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(Maternal cannabis use is associated with suppression of immune gene networks in placenta and increased anxiety phenotypes in offspring)
PNAS November 23,2021; https://doi.org/10.1073/pnas.2106115118
Significance: Cannabis use is becoming more prevalent, including during developmentally sensitive periods such as pregnancy. Here we find that maternal cannabis use is associated with increased cortisol, anxiety, aggression, and hyperactivity in young children. This corresponded with widespread reductions in immune-related gene expression in the placenta which correlated with anxiety and hyperactivity. Future studies are needed to examine the effects of cannabis on immune function during pregnancy as a potential regulatory mechanism shaping neurobehavioral development.
Abstract: While cannabis is among the most used recreational drugs during pregnancy, the impact of maternal cannabis use (mCB) on fetal and child development remains unclear. Here, we assessed the effects of mCB on psychosocial and physiological measures in young children along with the potential relevance of the in utero environment reflected in the placental transcriptome. Children (∼3 to 6 y) were assessed for hair hormone levels, neurobehavioral traits on the Behavioral Assessment System for Children (BASC-2) survey, and heart rate variability (HRV) at rest and during auditory startle. For a subset of children with behavioral assessments, placental specimens collected at birth were processed for RNA sequencing. Hair hormone analysis revealed increased cortisol levels in mCB children. In addition, mCB was associated with greater anxiety, aggression, and hyperactivity. Children with mCB also showed a reduction in the high-frequency component of HRV at baseline, reflecting reduced vagal tone. In the placenta, there was reduced expression of many genes involved in immune system function including type I interferon, neutrophil, and cytokine-signaling pathways. Finally, several of these mCB-linked immune genes organized into coexpression networks that correlated with child anxiety and hyperactivity. Overall, our findings reveal a relationship between mCB and immune response gene networks in the placenta as a potential mediator of risk for anxiety-related problems in early childhood.
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By Karen Schmidt, American Heart Association News
At a time of increasing legalization of marijuana, a growing number of people under 50 diagnosed with cannabis use disorder were later hospitalized for a heart attack, new research has found.
The rising trend from 2007 to 2018 was most pronounced in three groups: ages 18 to 34, men and African Americans, according to findings being presented this Sunday at the American Heart Association's virtual Scientific Sessions conference. The results are considered preliminary until published in a peer-reviewed journal.
Although AHA statistics show heart attacks are much less common in people under 50 compared to older adults, the study suggests people who use cannabis should be followed more closely for possible heart problems.
Now that cannabis is becoming legal in many states, "we need to specifically pay attention to this," said lead researcher Darshi Desai, a clinical observer at the University of California Riverside who is applying for her medical residency.
"If we have more (heart attack) patients coming in because of cannabis use disorder, if there is a temporal relationship, it is definitely going to put a huge stress on health care resources in general," Desai said.
She and her colleagues analyzed medical records of 819,354 people from a large public database of hospital stays. They identified people 18 to 49 who had been hospitalized for a heart attack and whose records showed a previous diagnosis of cannabis use disorder. That is defined as excessive, chronic use of marijuana with symptoms of dependence, inability to control use and impairment in social functioning.
The new analysis found that overall, 4.1% of patients hospitalized for heart attacks also had cannabis use disorder, and the proportion nearly tripled from 2.4% in 2007 to 6.7% in 2018.
When researchers broke the data into subgroups, they found the biggest increases during the decade among:
- people 18 to 34, 7.3% in 2007 to 20.2% in 2018
- African Americans, 15.8% in 2007 to 35.2% in 2018
- men, 71.6% in 2007 to 78.1% in 2018
Although previous studies suggested a link between cannabis use and heart attack, this adds to the evidence, said Robert Page, a professor of pharmacy at the University of Colorado in Aurora. He holds a doctorate in pharmacy and chaired the group that prepared an AHA scientific statement published last year on cannabis and cardiovascular health.
"These data add to the body of literature that there is a red flag with cannabis use in young adults," said Page, who was not involved in the new study. Cannabis users need to realize that just because it's "natural" does not mean it is safe. "It is not safe. It's like any other psychotropic medication – it has side effects, and this could be one of them."
"We need to determine whether or not cannabis is a risk factor for heart disease, particularly in younger adults," Page said. "Because as we know, young adults think that they're invincible, and they're not."
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