RT Journal Article SR Electronic T1 Grey Matter Volume Differences Associated with Extremely Low Levels of Cannabis Use in Adolescence JF The Journal of Neuroscience JO J. Neurosci. FD Society for Neuroscience SP 1817 OP 1827 DO 10.1523/JNEUROSCI.3375-17.2018 VO 39 IS 10 A1 Orr, Catherine A1 Spechler, Philip A1 Cao, Zhipeng A1 Albaugh, Matthew A1 Chaarani, Bader A1 Mackey, Scott A1 D'Souza, Deepak A1 Allgaier, Nicholas A1 Banaschewski, Tobias A1 Bokde, Arun L.W. A1 Bromberg, Uli A1 Büchel, Christian A1 Burke Quinlan, Erin A1 Conrod, Patricia A1 Desrivières, Sylvane A1 Flor, Herta A1 Frouin, Vincent A1 Gowland, Penny A1 Heinz, Andreas A1 Ittermann, Bernd A1 Martinot, Jean-Luc A1 Martinot, Marie-Laure Paillère A1 Nees, Frauke A1 Papadopoulos Orfanos, Dimitri A1 Paus, Tomáš A1 Poustka, Luise A1 Millenet, Sabina A1 Fröhner, Juliane H. A1 Radhakrishnan, Rajiv A1 Smolka, Michael N. A1 Walter, Henrik A1 Whelan, Robert A1 Schumann, Gunter A1 Potter, Alexandra A1 Garavan, Hugh YR 2019 UL http://www.jneurosci.org/content/39/10/1817.abstract AB Rates of cannabis use among adolescents are high, and are increasing concurrent with changes in the legal status of marijuana and societal attitudes regarding its use. Recreational cannabis use is understudied, especially in the adolescent period when neural maturation may make users particularly vulnerable to the effects of Δ-9-tetrahydrocannabinol (THC) on brain structure. In the current study, we used voxel-based morphometry to compare gray matter volume (GMV) in forty-six 14-year-old human adolescents (males and females) with just one or two instances of cannabis use and carefully matched THC-naive controls. We identified extensive regions in the bilateral medial temporal lobes as well as the bilateral posterior cingulate, lingual gyri, and cerebellum that showed greater GMV in the cannabis users. Analysis of longitudinal data confirmed that GMV differences were unlikely to precede cannabis use. GMV in the temporal regions was associated with contemporaneous performance on the Perceptual Reasoning Index and with future generalized anxiety symptoms in the cannabis users. The distribution of GMV effects mapped onto biomarkers of the endogenous cannabinoid system providing insight into possible mechanisms for these effects.SIGNIFICANCE STATEMENT Almost 35% of American 10th graders have reported using cannabis and existing research suggests that initiation of cannabis use in adolescence is associated with long-term neurocognitive effects. We understand very little about the earliest effects of cannabis use, however, because most research is conducted in adults with a heavy pattern of lifetime use. This study presents evidence suggesting structural brain and cognitive effects of just one or two instances of cannabis use in adolescence. Converging evidence suggests a role for the endocannabinoid system in these effects. This research is particularly timely as the legal status of cannabis is changing in many jurisdictions and the perceived risk by youth associated with smoking cannabis has declined in recent years.