Cannabis and Cannabinoid Research最新文献

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Medical Cannabis for the Treatment of Peripheral Neuropathy due to Diabetes: A Systematic Review. 药用大麻治疗糖尿病引起的周围神经病变:系统综述。
IF 2.5 4区 医学
Cannabis and Cannabinoid Research Pub Date : 2026-04-01 Epub Date: 2026-02-19 DOI: 10.1177/25785125261425444
Justin J Sherman, Daniel M Riche
{"title":"Medical Cannabis for the Treatment of Peripheral Neuropathy due to Diabetes: A Systematic Review.","authors":"Justin J Sherman, Daniel M Riche","doi":"10.1177/25785125261425444","DOIUrl":"10.1177/25785125261425444","url":null,"abstract":"<p><strong>Introduction: </strong>This systematic review evaluated randomized controlled trials (RCTs) conducted specifically in participants with diabetes and painful peripheral neuropathy to assess the effectiveness and safety of medical cannabis, isolated cannabinoids, or nationally approved cannabis-based medicines as adjuvant treatment, compared with placebo or baseline.</p><p><strong>Materials and methods: </strong>Controlled clinical studies and RCTs in adults with diabetic peripheral neuropathy were eligible. Animal and <i>in vitro</i> studies were excluded. We searched PubMed, Google Scholar, Cochrane Library, and Scopus and screened 15,377 records; 35 full-text articles were assessed for eligibility, and 4 RCTs were included in the qualitative synthesis.</p><p><strong>Results: </strong>Three of four studies reported statistically significant reductions in neuropathic pain with cannabinoid-based interventions compared with placebo, whereas one trial did not demonstrate superiority. In two trials using vaporized or sublingual Δ9-tetrahydrocannabinol (THC), doses in the range of approximately 16-18 mg were associated with clinically meaningful pain relief in participants. Adverse effects, including dizziness and cognitive symptoms, were common but generally mild-to-moderate, and discontinuations due to adverse effects varied across studies.</p><p><strong>Discussion/conclusion: </strong>Evidence from four small, heterogeneous RCTs suggests that cannabinoid-based therapies may reduce pain in some patients with diabetic peripheral neuropathy; however, the limited number of studies, variability in formulations and comparators, and risk of bias preclude firm conclusions regarding efficacy. Observed THC doses around 16-18 mg/day delivered via vaporized or sublingual routes should be viewed as preliminary, hypothesis-generating ranges rather than definitive recommendations. Larger, contemporary RCTs with rigorous risk-of-bias control, standardized outcomes, and detailed safety reporting are needed.</p>","PeriodicalId":9386,"journal":{"name":"Cannabis and Cannabinoid Research","volume":" ","pages":"114-124"},"PeriodicalIF":2.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146225703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Polysubstance Use Disorders in Individuals with Cannabis Use Disorder: Results from a Nationally Representative Sample (National Epidemiologic Survey on Alcohol and Related Conditions). 大麻使用障碍患者的多物质使用障碍:来自全国代表性样本的结果(全国酒精和相关疾病流行病学调查)。
IF 2.7 4区 医学
Cannabis and Cannabinoid Research Pub Date : 2026-04-01 Epub Date: 2026-03-17 DOI: 10.1177/25785125251363122
Linas Wilkialis, Soyeon Kim, Ahmed Nabeel Hassan, Bernard Le Foll
{"title":"Polysubstance Use Disorders in Individuals with Cannabis Use Disorder: Results from a Nationally Representative Sample (National Epidemiologic Survey on Alcohol and Related Conditions).","authors":"Linas Wilkialis, Soyeon Kim, Ahmed Nabeel Hassan, Bernard Le Foll","doi":"10.1177/25785125251363122","DOIUrl":"10.1177/25785125251363122","url":null,"abstract":"<p><strong>Objective: </strong>Cannabis use disorder (CUD) is one of the most common substance use disorders (SUDs) worldwide and is frequently associated with high rates of polysubstance use; however, despite rising rates of polysubstance use disorders (PUD), the characteristics of individuals with both CUD and PUD remain unclear. This study, therefore, aims to examine social and clinical characteristics of adults diagnosed with CUD and comorbid PUD. It also aims to assess whether psychiatric disorders are linked to higher odds of PUD among individuals with CUD.