1 Endogenous and synthetic cannabinoid molecules have been investigated as possible MDR-1/Pglycoprotein (P-gp) modulators in HK-2-immortalized renal cells, using calcein acetoxymethylester (calcein-AM) as a P-gp substrate.2 Among the endocannabinoid molecules tested, anandamide (AEA), but not 2-arachidonoylglycerol (2-AG) or palmitoyl-ethanolamide (PEA), increased the intracellular fluorescence emitted by calcein, a metabolic derivative of the P-gp substrate calcein-AM, indicative of a reduction in transport capacity. 3 All the three synthetic cannabimimetics tested, that is, R-( þ )-methanandamide (R( þ )-MET), AM 251 and CP55,940 significantly increased calcein accumulation in the cytosol. 4 RT-PCR demonstrated that HK-2 cells do not express CB 1 or CB 2 cannabinoid receptors. 5 R( þ )-MET, AM251 and CP55,940 were also evaluated as modulators of P-gp expression, by Western blot analysis. Only AM251 weakly enhanced the protein levels (by 1.2-fold) after a 4-day-long incubation with the noncytotoxic drug concentration 2 mM. 6 The present data provide the first evidence that the endocannabinoid AEA and different synthetic cannabinoids may inhibit the P-gp activity in vitro via a cannabinoid receptor-independent mechanism.