A response to environmental stress is critical to alleviate cellular injury and maintain cellular homeostasis. Eukaryotic initiation factor 2 (eIF2) is a key integrator of cellular stress responses and an important regulator of mRNA translation. Diverse stress signals lead to the phosphorylation of the α subunit of eIF2 (Ser51), resulting in inhibition of global protein synthesis while promoting expression of proteins that mediate cell adaptation to stress. Here we report that eIF2α is instrumental in the control of noxious heat sensation. Mice with decreased eIF2α phosphorylation (eIF2α) exhibit reduced responses to noxious heat. Pharmacological attenuation of eIF2α phosphorylation decreases thermal, but not mechanical, pain sensitivity, whereas increasing eIF2α phosphorylation has the opposite effect on thermal nociception. The impact of eIF2α phosphorylation (p-eIF2α) on thermal thresholds is dependent on the transient receptor potential vanilloid 1. Moreover, we show that induction of eIF2α phosphorylation in primary sensory neurons in a chronic inflammation pain model contributes to thermal hypersensitivity. Our results demonstrate that the cellular stress response pathway, mediated via p-eIF2α, represents a mechanism that could be used to alleviate pathological heat sensation.pain | eIF2α | cellular stress response pathway | TRPV1 R esponse to stress is a major cellular function involved in many physiological and pathological conditions. Cells respond to various forms of stress by activating specific molecular cascades that orchestrate antistress responses or induce apoptosis (1). A key effector of cellular stress responses is the eukaryotic initiation factor 2 (eIF2) (2). Phosphorylation of eIF2 causes a reduction in global translation, allowing cells to conserve energy and modify gene expression to effectively manage stress conditions. Diverse stress signals converge onto eIF2 to integrate stress responses through phosphorylation of the α subunit of eIF2.eIF2 binds GTP and the initiator methionyl-tRNA (Met-tRNA i ) to form the ternary complex (eIF2-GTP-Met-tRNA i ). The ternary complex binds the small ribosomal subunit to form the ribosomal preinitiation complex, which scans the 5′UTR of the mRNA for the start codon to initiate mRNA translation (3). On engagement of the initiation codon, GTP is hydrolyzed to GDP (4). The recycling of inactive GDP-bound eIF2 to the active GTP-bound form is catalyzed by the guanine nucleotide exchange factor, eIF2B. Phosphorylation of the α subunit of eIF2 at serine 51 converts eIF2 from a substrate to a competitive inhibitor of eIF2B (4). Because the amount of eIF2B is lower than eIF2, phosphorylation of a small fraction of the eIF2 in the cell is sufficient to strongly inhibit eIF2B activity and translation initiation. eIF2α is phosphorylated by four eIF2α kinases, each activated in a different stress condition (5-7). PKR (double-stranded RNA-dependent protein kinase) is activated by double-stranded RNA during viral infection; PERK (PKR-like ER kinase) by endoplasmic ret...