We have synthesized iodinated resiniferatoxin bearing a 4-hydroxy-5-iodo-3-methoxyphenylacetate ester (I-RTX) and have characterized its activity on rat and human TRPV1 (VR1) receptors, as well as in behavioral assays of nociception. In whole cell patch-clamp recordings from transfected cells the functional activity of I-RTX was determined. Currents activated by capsaicin exhibited characteristic outward rectification and were antagonized by capsazepine and I-RTX. On rat TRPV1 the affinity of I-RTX was 800-fold higher than that of capsazepine (IC 50 ϭ 0.7 and 562 nM, respectively) and 10-fold higher on rat versus human receptors (IC 50 ϭ 0.7 and 5.4 nM, respectively). The same difference was observed when comparing the inhibition of [ 3 H]RTX binding to rat and human TRPV1 membranes for both RTX and I-RTX. Additional pharmacological differences were revealed using protons as the stimulus. Under these conditions capsazepine only partly blocked currents through rat TRPV1 receptors (by 70 to 80% block), yet was a full antagonist on human receptors. In contrast, I-RTX completely blocked proton-induced currents in both species and that activated by noxious heat. I-RTX also blocked capsaicin-induced firing of C-fibers in a rat in vitro skin-nerve assay. Despite this activity and the high affinity of I-RTX for rat TRPV1, only capsazepine proved to be an effective antagonist of capsaicin-induced paw flinching in rats. Thus, although I-RTX has limited utility for in vivo behavioral studies it is a high-affinity TRPV1 receptor antagonist that will be useful to characterize the functional properties of cloned and native vanilloid receptor subtypes in vitro.The transient receptor potential TRPV1 vanilloid receptor (also known as VR1; see revised TRP channel nomenclature Montell et al., 2002) gates a nonselective cation channel that is expressed by sensory neurons and that can be activated by protons, heat, and capsaicin, the pungent ingredient of chili peppers (Caterina et al., 1997;Tominaga et al., 1998). Ligands acting at the TRPV1 vanilloid receptor subtype have the potential therapeutic utility to treat thermal hyperalgesia-related pain and some inflammatory conditions (for review, see Szallasi and Blumberg, 1999;Caterina and Julius, 2001). One of the first antagonists described for the capsaicin receptor was capsazepine (Bevan et al., 1992). This ligand has been used widely to explore the functional significance of TRPV1 receptors in pain. However it has relatively low micromolar affinity for TRPV1 receptors and because it also blocks voltage-gated calcium channels, this has made interpretation of functional data with this compound less straightforward (Docherty et al., 1997).To date, one of the highest affinity ligands reported for the TRPV1 receptor is the natural plant product resiniferatoxin (RTX), which was first isolated from Euphorbia resinifera (Szallasi and Blumberg, 1989). Interestingly, it has been shown recently that iodination of this agonist RTX confers antagonist-like properties to the ligand wit...