Does regular cannabis use affect neuroanatomy? An updated systematic review and meta-analysis of structural neuroimaging studies

Journal article


Lorenzetti, Valentina, Chye, Yann, Silva, Pedro, Solowij, Nadia and Roberts, Carl A.. (2019). Does regular cannabis use affect neuroanatomy? An updated systematic review and meta-analysis of structural neuroimaging studies. European Archives of Psychiatry and Clinical Neuroscience: official organ of the German society for biological psychiatry. 269(1), pp. 59 - 71. https://doi.org/10.1007/s00406-019-00979-1
AuthorsLorenzetti, Valentina, Chye, Yann, Silva, Pedro, Solowij, Nadia and Roberts, Carl A.
Abstract

Regular cannabis use is associated with adverse cognitive and mental health outcomes that have been ascribed to aberrant neuroanatomy in brain regions densely innervated with cannabinoid receptors. Neuroanatomical differences between cannabis users and controls have been assessed in multiple structural magnetic resonance imaging (sMRI) studies. However, there is heterogeneity in the results leading to cautious interpretation of the data so far. We examined the sMRI evidence to date in human cannabis users, to establish more definitely whether neuroanatomical alterations are associated with regular cannabis use. The regional specificity and association with cannabis use indices (i.e. cumulative dosage, duration) were also explored. We systematically reviewed and meta-analysed published sMRI studies investigating regional brain volumes (cortical, subcortical and global) in cannabis users and non-user controls. Three electronic databases were searched (PubMed, Scopus, and PsycINFO). A total of 17 meta-analyses were conducted (one for each cortical, subcortical and global volume) using the generic inverse variance method, whereby standardised mean difference in volume was calculated between users and non-users. Exploratory meta-regressions were conducted to investigate the association between cannabis use indices and regional brain volumes. A total of 30 articles were eligible for inclusion, contributing 106 effect sizes across 17 meta-analyses. Regular cannabis users had significantly smaller volumes of the hippocampus (SMD = 0.14, 95% CIs [0.02, 0.27]; Z = 2.29, p = 0.02, I2 = 74%) and orbitofrontal cortex {medial (SMD = 0.30, 95% CIs [0.15, 0.45]; Z = 3.89, p = 0.0001, I2 = 51%), lateral (SMD = 0.19, 95% CIs [0.07, 0.32]; Z = 3.10, p = 0.002, I2 = 26%)} relative to controls. The volumes of the hippocampus and orbitofrontal cortex were not significantly associated with cannabis duration and dosage. Our findings are consistent with evidence of aberrance in brain regions involved in reward, learning and memory, and motivation circuits in the regular use of substances other than cannabis, pointing to commonality in neurobiological abnormalities between regular users of cannabis and of other substances.

Year2019
JournalEuropean Archives of Psychiatry and Clinical Neuroscience: official organ of the German society for biological psychiatry
Journal citation269 (1), pp. 59 - 71
PublisherSpringer Medizin
ISSN0940-1334
Digital Object Identifier (DOI)https://doi.org/10.1007/s00406-019-00979-1
Scopus EID2-s2.0-85060955877
Page range59 - 71
Publisher's version
File Access Level
Controlled
Place of publicationGermany
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Chye, Yann, Suo, Chao, Lorenzetti, Valentina, Batalla, Albert, Cousijn, Janna, Goudriaan, Anna E., Martin-Santos, Rocio, Whittle, Sarah, Solowij, Nadia and Yücel, Murat. (2019). Cortical surface morphology in long-term cannabis users: A multi-site MRI study. European Neuropsychopharmacology. 29(2), pp. 257 - 265. https://doi.org/10.1016/j.euroneuro.2018.11.1110
Reduced amygdala volumes are related to motor and cognitive signs in Huntington's disease: The IMAGE-HD study
Ahveninen, Lotta M., Stout, Julie C., Georgiou-Karistianis, Nellie, Lorenzetti, Valentina and Glikmann-Johnston, Yifat. (2018). Reduced amygdala volumes are related to motor and cognitive signs in Huntington's disease: The IMAGE-HD study. NeuroImage: Clinical. 18, pp. 881 - 887. https://doi.org/10.1016/j.nicl.2018.03.027
The anticipation and outcome phases of reward and loss processing: A neuroimaging meta-analysis of the monetary incentive delay task
