How the endocannabinoid system works, step by step
A plain-language tour of the receptors, signaling molecules and enzymes that make up the endocannabinoid system (ECS), plus the plant chemistry that first led scientists to it. Written for curious students. No background needed.
The basics: receptors, messengers and clean-up enzymes
The endocannabinoid system is a cell-signaling system found throughout the body. Like any signaling system, it has three parts: receptors that receive a signal, messenger molecules that carry it, and enzymes that build the messengers and break them down.
The two classic receptors
CB1 is one of the most abundant G protein-coupled receptors in the brain. It sits mostly on the sending side of synapses, where it acts like a dimmer switch on neurotransmitter release.
CB2 is found mainly on immune cells and in immune tissues such as the spleen, with smaller amounts elsewhere. It's an active research topic in immunology.
Built on demand, cleared quickly
Unlike many neurotransmitters, endocannabinoids aren't stored in vesicles. Cells make them from fats in the cell membrane when they're needed, and enzymes break them down soon after. Signals stay short and local.
Plant compounds vs body compounds
Endocannabinoids ("endo" = within) are made by the body. Phytocannabinoids ("phyto" = plant) are made by the cannabis plant, which produces more than a hundred of them. Scientists found the plant compounds first, and studying how they act led to the discovery of the body's own system.
| Molecule | Made by | What biochemists know |
|---|---|---|
| Anandamide (AEA) | The body | A fatty-acid-derived messenger. Its name comes from the Sanskrit word ananda, meaning "bliss." It binds CB1 and, more weakly, CB2. It's broken down by FAAH. |
| 2-AG | The body | A glycerol-based messenger found at much higher levels in the brain than anandamide. It activates both CB1 and CB2. It's broken down mainly by MAGL. |
| THC (Δ9-tetrahydrocannabinol) | The plant | The best-known phytocannabinoid. It's a partial agonist at CB1 and CB2. Its action at CB1 explains its effects on the brain. |
| CBD (cannabidiol) | The plant | Binds only weakly to CB1 and CB2 and interacts with several other molecular targets. Exactly how it acts is still being studied. |
| CBG (cannabigerol) | The plant | Its acid form, CBGA, is the shared starting material the plant uses to build THCA and CBDA. |
| THCA / CBDA | The plant | The plant mostly makes these "acid" forms. Heat removes a carboxyl group as CO₂ (decarboxylation), turning them into THC and CBD. |
Terpenes: the aroma chemistry
Terpenes are a huge family of plant molecules built from five-carbon isoprene units. They give many plants their smell. The same terpenes found in cannabis also occur in herbs, fruit and trees.
Myrcene
An earthy, musky monoterpene.
Also in: hops, lemongrassLimonene
The main scent molecule of citrus peel.
Also in: oranges, lemonsα-Pinene
A sharp, fresh monoterpene that smells like a forest.
Also in: pine needles, rosemaryLinalool
A floral monoterpene alcohol.
Also in: lavender, corianderβ-Caryophyllene
A spicy sesquiterpene (15 carbons). Lab research found it binds CB2 (see Chapter 5).
Also in: black pepper, clovesHumulene
A woody sesquiterpene closely related to caryophyllene.
Also in: hopsPlant synergy and the "entourage effect"
A plant never makes just one compound. It makes hundreds at once. That raises a fair science question: does the mixture act differently than each compound alone? Sometimes the answer is a well-measured yes. Sometimes it's still unknown. This chapter shows how scientists tell the difference.
Pharmacokinetic synergy, in plain words
"What the body does to the compound." One compound changes how well another is absorbed, how fast it's broken down or how quickly it's cleared. The second compound doesn't have to do anything itself. It just helps the first one stick around.
Pharmacodynamic synergy, in plain words
"What the compound does to the body." Two compounds act on the same target, or on different steps of the same pathway, so the combined response is bigger than either one alone.
Case study: turmeric and black pepper
The problem. Curcumin, the yellow compound in turmeric, is poorly absorbed. The liver and intestinal wall also clear it quickly, largely through a clean-up reaction called glucuronidation. So very little reaches the blood. (Anand et al. 2007)
The partner. Piperine, the compound that makes black pepper taste hot, inhibits glucuronidation in the liver and gut.
The 1998 study. Shoba and colleagues gave curcumin with and without piperine to rats and to healthy human volunteers. In people, curcumin alone gave blood levels that were very low or undetectable. With piperine, the measured bioavailability rose by about 2000% (roughly 20-fold). In rats the increase was 154%. (Shoba et al. 1998)
Follow-up. Reviews of curcumin still list piperine as a classic way to raise bioavailability (Anand et al. 2007; Hewlings & Kalman 2017). The same mechanism isn't limited to curcumin: piperine also raised blood levels of EGCG, a green tea compound, in mice (Lambert et al. 2004).
