Cannabis- and HIV-related perturbations to the cortical gamma dynamics supporting inhibitory processing.

Cannabis use among people with HIV (PWH) is associated with stronger gamma oscillations during a somatosensory gating task, suggesting a potential protective effect on inhibitory neural processing. In a cross-sectional study of 108 participants (cannabis users and non-users with and without HIV), PWH who used cannabis showed elevated oscillatory gamma activity in the primary somatosensory cortex compared to PWH who did not use cannabis, who also exhibited elevated spontaneous gamma activity. Longer time since HIV diagnosis correlated with less efficient inhibitory processing only in PWH who did not use cannabis, indicating regular cannabis use may mitigate HIV-related neural deficits.

Study at a glance

Abstract

The main psychoactive component in cannabis-Δ9-tetrahydrocannabinol-is known to have anti-inflammatory properties and to alter gamma oscillations, pointing to its potential as a therapeutic agent for people with HIV (PWH). However, it remains unknown how cannabis use among PWH interacts with the neural circuitry underlying inhibitory processing. Herein, using a cross-sectional study design, we collected data from 108 cannabis users and non-users with and without HIV. Participants were interviewed regarding their substance use history and completed a paired-pulse somatosensory stimulation paradigm during magnetoencephalography (MEG). MEG data were imaged using a beamformer and peak voxel time series data were extracted to examine neural oscillations in response to the stimulation and the strength of spontaneous activity in the same tissue during the baseline period. Across all participants, we observed robust gamma oscillations following stimulation in the left primary somatosensory cortices, with responses to the second stimulation being strongly attenuated relative to the first, thus demonstrating somatosensory gating. PWH who used cannabis exhibited stronger oscillatory gamma activity compared with non-users with HIV, while the latter group also exhibited elevated spontaneous gamma activity relative to all other groups. Finally, we found that a longer duration of time since HIV diagnosis was associated with less efficient inhibitory processing among PWH who did not use cannabis, but not among PWH who regularly use cannabis. These findings provide new evidence that cannabis use may mitigate the harmful effects of HIV on oscillatory and spontaneous gamma activity serving inhibitory processing.