</p><p><strong>Methods: </strong>Using a nationally representative U.S. dataset, we assessed 972 individuals with past-year DSM-5 CUD, grouped as CUD only, CUD individuals with one additional SUD (CUD + 1), and CUD individuals with two or more SUDs (CUD + 2). Descriptive statistics summarized social and clinical presentations; multivariate logistic regression examined factors contributing to PUD, controlling for clinical diagnoses and childhood maltreatment.</p><p><strong>Results: </strong>Among CUD individuals, 89.3% (<i>n</i> = 868) used at least one other substance in the past year, with 34.2% (<i>n</i> = 332) using two or more. Both the CUD + 1 and CUD + 2 groups experienced significantly more severe childhood maltreatment than CUD only. After adjusting for controls, personality disorders were associated with membership in the CUD + 1 group (odds ratio [OR]: 1.88, <i>p</i> = 0.01); mood disorders were associated with a higher likelihood of being in the CUD + 1 group (OR: 1.50, <i>p</i> = 0.049) and CUD + 2 group (OR: 2.58, <i>p</i> = 0.005).</p><p><strong>Conclusion: </strong>Mood and personality disorders were highly prevalent and linked with PUD in CUD cases. We recommend screening for these disorders in complex CUD cases.</p>","PeriodicalId":9386,"journal":{"name":"Cannabis and Cannabinoid Research","volume":" ","pages":"170-179"},"PeriodicalIF":2.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144854654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Oral Consumption of Cannabidiol During Pregnancy Alters Behavior in Mouse Offspring. 怀孕期间口服大麻二酚会改变小鼠后代的行为。
IF 2.5 4区 医学
Cannabis and Cannabinoid Research Pub Date : 2026-04-01 Epub Date: 2026-01-13 DOI: 10.1177/25785125251413416
Luis E Gomez Wulschner, Victoria N Chang, Won Chan Oh, Emily Anne Bates
{"title":"Oral Consumption of Cannabidiol During Pregnancy Alters Behavior in Mouse Offspring.","authors":"Luis E Gomez Wulschner, Victoria N Chang, Won Chan Oh, Emily Anne Bates","doi":"10.1177/25785125251413416","DOIUrl":"10.1177/25785125251413416","url":null,"abstract":"<p><strong>Background: </strong>Pregnant people use cannabidiol (CBD) to treat nausea, insomnia, anxiety, and pain. However, CBD crosses the placenta and enters the fetal brain, where it can affect several targets important for brain development. While consumption of high doses of CBD during pregnancy has been shown to disrupt offspring neurodevelopment, pain sensitivity, and cognitive behavior in mice, lower doses have not been assessed.</p><p><strong>Methodology: </strong>We administered 10 mg/kg/day CBD by oral gavage to pregnant C57Bl6 mice from embryonic day 5 through birth. We used the puzzle box, the forced swim test, and Hargreaves thermal sensitivity behavior tests and electrophysiology to determine how prenatal CBD exposure affects postnatal behavior and prefrontal cortex physiology.</p><p><strong>Results: </strong>We show that oral consumption of 10 mg/kg/day CBD during pregnancy increases thermal pain sensitivity in male mouse offspring. Furthermore, the same dose impairs cognition and reduces excitability of the prefrontal cortex in female mouse offspring.</p><p><strong>Conclusion: </strong>These data show that lower doses of CBD consumption during pregnancy can impair fetal brain development and postnatal behavior.</p>","PeriodicalId":9386,"journal":{"name":"Cannabis and Cannabinoid Research","volume":"11 2","pages":"130-137"},"PeriodicalIF":2.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147467244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association Between Medical Marijuana Cardholder Status and Antiemetic Overuse. 医用大麻持卡人身份与止吐药过度使用之间的关系。
IF 2.7 4区 医学
Cannabis and Cannabinoid Research Pub Date : 2026-04-01 Epub Date: 2026-03-17 DOI: 10.1089/can.2024.0083
Alan P Baltz, Cheng Peng, Laura Gressler, Sajjad Bhatti, Kanna Lewis
