Abstract-Coordinate adaptation of myocyte metabolism and function is fundamental to survival of the stressed heart, but the mechanisms for this coordination remain unclear. Bioinformatics led us to discover that Foxs are key transcription factors involved. We performed experiments on the mouse atrial cell line HL-1, neonate rat heart myocytes, and an adult rat model of myocardial infarction. In electrophoretic mobility-shift assays, FoxO1 binds to the FoxO concensus site of the KATP channel subunit KIR6.1 promoter. In primary atrial culture, targeting FoxO1 and FoxO3 with siRNA specifically reduces mRNA expression of FoxO1 and -O3 and KIR6.1. Western blots, confocal immunofluorescence, and quantitative RT-PCR was applied for measuring expression of 10 Fox, 6 KATP channel subunits, and 12 metabolic genes. FoxF2, -O1, and -O3 strongly associate with expression of KATP channel subunits (in particular, KIR6.1, SUR1A and SUR2B) in different heart tissues and in the periinfarct zone of the left ventricle. Patch-clamp recordings demonstrate that molecular plasticity of these channels is matched by pharmacological plasticity and increased sensitivity to a metabolic challenge mimicked by the protonophore CCCP. A balance of FoxF2 and FoxO also regulates expression of at least 9 metabolic genes involved in setting the balance of glycolysis and -oxidation. Bioinformatics shows that the transcriptional mechanisms are highly conserved among chicken, mouse, rat, and human, and Key Words: Fox transcription factors Ⅲ KATP channels Ⅲ metabolic genes Ⅲ myocardial infarction M etabolic adaptation is vitally important for cellular function, stress adaptation, and survival. This is particularly true in metabolically highly active tissues. In heart, 1 brain, 2 kidney, 3 adipose tissue, 4 muscle, 5 and blood vessels, 6 the ATP-dependent potassium channels (KATP channels) emerge as the most important sensors of cellular energy status. 7 During metabolic stress, these heterooctameric channels open in response to an increased cytoplasmic ADP/ATP ratio, thereby hyperpolarizing the cell and reducing the calcium influx and metabolic demand. 1 KATP channels protect cardiac myocytes in pathophysiological situations, 8 as well as during vigorous exercise. For example, mice with knockout of the pore-forming KATP channel subunit KIR6.2, or mice overexpressing dominant negative KIR6.1, tolerate only half of the workload compared with wild-type mice, and half of them die. 9,10 KATP channels are, however, amazingly diverse, varying in their subunit composition from one tissue to the next. The potassium channel pore consists of 4 KIR6.2 subunits in left ventricle, 11 pancreatic -cells, 12 and vascular endothelium 13 and mainly of 4 KIR6.1 subunits in vascular smooth muscle. 14 The brain 2 and skeletal muscle 15 express both KIR6.1 and KIR6.2. The same cardiac tissue may change its subunit composition: subunit Kir6.1 is increasingly expressed in left ventricle following ischemia, 16 exercise, 17 or treatment with K ATP channel agonist. 18 Moreover, ...