système endocannabinoïde

The Endocannabinoid System (ECS): A Medical Exploration | House Sativa

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Introduction to the endocannabinoid system

The endocannabinoid system ( ECS ) plays a crucial role in regulating many essential physiological processes. This article will detail the nature, function and importance of the ECS, as well as the impact of phytocannabinoids, such as those found in cannabis, on its functioning.

1. SEC Fundamentals

The ECS is a complex network of receptors, enzymes and endogenous molecules, present throughout the body, particularly in the brain, organs, connective tissues and the immune system. It regulates various functions, including mood, pain, appetite, sleep and memory.

location of endocannabinoid system receptors
  • localization of CB1 and CB2 receptors of the endocannabinoid system

has. The Main Receptors: CB1 and CB2

  • CB1 receptor : Abundantly found in the brain, particularly in areas associated with cognition , memory , pain , movement , and endocrine functions . They mainly interact with tetrahydrocannabinol (THC), the main psychoactive and psychotropic compound in cannabis.

  • CB2 receptor : Localized mainly on cells of the immune system , thus contributing to the inflammatory and immune response. Cannabidiol (CBD) interacts more favorably with these receptors.

b. Endocannabinoids

  • Anandamide (AEA) : Often called the “bliss molecule,” anandamide plays a role in regulating mood, sleep, appetite and pain.

  • 2-Arachidonoylglycerol (2-AG) : Functions as a neurotransmitter, playing a key role in regulating appetite, protecting the immune system and managing pain.

endocannabinoid system and anandamide and 2AG

2. Functions of the SEC

The SEC is involved in:

  • Homeostasis : By maintaining physiological balance, the ECS helps stabilize internal conditions despite external fluctuations.

  • Neuroprotection : It provides protection against neuronal damage.

  • Embryonic development : Plays a role in fetal neurogenesis.

  • Appetite and digestion : Regulates appetite and feelings of satiety.

  • Immune response : Influences inflammatory and immune functions.

3. Regulation of the SEC

Regulation of the ECS is crucial to ensure an adequate physiological response and prevent excessive or insufficient activation. This regulation is mainly manifested by the synthesis and degradation of endocannabinoids.

has. Synthesis of Endocannabinoids

Endocannabinoids are synthesized on demand, in response to specific cellular stimuli. Unlike many neurotransmitters that are stored in vesicles before release, endocannabinoids are produced by cells following an increase in intracellular calcium. Once synthesized, they are released into the synaptic space and can act on cannabinoid receptors.

b. Degradation of Endocannabinoids

After exerting their action, endocannabinoids are quickly broken down to prevent overactivation of the ECS. Anandamide is primarily broken down by the enzyme FAAH (fatty acid amide hydrolase), while 2-AG is targeted by MAGL (monoacylglycerol lipase). These enzymes ensure that endocannabinoids do not persist for too long, allowing for a fine-tuned adaptive response.

Degradation of endocannabinoids by FAAH and MAGL

vs. Synaptic feedback inhibition

A unique feature of the ECS is the ability of endocannabinoids to function in “feedback inhibition.” Unlike most neurotransmitters which work by transmitting signals from a presynaptic neuron to a postsynaptic neuron, endocannabinoids can be released by postsynaptic neurons and travel "backwards" to presynaptic neurons, where they modulate subsequent neurotransmitter release . This feedback inhibition action helps modulate synaptic excitability, ensuring that neuronal communication remains balanced.

endocannabinoid system

d. Role of Carriers

Although the exact mechanism remains a matter of debate, it is believed that there are specific transporters that facilitate the movement of endocannabinoids across the cell membrane, allowing their rapid uptake and degradation. These transporters are thought to play a crucial role in ensuring that endocannabinoids do not accumulate to excessive levels.

By understanding these regulatory mechanisms, it becomes clear that the ECS is finely tuned to adaptively respond to the changing needs of the body. Disruption of these regulations could contribute to various pathologies, highlighting the importance of effective regulation of the ECS.

