2025 / Retrospective Cohort / Moderate evidenceAnalysis of 232 pediatric delta-8 THC ingestions found a dose of 1.7 mg/kg identified 98% of cases progressing to severe toxicity, establishing the first clinical reference threshold.
2025 / Cross Sectional / Strong evidenceTwo independent samples confirm cannabis use disorder exists on a continuum of severity rather than as a binary condition, supporting the DSM-5 dimensional model.
2025 / Narrative Review / Preliminary evidenceEmerging evidence suggests endocannabinoid system dysregulation may underlie fibromyalgia symptoms, potentially opening the door to targeted cannabinoid-based treatments.
2025 / Case Control / Preliminary evidencePostmortem brain analysis found CB1 receptor gene expression elevated up to 125% and CB2 expression halved in people with long-term alcohol use disorder.
2025 / Animal Study / Moderate evidenceCBD treatment preserved heart function in mice with heart failure by maintaining mitochondrial function and calcium handling through PPARgamma receptors.
2025 / Animal Study / Moderate evidenceCBDA was the most effective of five cannabinoids tested in ALS mice, outperforming standard medication riluzole in preserving motor neurons and shifting brain immune cells toward an anti-inflammatory state.
2025 / Randomized Controlled Trial / Preliminary evidenceCulturally tailored mobile app for Black adults with cannabis use disorder showed strong feasibility and acceptability plus preliminary efficacy signals in a 50-person proof-of-concept RCT.
2025 / Cross Sectional / Moderate evidenceSix cannabis user profiles were identified in Washington State, with polymodal users (multiple product types) reporting more adverse events than even the most frequent single-product users.
2025 / Longitudinal Cohort / Moderate evidenceIn nearly 3,000 trauma survivors, household income modified the relationship between PTSD symptoms and substance use, influencing whether people turned to tobacco, alcohol, or cannabis.
2025 / Animal Study / Preliminary evidenceCBD inhibited EGFR signaling in triple-negative breast cancer cells and doubled their susceptibility to natural killer cell attack by upregulating the FAS death receptor.
2025 / Animal Study / Moderate evidenceStress increased cocaine use equally in male and female rats, but cannabinoid CB1 receptor blockade reduced intake through different patterns in each sex.
2025 / Animal Study / Moderate evidenceStress eliminated a form of synaptic plasticity in the brain's insular-to-reward pathway in male rats only, dependent on the endocannabinoid system.
2025 / Retrospective Cohort / Moderate evidenceIn 1,600 dental patients, marijuana use was the single strongest predictor of dry mouth across all age groups, with 3.1 times higher risk.
2025 / Animal Study / Moderate evidenceA CBD:CBDV combination reduced colitis in mice by suppressing immune cell trafficking through CB2 receptors, providing mechanistic evidence for the entourage effect.
2025 / Cross Sectional / Moderate evidenceRasch psychometric analysis of DSM-5 cannabis use disorder in 249 inpatients supports the diagnosis as coherent, though the hazardous use criterion does not fit well.
2025 / Cross Sectional / Moderate evidenceNearly 70% of CBD users in an ED survey were taking prescription medications with known drug interaction potential, primarily antidepressants and blood pressure medications.
2025 / Animal Study / Moderate evidenceCBD reshaped gut bacteria in arthritic rats, boosting butyric acid and L-carnitine levels that reduced inflammation in immune cells and joint tissue.
2025 / Narrative Review / Moderate evidenceCannabis smoking clearly causes bronchitis symptoms and impairs lung immune function, but decades of research have failed to establish a consistent link to lung cancer despite the presence of known carcinogens in the smoke.
2025 / Systematic Review / Strong evidenceMeta-analysis of 238 studies found 22% of men who have sex with men engage in chemsex, with cannabis (18%) being the second most commonly used substance in sexual contexts.
2025 / Qualitative / Preliminary evidenceParents of youth who used cannabis described it triggering or worsening severe mental health crises, while frequently encountering healthcare providers who minimized cannabis-related risks.
2025 / Case Report / Preliminary evidenceA teen's nausea and vomiting were blamed on cannabis use and eating disorder — but her seizures the next day revealed acute intermittent porphyria, a rare treatable condition nearly missed due to diagnostic anchoring.
2025 / Qualitative / Preliminary evidenceAustralian patients seeking medicinal cannabis face practitioner reluctance, high costs, and supply shortages, driving many to unregulated illicit sources despite legalization.
2025 / Cross Sectional / Strong evidenceChildhood adversity increased cannabis use disorder risk across all racial groups, but the effect was strongest among Asian/Pacific Islander respondents and interacted with age of onset in race-specific ways.
2025 / Observational / Moderate evidenceIn 751 cancer patients with chemotherapy-induced neuropathy, THC-dominant cannabis products produced significantly better symptom relief, daily functioning, and quality of life than CBD-dominant products.
2025 / Cross Sectional / Preliminary evidenceWomen with fibromyalgia had elevated plasma anandamide that correlated with higher pain and lower fitness, while PAG-thalamus brain connectivity was linked to physical activity.
