Cannabis Use Is Associated With Increased Levels of Soluble gp130 in Schizophrenia but Not in Bipolar Disorder

The complex effects of plant cannabinoids on human physiology is not yet fully understood, but include a wide spectrum of effects on immune modulation. The immune system and its inflammatory effector pathways are recently emerging as possible causative factors in psychotic disorders. The present stu...

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Main Authors: Attila Szabo, Ibrahim A. Akkouh, Thor Ueland, Trine Vik Lagerberg, Ingrid Dieset, Thomas Bjella, Pål Aukrust, Stephanie Le Hellard, Anne-Kristin Stavrum, Ingrid Melle, Ole A. Andreassen, Srdjan Djurovic
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-07-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/article/10.3389/fpsyt.2020.00642/full
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author Attila Szabo
Attila Szabo
Ibrahim A. Akkouh
Ibrahim A. Akkouh
Thor Ueland
Trine Vik Lagerberg
Ingrid Dieset
Thomas Bjella
Pål Aukrust
Pål Aukrust
Pål Aukrust
Pål Aukrust
Stephanie Le Hellard
Stephanie Le Hellard
Anne-Kristin Stavrum
Anne-Kristin Stavrum
Ingrid Melle
Ole A. Andreassen
Srdjan Djurovic
Srdjan Djurovic
author_facet Attila Szabo
Attila Szabo
Ibrahim A. Akkouh
Ibrahim A. Akkouh
Thor Ueland
Trine Vik Lagerberg
Ingrid Dieset
Thomas Bjella
Pål Aukrust
Pål Aukrust
Pål Aukrust
Pål Aukrust
Stephanie Le Hellard
Stephanie Le Hellard
Anne-Kristin Stavrum
Anne-Kristin Stavrum
Ingrid Melle
Ole A. Andreassen
Srdjan Djurovic
Srdjan Djurovic
author_sort Attila Szabo
collection DOAJ
description The complex effects of plant cannabinoids on human physiology is not yet fully understood, but include a wide spectrum of effects on immune modulation. The immune system and its inflammatory effector pathways are recently emerging as possible causative factors in psychotic disorders. The present study aimed to investigate whether self-administered Cannabis use was associated with changes in circulating immune and neuroendocrine markers in schizophrenia (SCZ) and bipolar disorder (BD) patients. A screening of 13 plasma markers reflecting different inflammatory pathways was performed in SCZ (n = 401) and BD patients (n = 242) after subdividing each group into Cannabis user and non-user subgroups. We found that i) soluble gp130 (sgp130) concentrations were significantly elevated among Cannabis users in the SCZ group (p = 0.002) after multiple testing correction, but not in BD. ii) Nominally significant differences were observed in the levels of IL-1RA (p = 0.0059), YKL40 (p = 0.0069), CatS (p = 0.013), sTNFR1 (p = 0.031), and BDNF (p = 0.020), where these factors exhibited higher plasma levels in Cannabis user SCZ patients than in non-users. iii) These differences in systemic levels were not reflected by altered mRNA expression of genes encoding sgp130, IL-1RA, YKL40, CatS, sTNFR1, and BDNF in whole blood. Our results show that Cannabis self-administration is associated with markedly higher sgp130 levels in SCZ, but not in BD, and that this phenomenon is independent of the modulation of peripheral immune cells. These findings warrant further investigation into the potential IL-6 trans-signaling modulatory, anti-inflammatory, neuroimmune, and biobehavioral-cognitive effects of Cannabis use in SCZ.
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spelling doaj.art-701872f5c7cc48f38edbfcfda29225372022-12-21T19:20:42ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402020-07-011110.3389/fpsyt.2020.00642519125Cannabis Use Is Associated With Increased Levels of Soluble gp130 in Schizophrenia but Not in Bipolar DisorderAttila Szabo0Attila Szabo1Ibrahim A. Akkouh2Ibrahim A. Akkouh3Thor Ueland4Trine Vik Lagerberg5Ingrid Dieset6Thomas Bjella7Pål Aukrust8Pål Aukrust9Pål Aukrust10Pål Aukrust11Stephanie Le Hellard12Stephanie Le Hellard13Anne-Kristin Stavrum14Anne-Kristin Stavrum15Ingrid Melle16Ole A. Andreassen17Srdjan Djurovic18Srdjan Djurovic19NORMENT, Institute of Clinical Medicine, University of Oslo, and Division of Mental Health and Addiction, Oslo University Hospital, Oslo, NorwayDepartment of Medical Genetics, Oslo University Hospital, Oslo, NorwayNORMENT, Institute of Clinical Medicine, University of Oslo, and Division of Mental Health and Addiction, Oslo University Hospital, Oslo, NorwayDepartment of Medical Genetics, Oslo University Hospital, Oslo, NorwayNORMENT, Institute of Clinical Medicine, University of Oslo, and Division of Mental Health and Addiction, Oslo University Hospital, Oslo, NorwayNORMENT, Institute of Clinical Medicine, University of Oslo, and Division of Mental Health and Addiction, Oslo University Hospital, Oslo, NorwayNORMENT, Institute of Clinical Medicine, University of Oslo, and