ABSTRACT:On the basis of the ability of capsaicin to activate the transient receptor potential vanilloid 1 receptor (TRPV1) expressed in nociceptive sensory neurons, topical and injectable high-concentration formulations are being developed as potential treatments for various pain syndromes. As much of the published literature on capsaicin is based on pepper extracts, which are typically a mixture of capsaicin and other capsaicinoids (including norhydrocapsaicin, dihydrocapsaicin, homocapsaicin and homodihydrocapsaicin), the purpose of this investigation was to study the in vitro metabolism of pure capsaicin. The metabolism of capsaicin was similar in human, rat, and dog microsomes and S9 fractions.In these assays, three major metabolites were detected and identified as 16-hydroxycapsaicin, 17-hydroxycapsaicin, and 16,17-dehydrocapsaicin. In addition to these three metabolites, rat microsomes and S9 fractions also produced vanillylamine and vanillin. Biotransformation of capsaicin was slow in human skin in vitro, with the majority of the applied capsaicin remaining unchanged and a small fraction being metabolized to vanillylamine and vanillic acid. These data suggest that the metabolism of capsaicin by cytochrome P450 enzymes in skin is minimal, relative to hepatic metabolism.Capsaicin is the most abundant pungent molecule produced by pepper plants and thereby represents an important ingredient in spicy foods consumed throughout the world. The capsaicin content of peppers ranges from 0.1 to 2.5 mg/g (Parrish, 1996), and the resulting average human capsaicin consumption is on the order of 0.5 to 4 mg/kg/day (EC Scientific Committee on Food, 2002, http://ec.europa.eu/food/fs/sc/scf/out120_en.pdf). In addition to its extensive role as a food additive, there is also substantial human exposure to capsaicin in the form of nonprescription (in the United States) or prescription (in the European Union) topical analgesics, self-defense products (e.g., pepper spray), and oral herbal supplements.Capsaicin is a highly selective agonist for the TRPV1 [formerly known as the vanilloid receptor 1 (VR1)]. TRPV1 is a ligand-gated, nonselective cation channel preferentially expressed on small-diameter sensory neurons, especially those nociceptors that specialize in the detection of painful or noxious sensations (C-fibers and to a lesser extent A␦-fibers) (Caterina et al., 1997;Szallasi and Blumberg, 1999). The initial effect of capsaicin is the activation of TRPV1-expressing nociceptors, resulting in a burning sensation, hyperalgesia, allodynia, and erythema (Szallasi and Blumberg, 1999); these events are followed by a reversible defunctionalization of nociceptive sensory axons (Bley, 2004). Defunctionalization of hyperactive nociceptors is thought to underlie the pain relief that follows topical application or intra-articular injections of capsaicin (Bley, 2004).Much of the published literature on capsaicin relates to extracts of capsaicin derived from peppers; these extracts are typically a mixture of capsaicin, norhydrocapsaicin...