J Psychiatry Neurosci 2017;42(2):131-138
Mason M. Silveira, MA; Wendy K. Adams, PhD; Maria Morena, PhD; Matthew N. Hill, PhD; Catharine A. Winstanley, PhD
Background: Acceptance of cannabis use is growing. However, prolonged use is associated with diminished psychosocial outcomes, potentially mediated by drug-induced cognitive impairments. Δ9-Tetrahydrocannabinol (THC) is the main psychoactive ingredient in cannabis, yet other phytocannabinoids in the plant, such as cannabidiol (CBD), have unique properties. Given that CBD can modulate the undesirable effects of THC, therapeutic agents, such as nabiximols, contain higher CBD:THC ratios than illicit marijuana. We tested the hypothesis that THC impairs a relevant cognitive function for long-term success, namely willingness to exert cognitive effort for greater rewards, and that CBD could attenuate such decision-making impairments.
Methods: Male Long–Evans rats (n = 29) performing the rat cognitive effort task (rCET) received acute THC and CBD, independently and concurrently, in addition to other cannabinoids. Rats chose between 2 options differing in reward magnitude, but also in the cognitive effort (attentional load) required to obtain them.
Results: We found that THC decreased choice of hard trials without impairing the animals’ ability to accurately complete them. Strikingly, this impairment was correlated with CB1 receptor density in the medial prefrontal cortex — an area previously implicated in effortful decision-making. In contrast, CBD did not affect choice. Coadministration of 1:1 CBD:THC matching that in nabiximols modestly attenuated the deleterious effects of THC in “slacker” rats.
Limitations: Only male rats were investigated, and the THC/CBD coadministration experiment was carried out in a subset of individuals.
Conclusion: These findings confirm that THC, but not CBD, selectively impairs decision-making involving cognitive effort costs. However, coadministration of CBD only partially ameliorates such THC-induced dysfunction.
Submitted Nov. 18, 2015; Revised Mar. 15, 2016; Revised Apr. 18, 2016; Accepted Apr. 19, 2016; Early-released Aug. 23, 2016
Acknowledgements:This work was supported by a discovery grant awarded to CAW from the Canadian Natural Sciences and Engineering Research Council (NSERC). CAW also receives salary support through the Michael Smith Foundation for Health Research and the Canadian Institutes of Health Research (CIHR) New Investigator Award program, and has consulted for Shire Pharmaceuticals on an unrelated matter. M. Silveira was supported by an NSERC Doctoral Research Award. This work was also supported by a CIHR grant to M. Hill, who is also the recipient of a Tier II Canada Research Chair for salary support.
Affiliations: From the Department of Psychology, University of British Columbia, Vancouver, B.C. (Silveira, Adams, Winstanley); the Djavad Mowafaghian Centre for Brain Health, University of British Columbia, Vancouver, B.C. (Silveira, Adams, Winstanley); and the Hotchkiss Brain Institute, Departments of Cell Biology and Anatomy & Psychiatry, University of Calgary, Calgary, Alta. (Hill).
Competing interests: M. Hill is a consultant for Pfizer on matters unrelated to this work. No other competing interests declared.
Contributors: M. Silveira, W. Adams and C. Winstanley designed the study. M. Silveira, W. Adams, M. Morena and M. Hill acquired the data, which M. Silveira and C. Winstanley analyzed. M. Silveira and C. Winstanley wrote the article, which all authors reviewed and approved for publication.
Correspondence to: M. Silveira, Department of Psychology, Djavad Mowafaghian Centre for Brain Health, University of British Columbia, Vancouver, BC; email@example.com