The capsaicin receptor transient receptor potential cation channel vanilloid 1 (TRPV1) is activated by various noxious stimuli, and the stimuli are converted into electrical signals in primary sensory neurons. It is believed that cation influx through TRPV1 causes depolarization, leading to the activation of voltage-gated sodium channels, followed by the generation of action potential. Here we report that the capsaicin-evoked action potential could be induced by two components: a cation influx-mediated depolarization caused by TRPV1 activation and a subsequent anion efflux-mediated depolarization via activation of anoctamin 1 (ANO1), a calcium-activated chloride channel, resulting from the entry of calcium through TRPV1. The interaction between TRPV1 and ANO1 is based on their physical binding. Capsaicin activated the chloride currents in an extracellular calcium-dependent manner in HEK293T cells expressing TRPV1 and ANO1. Similarly, in mouse dorsal root ganglion neurons, capsaicinactivated inward currents were inhibited significantly by a specific ANO1 antagonist, T16Ainh-A01 (A01), in the presence of a high concentration of EGTA but not in the presence of BAPTA [1,2-bis (o-aminophenoxy)ethane-N,N,N′,N′-tetraacetic acid]. The generation of a capsaicin-evoked action potential also was inhibited by A01. Furthermore, pain-related behaviors in mice treated with capsaicin, but not with αβ-methylene ATP, were reduced significantly by the concomitant administration of A01. These results indicate that TRPV1-ANO1 interaction is a significant pain-enhancing mechanism in the peripheral nervous system. pain perception | primary sensory neuron | anoctamin 1 | TRPV1 W hen calcium ions enter cells through ion channels or transporters, they can initiate a variety of reactions, either as free calcium ions or after their binding by specific calcium-binding proteins (1). One such important reaction is the activation of calcium-binding proteins by calcium nanodomains of the calcium pathways (2). In this regard, some transient receptor potential (TRP) channels have high calcium permeability (3), and it is likely that they activate calcium-binding proteins in the cytosol or plasma membrane. Indeed, TRP vanilloid 4 (TRPV4), a thermosensitive TRP channel (reportedly an osmo-or mechano-sensor) (4-8) and anoctamin 1 (ANO1; a calcium-activated chloride channel) (9-11) function as a complex in epithelial cells of the choroid plexus (12). Upon entering choroid plexus epithelial cells, calcium activates ANO1, leading to chloride efflux. Although the interaction between TRP channels and anoctamins could work in a variety of ways (12), the direction of chloride movement is determined simply by the relationship between chloride equilibrium potentials and membrane potentials, depending on the intracellular chloride concentrations (13). This concept prompted us to pursue other interactions between TRP channels and anoctamins. We focused on primary sensory neurons because activation of chloride channels in sensory neurons causes chloride efflux a...