Cold/menthol-activated TRPM8 (transient receptor potential channel melastatin member 8) is primarily expressed in sensory neurons, where it constitutes the principal receptor of environmental innocuous cold. TRPM8 has been shown to be regulated by multiple influences such as phosphorylation, pH, Ca 2؉ , and lipid messengers. One such messenger is arachidonic acid (AA), which has been shown to inhibit TRPM8 channel activity. However, the physiological pathways mediating the inhibitory effect of AA on TRPM8 still remain unknown. Here, we demonstrate that TRPM8 is regulated via M3 muscarinic acetylcholine receptor-coupled signaling cascade based on the activation of cytosolic phospholipase A2 (cPLA2) and cPLA2-catalyzed derivation of AA. Stimulation of M3 receptors heterologously co-expressed with TRPM8 in HEK-293 cells by nonselective muscarinic agonist, oxotremorine methiodide (Oxo-M), caused inhibition of TRPM8-mediated membrane current, which could be mimicked by AA and antagonized by pharmacological or siRNA-mediated cPLA2 silencing. Our results demonstrate the intracellular functional link between M3 receptor and TRPM8 channel via cPLA2/AA and suggest a novel physiological mechanism of arachidonate-mediated regulation of TRPM8 channel activity through muscarinic receptors. We also summarize the existing TRPM8 regulations and discuss their physiological and pathological significance.The members of the transient receptor potential (TRP) 5 superfamily of cationic channels display extraordinary diverse activation mechanisms and participate in the plethora of physiological and pathological processes (1), which made them the focus of intense research over the last decades. A number of TRPs, dubbed thermo-TRPs, from TRPV (vanilloid), TRPM (melastatin), and TRPA (ankyrin) subfamilies can be activated by various ambient temperatures ranging from noxious cold to noxious heat. They also respond to the chemical imitators of temperatures of various modalities and to the number of chemical and environmental irritants (2). Among them, TRPM8, which is activated by innocuous cold (Ͻ25°C) (3) and a well known cooling agent, peppermint oil component, menthol, represents a cold receptor. Except for the innocuous cold and menthol, TRPM8 can also be activated by some other cooling agents such as icilin and eucalyptol as well as by noncooling compounds hydroxy-citronellal, geraniol, and linalool (4). It has been shown that the mechanism of TRPM8 activation by cold and menthol involves negative shift in the voltage-dependent opening of the channel from very positive unphysiological membrane potentials toward physiological values (5, 6).Despite being proven as the principal detector of environmental cold (7-9), TRPM8 expression is by far not limited to the subset of cold-sensitive dorsal root ganglion and trigeminal sensory neurons in which it functions as cold-activated receptor channel. In fact, sizable TRPM8 expression was found in prostate (10), sperm (11), some epithelial (12, 13), and smooth muscle (14) cells as well as in canc...