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Brain imaging study of the acute effects of Δ9-tetrahydrocannabinol (THC) on attention and motor coordination in regular users of marijuana

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Abstract

Procedure

Twelve regular users of marijuana underwent two positron emission tomography (PET) scans using [18F] Fluorodeoxyglucose (FDG), one while subject to the effects of 17 mg THC, the other without THC. In both sessions, a virtual reality maze task was performed during the FDG uptake period.

Results

When subject to the effects of 17 mg THC, regular marijuana smokers hit the walls more often on the virtual maze task than without THC. Compared to results without THC, 17 mg THC increased brain metabolism during task performance in areas that are associated with motor coordination and attention in the middle and medial frontal cortices and anterior cingulate, and reduced metabolism in areas that are related to visual integration of motion in the occipital lobes.

Conclusion

These findings suggest that in regular marijuana users, the immediate effects of marijuana may impact on cognitive–motor skills and brain mechanisms that modulate coordinated movement and driving.

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References

  • APA (1994) Diagnostic and Statistical Manual of Mental Disorders, 4th edn. American Psychiatric Association, Washington, DC

    Google Scholar 

  • Bechara A, Damasio AR, Damasio H, Anderson SW (1994) Insensitivity to future consequences following damage to human prefrontal cortex. Cognition 50:7–15

    Article  PubMed  CAS  Google Scholar 

  • Bechara A, Tranel D, Damasio H, Damasio AR (1996) Failure to respond anatomically to anticipated future outcomes following damage to prefrontal cortex. Insensitivity to future consequences following damage to human prefrontal cortex. Cerebral Cortex 6:215–225

    Article  PubMed  CAS  Google Scholar 

  • Block RI, Ghoneim MM (1993) Effects of chronic marijuana use on human cognition. Psychopharmacology (Berl) 110:219–228

    Article  CAS  Google Scholar 

  • Block RI, O’Leary DS, Hichwa RD, Augustinack JC, Ponto LL, Ghoneim MM, Arndt S, Ehrhardt JC, Hurtig RR, Watkins GL, Hall JA, Nathan PE, Andreasen NC (2000) Cerebellar hypoactivity in frequent marijuana users. Neuroreport 11(4):749–753

    Article  PubMed  CAS  Google Scholar 

  • Bolla KI, Brown K, Eldreth D, Tate K, Cadet JL (2002) Dose-related neurocognitive effects of marijuana use. Neurology 59:1337–1343

    PubMed  CAS  Google Scholar 

  • Bonne O, Louzoun Y, Aharon I, Krausz Y, Karger H, Lerer B, Bocher M, Freedman N, Chisin R (2003) Cerebral blood flow in depressed patients: a methodological comparison of statistical parametric mapping and region of interest analyses. Psych Res: Neuroimaging 122:49–57

    Article  Google Scholar 

  • Brett M, Anton J-L, Valabregue R, Poline J-B (2002). Region of interest analysis using an SPM toolbox. Abstract presented at the 8th International Conference on Functional Mapping of the Human Brain, June 2-6, 2002, Sendai, Japan. Available on CD-ROM in NeuroImage, Vol 16, No 2.

  • Brickner O, Weinstein AM, Lerman H,Greemland M, Meshulam R, Bloch M, Even-Sapir E (2005) Brain imaging study of orientation, coordination and executive function in recreational users of marijuana. Poster presented at the College of Drug Dependence Meeting, Orlando Florida, June 2005 abstract book pp 18.