2025 / Qualitative / Preliminary evidenceYouth in early psychosis programs described cannabis as creating family tension around psychosis risk while some family members' own use created contradictory messages and even bonding opportunities.
2025 / Animal Study / Moderate evidenceOral CBD delayed disease progression (by weight) and improved specific cognitive and social deficits in ALS mice in a sex-dependent manner, but did not rescue motor function.
2025 / Cross Sectional / Moderate evidenceCannabis dependence on top of opioid dependence worsened executive function and working memory deficits, though cannabis use without dependence did not add to cognitive impairment.
2025 / Observational / Preliminary evidenceIn 34 UK patients with substance use disorder, medical cannabis improved anxiety, sleep, and quality of life while reducing prescribed opioid doses over six months, with good tolerability.
2025 / Case Control / Moderate evidenceAnorexia nervosa involves coordinated epigenetic suppression of the endocannabinoid system: reduced cannabinoid receptors and increased endocannabinoid degradation simultaneously impair appetite signaling.
2025 / Secondary Analysis / Moderate evidenceIn a clinical trial of 192 young people, cannabis use didn't predict whether they successfully quit nicotine vaping—though co-use days showed higher vaping.
2025 / Cross Sectional / Strong evidenceIndependent testing of 277 Colorado cannabis products found flower THC labels are frequently inflated (only 57% accurate), while concentrate labels are much more reliable (96% accurate).
2025 / Retrospective Cohort / Preliminary evidenceCannabis involvement among mass shooters doubled after medical legalization began in 1996, while remaining stable among non-firearm mass murderers, though causation cannot be established.
2025 / Cross Sectional / Strong evidenceCannabis and tobacco use at any frequency signaled elevated social hardship in 77,000 healthcare users, while binge drinking showed this pattern only at daily frequency.
2025 / Observational / Moderate evidenceCannabis use among young adults increased more in states with adult-use legalization than medical-only states, with retail outlet opening appearing to be the key inflection point.
2025 / Prospective Cohort / Moderate evidenceCannabis use among New Jersey young adults increased 42% within three months of adult-use retail sales, driven by increases in edibles and dried herb rather than concentrates or vapes.
2025 / Qualitative / Preliminary evidenceIsraeli patients using medical cannabis for pain or PTSD described elaborate coping strategies for adverse effects and social stigma, including concealment, identity management, and building patient communities.
2025 / Animal Study / Preliminary evidenceOral hemp extract high in CBG and CBD reduced colonic damage and pain in a mouse ulcerative colitis model, supporting further investigation of cannabinoid combinations for IBD.
2025 / Review / Preliminary evidenceLiterature review finds CBD showed anti-inflammatory and anti-angiogenic effects in experimental endometriosis models, but human clinical evidence for cannabinoid treatment of endometriosis is essentially absent.
2025 / Animal Study / Preliminary evidenceFive cannabinoids (THC, CBD, THCV, CBC, CBG) protected insulin-producing cells from metabolic stress-induced death, with most also preserving cell function, suggesting potential relevance for type 2 diabetes.
2025 / Cross Sectional / Moderate evidenceIn college students with elevated worry, fear of anxiety symptoms (anxiety sensitivity) predicted cannabis use and coping motives, while intolerance of uncertainty did not.
2025 / Animal Study / Preliminary evidenceA 1:5 CBG:Phytol combination reduced bile acid-induced DNA damage and mutagenicity in esophageal cells, while CB1 receptor expression correlated with esophageal cancer progression in patient tissue.
2025 / Cross Sectional / Moderate evidencePsychedelic experiences produced both more positive and more negative effects than cannabis in demographically representative samples, revealing a wider risk-benefit spectrum rather than simply higher risk.
2025 / Narrative Review / Moderate evidenceReview maps bidirectional interactions between endocannabinoids and nine neuropeptide systems in the brain, revealing complex regulatory networks relevant to depression and anxiety treatment.
2025 / Retrospective Cohort / Moderate evidenceTHC was found in 64% of positive newborn drug screens at an Arkansas hospital, with use increasing after state legalization. Exposed infants had lower birth metrics and longer hospital stays.
2025 / Animal Study / Moderate evidenceMice given THC during adolescence showed lasting social deficits, sensorimotor gating problems, and disrupted cortico-striatal brain connectivity with altered dopamine receptor balance persisting into adulthood.
2025 / Cross Sectional / Strong evidenceCannabis-related ED visits during pregnancy increased 10% during COVID-19, with Medicaid-insured patients showing consistently elevated substance use and racial disparities in cannabis use narrowing.
2025 / Longitudinal Study / Moderate evidenceTracked 2,762 college students over a year and found anxiety predicted later hazardous cannabis use, with impulsivity traits amplifying the connection.
2025 / Cross Sectional / Preliminary evidenceSurvey of 261 women found widespread uncertainty about cannabis and CBD risks during pregnancy, with no difference between pregnant and non-pregnant respondents.
2025 / Animal Study / Preliminary evidenceAlzheimer's model mice given daily CBD for two months showed improved memory, less anxiety, and reduced brain oxidative stress.