked power. We show for the first time in humans that cannabinoids disrupt γ-band neural oscillations. Furthermore, there is a relationship between disruption of γ-band neural oscillations and psychosis-relevant phenomena induced by cannabinoids. These findings add to a growing literature suggesting some overlap between the acute effects of cannabinoids and the behavioral and psychophysiological alterations observed in psychotic disorders.
γ波段振荡在感知、联想学习和意识觉知中起关键作用,并且在动物研究中已表明其会被大麻素破坏。本研究的目的是确定大麻素是否会破坏人类的γ振荡,以及这些效应是否与其与精神病相关的行为效应有关。在20名完成3个测试日的人类受试者中,采用双盲、随机、交叉和平衡设计,研究了Δ-9-四氢大麻酚(Δ(9)-THC)对听觉稳态反应(ASSR)的急性剂量相关效应,在此期间他们接受静脉注射Δ(9)-THC(安慰剂、0.015和0.03mg/kg)。在受试者聆听以20、30和40Hz呈现的听觉点击序列时记录脑电图(EEG)。用阳性和阴性症状量表(PANSS)测量与精神病相关的效应。与0.015mg/kg和安慰剂相比,Δ(9)-THC(0.03mg/kg)在40Hz条件下降低了试验间相干性(ITC)。在30和20Hz刺激下未检测到显著效应。此外,在Δ(9)-THC影响下,40Hz ITC与PANSS分量表及总分之间存在负相关。Δ(9)-THC(0.03mg/kg)在40Hz刺激期间以趋势水平降低了诱发功率。近期使用大麻者对ITC和诱发功率的Δ(9)-THC效应减弱。我们首次在人类中表明大麻素会破坏γ波段神经振荡。此外,γ波段神经振荡的破坏与大麻素诱导的与精神病相关的现象之间存在关联。这些发现进一步丰富了相关文献,表明大麻素的急性效应与在精神障碍中观察到的行为和心理生理改变之间存在一些重叠。