Activation of the platelet-activating factor (PAF) receptor leads to a decrease in outward current in murine ventricular myocytes by inhibiting the TASK-1 channel. TASK-1 carries a background or "leak" current and is a member of the two-pore domain potassium channel family. Its inhibition is sufficient to delay repolarization, causing prolongation of the action potential duration, and in some cases, early after depolarizations. We set out to determine the cellular mechanisms that control regulation of TASK-1 by PAF. Inhibition of TASK-1 via activation of the PAF receptor is protein kinase C (PKC)-dependent. Using isoform-specific PKC inhibitor or activator peptides in patch clamp experiments, we now demonstrate that activation of PKC⑀ is both necessary and sufficient to regulate murine TASK-1 current in a heterologous expression system and to induce repolarization abnormalities in isolated myocytes. Furthermore, site-directed mutagenesis studies have identified threonine 381, in the C-terminal tail of murine TASK-1, as a critical residue in this regulation.Regulation of cardiac function depends on the appropriate cumulative activity of numerous ion channels in individual cardiomyocytes that are responsible for the sequential depolarization-repolarization cycle known as the action potential (AP). 1 Although the major currents contributing to the AP have been described (1), additional small currents at specific points of low conductance in the AP cycle are sufficient to induce repolarization abnormalities in isolated cells (2, 3) and therefore arrhythmias in situ. These arrhythmias may contribute to the electrical abnormalities that lead to sudden death after myocardial infarction, which persists as the number one cause of death in the United States. We have focused on one channel that has been proposed to contribute to cardiac arrhythmias, TASK-1, a member of the recently described family of two-pore domain potassium channels (4).The two-pore domain K channel family is composed of at least 15 different members. These channels are widely distributed in excitable tissue, primarily in the brain and heart, and in general are responsive to environmental cues such as temperature, pH, and stretch (5, 6). Several are also regulated by lipids such as arachidonic acid or platelet-activating factor (PAF) (7-9). PAF is an inflammatory phospholipid that has been linked to arrhythmogensis in isolated canine ventricular myocytes (10). We have recently shown that PAF regulates the TASK-1 channel and determined that the arrhythmogenic effect of the stable PAF analog, carbamyl-platelet-activating factor (C-PAF) in mouse cardiomyocytes, is due to the inhibition of TASK-1 current in a protein kinase C (PKC)-dependent manner (2).In this study, we elucidate the molecular mechanism of the C-PAF effect on TASK-1 current by identifying the ⑀ isoform of PKC (PKC⑀) as a critical component in PAFR signaling. In addition, using site-directed mutagenesis, we have tentatively identified the critical residue that is the target for PKC in the mu...