Background: Proteases cleave protease-activated receptor-2 (PAR 2 ), which activates transient receptor potential (TRP) ion channels to cause inflammation and pain. Results: Neutrophil elastase cleaves PAR 2 , resulting in G␣ s -mediated cAMP formation, transient receptor potential vanilloid 4 (TRPV4) activation, and sensitization of nociceptive neurons, inflammation, and pain. Conclusion: Elastase causes PAR 2 -and TRPV4-mediated inflammation and pain. Significance: PARs and TRP channels mediate responses to diverse proteases.