Prostaglandin D 2 (PGD 2 ) causes cough and levels are increased in asthma suggesting that it may contribute to symptoms. Although the prostaglandin D 2 receptor 2 (DP 2 ) is a target for numerous drug discovery programmes little is known about the actions of PGD 2 on sensory nerves and cough.We used human and guinea pig bioassays, in vivo electrophysiology and a guinea pig conscious cough model to assess the effect of prostaglandin D 2 receptor (DP 1 ), DP 2 and thromboxane receptor antagonism on PGD 2 responses.PGD 2 caused cough in a conscious guinea pig model and an increase in calcium in airway jugular ganglia. Using pharmacology and receptor-deficient mice we showed that the DP 1 receptor mediates sensory nerve activation in mouse, guinea pig and human vagal afferents. In vivo, PGD 2 and a DP 1 receptor agonist, but not a DP 2 receptor agonist, activated single airway C-fibres. Interestingly, activation of DP 2 inhibited sensory nerve firing to capsaicin in vitro and in vivo.The DP 1 receptor could be a therapeutic target for symptoms associated with asthma. Where endogenous PGD 2 levels are elevated, loss of DP 2 receptor-mediated inhibition of sensory nerves may lead to an increase in vagally associated symptoms and the potential for such adverse effects should be investigated in clinical studies with DP 2 antagonists. @ERSpublications Prostaglandin D 2 activates sensory nerves and evokes cough via DP 1 receptors