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Cannabis use has been associated with altered structure and function of the brain, but which comes first? Two recent articles address the question of causality.
Pagliaccio and colleagues obtained genetic data and neuroimaging from 50 monozygotic twin pairs, 45 dizygotic twin pairs, and 146 sibling pairs. The total group included 89 same-sex pairs discordant for self-reported cannabis use, 81 concordant for cannabis use, and 71 concordant for no cannabis use. Cannabis use was associated with smaller left amygdala and right ventral striatum (VS) volumes, although these were within the normal range. Amygdala volumes were similar within pairs, regardless of concordance of cannabis use, which suggests a genetic predisposition. The cause of smalle…