Oldham, Stuart, Murawski, Carsten, Fornito, Alex, Youssef, George J., Yücel, Murat and Lorenzetti, Valentina. (2018). The anticipation and outcome phases of reward and loss processing: A neuroimaging meta-analysis of the monetary incentive delay task. Human Brain Mapping. 39(8), pp. 3398 - 3418. https://doi.org/10.1002/hbm.24184
Exploring the association of legalisation status of cannabis with problematic cannabis use and impulsivity in the USA
Destrée, Louise, Amiet, Danielle, Carter, Adrian, Lee, Rico, Lorenzetti, Valentina, Segrave, Rebecca, Youssef, George, Solowij, Nadia and Yücel, Murat. (2018). Exploring the association of legalisation status of cannabis with problematic cannabis use and impulsivity in the USA. Drugs in Context. 7, pp. 1 - 5. https://doi.org/10.7573/dic.212541
Emotion regulation using virtual environments and real-time fMRI neurofeedback
Lorenzetti, Valentina, Melo, Bruno, Basílio, Rodrigo, Suo, Chao, Yücel, Murat, Tierra-Criollo, Carlos J. and Moll, Jorge. (2018). Emotion regulation using virtual environments and real-time fMRI neurofeedback. Frontiers in Neurology. 9, pp. 1 - 15. https://doi.org/10.3389/fneur.2018.00390
Mapping cortical brain asymmetry in 17,141 healthy individuals worldwide via the ENIGMA consortium
Kong, Xiang-Zhen, Mathias, Samuel R., Guadalupe, Tulio, ENIGMA Laterality Working Group,, Glahn, David C., Franke, Barbara, Crivello, Fabrice, Tzourio-Mazoyer, Nathalie, Fisher, Simon E., Thompson, Paul M., Francks, Clyde, Lorenzetti, Valentina and ENIGMA Laterality Working Group. (2018). Mapping cortical brain asymmetry in 17,141 healthy individuals worldwide via the ENIGMA consortium. Proceedings of the National Academy of Sciences of USA. 115(22), pp. E5154 - E5163. https://doi.org/10.1073/pnas.1718418115
A systematic review and meta-analysis of the neural correlates of psychological therapies in major depression
Sankar, Anjali, Melin, Alice, Lorenzetti, Valentina, Horton, Paul, Costafreda, Sergi G. and Fu, Cynthia H. Y.. (2018). A systematic review and meta-analysis of the neural correlates of psychological therapies in major depression. Psychiatry Research: Neuroimaging. 279, pp. 31 - 39. https://doi.org/10.1016/j.pscychresns.2018.07.002
A transdiagnostic dimensional approach towards a neuropsychological assessment for addiction: an international Delphi consensus study
Yucel, Murat, Oldenhof, Erin, Ahmed, Serge H., Belin, David, Billieux, Joel, Bowden-Jones, Henrietta, Carter, Adrian, Chamberlain, Samuel R., Clark, Luke, Connor, Jason P., Daglish, Mark, Dom, Geert, Dannon, Pinhas, Duka, Theodora, Fernandez-Serrano, Maria Jose, Field, Matt, Franken, Ingmar, Goldstein, Rita Z., Gonzalez, Raul, ... Verdejo-Garcia, Antonio. (2018). A transdiagnostic dimensional approach towards a neuropsychological assessment for addiction: an international Delphi consensus study. Addiction. 114(6), pp. 1095 - 1109. https://doi.org/10.1111/add.14424
Unpacking the role of self-reported compulsivity and impulsivity in obsessive-compulsive disorder
Prochazkova, Luisa, Parkes, Linden, Dawson, Andrew, Youssef, George J., Ferreira, Gabriela M., Lorenzetti, Valentina, Segrave, Rebecca A., Fontenelle, Leonardo F. and Yücel, Murat. (2018). Unpacking the role of self-reported compulsivity and impulsivity in obsessive-compulsive disorder. CNS Spectrums. 23(1), pp. 51 - 58. https://doi.org/10.1017/S1092852917000244
Neuroscience in gambling policy and treatment: an interdisciplinary perspective
Murat Yucel, Adrian Carter, Amy R Allen, Bernard Balleine, Luke Clark, Nicki A Dowling, Sally M Gainsbury, Anna E Goudriaan, Jon Grant, Alan Hayes, David Hodgins, Ruth van Holst, Ralph Lattimore, Charles Livingstone, Valentina Lorenzetti, Dan Lubman, Carsten Murawski, Linden Parkes, Nancy Petry, ... Wayne Hall. (2017). Neuroscience in gambling policy and treatment: an interdisciplinary perspective. The Lancet Psychiatry. 4(6), pp. 501-506. https://doi.org/10.1016/S2215-0366(16)30369-8
Orbitofrontal and caudate volumes in cannabis users: A multi-site mega-analysis comparing dependent versus non-dependent users
