Proposed model for the stress induction of cannabinoid type 1 (CB1) receptor-mediated
adaptation, associated with the emotional regulation exerted by the endocannabinoid
system (ECS). Among the plethora of neurotransmitters implicated in processing of
emotions, glutamatergic (left) and GABAergic (right) systems play a central role in
the regulation of anxiety. (A), Under basal conditions, the equilibrium between
excitatory and inhibitory transmission provides an appropriate emotional reactivity.
(B), Stressful experiences are characterized by enhancement of the glutamatergic tone,
which leads to an unbalance between excitatory and inhibitory transmission. (C), The
CB1 receptors on GABAergic terminals represents a dynamic element of the ECS that can
be expressed at a higher or lower level, depending on the characteristics of the
stimuli. The overexcitation induced by stressful stimuli triggers CB1 receptor
downregulation exclusively on GABAergic terminals, which eventually modifies the
balance between GABAergic and glutamatergic CB1 receptor activation by
endocannabinoids. (D), This long-lasting CB1 receptor downregulation on GABAergic
terminals leads to a persistent increase in the strength of GABAergic inhibition of
the glutamatergic transmission. This model represents a precise buffer system for the
homeostasis of emotions.