Carbon monoxide (CO) is a lethal gas, but it is also increasingly recognized as a physiological signaling molecule capable of regulating a variety of proteins. Among them, large-conductance Ca 2؉ -and voltage-gated K ؉ (Slo1 BK) channels, important in vasodilation and neuronal firing, have been suggested to be directly stimulated by CO. However, the molecular mechanism of the stimulatory action of CO on the Slo1 BK channel has not been clearly elucidated. We report here that CO reliably and repeatedly activates Slo1 BK channels in excised membrane patches in the absence of Ca 2؉ in a voltage-sensor-independent manner. The stimulatory action of CO on the Slo1 BK channel requires an aspartic acid and two histidine residues located in the cytoplasmic RCK1 domain, and the effect persists under the conditions known to inhibit the conventional interaction between CO and heme in other proteins. We propose that CO acts as a partial agonist for the high-affinity divalent cation sensor in the RCK1 domain of the Slo1 BK channel.C arbon monoxide (CO) is a deadly poisonous gas. However, CO is physiologically produced during the course of heme catabolism by heme oxygenases (HMOXs) in an oxygendependent manner, and it is increasingly recognized as a biological signaling molecule important in numerous physiological and pathophysiological processes, including synaptic plasticity, regulation of vascular tone, and tumor proliferation (1). To regulate the wide array of cellular functions, CO typically exerts its action by binding to the reduced heme iron center (Fe 2ϩ ) in hemoproteins (2, 3), thereby altering the way the heme prosthetic group is coordinated (4). The heme-dependent action of CO is exemplified by its stimulatory effect on soluble guanylate cyclase, in which binding of CO to the reduced heme iron center increases the catalytic activity, leading to an enhanced production of cGMP (4, 5).Large-conductance Ca 2ϩ -and voltage-activated K ϩ (Slo1 BK or K Ca 1.1) channels, important in many physiological phenomena, including oxygen sensing, vasodilation, and neuronal firing (6, 7), are also stimulated by . The modulation of Slo1 BK channels by CO is physiologically and pathophysiologically important. For example, the stimulatory effect of CO on Slo1 BK channels underlies its well documented vasodilatory effect (9,11,(13)(14)(15), and the use of CO has been suggested as a potential therapeutic strategy against pulmonary hypertension (11). Production of CO by HMOXs requires oxygen (1), and this oxygen dependence raises the possibility that changes in cellular oxygen tension regulate the Slo1 BK channel activity indirectly by regulating the availability of CO (16). HMOX-2, one member of the HMOX family, may colocalize with Slo1 to allow efficient modulation of the channel by CO according to the local oxygen level (16).Gating of the Slo1 BK channel involves allosteric interactions among the main pore gate, voltage sensor domains, and cytoplasmic RCK1 and RCK2 domains with multiple divalent cation sensors (17,18). Although incre...