Until now, scientists only had crystal structures of the human cannabinoid receptor, CB1 in its inactive, antagonist-bound form, but a new study has obtained crystal structures of CB1 in its active state. CB1 is the primary target of delta-9-tetrahydrocannabinol (THC), the psychoactive compound in cannabis. The findings highlight how cannabinoids trigger their effects and provide a framework for designing new medicines that act more selectively on this drug target.

To capture CB1 in its active state, Zhi-Jie Liu, of ShanghaiTech University in China, and colleagues engineered a CB1–flavodoxin fusion protein and crystallised it in a lipidic cubic phase with two synthetic agonists, AM11542 and AM841. These molecules mimic THC’s tricyclic ring system but carry longer alkyl chains and chemical substituents that lock the receptor in its switched-on form.

Ribbon diagram of the CB1 receptor with transmembrane helices labeled I–VIII. Superposition of the CB1–AM11542 and CB1–AM841 structures, with the surface outlined by an orange line

Source: © Tian Hua et al/Springer Nature Limited 2025

To facilitate CB1 crystallisation in its agonist-bound form the team designed two potent CB1 agonists, AM11542 and AM841, shown in yellow and pink, respectively

Relative to the antagonist-bound state, the two structures displayed significant structural rearrangements. The ligand-binding pocket contracts by 53% when bound to AM11542 and AM841, while helices I and II bend inward more than in any other G protein-coupled receptor structure solved to date. On the intracellular side, helix VI swings outward by 8Å, creating space for G-protein binding. Interestingly, a cholesterol molecule appears wedged between helices II, III and IV, a feature not observed in previously reported inactive-state structures. At the molecular level, activation relies on a newly observed ‘twin toggle switch’ – two aromatic residues that flip when agonists bind, providing the trigger for downstream signalling. Comparisons with other GPCRs suggest CB1 is remarkably flexible, explaining its ability to accommodate chemically diverse ligands.

These insights resolve long-standing structural questions about CB1 but also give direction to developing safer cannabinoid-based therapies for pain and neurological diseases.