  • Bush G, Luu P, Posner MI (2000) Cognitive and emotional influences in anterior cingulate cortex. Trends Cog Sci 4:215–222

    Article  Google Scholar 

  • Chipman ML, Macdonald S, Mann RE (2003) Being “at fault” in traffic crashes: does alcohol, cannabis, polydrug abuse make a difference? Inj Prev 9(4):343–348

    Article  PubMed  CAS  Google Scholar 

  • Curran HV, Brignell C, Fletcher S, Middleton P, Henry J (2002) Cognitive and subjective effects of acure oral Δ9-tetrahydrocannabinol (THC) in infrequent cannabis users. Psychopharmacology 164:61–70

    Article  PubMed  CAS  Google Scholar 

  • Egashira N, Mishima K, Iwasaki K, Fujiwara M (2002) Intracerebral microinjections of delta 9-tetrahydrocannabinol: search for the impairment of spatial memory in the eight-arm radial maze in rats. Brain Res 952:239–245

    Article  PubMed  CAS  Google Scholar 

  • Erdler M, Windischberger C, Lanzenberger R, Edward V, Gartus A, Deecke L, Beisteiner R (2001) Dissociation of supplementary motor area and primary motor cortex in human subjects when comparing index and little finger movements with functional magnetic resonance imaging. Neurosci Lett 313(1–2):5–8

    Article  PubMed  CAS  Google Scholar 

  • Fletcher JM, Page JB, Francis DJ, Copeland K, Naus MJ, Davis CM, Morris R, Krauskopf D, Satz P (1996) Cognitive correlates of long-term cannabis use in Costa Rican men. Arch Gen Psychiatry 53:1051–1057

    PubMed  CAS  Google Scholar 

  • Fox PT, Fox JM, Raichle ME, Burder RM (1985) The role of cerebral cortex in the generation of voluntary saccades: A positron emission tomographic study. J of Neurophysiol 54:348–369

    CAS  Google Scholar 

  • Gaoni Y, Mechoulam R (1964) The isolation and structure of cannabinolic cannabidiolic and cannabigerolic acids. J Am Chem Soc 86:1646–1647

    Article  CAS  Google Scholar 

  • Ghatan PH, Hsieh JC, Wirsen-Meurling A, Wredling R, Eriksson L, Stone-Elander S, Levander S, Ingvar M (1995) Brain activation induced by the perceptual maze test: a PET study of cognitive performance. Neuroimage 2:112–124

    Article  PubMed  CAS  Google Scholar 

  • Ghatan PH, Ingvar M, Eriksson L, Stone-Elander S, Serrander M, Ekberg K, Wahren J (1998) Cerebral effects of nicotine during cognition in smokers and non-smokers. Psychopharmacology (Berl) 136:179–189

    Article  CAS  Google Scholar 

  • Grant S, Contoreggi C, London ED (2000) Drug abusers show impaired performance in a laboratory test of decision making. Neuropsychologia 38:1180–1187

    Article  PubMed  CAS  Google Scholar 

  • Grant I, Gonzalez R, Carey CI, Natarajan L, Wolfson T (2003) Non-acute (residual) neurocognitive effects of cannabis use: a meta-analytic study. J of the International Neurophysiological Society 9:679–689

    Article  CAS  Google Scholar 

  • Hart CL, van Gorp W, Haney M, Foltin RW, Fischman MW (2001) Effects of Acute Smoked Marijuana on Complex Cognitive Performance. Neuropsychopharmacology 25:757–765

    Article  PubMed  CAS  Google Scholar 

  • Herning RI, Better WE, Tate K, Cadet JL (2005) Cerebrovascular perfusion in marijuana users during a month of monitored abstinence. Neurology 64:488–493

    PubMed  Google Scholar 

  • Huestis M (1999) Pharmacokinetics of THC in inhaled and oral preparations. In: Nahas GG, Sutin KM, Harvey DJ, Agurell S (eds) Marijuana and Medicine, Humana, Totawa NJ, pp 105–116

    Google Scholar 

  • Jager G, Kahn RS, Van Den Brink W, Van Ree JM, Ramsey NF (2006) Long-term effects of frequent cannabis use on working memory and attention: an fMRI study. Psychopharmacology (Berl) 185(3):358–368

