Role of the Endocannabinoid System in Alcohol-Related Behaviors

Alcoholism is a psychiatric disorder characterized by impaired control over drinking, leading to tolerance, physical dependence, uncontrollable craving and relapse. The mechanism/s underlying this disorder is poorly understood at present. Ethanol (alcohol) effects are mediated through several signal transduction pathways involving many neurotransmitters and ion channels in various brain regions. There is a growing body of evidence now suggesting a critical role for the endocannabinoid (EC) system in alcohol-related behaviors. The EC system is comprised of endogenous cannabimimetic substances (endocannabinoids) and their receptors (cannabinoid (CB)) and the enzymes involved in the synthesis and degradation of the ECs. Recent studies have demonstrated that both the genetic and pharmacological manipulation of the EC system modulate the development of tolerance to and dependence on alcohol. The present article provides a review of the existing literature on the role of the EC system, and possible mechanisms and the therapeutic potential of the drugs targeted against this system in preventing alcohol addiction.