Division of Mental Health and Addiction, Oslo University Hospital, Oslo, NorwayNORMENT, Institute of Clinical Medicine, University of Oslo, and Division of Mental Health and Addiction, Oslo University Hospital, Oslo, NorwayResearch Institute of Internal Medicine, Oslo University Hospital Rikshospitalet, Oslo, NorwaySection of Clinical Immunology and Infectious Diseases, Oslo University Hospital, Rikshospitalet, Oslo, NorwayK.G. Jebsen Inflammatory Research Center, University of Oslo, Oslo, NorwayK.G. Jebsen Thrombosis Research and Expertise Center, University of Tromsø, Tromsø, NorwayNORMENT, Department of Clinical Science, University of Bergen, Bergen, NorwayCenter for Medical Genetics and Molecular Medicine, Haukeland University Hospital, Bergen, NorwayNORMENT, Department of Clinical Science, University of Bergen, Bergen, NorwayCenter for Medical Genetics and Molecular Medicine, Haukeland University Hospital, Bergen, NorwayNORMENT, Institute of Clinical Medicine, University of Oslo, and Division of Mental Health and Addiction, Oslo University Hospital, Oslo, NorwayNORMENT, Institute of Clinical Medicine, University of Oslo, and Division of Mental Health and Addiction, Oslo University Hospital, Oslo, NorwayDepartment of Medical Genetics, Oslo University Hospital, Oslo, NorwayNORMENT, Department of Clinical Science, University of Bergen, Bergen, NorwayThe complex effects of plant cannabinoids on human physiology is not yet fully understood, but include a wide spectrum of effects on immune modulation. The immune system and its inflammatory effector pathways are recently emerging as possible causative factors in psychotic disorders. The present study aimed to investigate whether self-administered Cannabis use was associated with changes in circulating immune and neuroendocrine markers in schizophrenia (SCZ) and bipolar disorder (BD) patients. A screening of 13 plasma markers reflecting different inflammatory pathways was performed in SCZ (n = 401) and BD patients (n = 242) after subdividing each group into Cannabis user and non-user subgroups. We found that i) soluble gp130 (sgp130) concentrations were significantly elevated among Cannabis users in the SCZ group (p = 0.002) after multiple testing correction, but not in BD. ii) Nominally significant differences were observed in the levels of IL-1RA (p = 0.0059), YKL40 (p = 0.0069), CatS (p = 0.013), sTNFR1 (p = 0.031), and BDNF (p = 0.020), where these factors exhibited higher plasma levels in Cannabis user SCZ patients than in non-users. iii) These differences in systemic levels were not reflected by altered mRNA expression of genes encoding sgp130, IL-1RA, YKL40, CatS, sTNFR1, and BDNF in whole blood. Our results show that Cannabis self-administration is associated with markedly higher sgp130 levels in SCZ, but not in BD, and that this phenomenon is independent of the modulation of peripheral immune cells. These findings warrant further investigation into the potential IL-6 trans-signaling modulatory, anti-inflammatory, neuroimmune, and biobehavioral-cognitive effects of Cannabis use in SCZ.https://www.frontiersin.org/article/10.3389/fpsyt.2020.00642/fullCannabisimmune modulationsgp130IL-6 trans-signalingschizophreniabipolar disorder
spellingShingle Attila Szabo
Attila Szabo
Ibrahim A. Akkouh
Ibrahim A. Akkouh
Thor Ueland
Trine Vik Lagerberg
Ingrid Dieset
Thomas Bjella
Pål Aukrust
Pål Aukrust
Pål Aukrust
Pål Aukrust
Stephanie Le Hellard
Stephanie Le Hellard
Anne-Kristin Stavrum
Anne-Kristin Stavrum
Ingrid Melle
Ole A. Andreassen
Srdjan Djurovic
Srdjan Djurovic
Cannabis Use Is Associated With Increased Levels of Soluble gp130 in Schizophrenia but Not in Bipolar Disorder
Frontiers in Psychiatry
Cannabis
immune modulation
sgp130
IL-6 trans-signaling
schizophrenia
bipolar disorder
title Cannabis Use Is Associated With Increased Levels of Soluble gp130 in Schizophrenia but Not in Bipolar Disorder
title_full Cannabis Use Is Associated With Increased Levels of Soluble gp130 in Schizophrenia but Not in Bipolar Disorder
title_fullStr Cannabis Use Is Associated With Increased Levels of Soluble gp130 in Schizophrenia but Not in Bipolar Disorder
title_full_unstemmed Cannabis Use Is Associated With Increased Levels of Soluble gp130 in Schizophrenia but Not in Bipolar Disorder
title_short Cannabis Use Is Associated With Increased Levels of Soluble gp130 in Schizophrenia but Not in Bipolar Disorder
title_sort cannabis use is associated with increased levels of soluble gp130 in schizophrenia but not in bipolar disorder
topic Cannabis
immune modulation
sgp130
IL-6 trans-signaling
schizophrenia
bipolar disorder
url https://www.frontiersin.org/article/10.3389/fpsyt.2020.00642/full
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