We describe the synthesis and characterization of N-(4-chlorobenzyl) -NЈ-(4-hydroxy-3-iodo-5-methoxybenzyl)thiourea (IBTU), a novel antagonist of the vanilloid receptor 1 (TRPV1 or VR1). IBTU competitively inhibited 45 Ca 2ϩ uptake into CHO cells heterologously expressing rat TRPV1, whether induced by capsaicin or resiniferatoxin (K i ϭ 99 Ϯ 23 and 93 Ϯ 34 nM, respectively). IBTU was thus somewhat more potent (5-fold) than capsazepine. In contrast to its antagonism of vanilloid-induced calcium uptake, IBTU (30 M) inhibited [ 3 H]resiniferatoxin binding to TRPV1 by less than 10%. We hypothesize that these dramatically distinct potencies reflect different fractions of TRPV1 in this system: namely, a minor plasma membrane fraction controlling 45 Ca 2ϩ uptake, and the predominant intracellular fraction that dominates the [ 3 H]resiniferatoxin binding measurements. Intracellular Ca 2ϩ imaging supports this explanation.IBTU antagonized the elevation in intracellular Ca 2ϩ in response to 50 nM capsaicin with an IC 50 of 106 Ϯ 35 nM. Likewise, 600 nM IBTU was able to antagonize the elevation in intracellular Ca 2ϩ in response to 100 pM resiniferatoxin in the presence of normal (1.8 mM) extracellular Ca 2ϩ , where the increase in intracellular calcium reflects calcium influx. In contrast, in the absence of extracellular Ca 2ϩ , where in this system resiniferatoxin induces a modest increase in calcium from intracellular stores, IBTU was unable to block the response to resiniferatoxin, although the TRPV1 antagonist 5-iodoresiniferatoxin was able to do so. In summary, IBTU is a novel, potent TRPV1 antagonist with marked selectivity between subpopulations of TRPV1 and may permit the function of these distinct pools to be explored and potentially exploited.The vanilloid receptor TRPV1 is a polymodal integrator of noxious stimuli (Caterina et al., 1997), including low pH, heat, and ligands such as capsaicin, the pungent constituent in red pepper. Because of its function as a nociceptor, TRPV1 has attracted much attention as a novel, potential therapeutic target for the treatment of pain and other conditions involving C fiber sensory neurons (Kress and Zeilhofer, 1999;Caterina and Julius, 2001). Such applications include bladder hyperreflexia, detrusor instability, postmastectomy pain, mucositis, interstitial cystitis, pharyngitis, pancreatitis, enteritis, cellulitis, postherpetic neuralgia, peripheral neuropathy, arthritis, and bony fractures (Robbins, 2000).The characterization of novel natural products, such as resiniferatoxin, an ultrapotent TRPV1 agonist, and the emerging wealth of synthetic capsaicin analogs are driving a rapidly developing appreciation of the complexities of vanilloid pharmacology. Two general strategies for therapeutic intervention have received much attention. First, activation of TRPV1 by agonists is followed by desensitization/defunctionalization. As illustrated for resiniferatoxin or for olvanil, the acute response of pungency and the chronic response of desensitization/defunctionalization...