4. Anomalies and Diseases linked to the ECS

The endocannabinoid system (ECS) plays an essential role in maintaining physiological homeostasis. Any imbalance or dysfunction of this system can therefore have repercussions on various bodily functions. Several studies have highlighted the links between ECS abnormalities and various pathologies:

has. Obesity :

  • An imbalance in the ECS, including overactivation of CB1 receptors, has been associated with increased appetite and decreased basal metabolism, leading to weight gain.
  • Conversely, CB1 receptor antagonists have shown anorexigenic effects and have even been explored as anti-obesity drugs.

b. Depression :

  • Research has shown altered levels of endocannabinoids, particularly anandamide, in certain brain regions of depressed patients.
  • Modulation of the ECS therefore offers a potential therapeutic target, with certain cannabinoids showing antidepressant properties in preclinical models.

vs. Neurodegenerative diseases :

  • Diseases like Alzheimer's, Parkinson's, and multiple sclerosis have all shown abnormalities in endocannabinoid signaling.
  • The ECS plays a neuroprotective role, modulating neuroinflammation and neurotoxicity. Alterations in this system could therefore contribute to the progression of these diseases.

d. Autoimmune diseases :

  • Studies in animal models of autoimmune diseases, such as rheumatoid arthritis or multiple sclerosis, have revealed modulation of the immune response by the ECS.
  • Manipulating the ECS could help dampen the overactive immune response in these diseases.

e. Chronic Pain :

  • The ECS modulates pain both centrally and peripherally. ECS abnormalities have been observed in patients suffering from a variety of chronic pain conditions.
  • Modulation of the ECS, whether through the use of cannabinoids or other means, is of growing interest in pain management.

It is essential to note that while the therapeutic potential modulating the ECS is promising in various diseases, research is still ongoing. A thorough understanding of the precise mechanisms and optimization of therapeutic strategies are necessary to fully exploit this potential.

    5. Cannabis and the SEC

    The endocannabinoid system (ECS) is a complex system that interacts closely with the cannabinoids found in cannabis. With a palette of over 100 different cannabinoids in the cannabis plant, it is crucial to understand how each can influence or be influenced by the ECS.

    presentation of cannabinoids contained in cannabis, such as THC, CBD, CBD, THCV, CBG, CBN

    has. Δ9-Tetrahydrocannabinol (THC) :

    • THC is the main psychoactive compound in cannabis.
    • It binds primarily to CB1 receptors located in the brain, causing the typical psychoactive effects associated with cannabis use.
    • THC may also have anti-inflammatory, analgesic, and neuroprotective effects, although its therapeutic potential may be limited by its psychoactive side effects.

    b. Cannabidiol ( CBD ) :

    • CBD is a non-psychoactive cannabinoid.
    • Although it does not have a high direct affinity for CB1 or CB2 receptors, it modifies the way these receptors respond to THC and natural endocannabinoids.
    • CBD is known for its anti-inflammatory, anxiolytic, antipsychotic and neuroprotective properties.

    vs. Other cannabinoids :

    • Cannabis contains many other cannabinoids, such as CBG (cannabigerol) and CBN (cannabinol), which may also influence the ECS, although their exact role and mechanisms of action are less well understood.

    d. Tetrahydrocannabivarin (THCV) :

    • Unlike THC, THCV can act as a CB1 receptor antagonist at low doses, but as an agonist at higher doses.

    e. Modulating effects :

    • The combination of different cannabinoids, known as the entourage effect , can synergistically modulate ECS activity. For example, CBD may alleviate some of the unwanted effects of THC by limiting its binding to CB1 receptors.


    The ECS is a critical component of human physiology, with implications ranging from mood and pain regulation to neuronal protection. Research continues to reveal fascinating aspects of how it works and how it interacts with cannabis compounds.

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