Cannabis is now legal for medicinal use or recreational use in many U.S. states and in Canada. Many people are using cannabis (marijuana) for a variety of reasons – from enjoyment to pain management to the side effects of chemotherapy.
This article digs into the science of how cannabis affects your body and how your genes influence your reaction to cannabis.
Your body has an endocannabinoid system which involves your own naturally produced molecules that bind to the same receptors as the psychoactive component in cannabis. It’s pretty cool stuff!
The two cannabinoid receptor genes in the body were first sequenced in the early 1990s. The receptors, called CB1 and CB2, have different roles in the body.
The CB1 receptor is a G protein-coupled receptor that is mainly expressed in the central nervous system.
It is a receptor that is found on the axons and terminals of neurons and glial cells in the brain, with high levels in the amygdala, prefrontal cortex, and hippocampus.[study] [study] CB1 receptors are also found on the spinal cord, as well as in other cells such as pituitary, thyroid, liver, intestinal, and fat cells.
It is thought that one role of the CB1 receptors in neurons is to “modulate neurotransmitter release in a manner that maintains homeostasis in health and disease by preventing the development of excessive neuronal activity in the central nervous system”.[study]
Basically, the release of endocannabinoids, which bind to the CB1 receptors, keeps the excitatory and the inhibitory neurotransmitters in check.[study]
The CB1 receptor is also involved in processes that regulate food intake and is often studied for its role in obesity.[study] (Yes, there is a reason why marijuana gives people the munchies…)
The CB2 receptor is found mainly in immune cells as well as in some neurons. CB2 receptors have been studied in a variety of pathologic conditions including:
CB2 receptors are found in the T- and B-lymphocytes of the immune system, the central nervous system, the peripheral nervous system, and in the gastrointestinal tract.[study] Activation of the CB2 receptors moderates the release of cytokines from immune cells.
Our body produces several different endogenous cannabinoids that are derived from fatty acids that bind to the CB1 and CB2 receptors. The fatty acids that are used by the body when synthesizing the endocannabinoids include arachidonic acid, palmitic acid, and oleic acid.
Anandamide (AEA) is made in the body from arachidonic acid, and it is degraded by the fatty acid amide hydrolase (FAAH) enzyme.
Anandamide binds to both the CB1 and CB2 receptors and plays a role in reward, pleasure, and pain relief as well as feeding behavior. It is the ‘bliss’ molecule.
When there is less of the FAAH enzyme around, anandamide is degraded more slowly. This leads to more of the bliss molecule.
THC, Δ9-tetrahydrocannabinol, activates both CB1 and CB2 receptors and is the psychoactive component that makes a person feel high. It has been shown to be a partial agonist to the CB1 receptor. It is thought that it may increase dopamine and acetylcholine in the brain. [study]
Cannabidiol (CBD oil) is still being studied to determine its mechanism of action. While it does not bind to the CB1 or CB2 receptors, it does seem to influence other substances being able to bind to the receptors.[study]
All of the effects of cannabis, both good and bad, point to or exaggerate the endogenous reasons for the endocannabinoids. For example:
While there seems to be a lot of information available touting the promising medicinal effects of cannabis, such as reduction in nausea for cancer patients, there are some serious considerations in recreational use.
Other possible side effects:
rs806368 – The C allele has been tied in several studies to increased risk of alcohol dependence and substance abuse. [study] [study] [study] It has also been associated with obesity in some populations. [study] [study] Additionally, the C allele has been tied to an increased risk of cannabis dependence. [study] More susceptible to stress-induced migraines with nausea [study]
Check your genetic data for rs806368 (23andMe v.4 and v.5; AncestryDNA):
Check your genetic data for rs806380 (23andMe v.4 only):
Check your genetic data for rs1049353 (23andMev.4 and v.5; AncestryDNA):
Check your genetic data for rs1406977 (23andMe v.4 only; AncestryDNA):
The CB2 receptors are prevalent in the immune system.
CNR2 Q63R (rs2501432) [study] The T allele increases CB2 receptor response. [study] Those with a T allele were half as likely to develop severe complications from RSV. [study] Those with the T allele were at a lower risk for schizophrenia.[study]
Check your genetic data for rs2501432 (23andMe v.4 ; AncestryDNA):
FAAH breaks down the endocannabinoid anandamide, thus stopping the action of this ‘bliss molecule’.[study] Currently, inhibitors of FAAH are being developed and studied for their role in treating pain and inflammation.[study]
Check your genetic data for rs324420 (23andMe v.4 and v.5; AncestryDNA):
Check your genetic data for rs4141964 (23andMe v4, v5; AncestryDNA):
The ABCB1 gene is involved in transporting toxins (including drugs) out of the cell. The rs1045642 variant changes how fast certain drugs are expelled out of a cell. The G allele expels drugs faster while the A allele causes a drug to stay in a cell longer.
In a study done on heavy cannabis users, those with A allele for rs1045642 had lower plasma levels of cannabis [study] Another study showed that those with the G/G genotype were at a significantly greater risk for cannabis dependence [study]
Check your genetic data for rs1045642 (23andMe v.4 only)
TCN2 (B12 transport gene):
While this gene doesn’t have much to do with cannabis, per se, there is an interesting study tying maternal B12 levels during pregnancy with adolescent substance abuse, including cannabis use. The study found that estimated higher B12 (meat consumption) by mom while pregnant correlated with a lower risk of substance abuse in teenage offspring. This was stratified by mom’s TCN2 genetic variant, rs1801198. [study] The G allele is linked to lower plasma B12 levels. [study]
Cacao: Chocolate contains a substance that inhibits FAAH, thus increasing our natural endocannabinoid anandamide.[study] From powdered cacao as a new party drug to getting a little happy eating cacao nibs, some people may increase their anandamide levels from the cacao bean.
Sleep: Circadian rhythms modulate the endocannabinoids, so good sleep on a regular schedule as well as blocking blue light in the evening may impact our natural production of endocannabinoids. The lowest levels of 2-AG naturally occur in the middle of the night, increase in the morning and peak in the early afternoon.[study]
Substance Abuse: If you or someone you know is struggling with substance abuse, please seek help. Visit http://drughelpline.org/.