PMID- 16540246 OWN - NLM STAT- MEDLINE DCOM- 20060818 LR - 20061115 IS - 0304-3940 (Print) IS - 0304-3940 (Linking) VI - 400 IP - 3 DP - 2006 Jun 12 TI - Adequate antipsychotic treatment normalizes serum nerve growth factor concentrations in schizophrenia with and without cannabis or additional substance abuse. PG - 262-6 AB - Neurotrophins such as nerve growth factor (NGF) and brain-derived neurotrophic factor (BDNF) are important for the development and maintenance of neuron function. Neurodevelopment is thought to be impaired in schizophrenia, and vulnerable schizophrenic brains may be more sensitive to toxic influences. Thus, cannabis as a neurotoxin (and other substances) may be more harmful to schizophrenic brains than to non-schizophrenic brains, when used chronically. In a previous study we demonstrated an earlier disease onset and significantly higher serum NGF concentrations in drug-naive schizophrenic patients with previous long-term cannabis abuse than in schizophrenics without cannabis abuse or cannabis abusers without schizophrenia. We therefore investigated whether this difference is still observed after treatment. Serum NGF measured in 114 treated schizophrenic patients (schizophrenia alone, n=66; schizophrenia plus cannabis abuse, n=42; schizophrenia plus multiple substance abuse, n=6) no longer differed significantly among those groups and from the control groups (healthy controls, n=51; cannabis controls, n=24; multiple substance controls, n=6). These results were confirmed by an additional prospective study in 28 patients suffering from schizophrenia (S) or schizophrenia with cannabis abuse (SC). Previously elevated serum NGF levels in the drug-naive state, also differing between the groups (S: 83.44+/-265.25 pg/ml; SC: 246.89+/-310.24 pg/ml, S versus SC: p=0.03) dropped to 10.72+/-14.13 pg/ml (S) and 34.19+/-38.96 pg/ml (SC) (S versus SC, p>0.05), respectively, after adequate antipsychotic treatment. We thus conclude that antipsychotic treatment leads to recovery of neural integrity, as indicated by renormalized NGF values. FAU - Jockers-Scherubl, Maria C AU - Jockers-Scherubl MC AD - Department of Psychiatry and Psychotherapy, Charite-University Medicine Berlin, Campus Benjamin Franklin, Eschenallee 3, 14050 Berlin, Germany. maria.jockers@charite.de FAU - Rentzsch, Johannes AU - Rentzsch J FAU - Danker-Hopfe, Heidi AU - Danker-Hopfe H FAU - Radzei, Nicole AU - Radzei N FAU - Schurer, Falk AU - Schurer F FAU - Bahri, Sharif AU - Bahri S FAU - Hellweg, Rainer AU - Hellweg R LA - eng PT - Controlled Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20060315 PL - Ireland TA - Neurosci Lett JT - Neuroscience letters JID - 7600130 RN - 0 (Antipsychotic Agents) RN - 0 (Drug Combinations) RN - 9061-61-4 (Nerve Growth Factor) SB - IM MH - Adolescent MH - Adult MH - Antipsychotic Agents/*administration & dosage MH - Drug Combinations MH - Female MH - Humans MH - Male MH - Marijuana Abuse/blood/complications MH - Middle Aged MH - Nerve Growth Factor/*blood MH - Recovery of Function/drug effects MH - Schizophrenia/*blood/*drug therapy MH - Substance-Related Disorders/*blood/complications MH - Treatment Outcome EDAT- 2006/03/17 09:00 MHDA- 2006/08/19 09:00 CRDT- 2006/03/17 09:00 PHST- 2006/01/12 00:00 [received] PHST- 2006/02/20 00:00 [revised] PHST- 2006/02/21 00:00 [accepted] PHST- 2006/03/17 09:00 [pubmed] PHST- 2006/08/19 09:00 [medline] PHST- 2006/03/17 09:00 [entrez] AID - S0304-3940(06)00217-5 [pii] AID - 10.1016/j.neulet.2006.02.056 [doi] PST - ppublish SO - Neurosci Lett. 2006 Jun 12;400(3):262-6. doi: 10.1016/j.neulet.2006.02.056. Epub 2006 Mar 15.