Chye, Yann, Solowij, Nadia, Suo, Chao, Batalla, Albert, Cousijn, Janna, Goudriaan, Anna E., Martin-Santos, Rocio, Whittle, Sarah, Lorenzetti, Valentina and Yücel, Murat. (2017). Orbitofrontal and caudate volumes in cannabis users: A multi-site mega-analysis comparing dependent versus non-dependent users. Psychopharmacology. 234(13), pp. 1985 - 1995. https://doi.org/10.1007/s00213-017-4606-9
Cannabis-related hippocampal volumetric abnormalities specific to subregions in dependent users
Chye, Yann, Suo, Chao, Yücel, Murat, den Ouden, Lauren, Solowij, Nadia and Lorenzetti, Valentina. (2017). Cannabis-related hippocampal volumetric abnormalities specific to subregions in dependent users. Psychopharmacology. 234(14), pp. 2149 - 2157. https://doi.org/10.1007/s00213-017-4620-y
A psychometric validation study of the Impulsive-Compulsive Behaviours Checklist: A transdiagnostic tool for addictive and compulsive behaviours
Guo, Karen, Youssef, George J., Dawson, Andrew, Parkes, Linden, Oostermeijer, Sanne, López-Solà, Clara, Lorenzetti, Valentina, Greenwood, Christopher, Fontenelle, Leonardo F. and Yücel, Murat. (2017). A psychometric validation study of the Impulsive-Compulsive Behaviours Checklist: A transdiagnostic tool for addictive and compulsive behaviours. Addictive Behaviors. 67, pp. 26 - 33. https://doi.org/10.1016/j.addbeh.2016.11.021
Longitudinal study of hippocampal volumes in heavy cannabis users
Koenders, L., Lorenzetti, Valentina, de Haan, L., Suo, C., Vingerhoets, W. A. M., van den Brink, W., Wiers, R. W., Meijer, C. J., MacHielsen, M. W. J., Goudriaan, Anna E., Veltman, D. J., Yücel, Murat and Cousijn, Janna. (2017). Longitudinal study of hippocampal volumes in heavy cannabis users. Journal of Psychopharmacology. 31(8), pp. 1027 - 1034. https://doi.org/10.1177/0269881117718380
Role of orbitofrontal sulcogyral pattern on lifetime cannabis use and depressive symptoms
Chye, Yann, Solowij, Nadia, Ganella, Eleni P., Suo, Chao, Yücel, Murat, Batalla, Albert, Cousijn, Janna, Goudriaan, Anna E., Martin-Santos, Rocio, Whittle, Sarah, Bartholomeusz, Cali F. and Lorenzetti, Valentina. (2017). Role of orbitofrontal sulcogyral pattern on lifetime cannabis use and depressive symptoms. Progress in Neuropsychopharmacology and Biological Psychiatry. 79, pp. 392 - 400. https://doi.org/10.1016/j.pnpbp.2017.07.017
Investigating the role of anticipatory reward and habit strength in obsessive-compulsive disorder
Ferreira, Gabriela M., Yücel, Murat, Dawson, Andrew, Lorenzetti, Valentina and Fontenelle, Leonardo F.. (2017). Investigating the role of anticipatory reward and habit strength in obsessive-compulsive disorder. CNS Spectrums. 22(3), pp. 295 - 304. https://doi.org/10.1017/S1092852916000535
The neurobiology of cannabis use disorders: A call for evidence
Valentina Lorenzetti, Janna Cousijn, Nadia Solowij, Hugh Garavan, Chao Suo, Murat Yucel and Antonio Verdejo-Garcia. (2016). The neurobiology of cannabis use disorders: A call for evidence. Frontiers in Behavioral Neuroscience. 10, pp. 1-3. https://doi.org/10.3389/fnbeh.2016.00086
Olfactory sulcus morphology in patients with current and past major depression
Takahashi, Tsutomu, Nishikawa, Yumiko, Yücel, Murat, Whittle, Sarah, Lorenzetti, Valentina, Walterfang, Mark, Sasabayashi, Daiki, Suzuki, Michio, Pantelis, Christos and Allen, Nicholas B.. (2016). Olfactory sulcus morphology in patients with current and past major depression. Psychiatry Research: Neuroimaging. 255, pp. 60 - 65. https://doi.org/10.1016/j.pscychresns.2016.07.008
Genetic imaging consortium for addiction medicine: From neuroimaging to genes
Mackey, Scott, Kan, Kees-Jan, Chaarani, Bader, Alia-Klein, Nelly, Batalla, Albert, Brooks, Samantha, Cousijn, Janna, Dagher, Alain, de Ruiter, Michiel, Desrivieres, Sylvane, Feldstein Ewing, Sarah W., Goldstein, Rita Z., Goudriaan, Anna E., Heitzeg, Mary M., Hutchison, Kent, Li, Chiang-Shan R., London, Edythe D., Lorenzetti, Valentina, Luijten, Maartje, ... Conrod, Patricia. (2016). Genetic imaging consortium for addiction medicine: From neuroimaging to genes. In Neuroscience for addiction medicine: From prevention to rehabilitation - methods and interventions pp. 203 - 223 Elsevier. https://doi.org/10.1016/bs.pbr.2015.07.026
Adolescent cannabis use: What is the evidence for functional brain alteration?
