Mesenchyme homeobox protein 2 (MEOX2) is a transcription factor involved in mesoderm differentiation, including development of bones, muscles, vasculature and dermatomes. We have previously identified dysregulation of MEOX2 in fibroblasts from Congenital Insensitivity to Pain patients, and confirmed that btn, the Drosophila homologue of MEOX2, plays a role in nocifensive responses to noxious heat stimuli. To determine the importance of MEOX2 in the mammalian peripheral nervous system, we used a Meox2 heterozygous (Meox2 +/À ) mouse model to characterise its function in the sensory nervous system, and more specifically, in nociception. MEOX2 is expressed in the mouse dorsal root ganglia (DRG) and spinal cord, and localises in the nuclei of a subset of sensory neurons. Functional studies of the mouse model, including behavioural, cellular and electrophysiological analyses, showed altered nociception encompassing impaired action potential initiation upon depolarisation. Mechanistically, we noted decreased expression of Scn9a and Scn11a genes encoding Na v 1.7 Abbreviations Actn3, gene, Actinin alpha 3; Ampd1-gene, adenosine monophosphate deaminase 1; AP, action potential; Bcl9l-gene, b-catenin transcriptional co-activator with BCL9,; Btn, gene, Buttonless; CACNA1S-gene, calcium voltage channel subunit alpha 1S; Calca-gene, calcitonin-related polypeptide alpha; CGRP, calcitonin gene-related peptide; CIP, congenital insensitivity to pain; DAPI, 4 0 ,