The endocannabinoid system (ECS) is a complex network of receptors, molecules (called endocannabinoids), and enzymes found throughout the body — including the brain, spinal cord, and gut. Its main role is to help regulate different processes, such as mood, memory, learning, and the body’s response to stress.

The main receptors in the ECS are cannabinoid receptors, called CB1 and CB2. CB1 is predominantly located in the central nervous system, whilst CB2 is predominantly located in the immune system. These are activated by endocannabinoids produced by the human body. These are also the main receptors through which cannabinoids from the cannabis plant, phytocannabinoids, produce effects on the human body.
The ECS provides a regulatory function, helping to maintain balance within the body, known as homeostasis. Studies continue to explore how disruptions in the ECS and this regulation can contribute to certain conditions like chronic pain, anxiety, and depression.
Cannabidiol (CBD) is thought to affect the endocannabinoid system in a number of ways. One way is by helping the body’s own endocannabinoids last longer before they break down. Conversely, CBD can also reduce the effects of activators of the cannabinoid type 1 receptor, such as endocannabinoids.
Unlike THC (tetrahydrocannabinol), which attaches directly to CB1 and CB2 receptors, CBD’s effects mainly come from this indirect influence. Research into exactly how it works is ongoing.
Medical cannabis — sometimes referred to as cannabis-based medicinal products (CBMPs) — contains cannabinoids that primarily interact with the endocannabinoid system (ECS) in a similar way to the body’s own endocannabinoids. The two best-known are THC (tetrahydrocannabinol) and CBD (cannabidiol), which influence the ECS in different ways.
In addition to the ECS, cannabinoids from the cannabis plant also interact with a diverse range of other targets, such as serotonin receptors, peroxisome proliferator-activated receptors, and transient receptor potential vanilloid channels.
Due to the diverse role of the ECS and other targets, research suggests cannabinoids can play a role in regulating appetite, pain sensation, mood, and memory. Scientists are still studying exactly how these effects work and what they may mean for different health conditions.
Yes, all mammals have an endocannabinoid system, which helps regulate key functions across species, including humans.