PEA operates through multiple pathways and mechanisms within the body to provide its beneficial effects:
Directly
PEA reduces inflammation locally by binding on to PPAR-a receptors and inhibiting secretion of pro-inflammatory signalling molecules.
PEA enhances the levels and actions of other compounds that are anti-inflammatory and provide pain relief (
1,
2). This mechanism is known as the 'entourage effect'. PEA has a naturally low affinity for CB1 and CB2 receptors and only activates transient receptor potential vanilloid type-1 (TRPV1) channels when at very high concentrations in the body. TRPV1 channels are found on the outside of nerve cells and play a part in pain and temperature regulation (
3).
Indirectly
To exert its beneficial effects. PEA can enhance the levels and actions of another endocannabinoid, anandamide, which is often dubbed as the 'bliss' molecule or the body's own natural THC (the compound in cannabis that has psychoactive effects and produces a 'high'). Anandamide has a profound analgesic response, before the pain signal even arrives at the spinal cord. The mode of action that PEA acts upon is by inhibiting the enzyme that degrades this molecule - Fatty Acid Amide Hydrolaze (FAAH). Anandamide act upon CB1 and CB2 receptors and TRPV1 channels, helping to combat pain and increase relaxation (
4,
5,
6).