One plant, opposite chemistry
Synergy isn't always good news, and a plant isn't "good" or "bad" as a whole. Many plants make some compounds that cause cancer in lab tests and others that are studied for protecting against it. A classic paper made the point that the everyday diet contains natural carcinogens as well as natural anticarcinogens (Ames 1983). A later analysis found that in high-dose rodent tests, roughly half of natural and synthetic chemicals tested came out as carcinogens, so the amount matters a great deal (Ames, Profet & Gold 1990).
| Plant | Compound of concern | Compound studied as protective | What scientists report |
|---|---|---|---|
| Coffee | Acrylamide, which forms when plant foods are roasted or cooked at high heat. It's a carcinogen in lab animals (NCI). | Antioxidant compounds | In 2016, the WHO's cancer agency (IARC) reviewed more than 1,000 studies. It rated coffee drinking "not classifiable" (Group 3), found strong evidence of antioxidant effects in people and saw reduced risks for liver and uterine (endometrial) cancers (Loomis et al. 2016). |
| Broccoli and other crucifers | Indole glucosinolates. They can break down into indole-3-carbinol, which can enhance tumor formation in some studies. | Sulforaphane, which switches on the body's "phase 2" detox enzymes | Broccoli sprout extracts reduced mammary tumors in a rat model. The same paper notes that mature broccoli carries more of the indole compounds (Fahey et al. 1997; Ames et al. 1990). |
| Bracken fern | Ptaquiloside, a potent carcinogen in lab animals that damages DNA | None well established | Causes bladder tumors in cattle. Studies in Japan and Brazil link eating bracken to upper digestive tract cancers (Alonso-Amelot & Avendaño 2002). |
| Comfrey | Up to 14 pyrrolizidine alkaloids | None well established | Linked to liver damage in livestock and people, and to cancer in lab animals (Mei et al. 2010). |
| Sassafras | Safrole, the main compound in sassafras oil | None well established | Caused liver tumors in rodents. U.S. agencies list it as "reasonably anticipated to be a human carcinogen," and the U.S. banned adding it to food in 1960 (NTP). |
The cannabis "entourage effect": a debated hypothesis
Where the term came from. In 1998, Ben-Shabat, Mechoulam and colleagues coined "entourage effect" for the body's own chemistry, not the plant's. Two fatty acid glycerol esters that don't bind cannabinoid receptors themselves boosted the activity of the endocannabinoid 2-AG in lab and mouse tests (Ben-Shabat et al. 1998).
How it grew. A widely cited 2011 review proposed that plant cannabinoids and terpenes might act in synergy. The author framed it as a possibility, writing that such synergy, "if proven," could open the way to new products (Russo 2011). Since then, the term has spread far beyond the lab.
Evidence that fits the idea
- The original 1998 finding: inactive body compounds boosted 2-AG (Ben-Shabat et al. 1998).
- In mice, four terpenes (α-humulene, geraniol, linalool and β-pinene) produced cannabinoid-like behaviors and activated CB1 in cell tests. Their effects added to those of a synthetic cannabinoid (LaVigne et al. 2021).
Evidence against it
- Six common cannabis terpenes didn't activate CB1 or CB2 or change THC's signaling in human-receptor cell tests (Santiago et al. 2019).
- Binding and function tests found no direct terpene effects at CB1 or CB2, alone or mixed with THC, CBD or 2-AG. The one possible exception was a weak β-caryophyllene effect at CB2 (Finlay et al. 2020).
- Terpenes also didn't change cannabinoid activity at two TRP ion channels (Heblinski et al. 2020).
- A critical review argues the term is ill-defined and widely used in marketing (Cogan 2020).
