bTo test the hypothesis that ablation of transient receptor potential vanilloid type 1 (TRPV1) channels leads to exacerbated inflammatory responses and organ damage during endotoxic shock, lipopolysaccharide (LPS; 5 million endotoxin units/kg of body weight) was injected intraperitoneally (i.p.) into wild-type (WT) and TRPV1-null mutant (TRPV1 ؊/؊ ) mice. Mean arterial pressure and heart rate, determined by radiotelemetry, were severely depressed after LPS injection into WT and TRPV1 ؊/؊ mice, with no distinction between the two strains. At 24 h after LPS injection, renal glomerular hypercellularity and hepatocellular injury were observed in both strains, accompanying further elevated serum levels of creatinine and alanine aminotransferase in T he transient receptor potential vanilloid type 1 (TRPV1) channel, also known as vanilloid receptor type 1, is a ligand-gated nonselective ion channel (1). It functions as a molecular transducer to integrate multiple physical and chemical stimuli, including noxious heat, low pH, exogenous and endogenous vanilloid compounds, and lipid metabolites (2, 3). Immunohistochemical labeling studies have shown that, in addition to the central nervous system, TRPV1 resides predominantly in unmyelinated C fibers and thinly myelinated A␦-afferent nerve fibers innervating the cardiovascular tissues, including the heart, blood vessel, and kidney (2). In addition to a function as afferent nerves sending information to the central nervous system, sensory nerves possess an efferent function by releasing a number of sensory neurotransmitters, commonly substance P and calcitonin gene-related peptide (CGRP) (2).Endotoxic shock is caused mainly by an exaggerated systemic response to endotoxemia induced by Gram-negative bacteria and their characteristic cell wall component, lipopolysaccharide (LPS) (4). It is characterized by refractory hypotension, multiple organ failure, and high mortality (5). In addition to hypotension, abnormalities in renal, hepatic, pulmonary, and hematologic systems are common in the course of endotoxic shock. The development of multiple organ failure contributes to mortality associated with endotoxic shock (6). Beyond refractory hypotension, excessive inflammatory responses are believed to result in tissue and cellular injury during endotoxic shock. Inflammation-induced tissue damage may be attributed as a main cause of multiple organ failure and mortality in the course of endotoxic shock.Increased production of an endocannabinoid, anandamide, by macrophages has been reported to contribute to endotoxin-induced hypotension (7,8). Recently, evidence has shown that TRPV1 can be activated by anandamide, suggesting that TRPV1 may be involved in the pathogenesis of endotoxic shock (3, 9).Activation of TRPV1 expressed in sensory nerves may cause release of a number of sensory neuropeptides, including CGRP and substance P, which are potent vasodilators in various vascular beds (2). These studies suggest that activation of TRPV1 during endotoxic shock may contribute to decreased...