Bradykinin is the most potent endogenous inducer of acute pain. However, the way in which it excites nociceptive sensory nerve endings is still unclear. In an article recently published in the JCI, Liu et al. suggest a new mechanism via which bradykinin induces acute spontaneous pain. The authors report that the stimulation of B 2 bradykinin receptors by bradykinin triggers the release of intracellular calcium ions from nociceptive sensory neurons of rat dorsal root ganglia. This depolarizes the sensory nerve endings by simultaneously closing M-type potassium channels and opening TMEM16A chloride channels, resulting in the production of nociceptive signals. Here, we discuss the relationship between this effect and a previously described mechanism for pain sensitization and evaluate its potential significance for therapeutic pain control. A separate study by Patwardhan et al. in this issue of the JCI identifies oxidized linoleic acid metabolites as novel mediators of thermally induced pain.Bradykinin is the most potent endogenous pain-producing substance known (1, 2). It is a 9-amino acid peptide that is clipped off from a 110-kDa precursor plasma a-globulin termed kininogen by the serine protease kallikrein (Figure 1). Kallikrein is formed from an inactive precursor, prekallikrein. In damaged tissue, this conversion of prekallikrein to kallikrein is accelerated by clotting factor XII (also known as Hageman factor); this occurs, along with the formation of bradykinin, when the three generator proteins (Hageman factor, prekallikrein, and kininogen) come into contact with negatively charged cell surfaces such as those of endothelial cells (3). Once formed, bradykinin is quite rapidly inactivated in the plasma and lungs by peptidases called kininases, so its effects are largely confined to the tissues where it is formedi.e., it acts as a local inflammatory mediator and induces nocifensive responses.In the short term at least, the pain-inducing effects of bradykinin are produced by activation of a G protein-coupled receptor termed the B 2 receptor, though an additional receptor called the B 1 receptor may be induced during long-term inflammation. Two components of nocifensive action have been identified (1, 2) -a direct activation of sensory nerve endings and a sensitization of sensory nerves to other noxious and non-noxious stimuli (termed hyperalgesia and allodynia, respectively). The mechanism of bradykinin-induced hypersensitivity is now quite well understood (4): it is due to increased temperature sensitivity of the transient receptor potential cation channel, subfamily V, member 1 (TRPV1) in sensory axons (see A messenger for the pain induced by noxious heat?). These channels normally respond only to noxious heat (above 42°C), but, after exposure to bradykinin, they respond to much lower, ambient temperatures. (This would explain why, after a sunburn, a normally pleasant shower temperature becomes painful.) However, in spite of much previous work, a universally acceptable mechanism for the direct nociceptive ac...