References for this chapter
- Williamson EM. Synergy and other interactions in phytomedicines. Phytomedicine. 2001;8(5):401-9. PubMed 11695885 · doi:10.1078/0944-7113-00060
- Wagner H, Ulrich-Merzenich G. Synergy research: approaching a new generation of phytopharmaceuticals. Phytomedicine. 2009;16(2-3):97-110. PubMed 19211237 · doi:10.1016/j.phymed.2008.12.018
- Shoba G, Joy D, Joseph T, et al. Influence of piperine on the pharmacokinetics of curcumin in animals and human volunteers. Planta Medica. 1998;64(4):353-6. PubMed 9619120 · doi:10.1055/s-2006-957450
- Anand P, Kunnumakkara AB, Newman RA, Aggarwal BB. Bioavailability of curcumin: problems and promises. Molecular Pharmaceutics. 2007;4(6):807-18. PubMed 17999464 · doi:10.1021/mp700113r
- Hewlings SJ, Kalman DS. Curcumin: a review of its effects on human health. Foods. 2017;6(10):92. PubMed 29065496 · doi:10.3390/foods6100092
- Lambert JD, Hong J, Kim DH, et al. Piperine enhances the bioavailability of the tea polyphenol (-)-epigallocatechin-3-gallate in mice. Journal of Nutrition. 2004;134(8):1948-52. PubMed 15284381 · doi:10.1093/jn/134.8.1948
- Ames BN. Dietary carcinogens and anticarcinogens. Science. 1983;221(4617):1256-64. PubMed 6351251 · doi:10.1126/science.6351251
- Ames BN, Profet M, Gold LS. Nature's chemicals and synthetic chemicals: comparative toxicology. PNAS. 1990;87(19):7782-6. PubMed 2217211 · doi:10.1073/pnas.87.19.7782
- Loomis D, Guyton KZ, Grosse Y, et al. (IARC Monograph Working Group). Carcinogenicity of drinking coffee, mate, and very hot beverages. Lancet Oncology. 2016;17(7):877-8. PubMed 27318851 · doi:10.1016/S1470-2045(16)30239-X · IARC Monograph 116 (NCBI Bookshelf)
- National Cancer Institute. Acrylamide and Cancer Risk (fact sheet). cancer.gov
- Fahey JW, Zhang Y, Talalay P. Broccoli sprouts: an exceptionally rich source of inducers of enzymes that protect against chemical carcinogens. PNAS. 1997;94(19):10367-72. PubMed 9294217 · doi:10.1073/pnas.94.19.10367
- Alonso-Amelot ME, Avendaño M. Human carcinogenesis and bracken fern: a review of the evidence. Current Medicinal Chemistry. 2002;9(6):675-86. PubMed 11945131 · doi:10.2174/0929867023370743
- Mei N, Guo L, Fu PP, et al. Metabolism, genotoxicity, and carcinogenicity of comfrey. J Toxicol Environ Health B Crit Rev. 2010;13(7-8):509-26. PubMed 21170807 · doi:10.1080/10937404.2010.509013
- National Toxicology Program. Report on Carcinogens, 15th ed.: Safrole. ntp.niehs.nih.gov
- Ben-Shabat S, Fride E, Sheskin T, et al. An entourage effect: inactive endogenous fatty acid glycerol esters enhance 2-arachidonoyl-glycerol cannabinoid activity. European Journal of Pharmacology. 1998;353(1):23-31. PubMed 9721036 · doi:10.1016/s0014-2999(98)00392-6
- Russo EB. Taming THC: potential cannabis synergy and phytocannabinoid-terpenoid entourage effects. British Journal of Pharmacology. 2011;163(7):1344-64. PubMed 21749363 · doi:10.1111/j.1476-5381.2011.01238.x
- Santiago M, Sachdev S, Arnold JC, et al. Absence of entourage: terpenoids commonly found in Cannabis sativa do not modulate the functional activity of Δ9-THC at human CB1 and CB2 receptors. Cannabis and Cannabinoid Research. 2019;4(3):165-76. PubMed 31559333 · doi:10.1089/can.2019.0016
- Finlay DB, Sircombe KJ, Nimick M, et al. Terpenoids from cannabis do not mediate an entourage effect by acting at cannabinoid receptors. Frontiers in Pharmacology. 2020;11:359. PubMed 32269529 · doi:10.3389/fphar.2020.00359
- Heblinski M, Santiago M, Fletcher C, et al. Terpenoids commonly found in Cannabis sativa do not modulate the actions of phytocannabinoids or endocannabinoids on TRPA1 and TRPV1 channels. Cannabis and Cannabinoid Research. 2020;5(4):305-17. PubMed 33376801 · doi:10.1089/can.2019.0099
- LaVigne JE, Hecksel R, Keresztes A, Streicher JM. Cannabis sativa terpenes are cannabimimetic and selectively enhance cannabinoid activity. Scientific Reports. 2021;11(1):8232. PubMed 33859287 · doi:10.1038/s41598-021-87740-8
- Cogan PS. The 'entourage effect' or 'hodge-podge hashish': the questionable rebranding, marketing, and expectations of cannabis polypharmacy. Expert Review of Clinical Pharmacology. 2020;13(8):835-45. PubMed 32116073 · doi:10.1080/17512433.2020.1721281
- Christensen C, Rose M, Cornett C, Allesø M. Decoding the postulated entourage effect of medicinal cannabis: what it is and what it isn't. Biomedicines. 2023;11(8):2323. PubMed 37626819 · doi:10.3390/biomedicines11082323
Key discoveries
Each milestone links to the original paper's PubMed record.
