Federal update: DOJ partially rescheduled medical cannabis to Schedule III (April 28, 2026 final order). State-licensed medical operators may apply for expedited DEA registration through June 27, 2026; DEA hearing on full rescheduling set for June 29, 2026.

CB1 receptor

CB1 receptors highlighted in the brain and central nervous system

CB1 (gene CNR1, chromosome 6q15) is the most abundant G protein-coupled receptor in the mammalian central nervous system, with especially high density in the basal ganglia, cerebellum, hippocampus, and cortical regions — an anatomical distribution that maps closely onto the motor, mnemonic, and affective effects of Δ⁹-THC. CB1 couples primarily to Gi/o proteins, inhibiting adenylyl cyclase, closing N- and P/Q-type voltage-gated calcium channels, and opening inwardly rectifying potassium channels. Localization is typically presynaptic, where CB1 activation suppresses neurotransmitter release — the molecular basis of retrograde endocannabinoid signaling (Wilson & Nicoll, 2002, Science 296:678). CB1 also exists peripherally, including in adipocytes, hepatocytes, and the GI tract. CB1 antagonism was clinically validated for weight loss by rimonabant, withdrawn in 2008 due to psychiatric adverse effects. → See also: CB2 receptor, THC, Retrograde signaling, Allosteric modulation.