Lorenzetti, Valentina, Alonso-Lana, Silvia, Youssef, G. J., Verdejo-Garcia, Antonio, Suo, Chao, Cousijn, Janna, Takagi, Michael, Yucel, Murat and Solowij, Nadia. (2016). Adolescent cannabis use: What is the evidence for functional brain alteration? Current Pharmaceutical Design. 22(42), pp. 6353 - 6365. https://doi.org/10.2174/1381612822666160805155922
The role of cannabinoids in neuroanatomic alterations in cannabis users
Lorenzetti, Valentina, Solowij, Nadia and Yücel, Murat. (2016). The role of cannabinoids in neuroanatomic alterations in cannabis users. Biological Psychiatry. 79(7), pp. e17 - e31. https://doi.org/10.1016/j.biopsych.2015.11.013
Hippocampal harms, protection and recovery following regular cannabis use
Yücel, Murat, Lorenzetti, Valentina, Suo, C., Zalesky, Andrew, Fornito, Alex, Takagi, Michael J., Lubman, Dan I. and Solowij, Nadia. (2016). Hippocampal harms, protection and recovery following regular cannabis use. Translational Psychiatry. 6(1), pp. 1 - 7. https://doi.org/10.1038/tp.2015.201
An MRI study of white matter tract integrity in regular cannabis users: Effects of cannabis use and age
Jakabek, David, Yucel, Murat, Lorenzetti, Valentina and Solowij, Nadia. (2016). An MRI study of white matter tract integrity in regular cannabis users: Effects of cannabis use and age. Psychopharmacology. 233(19-20), pp. 3627 - 3637. https://doi.org/10.1007/s00213-016-4398-3
Gross morphological brain changes with chronic, heavy cannabis use
Lorenzetti, Valentina, Solowij, Nadia, Whittle, Sarah, Fornito, Alex, Lubman, Dan I., Pantelis, Christos and Yücel, Murat. (2015). Gross morphological brain changes with chronic, heavy cannabis use. British Journal of Psychiatry. 206(1), pp. 77 - 78. https://doi.org/10.1192/bjp.bp.114.151407
Cortico-limbic network abnormalities in individuals with current and past major depressive disorder
Klauser, Paul, Fornito, Alex, Lorenzetti, Valentina, Davey, Christopher G., Dwyer, Dominic B., Allen, Nicholas B. and Yücel, Murat. (2015). Cortico-limbic network abnormalities in individuals with current and past major depressive disorder. Journal of Affective Disorders. 173, pp. 45 - 52. https://doi.org/10.1016/j.jad.2014.10.041
The association between regular cannabis exposure and alterations of human brain morphology: An updated review of the literature
Lorenzetti, Valentina, Solowij, Nadia, Fornito, Alex, Lubman, Dan Ian and Yücel, Murat. (2014). The association between regular cannabis exposure and alterations of human brain morphology: An updated review of the literature. Current Pharmaceutical Design. 20(13), pp. 2138 - 2167. https://doi.org/10.2174/13816128113199990435
The neural cascade of olfactory processing: A combined fMRI-EEG study
Masaoka, Yuri, Harding, Ian H., Koiwa, Nobuyoshi, Yoshida, Masaki, Harrison, Ben J., Lorenzetti, Valentina, Ida, Masahiro, Izumizaki, Masahiko, Pantelis, Christos and Homma, Ikuo. (2014). The neural cascade of olfactory processing: A combined fMRI-EEG study. Respiratory Physiology & Neurobiology. 204, pp. 71 - 77. https://doi.org/10.1016/j.resp.2014.06.008
Human amygdala volume is predicted by common DNA variation in the stathmin and serotonin transporter genes
Stjepanović, D., Lorenzetti, Valentina, Yücel, Murat, Hawi, Z. and Bellgrove, M. A.. (2013). Human amygdala volume is predicted by common DNA variation in the stathmin and serotonin transporter genes. Translational Psychiatry. 3(7), pp. 1 - 7. https://doi.org/10.1038/tp.2013.41
Alteration to hippocampal shape in cannabis users with and without schizophrenia
Solowij, Nadia, Walterfang, Mark, Lubman, Dan I., Whittle, Sarah, Lorenzetti, Valentina, Styner, Martin, Velakoulis, Dennis, Pantelis, Christos and Yucel, Murat. (2013). Alteration to hippocampal shape in cannabis users with and without schizophrenia. Schizophrenia Research. 143(1), pp. 179 - 184. https://doi.org/10.1016/j.schres.2012.10.040