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Updated: May 21, 2026

Brain Morphology of Cannabis Users With or Without Psychosis: A Pilot MRI Study
Published on: August 18, 2020
Anandamide dysfunction in prodromal and established psychosis.
1Dept. of Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, J5,68159 Mannheim, Germany. leweke@cimh.de
Frequent cannabis use is linked to psychosis risk. This review examines the role of the endogenous cannabinoid system (eCB system), specifically anandamide, in schizophrenia pathophysiology.
Area of Science:
- Neuroscience
- Psychiatry
- Pharmacology
Background:
- Epidemiological studies link cannabis use, especially during puberty, to increased psychosis risk.
- The endogenous cannabinoid system (eCB system), targeted by cannabinoids, is increasingly studied in psychiatric disorders, particularly schizophrenia.
- A two-decade-old hypothesis suggests the eCB system's dysfunction contributes to schizophrenia's pathophysiology.
Purpose of the Study:
- To review the role of anandamide, an endogenous ligand for cannabinoid CB1-receptors, in schizophrenia.
- To explore the potential involvement of the eCB system in the development or progression of schizophrenia.
Main Methods:
- Review of existing studies investigating anandamide levels.
- Analysis of anandamide concentrations in cerebrospinal fluid and plasma of schizophrenia patients and control groups.
Main Results:
- Studies have investigated anandamide levels in patients with schizophrenia.
- Findings regarding anandamide levels in schizophrenia patients compared to controls are presented in this review.
Conclusions:
- The endogenous cannabinoid system, including anandamide, is a potential factor in schizophrenia.
- Further research is warranted to fully elucidate the role of anandamide in schizophrenia pathogenesis.
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