Cannabis is the most commonly used drug by women during pregnancy with an estimated prevalence of use in Colorado of 5.7%. THC and its metabolites freely cross the placenta and blood-brain barrier to bind with cannabinoid receptors, disrupting the endogenous cannabinoid signaling system during a critical period of development of cortical circuitry structure and function. The density of cannabinoid receptors in the developing brain is high, especially in the limbic areas and prefrontal lobes. Research in animal models suggests synaptic plasticity in the prefrontal lobes as well the amygdala and hippocampus are impacted by the prenatal cannabis exposure; regions associated with both cognitive and emotional control, thus influencing long- term deficiencies in attention and impulsivity. The premise of our pilot project is to collect preliminary data on the structural impact of in utero cannabis exposure on region-specific morphology and structural connectivity of white matter tracts that connect to the prefrontal lobes and the limbic regions shortly after birth, before confounding by the postnatal environment becomes a major influence. The overall objective of this project is to evaluate whether in utero exposure to maternal chronic cannabis during pregnancy influences neonatal brain morphology in the prefrontal lobe and its structural connectivity to limbic regions. Structural Imaging studies of the neonatal brain shortly after birth offer an innovative investigative approach to understanding the origins of late-manifesting cognitive and behavioral regulation deficits associated with prenatal cannabis exposure.

Public Health Relevance

Cannabis is the most commonly used drug by pregnant women in the United States with an estimated 200,000 births impacted by prenatal cannabis use each year. Colorado leads the nation in implementation of legalized medicinal and recreational marijuana; coupled with a vocal pro-marijuana advocacy movement, pregnant women may perceive this drug as ?safe? to use during pregnancy. However, maternal use of cannabis during pregnancy may cause damage to the developing fetal brain that has a lasting negative impact on offspring behavior. This project will utilize brain-imaging techniques on infants shortly after birth to understand if prenatal cannabis use affects the fetal brain.

Agency
National Institute of Health (NIH)
Institute
National Institute on Drug Abuse (NIDA)
Type
Exploratory/Developmental Grants (R21)
Project #
5R21DA043833-02
Application #
9749068
Study Section
Developmental Brain Disorders Study Section (DBD)
Program Officer
Wu, Da-Yu
Project Start
2018-08-01
Project End
2020-07-31
Budget Start
2019-08-01
Budget End
2020-07-31
Support Year
2
Fiscal Year
2019
Total Cost
Indirect Cost
Name
University of Colorado Denver
Department
Public Health & Prev Medicine
Type
Schools of Public Health
DUNS #
041096314
City
Aurora
State
CO
Country
United States
Zip Code
80045