1. Capsaicin was postulated to exert its pharmacological actions by in
teracting at a specific recognition site (receptor) expressed predomin
antly by primary afferent neurons. 2. The actual existence of this lon
g-sought ''capsaicin-receptor'' has recently been demonstrated by the
specific binding of [H-3]resiniferatoxin (RTX), an ultrapotent capsaic
in analog with a unique spectra of actions. 3. Since homovanillic acid
is the key structural motif shared by capsaicin and RTX, their recogn
ition site appears to be best termed the vanilloid receptor. 4. Centra
l (sensory ganglia and spinal cord) vanilloid receptors of the rat bin
d RTX with high affinity in a cooperative fashion; moreover, they reco
gnize capsaicin with higher affinity than the competitive antagonist,
capsazepine. Peripheral (urinary bladder, urethra, airways, colon) van
iiloid receptors, by contrast, bind RTX with lower affinity in a nonco
operative manner. An opposite affinity for capsazepine relative to cap
saicin appears to distinguish vanilloid receptors in the urinary bladd
er from those present in the airways or colon. These findings imply he
terogeneity in the properties of vanilloid receptors. 5. The affinity
of [H-3]RTX binding in vitro is influenced by reducing agents, suggest
ing an in vivo modulatory role for endogenous reducing agents in vanil
loid receptor functions. 6. The size of central vanilloid receptors (2
70 kDa) as measured by radiation inactivation and the cooperative bind
ing both suggest a receptor cluster with cooperating subunits. 7. RTX
binds to vanilloid receptors with orders of magnitude higher affinity
than capsaicin; its ability to induce cooperative binding is also more
pronounced. These differences in receptor binding along with the phar
macokinetical differences in tissue equilibration and in plasma bindin
g may form a rational basis to explain the peculiar spectrum of action
s of RTX. 8. Guinea pig spinal cord and airway membranes bind RTX with
lower affinity than rat tissues. The receptor density is, however, hi
gher in the guinea pig in keeping with the marked sensitivity of this
species to vanilloid actions. 9. The apparently low level of specific
[H-3]RTX binding sites in the hamster and rabbit is in accord with the
resistance of these species to vanilloid actions. 10. In post-mortem
human spinal cord specific [H-3]RTX binding sites can be detected; the
ir binding parameters are similar to those determined in guinea pig sp
inal cord. 11. The vanilloid receptor appears to display both intraspe
cies heterogeneity and marked interspecies differences. 12. As yet, it
is not known whether the vanilloid receptor is operated by endogenous
ligands. It is not known either which receptor superfamily (if any) i
t belongs to. The [H-3]RTX binding assay has, however, the potential o
f answering these questions. Thus, rapid progress in our knowledge may
be anticipated.