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The Expanded Endocannabinoid System Contributes to Metabolic and Body Mass Shifts in First-Episode Schizophrenia: A 5-Year Follow-Up Study

Madis Parksepp, Liina Haring, Kalle Kilk, Kadri Koch, Kärt Uppin, Raul Kangro, Mihkel Zilmer, Eero Vasar. Biomedicines. 2022 Jan 24;10(2):243.

Observational studyHumans

Design
Observational study
Subjects
54 antipsychotic-naive patients with first-episode psychosis and 58 controls
Dose used in the study
Not stated in the abstract; no treatment was given
Duration
Measured at onset, 0.6 years and 5.1 years after starting antipsychotic treatment
What was measured
Serum 2-AG, anandamide, N-acylethanolamines (linoleoylethanolamide, OEA, palmitoylethanolamide) and phosphatidylcholines by targeted metabolomics

What the authors reported

First-episode psychosis was marked by higher N-acylethanolamine concentrations, including palmitoylethanolamide, and lower 2-AG. After 5 years of illness and antipsychotic treatment, 2-AG rose markedly, which the authors link to obesity.

Limits of this study

An observational study that measured natural palmitoylethanolamide; it did not test PEA as a treatment and cannot show cause. No conflict of interest declared by the authors.

Source

PubMed 35203453 · doi:10.3390/biomedicines10020243

Entry checked against the abstract on PubMed on 2026-09-22. The dose shown is the dose the researchers used. It is not a recommendation. How to read this page.