A BSTRACTIt is now well established that the psychoactive effects of Cannabis sativa are primarily mediated through neuronal CB1 receptors, while its therapeutic immune properties are primarily mediated through CB2 receptors. Two endocannabinoids, arachidonoylethanolamide and 2-arachidonoylglycerol, have been identifi ed, their action on CB1 and CB2 thoroughly characterized, and their production and inactivation elucidated. However, many signifi cant exceptions to these rules exist. Here we review the evidence suggesting that cannabinoids can modulate synaptic transmission, the cardiovascular system, and the immune system through receptors distinct from CB1 and CB2, and that an additional " independent " endocannabinoid signaling system that involves palmitoylethanolamide may exist.K EYWORDS: drug of abuse , cannabinoids , marijuana , receptor
INTRODUCTIONCannabis sativa , also known as marijuana or hashish depending on the particular preparation, is both a widespread illegal drug of abuse and a well-recognized medicinal plant. 1 , 2 A current challenge in pharmacology is to increase our understanding of the molecular mechanisms underlying the abuse property of C sativa in order to develop means to prevent it. Another challenge is to isolate the bioactive components that impart the medicinal properties ascribed to this plant with the goal of developing novel, cannabinoid-based therapeutics devoid of adverse effects. After approximately 40 years of research, we have a much clearer understanding of the pharmacology and molecular mechanisms mediating the bioactivity of plant-derived cannabinoid compounds, the phytocannabinoids, and are getting much closer to overcoming these 2 challenges.C sativa contains ~60 phytocannabinoids, a handful of which are bioactive as defi ned by their ability to specifi cally interact with membrane-associated receptors, the cannabinoid receptors. The best-known phytocannabinoid is Δ 9 -tetrahydrocannabinol (THC), 3 which is thought to mediate most -if not all -of the psychotropic and addictive properties of C sativa . 4 Recent evidence suggest that some of the antiinfl ammatory properties of C sativa may be accounted for by cannabinol (CBN) and cannabidiol (CBD), 2 nonpsychotropic phytocannabinoids that constitute promising lead compounds to develop cannabinoid-based antiinfl ammatory medicines. 5 , 6 Thus, while some might focus on THC to study the psychotropic and addictive properties of C sativa , others might focus on CBN and CBD as a means to develop cannabinoid-based antiinfl ammatory therapeutics devoid of adverse effects. Here we will review our current understanding of the cannabinoid receptors that mediate the effects of cannabinoids and provide examples of the biological functions regulated by them, with a special emphasis on those receptors that have been pharmacologically characterized and yet still remain to be cloned. We will also review our current understanding of the endogenous cannabinoids, the endocannabinoids, with a special emphasis on palmitoylethanolamide (PEA)...