Romeo Bruno, Lestra Valentine, Martelli Catherine, Amirouche Ammar, Benyamina Amine, Hamdani Nora
Department of Psychiatry and Addictology, Paul Brousse Hospital, APHP, 94800 Villejuif, France.
Unité de Recherche UR, Psychiatrie-Comorbidités-Addictions (PSYCOMadd), Paris Saclay University, 94800 Villejuif, France.
Pathogens. 2023 Nov 9;12(11):1333. doi: 10.3390/pathogens12111333.
The aim of our study was to evaluate the impact of status on eosinophils count (EOS), the eosinophil-to-lymphocyte ratio (ELR), and the eosinophil-to-neutrophil-to-lymphocytes ratio (ENLR) before and after cannabis cessation in patients with psychiatric disorders. One hundred and eighty-eight patients were included in the study. , EOS, ELR, ENLR, and urinary cannabis were measured at baseline and after 4 weeks of cannabis cessation. Highest levels and increase of PNE ( = 0.02), ENLR levels ( = 0.031) and highest level of ELR ( = 0.03) were found in patients after cannabis cessation only in patients positive for serology (Toxo+ group). At four weeks, significant interactions between cannabis and status for EOS ( = 0.038), and for ENLR ( = 0.043) levels were found, as well as for the evolution between baseline and 4 weeks for ENLR level ( = 0.049). After cannabis cessation, we found a positive correlation between negative symptoms and EOS levels at 4 weeks in the Toxo+ group. This study shows that the increase of inflammation after cannabis cessation might be modulated by seropositivity status in patients after cannabis cessation.
我们研究的目的是评估精神疾病患者停止使用大麻前后状态对嗜酸性粒细胞计数(EOS)、嗜酸性粒细胞与淋巴细胞比值(ELR)以及嗜酸性粒细胞与中性粒细胞与淋巴细胞比值(ENLR)的影响。188名患者纳入本研究。在基线和停止使用大麻4周后测量EOS、ELR、ENLR和尿中大麻含量。仅在弓形虫血清学阳性患者(Toxo+组)停止使用大麻后,发现其PNE水平最高且升高(P = 0.02)、ENLR水平(P = 0.031)最高以及ELR水平最高(P = 0.03)。在四周时,发现大麻与状态之间对于EOS(P = 0.038)、ENLR水平(P = 0.043)以及ENLR水平在基线和4周之间的变化(P = 0.049)存在显著交互作用。在Toxo+组停止使用大麻后,我们发现4周时阴性症状与EOS水平之间呈正相关。本研究表明,停止使用大麻后炎症的增加可能受停止使用大麻后患者弓形虫血清阳性状态的调节。