- 1990: The CB1 receptor is cloned. Matsuda and colleagues reported the structure of a cannabinoid receptor in Nature. PubMed 2165569
- 1992: Anandamide is identified. Devane and colleagues isolated a brain molecule that binds the cannabinoid receptor (Science). PubMed 1470919
- 1993: The CB2 receptor is described. Munro and colleagues characterized a "peripheral" cannabinoid receptor (Nature). PubMed 7689702
- 1995: 2-AG is identified. Two groups reported 2-arachidonoylglycerol as a second endocannabinoid: Mechoulam and colleagues (PubMed 7605349) and Sugiura and colleagues (PubMed 7575630).
- 1998: The term "entourage effect" is coined. Ben-Shabat, Mechoulam and colleagues reported that inactive fatty acid glycerol esters made by the body boosted the activity of 2-AG (European Journal of Pharmacology). PubMed 9721036
- 2008: A dietary terpene binds CB2. Gertsch and colleagues reported that β-caryophyllene binds CB2 (PNAS). PubMed 18574142
Glossary
Quick definitions for the terms used on this page.
- Agonist
- A molecule that binds a receptor and activates it. A partial agonist activates it only partway.
- Antagonist
- A molecule that binds a receptor and blocks it without activating it.
- CB1 / CB2
- The two classic cannabinoid receptors. CB1 is mostly in the nervous system and CB2 mostly in immune cells.
- G protein-coupled receptor (GPCR)
- A large family of membrane receptors that pass signals into the cell through G proteins. CB1 and CB2 are GPCRs.
- Endocannabinoid
- A cannabinoid made by the body, such as anandamide or 2-AG.
- Phytocannabinoid
- A cannabinoid made by a plant, such as THC or CBD.
- FAAH
- Fatty acid amide hydrolase, the main enzyme that breaks down anandamide.
- MAGL
- Monoacylglycerol lipase, the main enzyme that breaks down 2-AG.
- Retrograde signaling
- Signaling that travels from the receiving neuron back to the sending neuron.
- Synapse
- The junction where one neuron passes a signal to another.
- Decarboxylation
- A reaction that removes a carboxyl group and releases CO₂, as when THCA becomes THC.
- Terpene
- A plant molecule built from five-carbon isoprene units. Monoterpenes have 10 carbons and sesquiterpenes have 15.
- Bioavailability
- The share of a compound that reaches the bloodstream in active form after it is taken in.
- Synergy
- When two or more compounds together produce a bigger effect than you would predict by adding their separate effects.
- Glucuronidation
- A clean-up reaction in the liver and gut wall that attaches a sugar acid (glucuronic acid) to a molecule so the body can excrete it.
- Entourage effect
- A term coined in 1998 for inactive body compounds boosting 2-AG. Today it usually means the debated idea that cannabis compounds act differently together than alone.
- Ligand
- Any molecule that binds a receptor, whether it activates it or not.
- Homeostasis
- The body's process of keeping internal conditions stable. The ECS is studied as one of many systems involved.
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Textbooks & reading list
Real books, linked to publisher, library or free-to-read pages. No affiliate links. Start with the free ones.
Neuroscience, 2nd edition
Purves D, Augustine GJ, Fitzpatrick D, et al., editors. Sinauer Associates, 2001. Free on the NCBI Bookshelf. A good place to learn how synapses and receptors work.
The Health Effects of Cannabis and Cannabinoids: The Current State of Evidence and Recommendations for Research
National Academies of Sciences, Engineering, and Medicine. National Academies Press, 2017. Free to read online.
Marijuana and Medicine: Assessing the Science Base
Institute of Medicine. National Academies Press, 1999. Shows how the science stood soon after the ECS was discovered.
Lehninger Principles of Biochemistry
Nelson DL, Cox MM. W. H. Freeman (multiple editions). A standard textbook for lipids, enzymes and signaling.
Basic Neurochemistry: Principles of Molecular, Cellular, and Medical Neurobiology (8th ed.)
Brady ST, Siegel GJ, Albers RW, Price DL, editors. Elsevier Academic Press, 2012.
Handbook of Cannabis
Pertwee RG, editor. Oxford University Press, 2014. A multi-author reference on cannabinoid chemistry and pharmacology.
Cannabis and Cannabinoids: Pharmacology, Toxicology, and Therapeutic Potential
Grotenhermen F, Russo E, editors. Haworth Press, 2002. An older reference that's useful for history.