Endocannabinoids are an emerging class of lipid mediators, which mimic several effects of cannabinoids. Anandamide (arachidonoylethanolamide) is a major endocannabinoid, which has been shown to impair pregnancy and embryo development. The activity of anandamide is controlled by cellular uptake through a specific transporter and intracellular degradation by the enzyme anandamide hydrolase (fatty acid amide hydrolase, FAAH). We characterized FAAH in mouse uterus by radiochromatographic and immunochemical techniques, showing that the enzyme is confined to the epithelium and its activity decreases appreciably during pregnancy or pseudopregnancy because of lower gene expression at the translational level. Ovariectomy prevented the decrease in FAAH, and both progesterone and estrogen further reduced its basal levels, suggesting hormonal control of the enzyme. Anandamide was shown to induce programmed cell death in mouse blastocysts, through a pathway independent of type-1 cannabinoid receptor. Blastocysts, however, have a specific anandamide transporter and FAAH, which scavenge this lipid. Taken together, these results provide evidence of an interplay between endocannabinoids and sex hormones in pregnancy. These findings may also be relevant for human fertility, as epithelial cells from healthy human uterus showed FAAH activity and expression, which in adenocarcinoma cells was increased fivefold.Keywords: anandamide hydrolase; apoptosis; development; endocannabinoids; sex hormones.Endocannabinoids are an emerging class of lipid mediators, isolated from brain and peripheral tissues [1,2] and found also in chocolate [3] and milk [4]. They mimic the psychotropic, hypnotic, tranquilizing, antiemetic, anticonvulsive and analgesic effects of cannabinoids [5,6]. These compounds, in particular D 9 -tetrahydrocannabinol, have been reported to have adverse effects on reproductive functions, including retarded embryo development, fetal loss and pregnancy failure [7,8]. A major endocannabinoid, anandamide (arachidonoylethanolamide), has been shown to impair pregnancy and embryo development [9]. Down-regulation of anandamide levels in mouse uterus has been associated with uterine receptivity, while up-regulation correlated with uterine refractoriness to embryo implantation [10]. Remarkably, mouse uterus contains the highest levels of anandamide detected so far in mammalian tissues, and is the only tissue in which anandamide is the main component (up to 95%) of N-acylethanolamines [10]. Anandamide is an endogenous ligand for both the brain-type (CB1-R) and spleen-type (CB2-R) cannabinoid receptors, mimicking several actions of cannabinoids on the central nervous system and in peripheral tissues [11]. Mouse embryos express both CB1-R and CB2-R mRNA, the levels of the former being much higher than those found in brain [7,9,10]. CB1-R activation is detrimental for mouse preimplantation development [10,12], but appears to accelerate trophoblast differentiation [13].The effect of anandamide through CB1-R and CB2-R depends on its concent...