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Marijuana's link to hard drug use not genetic

James Randerson

New Scientist

Tuesday 21 Jan 2003

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The reason why young cannabis users are much more likely to progress to
harder drugs has provoked fierce debate - but a new study of twins has
ruled out a strong genetic component.

Researchers looked at over 300 pairs of same sex twins, both identical
and non-identical, in which one twin started using cannabis before his
or her 17th birthday and the other did not.

Michael Lynskey, at Washington University School of Medicine in St
Louis, Missouri, and his team found that the early user was two to five
times more likely to go on to use harder drugs or become dependent on
alcohol - regardless of whether they were an identical twin or not.

The fact that identical twins, who share all their genes, did not differ
from non-identical twins, who share half, suggests that the progression
is not the product of genes.


Gateway drug


Many hard drug users have followed a similar path from cigarettes and
alcohol, to cannabis, to heroin and cocaine. This has led some
researchers to argue that soft drugs provide a "gateway" to harder
substances. Clearly, not everyone who likes a drink ends up as a coke
addict, but very few users of hard drugs have not tried cannabis first.

It might be that cannabis users have a genetic profile that predisposes
them both to cannabis use and to harder drugs, or a personal history
that does the same. But, until now, no one has been able to disentangle
the effect of nature and nurture.

The twin study rules out a large genetic component. But it also suggests
that the home and womb environment may not a key factor either, because
the twins shared both and yet early marijuana use in one still raised
the chances of later hard drug use.

However, Lynskey acknowledges that it is impossible to eliminate all
nurture differences between twins. For example, one twin might have
suffered a traumatic event in childhood that did not affect the other.


Drug policies


Nonetheless, the research shows that the gateway is real, so what
implications does this have for drug laws? "This finding can be used as
the bases for quite opposite drug policies," Lynskey told New Scientist.

The problem is that researchers are no nearer understanding the
mechanism of the gateway. If taking cannabis causes physiological
effects in the brain that predispose the smoker to other drugs, then the
message for lawmakers is that keeping people away from cannabis will
also keep them off heroin and cocaine.

On the other hand, if cannabis smokers move on to harder drugs simply
because they have access to them through drug dealers, then
decriminalisation ought to reduce hard drug use.

The work shows that marijuana is indeed a gateway to other illicit
drugs, says Denise Kandel, at Columbia University, New York, in an
editorial commenting on the journal paper. Therefore, whatever the
appropriate intervention turns out to be, it must be focussed on young
cannabis users, she says.

Journal reference: Journal of the American Medical Association (vol 289,
p 427, 482)


James Randerson


 

 

 

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