{"title":"Association Between Medical Marijuana Cardholder Status and Antiemetic Overuse.","authors":"Alan P Baltz, Cheng Peng, Laura Gressler, Sajjad Bhatti, Kanna Lewis","doi":"10.1089/can.2024.0083","DOIUrl":"10.1089/can.2024.0083","url":null,"abstract":"<p><strong>Introduction: </strong>The conscientious prescribing of antiemetics by chemotherapy-induced nausea and vomiting (CINV) risk was highlighted in the American Society of Clinical Oncology (ASCO) \"Choosing Wisely\" recommendations. The pharmacologic properties of medical marijuana (MMJ) may allow for decreased incidence of CINV; however, little is known about the effects of MMJ on the use of antiemetics. This study aimed to determine if MMJ cardholder status, which enables access to MMJ, is associated with antiemetic overuse among patients with cancer.</p><p><strong>Materials and methods: </strong>This population-based secondary data analysis examined a retrospective cohort derived from the linked Arkansas All Payers Claims Database (2013-2020) and MMJ cardholder registry (2013-2019). The cohort consisted of 20,558 patients with cancer aged 18 and older with a chemotherapy claim in an outpatient setting within 12 months of a cancer diagnosis. Exposure was a registration to receive an MMJ card that permitted access to MMJ. The primary outcome of interest was antiemetic overuse, as characterized by the ASCO recommendation. Antiemetic use associated with chemotherapy was identified through filled prescriptions and medical claims. Multivariable logistic regression, adjusted for baseline demographic and prescription characteristics, was used to calculate the adjusted odds ratios (aOR) of antiemetic overuse among MMJ cardholders compared with non-MMJ cardholders.</p><p><strong>Results: </strong>Among 20,558 eligible patients, 436 (2.1%) had an MMJ card at some point in the study period. Antiemetic overuse was identified in 7.5% of chemotherapy cycles. Compared with non-MMJ cardholders, MMJ cardholders were less likely to experience antiemetics overuse (aOR: 0.76, <i>p</i> < 0.001). Patients with fewer chemotherapy cycles and younger in age had higher odds of antiemetic overuse compared with those with more chemotherapy cycles. The risk of antiemetic overuse did not differ based on gender and rurality of residency. Route of chemotherapy administration, CINV risk category, and type of cancer also impacted the odds of antiemetic overuse.</p><p><strong>Discussion: </strong>The findings indicate that MMJ cardholders are significantly less likely to experience antiemetic overuse than non-MMJ cardholders. Further investigation into the use, effectiveness, and safety of cannabis for CINV mitigation is needed to inform patient and provider decision-making.</p>","PeriodicalId":9386,"journal":{"name":"Cannabis and Cannabinoid Research","volume":" ","pages":"180-188"},"PeriodicalIF":2.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142458562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advancing Cannabis Research in a Changing Landscape: Meeting Summary of the 2025 California Cannabis Research Workshop. 在不断变化的环境中推进大麻研究:2025年加州大麻研究研讨会会议摘要。
IF 2.5 4区 医学
Cannabis and Cannabinoid Research Pub Date : 2026-04-01 Epub Date: 2026-02-26 DOI: 10.1177/25785125261417167
Margarete C Kulik, Hilda Vasquez, Tracy Richmond McKnight, Agnes Balla
{"title":"Advancing Cannabis Research in a Changing Landscape: Meeting Summary of the 2025 California Cannabis Research Workshop.","authors":"Margarete C Kulik, Hilda Vasquez, Tracy Richmond McKnight, Agnes Balla","doi":"10.1177/25785125261417167","DOIUrl":"10.1177/25785125261417167","url":null,"abstract":"<p><p>On March 25, 2025, the University of California Office of the President, in partnership with the California Department of Cannabis Control, hosted the 2025 California Cannabis Research Workshop in Sacramento, CA. Building on prior gatherings in 2019, 2021, and 2023, the 2025 California Cannabis Research Workshop sought to strengthen collaboration between researchers and state policymakers during a time when the federal regulatory and scientific landscape is rapidly evolving. The event featured discussions on the role of state agencies supporting cannabis research, applications of cannabis research funding, strategies for accessing varied cannabis research products, innovations in agrarian research, and examples of state support for research. The 2025 workshop provided a platform for exploring how cannabis research can inform public policy and address emerging scientific and societal questions despite uncertainties arising from the federal landscape.</p>","PeriodicalId":9386,"journal":{"name":"Cannabis and Cannabinoid Research","volume":" ","pages":"125-129"},"PeriodicalIF":2.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147302585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Drug Interactions in People on Cannabidiol: Is There Cause for Concern? 服用大麻二酚者的药物相互作用:有必要担心吗?
