Gap junction-mediated K + recycling in the cochlear supporting cell has been proposed to play a critical role in hearing. However, how potassium ions enter into the supporting cells to recycle K + remains undetermined. In this paper, we report that ATP can mediate K + sinking to recycle K + in the cochlear supporting cells. We found that micromolar or submicromolar levels of ATP could evoke a K + -dependent inward current in the cochlear supporting cells. At negative membrane potentials and the resting membrane potential of â80 mV, the amplitude of the ATPevoked inward current demonstrated a linear relationship to the extracellular concentration of K + , increasing as the extracellular concentration of K + increased. The inward current also increased as the concentration of ATP was increased. In the absence of ATP, there was no evoked inward current for extracellular K + challenge in the cochlear supporting cells. The ATP-evoked inward current could be inhibited by ionotropic purinergic (P2X) receptor antagonists. Application of pyridoxalphosphate-6-azophenyl-2âČ,4âČ-disulfonic acid (PPADS, 50 ”M) or pre-incubation with an irreversible P2X7 antagonist oxidized ATP (oATP, 0.1 mM) completely abolished the ATP-evoked inward current at the negative membrane potential. ATP also evoked an inward current at cell depolarization, which could be inhibited by intracellular Cs + and eliminated by positive holding potentials. Our data indicate that ATP can activate P2X receptors to recycle K + in the cochlear supporting cells at the resting membrane potential under normal physiological and pathological conditions. This ATP-mediated K + recycling may play an important role in the maintenance of cochlear ionic homeostasis.