RT Journal Article T1 Gene-environment interaction between an endocannabinoid system genetic polymorphism and cannabis use in first episode of psychosis A1 Bioque, Miquel A1 Mas, Sergi A1 Costanzo, Maria Cristina A1 Cabrera, Bibiana A1 Lobo, Antonio A1 González Pinto, Ana A1 Rodríguez Toscano, Elisa A1 Corripio, Iluminada A1 Vieta, Eduard A1 Baeza, Inmaculada A1 Ibáñez, Ángela A1 Gutiérrez Fraile, Miguel A1 Cuesta, Manuel J. A1 Mezquida, Gisela A1 Lafuente, Amalia A1 Bernardo, Miguel AB Alterations of the endocannabinoid system (ECS) may play an important role in the development of schizophrenia and other psychotic disorders. Cannabis use is one of the environmental factors more repeatedly related to an increase the risk of developing a psychotic episode, while its use modifies the ECS normal function. In the present study we purposed to examine the gene by environment (GxE) interaction between 15 selected single nucleotide polymorphisms (SNPs) related to the ECS and cannabis use in a cohort of 321 patients with a first episode of psychosis (FEP) and 241 matched healthy controls. We found the fatty-acid amide hydrolase (FAAH) rs2295633 SNP genetic polymorphism was associated with a greater risk of presenting a FEP in subjects with relevant cannabis use, but not in subjects without a history of cannabis use. The probability of presenting a FEP was tenfold higher (OR: 10.69) in cannabis users who were homozygote carriers of the T allele of the FAAH rs2295633 SNP, compared to users of cannabis without this genotype. We also found that a higher a proportion of TT carriers of the FAAH rs2295633 SNP with a positive history of cannabis use was treated with high potency antipsychotic. This study has identified a GxE-environment interaction between a genetic polymorphism from the ECS and cannabis use involved in the risk of presenting a FEP. Although this preliminary data should be replicated with independent samples, our results highlight the importance of the pro-psychotic effects of exogenous cannabis use over the ECS in certain subjects. PB Elsevier YR 2019 FD 2019-04-05 LK https://hdl.handle.net/20.500.14352/133625 UL https://hdl.handle.net/20.500.14352/133625 LA eng NO M. Bioque, S. Mas and M.C. Costanzo et al., Gene-environment interaction between an endocannabinoid system genetic polymorphism and cannabis use in first episode of psychosis, European Neuropsychopharmacology, https://doi.org/10.1016/j. euroneuro.2019.04.005 NO Ministerio de Economía y Competitividad (España) NO Instituto de Salud Carlos III NO European Commission NO Centro de Investigación Biomédica en Red de salud Mental NO Generalitat de Catalunya DS Docta Complutense RD 24 mar 2026