The N-methyl-D-aspartate (NMDA) receptor is a principal subtype of glutamate receptor mediating fast excitatory transmission at synapses in the dorsal horn of the spinal cord and other regions of the central nervous system. NMDA receptors are crucial for the lasting enhancement of synaptic transmission that occurs both physiologically and in pathological conditions such as chronic pain. Over the past several years, evidence has accumulated indicating that the activity of NMDA receptors is regulated by the protein tyrosine kinase, Src. Recently it has been discovered that, by means of up-regulating NMDA receptor function, activation of Src mediates the induction of the lasting enhancement of excitatory transmission known as long-term potentiation in the CA1 region of the hippocampus. Also, Src has been found to amplify the up-regulation of NMDA receptor function that is produced by raising the intracellular concentration of sodium. Sodium concentration increases in neuronal dendrites during high levels of firing activity, which is precisely when Src becomes activated. Therefore, we propose that the boost in NMDA receptor function produced by the coincidence of activating Src and raising intracellular sodium may be important in physiological and pathophysiological enhancement of excitatory transmission in the dorsal horn of the spinal cord and elsewhere in the central nervous system. Appropriate modification of the transmission of information at synapses in the central nervous system (CNS) is essential for physiological processes such as development, learning, and memory. On the other hand, inappropriate alteration of synaptic transmission is a fundamental underpinning of various pathological conditions, including epilepsy and chronic pain. In the case of chronic pain, enhanced transmission in nociceptive pathways, i.e., pathways conveying pain-related information, is known from animal experiments to occur at various levels of the neuraxis including the dorsal horn of the spinal cord (1-3) and the trigeminal nucleus caudalis, the homologous region in the brainstem (4, 5). Synaptic transmission at fast excitatory synapses in the dorsal horn, as in most regions of the CNS, is mediated by glutamate receptors, and there is a growing body of evidence indicating that these receptors are crucial in conditions of enhanced nociceptive transmission (6-8). Activation of the N-methyl-D-aspartate (NMDA) subtype of glutamate receptor, in particular, appears critical for the initiation and maintenance of the enhanced responsiveness of dorsal horn nociceptive neurons that occurs in experimental pain models (4, 5, 9-11). The function of NMDA receptors, rather than being fixed at one level, is modulated over a wide range, and thus understanding the processes by which this modulation occurs has the potential to shed new light on our understanding of pathological alterations of synaptic transmission in chronic pain and other conditions in the CNS.Over the past several years, it has become apparent that a fundamental process f...