    Article  CAS  Google Scholar 

  • Kalant H (2004) Adverse effects of cannabis on health: an update of the literature since 1996. Progress in Neuro-Psychopharmacology & Biological Psychiatry 28:849–863

    Google Scholar 

  • Kanayama G, Rogowska J, Pope HG, Gruber S, Yurgelun-Todd D (2004) Spatial working memory in heavy cannabis users: a functional magnetic resonance imaging study. Psychopharmacology 176:239–247

    Article  PubMed  CAS  Google Scholar 

  • Lane SD, Cherek DR, Tcheremissine OV, Lieving LM, Pietras C (2005) Acute marijuana effects on human risk taking. Neuropsychopharmacology 30:800–809

    Article  PubMed  CAS  Google Scholar 

  • Levin ED, Simon BB (1998) Nicotinic acetylcholinergic involvement in cognitive function in animals. Psychopharmacology 138:217–230

    Article  PubMed  CAS  Google Scholar 

  • Liguori A, Gatto CP, Jarrett DB (2002) Separate and combined effects of marijuana and alcohol on equilibrium and simulated driving. Psychopharmacology (Berl) 163(3–4):399–405

    Article  CAS  Google Scholar 

  • Lundqvist T (2005) Cognitive consequences of cannabis use: comparison with abuse of stimulants and heroin with regard to attention, memory and executive functions. Pharmacol Biochem Behav 81(2):319–330

    Article  PubMed  CAS  Google Scholar 

  • Mathew RJ, Wilson WH, Turkington TG, Coleman RE (1998) Cerebellar activity and disturbed time sense after THC. Brain Res 797(2):183–189

    Article  PubMed  CAS  Google Scholar 

  • Mishima K, Egashira N, Matsumoto Y, Iwasaki K, Fujiwara M (2002) Involvement of reduced acetylcholine release in Delta9-tetrahydrocannabinol-induced impairment of spatial memory in the 8-arm radial maze. Life Sci 72(4–5):397–407

    Article  PubMed  CAS  Google Scholar 

  • O’Leary DS, Block RI, Flaum M, Schultz SK, Boles Ponto LL, Watkins GL, Hurtig RR, Andreasen NC, Hichwa RD (2000) Acute marijuana effects on rCBF and cognition: a PET study. Neuroreport 11(17):3835–3841

    Article  PubMed  CAS  Google Scholar 

  • O’Leary DS, Block RI, Koeppel JA, Flaum M, Schultz SK, Andreasen NC, Ponto LB, Watkins GL, Hurtig RR, Hichwa RD (2002). Effects of smoking marijuana on brain perfusion and cognition. Neuropsychopharmacology 26(6), 802–816

    Article  PubMed  CAS  Google Scholar 

  • O’Leary DS, Block RI, Koeppel JA, Schultz SK, Magnotta VA, Ponto LB, Watkins GL, Hichwa RD (2007) Effects of smoking marijuana on focal attention and brain blood flow. Hum Psychopharmacol Clin Exp 22(3):135–148

    Article  Google Scholar 

  • Pardo JV, Pardo PJ, Janer KW, Raichle ME (1990) The anterior cingulate cortex mediates processing selection in the Stroop attentional conflict paradigm. Proc Natl Acad Sci USA 87:256–259

    Article  PubMed  CAS  Google Scholar 

  • Perez-Reyes M, Guiseppi DS, Davis KH, Schindler HV, Cook, CE (1982) Comparison of effects of marijuana cigarettes of three different potencies. Clin Pharmacol Ther 31(5):617–624

    Article  PubMed  CAS  Google Scholar 

  • Pillay SS, Rogowska J, Kanayama G, Jon D-I, Gruber S, Simpson N, Cherayil M, Pope HG, Yurgelun-Todd D (2004) Neurophysiology of motor function following cannabis discontinuation in chronic cannabis smokers: an fMRI study. Drug Alc Dep 76:261–271

