Skip to main content

Advertisement

Log in

Adolescent Cannabis Use, Psychosis and Catechol-O-Methyltransferase Genotype in African Americans and Caucasians

  • Original Paper
  • Published:
Psychiatric Quarterly Aims and scope Submit manuscript

Abstract

Cannabis has been reported as a likely risk factor for the development of psychosis, and a gene × environment interaction with the catechol-O-methyltransferase (COMT) gene has been proposed. Moreover, COMT has been separately linked to affective symptoms in psychosis. Despite a high rate of cannabis abuse and affective symptoms in African Americans, no studies exploring a relationship between COMT and psychosis in this group have been reported. An existing database of psychotic patients with and without adolescent cannabis use/affective symptoms was examined, and chi-square analyses for independence were applied separately for both Caucasians and African-Americans to examine genotype associations with adolescent cannabis use and affective symptoms (past or present). The two subject groups did not differ with respect to the prevalence of adolescent cannabis abuse or presence of affective symptoms. Further study is needed, with non-psychotic controls and larger samples.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Schaub M, Fanghaenel K, Senn C, et al.: Cannabis using schizophrenia patients treated with atypical neuroleptics: Do their symptoms differ from those of cannabis abstainers? Substance Use and Misuse 43:2045–2052, 2008

    Article  PubMed  Google Scholar 

  2. Karch DL, Barker L, Strine TW: Race/ethnicity, substance abuse, and mental illness among suicide victims in 13 US states: 2004 data from the National Violent Death Reporting System. Injury Prevention 12:ii22–ii27, 2006

    Article  PubMed  Google Scholar 

  3. Moore TH, Zammit S, Lingford-Hughes A, et al.: Cannabis use and risk of psychotic or affective mental health outcomes: A systematic review. Lancet 370:319–328, 2007

    Article  PubMed  Google Scholar 

  4. Caspi A, Moffitt TE, Cannon M, et al.: Moderation of the effect of adolescent-onset cannabis use on adult psychosis by a functional polymorphism in the catechol-O-methyltransferase gene: Longitudinal evidence of a gene × environment interaction. Biological Psychiatry 57:1117–1127, 2005

    Article  CAS  PubMed  Google Scholar 

  5. Lachman HM, Papolos DF, Saito T, et al.: Human catechol-O-methyltransferase pharmacogenetics: Description of a functional polymorphism and its potential application to neuropsychiatric disorders. Pharmacogenetics 6:243–250, 1996

    Article  CAS  PubMed  Google Scholar 

  6. Henquet C, Rosa A, Krabbendam L, et al.: An experimental study of catechol-O-methyltransferase Val158Met moderation of D-9-tetrahydrocannabinol-induced effects on psychosis and cognition. Neuropsychopharmacol 31:2748–2757, 2006

    Article  CAS  Google Scholar 

  7. Zammit S, Spurlock G, Williams H, et al.: Genotype effects of CHRNA7, CNR1 and COMT in schizophrenia: Interactions with tobacco and cannabis use. British Journal of Psychiatry 191:402–407, 2007

    Article  PubMed  Google Scholar 

  8. McClay JL, Fanous A, van den Oord E, et al.: Catechol-O-methyltransferase and the clinical features of psychosis. American Journal of Medical Genetics. Part B, Neuropsychiatric Genetics 141B:935–938, 2006

    Article  CAS  Google Scholar 

  9. Shifman S, Bronstein M, Sternfeld M, et al.: COMT: A common susceptibility gene in bipolar disorder and schizophrenia. American Journal of Medical Genetics. Part B, Neuropsychiatric Genetics 128B:61–64, 2004

    Article  Google Scholar 

  10. Kunugi H, Vallada HP, Sham PC, et al.: Catechol-O-methyltransferase polymorphisms and schizophrenia: A transmission disequilibrium study in multiply affected families. Psychiatric Genetics 7:97–101, 1997

    Article  CAS  PubMed  Google Scholar 

  11. Li T, Vallada H, Curtis D, et al.: Catechol-O-methyltransferase Val158Met polymorphism: Frequency analysis in Han Chinese subjects and allelic association of the low activity allele with bipolar affective disorder. Pharmacogenetics 7:349–353, 1997

    Article  CAS  PubMed  Google Scholar 

  12. Kirov G, Murphy KC, Arranz MJ, et al.: Low activity allele of catechol-O-methyltransferase gene associated with rapid cycling bipolar disorder. Molecular Psychiatry 3:342–345, 1998

    Article  CAS  PubMed  Google Scholar 

  13. Ohara K, Nagai M, Suzuki Y, et al.: Low activity allele of catechol-O-methyltransferase gene and Japanese unipolar depression. Neuroreport 9:1305–1308, 1998

    Article  CAS  PubMed  Google Scholar 

  14. Hinds D, Stuve L, Nilsen G, et al.: Whole-genome patterns of common DNA variation in three human populations. Science 307:1072–1079, 2005

    Article  CAS  PubMed  Google Scholar 

  15. Palmatier MA, Kang AM, Kidd K: Global variation in the frequencies of functionally different catechol-O-methyltransferase alleles. Biological Psychiatry 46:557–567, 1999

    Article  CAS  PubMed  Google Scholar 

  16. Miles H, Johnson S, Amponsah-Afuwape S, et al.: Characteristics of subgroups of individuals with psychotic illness and a comorbid substance use disorder. Psychiatric Services 54:554–561, 2003

    Article  PubMed  Google Scholar 

  17. Wallace JM Jr, Forman TA, Guthrie BJ, et al.: The epidemiology of alcohol, tobacco and other drug use among black youth. Journal of Studies on Alcohol 60:800–809, 1999

    PubMed  Google Scholar 

  18. Whaley AL: Symptom clusters in the diagnosis of affective disorder, schizoaffective disorder, and schizophrenia in African Americans. Journal of the National Medical Association 94:313–319, 2002

    PubMed  Google Scholar 

  19. First M, Gibbon M, Spitzer R, et al.: User’s Guide for the Structured Clinical Interview for DSM IV Axis I Disorders Clinician Version (SCID I, Version 2.0). New York, Biometrics Research, 1996

  20. Nolan KA, Volavka J, Czobor P, et al.: Suicidal behavior in patients with schizophrenia is related to COMT polymorphism. Psychiatric Genetics 10:117–124, 2000

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgements

We thank Dr. Aphrodite Zimmerman for contributing to retrospective compiling of the SCIDs, and dedicate this manuscript to Dr. Bowers, who passed away in January 2008. Dr. Bowers had researched the connections between psychoactive substances and psychosis for over 40 years. Funding for this study was provided by a NARSAD Young Investigator Award awarded to Dr. Nolan and NIDA grant R01-DA12853 awarded to Dr. Lachman for the Rockland sample. The Yale sample was self-funded by Dr. Malcolm Bowers.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Joshua T. Kantrowitz.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kantrowitz, J.T., Nolan, K.A., Sen, S. et al. Adolescent Cannabis Use, Psychosis and Catechol-O-Methyltransferase Genotype in African Americans and Caucasians. Psychiatr Q 80, 213–218 (2009). https://doi.org/10.1007/s11126-009-9108-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11126-009-9108-4

Keywords

Navigation