Article 1 of 7
The endocannabinoid system, explained
Its three parts, where it is found in the body, how it was discovered in the early 1990s, and what researchers still do not know.
A system most of us have never heard of
Most people can name the body's familiar signaling systems: hormones, nerves, immunity. Far fewer have heard of the endocannabinoid system, or ECS. That is not surprising: it was only identified in the early 1990s.
The name can confuse. "Endo" means "from within." It is called "cannabinoid" because its parts were found by scientists studying how compounds from the cannabis plant act on the body, but the ECS itself is built by the body and is present whether or not a person has ever used cannabis (Lu and Mackie, 2016).
A note on evidence levels. Throughout this article, findings are labeled by where they come from: in vitro (isolated molecules or cells in a dish), animal (tissue from or experiments in animals), or human. Most of what is known about the ECS comes from the first two categories. A finding at one level does not transfer to another.
Three parts that work together
Reviews usually describe the ECS as having three parts (Lu and Mackie, 2016; Zou and Kumar, 2018).
Endocannabinoids. These are small fat-based molecules made by the body. The two best studied are anandamide and 2-arachidonoylglycerol, usually shortened to 2-AG. Unlike many messenger chemicals, they are not stored in advance; cells make them "on demand" from fats in the cell membrane, use them briefly, and clear them away (Lu and Mackie, 2016).
Receptors. A receptor is a protein on a cell that a molecule can attach to, like a key fitting a lock. The two main cannabinoid receptors are called CB1 and CB2. Reviews describe CB1 as the most widely expressed receptor of its family (the G protein-coupled receptors) in the brain (Zou and Kumar, 2018). CB2 is found mostly on cells of immune origin (Lu and Mackie, 2021).
Enzymes. Enzymes build or break down other molecules; two are central here. Fatty acid amide hydrolase, or FAAH, is the main enzyme that breaks down anandamide. Monoacylglycerol lipase, written MAGL or MGL, is the main enzyme that breaks down 2-AG (Lu and Mackie, 2016). Because these enzymes act quickly, endocannabinoid signals tend to be brief and local.
Where it is found in the body
CB1 receptors are especially concentrated in the nervous system, including brain regions involved in memory, movement and coordination, and they are also found in tissues such as the liver, fat tissue and skin (Lu and Mackie, 2021). CB2 receptors are found mainly on cells of the immune system, with smaller amounts elsewhere (Zou and Kumar, 2018). These distribution maps come largely from animal tissue and laboratory studies.
In the brain, much of the action is at synapses, the tiny gaps where one nerve cell signals the next. Endocannabinoids are unusual: in animal studies they often travel "backward" across the synapse, from the receiving cell to the sending cell, and turn down the signal being sent (Lu and Mackie, 2016).
What "homeostasis" means
Homeostasis is a textbook term for the body's habit of keeping internal conditions within a range. Think of a thermostat nudging a room back to its set temperature.
The ECS is often described in this vocabulary because of how it behaves in laboratory and animal studies: made on demand, acting locally, and mostly adjusting the volume of other signals rather than starting new ones. Reviews note that the ECS "influences, and is influenced by" many other signaling pathways and is not an isolated system (Lu and Mackie, 2021). That is a description of biology. It is not a claim that the system can be "supported," "balanced" or changed by any product, and no such conclusion follows from it.
How it was discovered
The story begins with the plant. In 1964, Yechiel Gaoni and Raphael Mechoulam in Israel isolated and described the structure of THC, the main psychoactive compound in cannabis (Gaoni and Mechoulam, 1964) [chemistry, in vitro]. For the next two decades, how THC acted on the body remained unclear.
In 1988, William Devane, Allyn Howlett and colleagues showed that rat brain tissue contained a specific binding site for cannabinoid compounds, pointing to a receptor (Devane et al., 1988) [animal tissue]. In 1990, Lisa Matsuda and colleagues cloned the gene for that receptor, now known as CB1 (Matsuda et al., 1990) [in vitro, using rat DNA expressed in cultured cells].
A receptor implies that the body makes its own key. In 1992, Devane, now in Mechoulam's laboratory, isolated the first endocannabinoid from pig brain and named it anandamide, after the Sanskrit word ananda (Devane et al., 1992) [animal tissue]. In 1993, Sean Munro and colleagues described a second receptor, CB2, identified in immune-type cells (Munro et al., 1993) [in vitro, cultured cells].
In 1995, two groups independently identified 2-AG as a second endocannabinoid, one in canine gut tissue and one in rat brain (Mechoulam et al., 1995; Sugiura et al., 1995) [animal tissue]. The enzymes came next: FAAH was characterized in 1996 (Cravatt et al., 1996) [in vitro], and MAGL was identified as the main brain enzyme clearing 2-AG in 2002 using rat brain tissue and cultured rat neurons (Dinh et al., 2002) [animal tissue and cultured cells].
None of these foundational studies was conducted in people. They established that the system exists; they do not, on their own, say what changing it would mean for a person.
What researchers still do not know
Even after thirty years, large gaps remain. Reviews point out that anandamide can be made by several pathways, and which ones matter most in the living brain is still unsettled (Lu and Mackie, 2016). How endocannabinoids cross the space between cells is not fully understood; reviewers write that identifying the proposed membrane transporter would greatly aid progress in the field (Lu and Mackie, 2021). The role of CB2 in endocannabinoid signaling at synapses is described as "largely elusive" (Zou and Kumar, 2018).
