2021 · Medicine

How your body turns heat and a touch into a nerve signal

Awarded to David Julius and Ardem Patapoutian “for their discoveries of receptors for temperature and touch”.

What was the 2021 Nobel Prize in Medicine awarded for?

The 2021 Medicine prize honours the discovery of the tiny channels in your nerve endings that sense temperature and touch. David Julius used capsaicin, the burn of chili, to find TRPV1, a channel that opens when things get painfully hot. Ardem Patapoutian poked cells until he found Piezo, the channel that turns physical pressure into the feeling of touch.

Predict first

A drop of chili extract and a mug of hot water both make your skin feel like it is burning. Nothing is actually warm about the chili. What do the chili and the real heat have in common inside your nerve?

They open the very same gate. A channel called TRPV1 sits in your heat-sensing nerve endings. Capsaicin, the chili chemical, and temperatures above about 43 °C both pop it open. Once it opens, charged ions flow in and the nerve sends the same 'this is hot' alarm to your brain. That is why a chili feels hot even when nothing is genuinely warm.
Predict first

Touch has no special chemical to trigger it, only a physical push. So how could a scientist hunt down the single molecule responsible for feeling a poke?

Poke cells and watch which gene matters. Patapoutian found cells that gave a tiny electric blip when prodded with a fine needle, then silenced candidate genes one by one. When one specific gene was switched off, the poke stopped registering. That gene builds Piezo, a channel that opens when the membrane is physically stretched, turning pressure straight into a signal.
Two different triggers, one shared trick: a stimulus opens an ion channel, positive ions rush into the nerve ending, and the inrush of charge launches an electrical impulse toward the brain.

Close your eyes and someone hands you a warm mug. You feel the heat. Press a finger on the table and you feel the push. But how does your skin actually turn 'hot' or 'a touch' into something your brain can read?

The answer is tiny gates called ion channels, sitting in the endings of your nerves. A gate stays shut until the right signal arrives. When it opens, charged particles rush through, and that little jolt makes the nerve fire off a message to your brain.

The discovery

Two gates, two senses

David Julius found the gate for heat by using capsaicin, the chemical that makes chili peppers burn. Ardem Patapoutian found the gate for touch by poking cells with a tiny needle until he spotted the one that answered back.

So the burn of a chili and the warmth of a mug pull the same trick on your body: both open the heat gate. And a poke, a hug, or the floor under your feet all open the touch gate. Same idea, two different doors.

Worth knowing

Your chili dinner is a lie your nerves believe

A chili pepper is not hot in temperature at all, yet it can make your mouth feel like it is on fire. Capsaicin works by jamming open TRPV1, the exact channel that genuine heat above 43 °C uses. Your nerves cannot tell the chemical from real warmth, so the brain receives the same burning alarm either way.

Check yourself

Why did David Julius use capsaicin, the burning compound in chili peppers, in his search?

Why: Capsaicin acts on the same channel as painful heat. Julius used capsaicin sensitivity as a readout and found the one gene that, when added to ordinary cells, made them respond. That gene encoded TRPV1.

What kind of stimulus opens the Piezo channels?

Why: Piezo1 and Piezo2 are mechanically gated. Physical force on the cell membrane changes the channel's shape and opens its pore, which is how pressure and touch become electrical signals.

TRPV1 is described as 'polymodal'. What does that mean here?

Why: TRPV1 funnels several inputs, including capsaicin, heat above about 43 °C, and acid, onto one pore. Many keys open the same gate, which is what 'polymodal' captures.

Key terms

TRPV1
An ion channel in heat-sensing nerve endings. It opens in response to capsaicin, acid, and temperatures above about 43 °C, letting positive ions in to start a heat or pain signal.
Capsaicin
The pungent compound that makes chili peppers feel hot. Julius used it as a probe to identify the heat-sensing channel TRPV1.
Ion channel
A protein pore in a cell membrane that opens to let charged ions pass. When ions flow through a sensory channel, the nerve cell's voltage changes and it fires a signal.
TRPM8
A cold-sensing channel related to TRPV1, identified using menthol. It explains why mint and low temperatures both feel cool.
Piezo channels
Mechanically gated ion channels (Piezo1 and Piezo2) that open when the cell membrane is pushed or stretched. Piezo2 is the main channel for touch and body position.
Mechanically gated channel
A channel opened by physical force rather than a chemical or a voltage. Force in the surrounding membrane changes the channel's shape and opens its pore.
Proprioception
The sense of where your limbs are and how they move without looking at them. Piezo2 is essential for it.

The laureates

Portrait of David Julius
David Julius
University of California, San Francisco, CA, USA

Julius used capsaicin, the compound that makes chili peppers burn, as a probe to fish out the gene for a heat sensor. In 1997 his lab identified TRPV1, the first heat-activated ion channel, which explained how a change in temperature becomes an electrical signal in the body. Born 1955.

Photo: Lfsphd, CC BY-SA 4.0 (via Wikimedia Commons)
Portrait of Ardem Patapoutian
Ardem Patapoutian
Scripps Research, La Jolla, CA, USA

Patapoutian found cells that gave off a tiny electrical signal when poked with a fine needle, then switched off candidate genes one at a time until he found the channel responsible. That work, published in 2010, identified Piezo1 and Piezo2, the channels that turn mechanical force into touch and a sense of body position. Born 1967.

Photo: Christopher Michel, CC BY-SA 4.0 (via Wikimedia Commons)

Sources

Facts are pinned from the official Nobel Prize API. The explanations were written from these sources:

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