Cannabis, Schizophrenia, Cognition, and Autoimmunity

When I was writing up the earlier piece last night I came across some searches from Norml, the rabidly pro marijuana organisation. The search page had the extract - schizophrenics have improved cognition if smoking pot. At the time I dismissed it but today I realised I was being silly, there is a very good neuroimmunological explanation for why cannabinoids can be helping schizophrenics.

"Spontaneous recovery" in schizophrenia

I just found this article from the Journal of Nervous and Mental Disease, 2007. This statement is striking ...

Patients with schizophrenia who had removed themselves or been removed from antipsychotic medications showed significantly better global functioning and outcome than those still being treated with antipsychotics. Detailed analyses of those patients with schizophrenia on antipsychotic medications versus those not on medications at the 15-year follow-ups also were conducted. These analyses indicated that in addition to the significant differences in global functioning between these groups, 19 of the 23 schizophrenia patients (83%) with uniformly poor outcome at the 15-year follow-ups were on antipsychotic medications.

Not good, not at all. Lots of issues involved here, especially that the possibility that those who go off medication did not have such a severe condition. Much more worryingly though is that those on medication generally declined in function, whereas those on medication had a much greater chance of improvement.

Do Neuroleptics Increase an Aberrant Neurodegenerative Autoimmune Response?

Long, 2250 words, difficult, give yourself a chance. My conclusion is that the current approach to treating schizophrenia could very well be inducing neurodegeneration through an autoimmune mediated pathology. I examine this from the perspective of heat shock proteins, autoimmunity, and neuroimmunology. This raises very serious questions about the current emphasis on "pre treating" so called "pre-psychotic" individuals.

This recent news item caught my interest because it relates to a set of immune cells that play a cardinal role in autoimmunity and cancer prevention. The news item addresses gamma delta T cells, a set of T cells that respond to one of the most abundantly expressed stress proteins in our body, heat shock protein 60. This protein is very strongly associated with autoimmunity. While autoimmunity is typically associated with pathology it plays a fundamental role in our health by eliminating dangerous cells that could become cancerous or induce the release inflammatory mediators that initiate tissue damage.