IF 2.7 4区 医学
Cannabis and Cannabinoid Research Pub Date : 2026-04-01 Epub Date: 2026-03-17 DOI: 10.1089/can.2024.0041
Georgia Downs, Ristan Greer, Geraldine Moses, Taylan Gurgenci, Phillip Good, Janet Hardy
{"title":"Drug Interactions in People on Cannabidiol: Is There Cause for Concern?","authors":"Georgia Downs, Ristan Greer, Geraldine Moses, Taylan Gurgenci, Phillip Good, Janet Hardy","doi":"10.1089/can.2024.0041","DOIUrl":"10.1089/can.2024.0041","url":null,"abstract":"<p><strong>Introduction: </strong>Cannabidiol (CBD) exhibits multiple therapeutic properties, but its use in advanced cancer patients raises concerns about potential drug-drug interactions (DDIs) due to polypharmacy. This study aims to look for evidence of DDIs between concomitant medications and CBD oil in a randomized placebo-controlled trial of CBD oil for symptom control (MedCan-1 parent study).</p><p><strong>Materials and methods: </strong>Surrogate measures were used to identify possible drug interactions: (1) the maximum mL of oil self-selected by patients in CBD or placebo groups in relation to opioids, specific drug groups, or individual agents; (2) the occurrence of any new or worse adverse effect in relation to the study arm and the concomitant medication classes/medications of interest.</p><p><strong>Results: </strong>The dose of CBD self-selected by participants was not related to opioid use or medications, including benzodiazepines and antipsychotics. The likelihood of developing an adverse effect while on study or when taking specific medications was not increased by CBD. Participants on paracetamol tolerated a higher dose of CBD.</p><p><strong>Discussion: </strong>Concerns regarding the development of clinically significant drug interactions when taking CBD in the context of anti-cancer and other concomitant medications at least in the short term may be unfounded.</p>","PeriodicalId":9386,"journal":{"name":"Cannabis and Cannabinoid Research","volume":" ","pages":"138-146"},"PeriodicalIF":2.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142615309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cannabis Provenance by Isotope Ratio Analysis. 大麻的同位素比值分析。
IF 2.7 4区 医学
Cannabis and Cannabinoid Research Pub Date : 2026-04-01 Epub Date: 2026-02-19 DOI: 10.1177/25785125251390646
Crist N Filer
{"title":"Cannabis Provenance by Isotope Ratio Analysis.","authors":"Crist N Filer","doi":"10.1177/25785125251390646","DOIUrl":"10.1177/25785125251390646","url":null,"abstract":"","PeriodicalId":9386,"journal":{"name":"Cannabis and Cannabinoid Research","volume":" ","pages":"97-98"},"PeriodicalIF":2.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145298581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Short-Term Low Dose Cannabidiol Does Not Influence Glucose Tolerance or the Gut Microbiome in Sedentary Adults with Overweight and Obesity: Pilot Study. 短期低剂量大麻二酚不会影响久坐超重和肥胖成人的葡萄糖耐量或肠道微生物组:初步研究
IF 2.7 4区 医学
Cannabis and Cannabinoid Research Pub Date : 2026-04-01 Epub Date: 2025-10-27 DOI: 10.1177/25785125251391085
Taylor R Ewell, Matthew C Bomar, Kieran S S Abbotts, Brendan T Kayne, Briana D Risk, Natasha N B Williams, Yuren Wei, Gregory P Dooley, Tiffany L Weir, Christopher Bell
{"title":"Short-Term Low Dose Cannabidiol Does Not Influence Glucose Tolerance or the Gut Microbiome in Sedentary Adults with Overweight and Obesity: Pilot Study.","authors":"Taylor R Ewell, Matthew C Bomar, Kieran S S Abbotts, Brendan T Kayne, Briana D Risk, Natasha N B Williams, Yuren Wei, Gregory P Dooley, Tiffany L Weir, Christopher Bell","doi":"10.1177/25785125251391085","DOIUrl":"10.1177/25785125251391085","url":null,"abstract":"<p><strong>Introduction: </strong>Epidemiological data indicate that regular users of cannabis products may be protected from type 2 diabetes, although the mechanism is not understood. Observations from animal studies suggest that the cannabinoid, cannabidiol (CBD) may protect/improve glucose tolerance; an effect that may be partially mediated by favorable modifications to the gut microbiome. The aims of the current pilot project were to gain initial insight into the influence of short-term CBD ingestion on oral glucose tolerance, the gut microbiome, and inflammation in sedentary adults with overweight or obesity and free from diabetes.