In nociceptors TRPV1-mediated Na+ and Ca2 + fluxes propagate into mitochondria.
Mitochondrial MCU and NCLX propagate TRPV1 but not RyR-mediated Ca2 + transients.
Knockdown of the NCLX attenuates TRPV1-induced neuronal firing and cell death.
TRPV1/MCU/NCLX interactions are required for Ca2 +-dependent regulation of TRPV1.
Cross-talk between mitochondrial MCU/NCLX and TRPV1 is essential for nociception.