2006 / Observational / Moderate evidenceLong-term open-label study of 137 MS patients found Sativex maintained its effects over 434 days without tolerance, and planned 2-week interruption showed no consistent withdrawal syndrome.
2006 / Observational / Moderate evidenceStudy found cannabis users had lower alertness and slower cognition in work-related testing but did not report more workplace errors, with effects showing "hangover" and fatigue-related patterns.
2006 / Randomized Controlled Trial / Preliminary evidenceSmall crossover trial found medical cannabis users could distinguish between preparations and preferred highest THC, humidity, and grind size, informing clinical trial product design.
2006 / Animal Study / Preliminary evidenceCBD reduced autoimmune diabetes incidence from 86% to 30% in mice by shifting the immune response from harmful Th1 to protective Th2 patterns and reducing pancreatic inflammation.
2006 / Cross Sectional / Preliminary evidenceSurvey of 84 medical cannabis users found 65% used cannabis during pregnancy, with 92% of those who used it for morning sickness rating it effective. Fetal safety was not assessed.
2006 / Observational / Moderate evidenceLab study found THC reduced sperm motility by up to 56% and inhibited the acrosome reaction by up to 57% at concentrations matching recreational cannabis use levels.
2006 / Cross Sectional / Moderate evidenceLarge twin study found common genetic factors drive adolescent problem use across tobacco, alcohol, and marijuana, while shared environmental factors drive experimentation but not progression to problems.
2007 / Cross Sectional / Strong evidenceNational survey of 43,093 Americans identified five drug abuse patterns, with cannabis-only (5.8%) being the most common and mildest, while polysubstance (0.5%) was linked to the most severe psychiatric profiles.
2007 / Cross Sectional / Moderate evidenceStudy of 119 heavy cannabis users found high rates of depression (46%) and suicidality (42%), predicted by parental alcoholism and childhood adversity rather than cannabis or other drug use.
2007 / Review / Preliminary evidenceReview of case reports found evidence linking marijuana to heart rhythm problems, heart attacks, and vascular complications, with increasing concern for aging long-term users.
2007 / Review / Moderate evidenceReview finds cannabinoids could modify MS through immune and neuroprotective mechanisms, but dose constraints prevent achieving immunosuppressive benefits clinically. Neuroprotection may be more achievable.
2007 / Review / Moderate evidenceReview of endocannabinoid metabolism identified multiple enzymes for synthesis and degradation of anandamide and 2-AG, positioning these enzymes as drug targets for addiction and other conditions.
2007 / Review / Preliminary evidenceReview shows endocannabinoids can inhibit tumor blood vessel formation, cancer cell migration, and metastasis across multiple cancer types, with a favorable safety profile compared to standard chemotherapy.
2007 / Animal Study / Moderate evidenceResearchers mapped the enzymes that break down the brain cannabinoid 2-AG in mice, finding MAGL handles 85% while two other enzymes manage the rest in different cellular locations.
2007 / Cross Sectional / Moderate evidenceAmong 757 first-episode schizophrenia cases, cannabis users and non-users showed essentially the same symptoms, arguing against a distinct "cannabis psychosis."
2007 / Randomized Controlled Trial / Moderate evidenceA clinical trial found that monthly cannabis users responded just as well to combined CBT and medication treatment for anxiety and depression as non-users.
2007 / Animal Study / Preliminary evidenceRats exposed to a synthetic cannabinoid in the womb showed permanent, region-specific changes in their brain's endocannabinoid system as adults.
2007 / Review / Moderate evidenceReview of brain imaging studies found that chronic cannabis users show consistently altered brain function during cognitive tasks, even without clear structural damage.
2007 / Randomized Controlled Trial / Strong evidenceA randomized trial of 189 MS patients found that a THC/CBD mouth spray significantly reduced spasticity, with 40% of patients achieving meaningful relief.
2007 / Review / Moderate evidenceReview found THC has wide therapeutic potential but psychoactive effects and dependence risk limit clinical use; whole cannabis extracts sometimes outperformed isolated THC.
2007 / Review / Preliminary evidenceReview of preclinical evidence found that cannabinoids showed anti-tumor properties against brain cancers in lab and animal studies, including slowing growth and triggering cancer cell death.
2007 / Animal Study / Preliminary evidenceCBD reduced heart attack damage by 66% in rats and dramatically lowered inflammation markers, but the effect required a living system and didn't work in isolated hearts.
2007 / Review / Preliminary evidencePatient-oriented Q&A article that briefly covered marijuana for pain alongside topics like fibromyalgia, carpal tunnel, and hypnosis.
2007 / Animal Study / Preliminary evidenceCBD activated mast cells in lab tests through an unknown mechanism, behaving opposite to synthetic cannabinoids that suppressed them, suggesting undiscovered cannabinoid receptors exist.
2007 / Cross Sectional / Preliminary evidenceTeen cannabis+tobacco users showed verbal memory deficits and disrupted brain connectivity that only appeared during nicotine withdrawal, suggesting cannabis may damage memory circuits that nicotine temporarily masks.
