TRPM8 is a cation channel activated by cold temperatures and the chemical stimuli menthol and icilin. Both compounds use different mechanisms of current activation; amino acid residues within the S2-S3 linker have been identified critical for current activation by icilin but not by menthol. Current decline in the course of menthol stimulation reflects Ca 2؉ -dependent desensitization attributed to phosphatidylinositol 4,5-bisphosphate depletion. Carboxyamide derivatives chemically resembling menthol have been described as activators of TRPM8 analogous to icilin. Our aim was a detailed analysis of whether differences exist between all these substances with respect to their activation and inactivation of currents. We studied wildtype TRPM8 as well as an s3-TRPM8 mutant with mutations in the S2-S3 linker region that could not be activated by icilin. Menthol and menthol derivatives behaved indistinguishable in evoking currents through both channels in a Ca 2؉ -independent manner as well as inducing Ca 2؉ -dependent desensitization. Icilin, in contrast, activated currents only in wild type TRPM8 and in the presence of Ca 2؉ . Moreover, it completely reversed currents induced by menthol, menthol derivatives, and cold temperatures in wild type TRPM8 and s3-TRPM8; this current inhibition was independent of Ca 2؉ . Finally, icilin suppressed current activation by the other agonists. None of the inhibiting effects of icilin occurred in the cation channel TRPA1 that is also stimulated by both menthol and icilin. Thus, icilin specifically inhibits TRPM8 independently of its interaction site within the S2-S3 linker through a process distinct from desensitization.The sensitivity to temperature is mediated by ion channels of the transient receptor potential (TRP) 2 superfamily. Until now, several temperature-sensitive TRP channels which belong to the TRPA (ankyrin), TRPM (melastatin), and TRPV (vanilloid) subfamilies have been described (1-10). A growing number of chemical agonists of natural and synthetic origin are also capable of stimulating these thermo-TRPs and, therefore, mediate the sensation of heat or cold (1,3,4,11).To date TRPM8 is one of the most intensively studied temperature-gated channels. Interestingly, TRPM8 is not only expressed in thermo-sensitive neurons; an enhanced expression has been demonstrated in several malignant tumors from tissues including breast, lung, colon, and prostate (12). These tissues encounter little temperature variations, suggesting that further currently unknown physiological activation mechanisms may exist. Under experimental conditions, TRPM8 is activated by various stimuli including voltage, cold temperatures (Ͻ28°C), and several chemical compounds that open the channel either alone or through a synergistic interaction (13-15). Most intensively studied are the effects of menthol, the natural cooling compound from the mint plant (11, 16), and the synthetic cooling agent icilin (17, 18). Interestingly, both these compounds stimulate human TRPA1 channels as well (8, 19 -21).There is e...