Heat transduction mechanisms in primary nociceptive afferents have been suggested to involve a vanilloid receptor channel with high calcium permeability. To characterize the changes in free cytosolic calcium evoked by noxious heat stimuli (less than or equal to 51 degreesC, 10 s). we performed microfluorometric measurements in acutely dissociated small dorsal root ganglion neurons (less than or equal to 32.5 mum) of adult mts using the dye FURA-2. Only neurons that responded with a reversible increase in intracellular calcium to high potassium were evaluated. Heat-induced calcium transients (exceeding mean t 3S.D. of the temperature dependence of the dye) were found in 66 of 105 neurons. These transients increased non-linearly with temperature. In contrast, heat-insensitive neurons showed a small linear increase of intracellular calcium throughout the range of 12-49 degreesC, similar to cardiac muscle cells. The vanilloid receptor agonist capsaicin induced calcium transients in 72 of 99 neurons. Capsaicin sensitivity and heat sensitivity were significantly associated (P < 0.001, <chi>(2)-test), but 16 of 34 heat-insensitive cells responded to capsaicin and four of 49 heat-sensitive cells were capsaicin insensitive. The competitive vanilloid receptor antagonist, capsazepine (10 muM) reversibly reduced the heat-induced calcium transients by 47 +/- 13%. In contrast, high potassium-induced calcium transients were nor, affected by pre-incubation with capsazepine. in calcium-free extracellular solution, the heat-induced rise in intracellular calcium was reduced by 76 +/- 5%. Heat-induced calcium transients were also reversibly reduced by 75 +/- 6% in sodium-free solution and by 62 +/- 7% with the L-type calcium channel blocker nifedipine (5 muM). These results indicate that noxious heat rapidly increases intracellular calcium in nociceptive primary sensory neurons. Heat-sensitive vanilloid receptors are involved in the induction of calcium transients, and calcium is also released from intracellular stores, but the main fraction of calcium passes through voltage-operated calcium channels. (C) 2001 IBRO. Published by Elsevier Science Ltd. All-rights reserved.