A 2018 review catalogued the many approaches pharmaceutical researchers have taken to study the system and the obstacles they have met, partly because the same molecules do several jobs at once (Di Marzo, 2018). That review concerns drug-discovery research, not consumer products.
CBD, a plant compound, does not fit neatly into this picture. It has negligible affinity for CB1 and CB2 (Zou and Kumar, 2018), and reviewers state that its molecular targets remain to be worked out (Lu and Mackie, 2021). Human studies of how CBD acts at the molecular level are few. The National Center for Complementary and Integrative Health describes research on cannabis and cannabinoids for most questions as being in its early stages (NCCIH, 2019). No conclusions about any product can be drawn from the biology described here.
Frequently asked questions
Does everyone have an endocannabinoid system? Yes. The system is built by the body itself and is present whether or not a person has ever been exposed to cannabis (Lu and Mackie, 2016).
Are endocannabinoids the same as cannabinoids from the plant? No. Endocannabinoids are made inside the body and have a different chemical structure from plant compounds like THC and CBD. They carry the plant's name because the receptors they act on were first identified through research on THC (Zou and Kumar, 2018).
Why is so much of the research in animals? The foundational discoveries used rat, pig and dog tissue because such experiments cannot ethically be done in people. Reviews emphasize that many questions remain open (Di Marzo, 2018), and that results from animal tissue do not automatically apply to humans.
References
- Cravatt BF, Giang DK, Mayfield SP, et al. (1996). Molecular characterization of an enzyme that degrades neuromodulatory fatty-acid amides. Nature 384(6604):83-87. https://pubmed.ncbi.nlm.nih.gov/8900284/
- Devane WA, Dysarz FA, Johnson MR, Melvin LS, Howlett AC (1988). Determination and characterization of a cannabinoid receptor in rat brain. Molecular Pharmacology 34(5):605-613. https://pubmed.ncbi.nlm.nih.gov/2848184/
- Devane WA, Hanus L, Breuer A, et al. (1992). Isolation and structure of a brain constituent that binds to the cannabinoid receptor. Science 258(5090):1946-1949. https://pubmed.ncbi.nlm.nih.gov/1470919/
- Di Marzo V (2018). New approaches and challenges to targeting the endocannabinoid system. Nature Reviews Drug Discovery 17(9):623-639. https://pubmed.ncbi.nlm.nih.gov/30116049/
- Dinh TP, Carpenter D, Leslie FM, et al. (2002). Brain monoglyceride lipase participating in endocannabinoid inactivation. Proceedings of the National Academy of Sciences USA 99(16):10819-10824. https://pmc.ncbi.nlm.nih.gov/articles/PMC125056/
- Gaoni Y, Mechoulam R (1964). Isolation, structure, and partial synthesis of an active constituent of hashish. Journal of the American Chemical Society 86(8):1646-1647. https://doi.org/10.1021/ja01062a046
- Lu HC, Mackie K (2016). An introduction to the endogenous cannabinoid system. Biological Psychiatry 79(7):516-525. https://pmc.ncbi.nlm.nih.gov/articles/PMC4789136/
- Lu HC, Mackie K (2021). Review of the endocannabinoid system. Biological Psychiatry: Cognitive Neuroscience and Neuroimaging 6(6):607-615. https://pmc.ncbi.nlm.nih.gov/articles/PMC7855189/
- Matsuda LA, Lolait SJ, Brownstein MJ, et al. (1990). Structure of a cannabinoid receptor and functional expression of the cloned cDNA. Nature 346(6284):561-564. https://pubmed.ncbi.nlm.nih.gov/2165569/
- Mechoulam R, Ben-Shabat S, Hanus L, et al. (1995). Identification of an endogenous 2-monoglyceride, present in canine gut, that binds to cannabinoid receptors. Biochemical Pharmacology 50(1):83-90. https://pubmed.ncbi.nlm.nih.gov/7605349/
- Munro S, Thomas KL, Abu-Shaar M (1993). Molecular characterization of a peripheral receptor for cannabinoids. Nature 365(6441):61-65. https://pubmed.ncbi.nlm.nih.gov/7689702/
- National Center for Complementary and Integrative Health, NIH (2019). Cannabis (marijuana) and cannabinoids: what you need to know. https://www.nccih.nih.gov/health/cannabis-marijuana-and-cannabinoids-what-you-need-to-know
- Sugiura T, Kondo S, Sukagawa A, et al. (1995). 2-Arachidonoylglycerol: a possible endogenous cannabinoid receptor ligand in brain. Biochemical and Biophysical Research Communications 215(1):89-97. https://pubmed.ncbi.nlm.nih.gov/7575630/
- Zou S, Kumar U (2018). Cannabinoid receptors and the endocannabinoid system: signaling and function in the central nervous system. International Journal of Molecular Sciences 19(3):833. https://pmc.ncbi.nlm.nih.gov/articles/PMC5877694/
This article is for general education only. It is not medical advice and does not describe NATRIAM SOOTHE or any other product. NATRIAM SOOTHE is not intended to diagnose, treat, cure or prevent any disease. Talk to a healthcare professional about any health question.