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Glossary

CB2 receptor

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The cannabinoid receptor concentrated peripherally on immune cells; mediates inflammatory and immune-modulatory effects.

The cannabinoid receptor type 2 (CB2) is a G-protein-coupled receptor expressed predominantly on cells of the immune system — B-lymphocytes, T-cells, macrophages, microglia in the CNS — and at lower density in some peripheral tissues. CB2 mediates immune-modulatory and anti-inflammatory effects of cannabinoids without producing the psychoactive effects associated with CB1.

CB2 is the structural reason some cannabinoid effects are anti-inflammatory rather than purely analgesic, and it is a target of research interest for inflammatory bowel disease, neurodegeneration, and chronic-inflammatory pain conditions.

The terpene **beta-caryophyllene** is unusual in being a selective CB2 agonist — one mechanism by which terpene profiles may modulate cannabinoid effects beyond the cannabinoid content itself. Synthetic CB2-selective compounds are in clinical development; in current SA Section 21 prescribing, the relevance of CB2 is mostly through the broader full-spectrum cannabinoid–terpene profile of prescribed products.

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