    Article  Google Scholar 

  • Pope HG Jr, Yurgelun-Todd DA (1996) The residual cognitive effects of heavy marijuana use in college students. JAMA 275:521–527

    Article  PubMed  CAS  Google Scholar 

  • Pope HG Jr, Gruber AJ, Hudson JI, Huestis MA, Yurgelun-Todd DA (2001) Neuropsychological performance in long-term cannabis users. Arch Gen Psychiatry 58:909–915

    Article  PubMed  Google Scholar 

  • Posner MI (1978) Chronometric explorations of mind. Lawrence Earlbaum Associates, Hillsdale, NJ

    Google Scholar 

  • Posner MI (1990) The attention system of the human brain. Ann Rev Neurosci 13:25–42

    Article  PubMed  CAS  Google Scholar 

  • Posner MI (2004) (ed) Cognitive neuroscience of attention. Guildford Publication, New York

    Google Scholar 

  • Posner MI, DiGirolamo G (1998) Executive attention: conflict, target detection and cognitive control. In R Parasuraman (ed) The attentive brain. MIT Press, Cambridge USA, pp 401–423

    Google Scholar 

  • Ramaekers JG, Berghaus G, van Laar M, Drummer OH (2004) Dose related risk of motor vehicle crashes after cannabis use. Drug Alc Dep 73:109–119

    Article  CAS  Google Scholar 

  • Ramaekers JG, Moeller MR, van Ruitenbeek P, Theunissen EL, Schneider E, Kauert G (2006) Cognition and motor control as function of Δ9-THC concentration in serum and oral fluid: limits of impairment. Drug Alcohol Depend 85:114–122

    Article  PubMed  CAS  Google Scholar 

  • Rogers RD, Everitt BJ, Baldacchino A, Blackshaw AJ, Swainson R, Wynne K, Baker NB, Hunter J, Carthy T, Booker E, London M, Deakin JFW, Sahakian BJ, Robbins TW (1999a) Dissociable deficits in the decision-making cognition of chronic amphetamine abusers, opiate abusers, patients with focal damage to prefrontal cortex, and tryptophan-depleted normal volunteers: evidence for monoaminergic mechanisms. Neuropsychopharmacology 20:322–339

    Article  PubMed  CAS  Google Scholar 

  • Rogers RD, Owen AM, Middleton HC, Williams EJ, Pickard JD, Sahakian BJ, Robbins TW (1999b) Choosing between small, likely rewards and large unlikely rewards activates inferior and orbital prefrontal cortex. J Neurosci 20(19):9029–9038

    Google Scholar 

  • Ronen A, Gertner R, Gershon P, Drobiner H, Bar-Hamburger R, Mechoulam R, Cassuto Y, Shinar D (2005) Effects of Δ9-THC on cognitive-motor skills (driving), physiological state and subjective feelings compared to the effects of 0.05% blood alcohol concentration. College of Drug Dependence Meeting, Orlando, FL, June 2005, abstract book pp 147.

  • Rotheram-Fuller E, Shoptaw S, Berman SM, London ED (2004) Impaired performance in a test of decision-making by opiate-dependent tobacco smokers. Drug Alc Dep 73:79–86

    Article  Google Scholar 

  • Rushworth MF, Walton ME, Kennerley SW, Bannerman DM (2004) Action sets and decisions in the medial frontal cortex. Trends Cog Sci 8(9):410–417

    Article  CAS  Google Scholar 

  • Schlag J, Schlag-Rey M (1987) Evidence for a supplementary eye field. J Neurophysiology 57:179–200

    CAS  Google Scholar 

  • Schlag J, Schlag-Rey M (1990) Colliding saccades may reveal the secret of their marching orders. Int J Neurosci 13:410–415

    CAS  Google Scholar 

  • Schultz W, Dayan P, Montague P (1997) A neural substrate of prediction of reward. Science 275:1593–1599