</p><p><strong>Materials and methods: </strong>Using a randomized, double-blind, repeated measures, parallel design, oral glucose tolerance was determined in 16 adults (6 males, 10 females) prior to and following 4 weeks of daily ingestion of either placebo or CBD (30 mg every 12 h). Fecal samples were collected at baseline and post-intervention.</p><p><strong>Results: </strong>Compared with placebo, CBD did not influence glucose tolerance (Matsuda Index: placebo-pre 7.6 [5.5], placebo-post 10.1 [5.5], <i>vs</i>. CBD-pre 11.7 [7.9], and hCBD-post 10.1 [10.2]; median [interquartile range]; <i>p</i> > 0.05). Characteristics of the gut microbiome or inflammation were not appreciably modified by CBD or placebo.</p><p><strong>Discussion: </strong>Short-term daily ingestion of low-dose CBD did not appear to favorably modify glucose tolerance in sedentary adults with overweight or obesity. It is possible that CBD may not account for the previously reported protection from type 2 diabetes bestowed to regular users of cannabis products.</p>","PeriodicalId":9386,"journal":{"name":"Cannabis and Cannabinoid Research","volume":" ","pages":"147-159"},"PeriodicalIF":2.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145408123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Associations Between Cannabis Use and Inflammatory Biomarkers Among People with HIV. 大麻使用与艾滋病毒感染者炎症生物标志物之间的关系。
IF 2.5 4区 医学
Cannabis and Cannabinoid Research Pub Date : 2026-03-25 DOI: 10.1177/25785125261437619
Stephanie A Ruderman, Joseph A C Delaney, Kristina A Crothers, Engi F Attia, Bridget M Whitney, Sonia Napravnik, Laura Bamford, Michael S Saag, Richard D Moore, Kenneth H Mayer, Inga Peter, Amelia Deitchman, Carl Grunfeld, Fang Fang, Mari M Kitahata, Heidi M Crane, Peter W Hunt
{"title":"Associations Between Cannabis Use and Inflammatory Biomarkers Among People with HIV.","authors":"Stephanie A Ruderman, Joseph A C Delaney, Kristina A Crothers, Engi F Attia, Bridget M Whitney, Sonia Napravnik, Laura Bamford, Michael S Saag, Richard D Moore, Kenneth H Mayer, Inga Peter, Amelia Deitchman, Carl Grunfeld, Fang Fang, Mari M Kitahata, Heidi M Crane, Peter W Hunt","doi":"10.1177/25785125261437619","DOIUrl":"10.1177/25785125261437619","url":null,"abstract":"<p><strong>Background: </strong>We explored whether self-reported current cannabis use is associated with inflammatory biomarkers among people with HIV (PWH), given high rates of cannabis use and chronic immune activation among PWH.</p><p><strong>Methods: </strong>At seven Centers for AIDS Research Network of Integrated Clinical Systems (CNICS) cohort sites, which integrate data on participant characteristics including demographic and clinical information, and substance use behaviors, we used linear regression to estimate the average difference in biomarkers associated with cannabis use, adjusted for demographic characteristics and sampling weights. Cannabis use was considered as Never, Former, or Current (past 3-month) use. Thirteen plasma biomarkers were measured once on or after 2010 among a subset of PWH on antiretroviral therapy with HIV viral suppression within CNICS. Cannabis use was assessed within 1 year prior to biomarker collection. Biomarkers were log-transformed and scaled by standard deviation to standardize estimates.</p><p><strong>Results: </strong>Among 532 PWH, the average age at biomarker collection date was 47 years, 84% were male, 61% non-White, 30% reported current cannabis use, 35% former use, and 35% never using cannabis. In adjusted linear regression, current cannabis use was associated with higher soluble CD14 (sCD14) levels (β = 0.35; 95% confidence interval [CI]: 0.09, 0.61). Former cannabis use was associated with lower C-reactive protein (CRP) (β = -0.25; 95% CI: -0.47, -0.04), although current use was not (β = -0.25; 95% CI: -0.51, 0.01) compared to never use.