Pharmacology

Gut Microbiome

The community of microorganisms inhabiting the GI tract. The ECS interacts bidirectionally with the gut microbiome, and cannabinoids may modulate gut microbial composition.

In Depth

The gut-brain axis involves bidirectional communication between the gut microbiome, enteric nervous system, and CNS — with the ECS as a key mediator. CB1 and CB2 receptors in the gut regulate intestinal permeability, motility, and immune function. Preclinical studies show THC and CBD alter gut microbiome composition, potentially reducing gut permeability ("leaky gut") and inflammation. The microbiome also metabolizes cannabinoids, affecting their bioavailability. This emerging field may explain some of cannabis's systemic effects.

Further Reading