2007 / Cross Sectional / Moderate evidenceRegular cannabis users showed lower hippocampal brain activity during memory tasks than non-users but performed just as well, with no structural brain differences detected.
2007 / Animal Study / Preliminary evidenceA single CBD dose before allergen exposure significantly suppressed antibody production, immune cell cytokine output, and T-cell proliferation in mice.
2007 / Review / Moderate evidenceReview described how the endocannabinoid system drives reward-seeking in both addiction and obesity, making targeted CB1 modulators promising but challenging drug candidates.
2007 / Randomized Controlled Trial / Moderate evidenceCannabis extract with CBD enhanced automatic brain responses to auditory changes, while pure THC alone did not, suggesting CBD may protect cognitive processing.
2007 / Animal Study / Preliminary evidenceMutating a single amino acid in the CB1 receptor eliminated binding for some cannabinoids while leaving others unaffected, revealing multiple binding sites on the receptor.
2007 / Animal Study / Preliminary evidenceActivated CB1 receptors were routed to degradation via GASP1 in cells and neurons, offering a mechanistic link to receptor down-regulation.
2007 / Review / Moderate evidenceReview found cannabinoids showed promise for managing pain, appetite loss, nausea, and other symptoms in serious illness, with potential to complement and reduce opioid use.
2007 / Cross Sectional / Preliminary evidenceA four-year drug testing program in the Finnish military tested over 2,000 samples and found only one case of illicit drug use (cannabis and amphetamine).
2007 / Cross Sectional / Moderate evidenceSurvey of nearly 2,000 Zambian students found 31% reported suicidal thoughts and 36% had used marijuana, with a modest but significant association between the two.
2007 / Randomized Controlled Trial / Strong evidenceSativex reduced neuropathic pain nearly three times more than placebo in 125 patients, with benefits lasting a full year in an extension study without dose escalation.
2007 / Longitudinal Cohort / Moderate evidenceYear-long study found combined MDMA and cannabis users had sustained immune cell decreases and more infections, with cannabis-only users showing intermediate effects.
2007 / Case Report / Preliminary evidenceCase report of a 30-year-old whose polysubstance use (cannabis, MDMA, cocaine) led to cognitive decline, functional impairment, depression, and a suicide attempt.
2007 / Animal Study / Moderate evidenceGene-knockout mouse study proved cannabinoids control MS-like spasticity through CB1 receptors, not CB2, meaning therapeutic and psychoactive effects are inherently linked.
2007 / Animal Study / Preliminary evidenceMouse study found THC enhanced MDMA reward at low doses but reduced it at high doses, with both drugs converging on dopamine signaling in the brain's reward center.
2007 / Longitudinal Cohort / Moderate evidenceTwo-year open-label follow-up of 28 MS patients found sustained Sativex pain relief without tolerance or dose escalation, though 25% of all participants dropped out due to side effects.
2007 / Review / Moderate evidenceReview for pharmacists covered medical marijuana's five main therapeutic uses, known drug interactions, adverse effects, and the complex legal landscape as of 2007.
2007 / Longitudinal Cohort / Moderate evidenceTwin study of 1,088 pairs found that childhood conduct problems contributed a small but significant genetic risk to marijuana use 8 years later, suggesting shared genetic vulnerability.
2007 / Review / Moderate evidenceReview of clinical trials found growing consensus that cannabinoids help at least some MS patients with pain and spasticity, with generally mild side effects compared to alternatives.
2007 / Animal Study / Preliminary evidenceMouse study found CB1 receptor expression correlated with endocannabinoid enzyme expression, suggesting coordinated regulation, while dietary arachidonic acid had no effect on any of these genes.
2007 / Animal Study / Moderate evidenceMouse study mapped how the uterus creates precise endocannabinoid gradients essential for embryo implantation, with disruption leading to compromised pregnancy outcomes.
2008 / Longitudinal Cohort / Moderate evidenceGenome-wide scan of high-risk families found overlapping chromosomal regions linked to both alcohol and cannabis dependence, particularly on chromosomes 2 and 10, suggesting shared genetic vulnerability.
2008 / Cross Sectional / Preliminary evidenceBrain imaging of 11 heavy marijuana users who started in adolescence found structural white matter damage in the corpus callosum connecting the prefrontal cortices.
2008 / Longitudinal Cohort / Moderate evidenceFive-year follow-up of 166 bipolar patients found cannabis use specifically preceded manic episodes, while alcohol preceded depressive episodes, with neither following mood episodes.
2008 / Review / Moderate evidenceReview proposed that the endocannabinoid system could both relieve MS symptoms and slow disease progression, with local endocannabinoid enhancement as a strategy to minimize psychoactive side effects.
2008 / Case Control / Moderate evidencePooled analysis of 430 lung cancer cases from North Africa found cannabis smoking associated with 2.4x higher risk after adjusting for tobacco, with combined tobacco+cannabis use carrying an 18.2x risk.