</p><p><strong>Conclusions: </strong>Cannabis use may be related to lower CRP and elevated markers of microbial translocation (e.g., sCD14), which could have implications in increasing the risk of vascular events and should be investigated in a longitudinal setting.</p>","PeriodicalId":9386,"journal":{"name":"Cannabis and Cannabinoid Research","volume":" ","pages":"25785125261437619"},"PeriodicalIF":2.5,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13094378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147509359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Regular Cannabis Use is Associated with a Diminished Anandamide Response to a Standard Exercise Stimulus: A Pilot Study. 常规使用大麻与标准运动刺激下阿南达胺反应减弱有关:一项初步研究。
IF 2.7 4区 医学
Cannabis and Cannabinoid Research Pub Date : 2026-02-27 DOI: 10.1177/25785125261428008
Taylor R Ewell, Matthew C Bomar, Kate E Green, Vanessa T Stallsmith, Gregory P Dooley, Christopher Bell, Hollis C Karoly
{"title":"Regular Cannabis Use is Associated with a Diminished Anandamide Response to a Standard Exercise Stimulus: A Pilot Study.","authors":"Taylor R Ewell, Matthew C Bomar, Kate E Green, Vanessa T Stallsmith, Gregory P Dooley, Christopher Bell, Hollis C Karoly","doi":"10.1177/25785125261428008","DOIUrl":"https://doi.org/10.1177/25785125261428008","url":null,"abstract":"<p><strong>Introduction: </strong>The endocannabinoid system (ECS) is increasingly recognized as an important regulator of many physiological systems. People who use products derived from <i>Cannabis sativa</i> L. are exposed to exogenous cannabinoids. The influence of this exogenous exposure on the ECS is unclear. People who use cannabis have demonstrated lower basal levels of endocannabinoids, but the dynamic response of their ECS to a controlled stimulus is unknown. Our study purpose was to compare circulating concentrations of the endocannabinoid <i>N</i>-arachidonoylethanolamine (anandamide, AEA) and subjective experiences between people who use cannabis and those who do not, during and following a standardized exercise stimulus.</p><p><strong>Materials and methods: </strong>Twenty adults (<i>n</i> = 8 who regularly use cannabis [age: 21-32 years; 5/3 males/females] and <i>n</i> = 12 who do not use cannabis [age: 21-39 years; 7/5 males/females]) completed a 1-h treadmill run at an intensity equivalent to 65% of peak oxygen uptake. Arterialized-venous blood was collected prior to, during (including the last minute of exercise), and 15 min following exercise for determination of anandamide concentration. The subjective experiences of the participants during and after the run were assessed with responses to several questions assessed on a Likert scale.</p><p><strong>Results: </strong>Compared with controls, the cannabis use group had lower AEA concentrations at end-exercise (0.47 ± 0.13 vs. 0.33 ± 0.10 ng/mL; <i>p</i> = 0.015) and 15-min post-exercise (0.57 ± 0.17 vs. 0.38 ± 0.18 ng/mL; <i>p</i> = 0.001). The cannabis use group also had worse mood (3.25 ± 1.03 <i>vs.</i> 2.29 ± 1.34; main effect of condition <i>p =</i> 0.05) and higher probability of feeling pain (<i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>Habitual cannabis use was associated with diminished AEA response, worse mood, and more pain during/following exercise. These pilot data might have implications for clinical outcomes associated with cannabis use, including cannabis use disorder and withdrawal, as well as potentially for exercise adherence.</p>","PeriodicalId":9386,"journal":{"name":"Cannabis and Cannabinoid Research","volume":" ","pages":"25785125261428008"},"PeriodicalIF":2.7,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147316118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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