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大麻使用对脑源性神经营养因子(BDNF)和神经生长因子(NGF)血液水平的影响:一项系统综述和荟萃分析。

Effect of cannabis use on blood levels of brain-derived neurotrophic factor (BDNF) and nerve growth factor (NGF): A systematic review and meta-analysis.

作者信息

Shafiee Arman, Rafiei Mohammad Ali, Jafarabady Kyana, Eskandari Alireza, Abhari Faeze Soltani, Sattari Mohammad Amin, Amini Mohammad Javad, Bakhtiyari Mahmood

机构信息

Department of Psychiatry and Mental Health, Alborz University of Medical Sciences, Karaj, Iran.

Student Research Committee, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.

出版信息

Brain Behav. 2024 Jan;14(1):e3340. doi: 10.1002/brb3.3340.

Abstract

BACKGROUND

The impact of cannabis uses on blood levels of brain-derived neurotrophic factor (BDNF) and nerve growth factor (NGF) remains uncertain, with conflicting findings reported in the literature. BDNF and NGF both are essential proteins for neuron's growth, and their dysregulation is seen in various mental disorders. This study aims to evaluate the relationship between cannabis usage and BDNF and NGF levels due to their potential implications for mental health.

METHODS

A comprehensive search of electronic databases was performed using appropriate MeSH terms and keywords. Inclusion criteria comprised human studies investigating the relationship between cannabis use and BDNF and NGF levels.

RESULTS

A total of 11 studies met the inclusion criteria and were included. The pooled analysis revealed a nonsignificant association between cannabis use and dysregulated blood levels of BDNF (random-effects model, standardized mean differences [SMD] = .26, 95% CI -.34 to .76, p = .40). The results of our subgroup analysis based on BDNF source showed a nonsignificant between-group difference. For NGF levels, four studies were included, the pooled analysis revealed a nonsignificant association between cannabis use and dysregulated blood levels of NGF (random-effects model, SMD = -.60, 95% CI -1.43 to -.23, p = .16). In both analyses, high heterogeneity was observed among the included studies which is a notable limitation to current meta-analysis.

CONCLUSION

This systematic review highlights the need for further research to elucidate the relationship between cannabis use and these neurotrophic factors. A better understanding of these associations can contribute to our knowledge of the neurobiological effects of cannabis and inform potential implications for mental health, cognitive function, and neurodegenerative disorders.

摘要

背景

大麻使用对脑源性神经营养因子(BDNF)和神经生长因子(NGF)血液水平的影响仍不确定,文献报道的结果相互矛盾。BDNF和NGF都是神经元生长所必需的蛋白质,它们的失调在各种精神障碍中都有出现。本研究旨在评估大麻使用与BDNF和NGF水平之间的关系,因为它们对心理健康具有潜在影响。

方法

使用适当的医学主题词(MeSH)和关键词对电子数据库进行全面检索。纳入标准包括调查大麻使用与BDNF和NGF水平之间关系的人体研究。

结果

共有11项研究符合纳入标准并被纳入。汇总分析显示,大麻使用与BDNF血液水平失调之间无显著关联(随机效应模型,标准化均值差[SMD]=0.26,95%置信区间-0.34至0.76,p=0.40)。基于BDNF来源的亚组分析结果显示组间差异不显著。对于NGF水平,纳入了4项研究,汇总分析显示大麻使用与NGF血液水平失调之间无显著关联(随机效应模型,SMD=-0.60,95%置信区间-1.43至-0.23,p=0.16)。在两项分析中,纳入研究之间均观察到高度异质性,这是当前荟萃分析的一个显著局限性。

结论

本系统评价强调需要进一步研究以阐明大麻使用与这些神经营养因子之间的关系。更好地理解这些关联有助于我们了解大麻的神经生物学效应,并为其对心理健康、认知功能和神经退行性疾病的潜在影响提供信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc2b/10757895/95d68036d22b/BRB3-14-e3340-g003.jpg

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