D 9 -Tetrahydrocannabinol (the active ingredient of marijuana), as well as endogenous and synthetic cannabinoids, exert many biological functions by activating two types of cannabinoid receptors, CB 1 receptors (expressed by central and peripheral neurons) and CB 2 receptors (that occur mainly in immune cells). Convincing evidence has accumulated in recent years that cannabinoids inhibit gastric and intestinal motility through activation of enteric CB 1 receptors. However, a report in this issue of British Journal of Pharmacology has highlighted the possibility that CB 2 receptors in the rat intestine could contribute to reducing the increase of intestinal motility induced by an endotoxic inflammation. By minimizing the adverse psychotropic effects associated with brain cannabinoid receptors, the CB 2 receptor represents a new molecular target for the treatment of motility disorders associated with intestinal inflammation. Botanical preparations of Cannabis sativa (Indian hemp) have been widely used in the past to treat a variety of disorders including those affecting the digestive tract. In 1964, D 9 -tetrahydrocannabinol (D 9 -THC) was isolated, and was later shown to be responsible for many of the pharmacological actions of Cannabis preparations. The understanding of the mechanism by which marijuana exerts its pharmacological actions has seen considerable progress following the discovery in the early 1990s of specific membrane, G-protein-coupled receptors for D 9 -THC, namely CB 1 receptors, expressed by central and peripheral nerves (including the enteric nervous system), and CB 2 receptors, which occur mainly in immune cells. The discovery of these receptors has led to the demonstration that there are endogenous agonists for these receptors. The best known are anandamide, 2-arachidonylglycerol (2-AG) (nonselective cannabinoid receptor agonists), noladin ether (CB 1 receptor agonist) and virodhamine (CB 1 receptor antagonist/CB 2 receptor agonist). When released, anandamide and 2-AG are removed from extracellular compartments by a carrier-mediated reuptake process, and once within the cell, both endocannabinoids are hydrolyzed by the enzyme fatty acid amide hydrolase (also named anandamide amidohydrolase). In addition to the two cannabinoid receptors, anandamide and 2-AG (both detected in the gut) can also activate vanilloid receptors, the molecular target for the pungent plant compound capsaicin (for a review, see De Petrocellis et al., 2004). Several recent, independent investigations provide compelling evidence that cannabinoids reduce gastrointestinal motility through activation of enteric CB 1 receptors. Cannabinoid receptor agonists affect motility of isolated intestinal segments in a manner that resembles the neuromodulatory response to prejunctional m-opioid receptor or a 2 -adrenoceptor activation of cholinergic, postganglionic parasympathetic neurones. Thus, a number of cannabinoid receptor agonists (via CB 1 activation) have been shown to reduce or inhibit excitatory transmission, neural acetylcho...