    Article  PubMed  CAS  Google Scholar 

  • Sneider JT, Pope HG, Silveri MM, Simpson NS, Gruber SA, Yurgelun-Todd DA (2006) Altered regional blood volume in chronic cannabis smokers. Exp Clin Psychopharmacol 14(4):422–428

    Article  PubMed  CAS  Google Scholar 

  • Soderstrom CA, Dischinger PC, Kerns TJ, Trifillis AL (1995) Marijuana and other drug use among automobile and motorcycle drivers treated at a trauma center. Acc Anal Prev 27:131–135

    Article  CAS  Google Scholar 

  • Solowij N, Stephens RS, Roffman RA, Babor T, Kadden R, Miller M, Christiansen K, McRee B, Vendetti J (2002) Cognitive functioning of long-term heavy cannabis users seeking treatment. JAMA 287:1123–1131

    Article  PubMed  Google Scholar 

  • Sorkin A, Weinshall D, Modai I, Peled A (2006) Improving the Accuracy of the Diagnosis of Schizophrenia by Means of Virtual Reality. Am J Psychiatry 163:512–520

    Article  PubMed  Google Scholar 

  • Stoduto G, Vingilis E, Kapur BM, Sheu WJ, Mclellan BA, Liban CB (1993) Alcohol and drug use among motor-vehicle collision victims admitted to a regional trauma unit—demographic, injury, and crash characteristics. Acc Anal Prev 25:411–420

    Article  CAS  Google Scholar 

  • Substance Abuse and Mental Health Services Administration (2004) Results from the 2003 National Survey on Drug Use and Health: National Findings, Office of Applied Studies, NSDUH Series H-25, DHHS Publication No. 04-3964, Rockville, MD.

  • Vogt BA, Finch DM, Olson CR (1993) Functional heterogeneity in the cingulated cortex: the anterior executive and posterior evaluative regions. Cerebral Cortex 2:435–443

    Google Scholar 

  • Volkow ND, Gillespie H, Mullani N, Tancredi L, Grant, C, Valentine A, Hollister L (1996) Brain glucose metabolism in chronic marijuana users at baseline and during marijuana intoxication. Psychiat Res: Neuroimaging 67:29–38

    Article  CAS  Google Scholar 

  • Whitlow CT, Ligouri A, Livengood LB, Hart SL, Mussat-Whitlow BJ, Lamborn CM, Laurienti PJ, Porrino LJ (2004) Long-term heavy marijuana users make costly decisions on a gambling task. Drug Alc Dep 76:101–111

    Article  Google Scholar 

  • Wolfensteller U, Schubotz RI, von Cramon DY (2004) “What” becoming “where”: functional magnetic resonance imaging evidence for pragmatic relevance driving premotor cortex. J Neuroscience 24(46):10431–10439

    Article  CAS  Google Scholar 

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Acknowledgements

This research was supported by the Israeli Anti Drug Authority. A preliminary version of this work was presented at the College of Problems of Drug Dependence 67th annual scientific meeting in Orlando Florida, June, 2005 and the College of Problems of Drug Dependence 68th annual scientific meeting in Scottsdale Arizona, June, 2006. We would like to thank the technicians of Dept. of Nuclear Medicine, Sourasky Medical Center in particular Mr. David Massuda, Dr. Adi Ronen from Ben Gurion University, the Association for Public Health, Dr. Avi Peled from the Shaar Menashe Mental Hospital in Israel. Dr. Weinstein is now supported by the Sacta Rashi Foundation, Paris, France, The Israeli Anti-drug authority and the National Institute for Psychobiology in Israel.

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Weinstein, A., Brickner, O., Lerman, H. et al. Brain imaging study of the acute effects of Δ9-tetrahydrocannabinol (THC) on attention and motor coordination in regular users of marijuana. Psychopharmacology 196, 119–131 (2008). https://doi.org/10.1007/s00213-007-0940-7

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