ϩ current is a critical O2-sensing mechanism. Previously, it was demonstrated that the cooperative action of TASK-1 and NADPH oxidase-4 (NOX4) mediated the O2-sensitive K ϩ current response. Here we addressed the O2-sensing mechanism of NOX4 in terms of TASK-1 regulation. In TASK-1 and NOX4-coexpressing human embryonic kidney 293 cells, hypoxia (5% O2) decreased the amplitude of TASK-1 current (hypoxia-⌬I TASK-1). To examine whether reactive oxygen species (ROS) mediate the hypoxia-⌬ITASK-1, we treated the cells with carbon monoxide (CO) which is known to reduce ROS generation from the heme-containing NOX4. Unexpectedly, CO failed to mimic hypoxia in TASK-1 regulation, rather blocked the hypoxia-⌬ITASK-1. Moreover, the hypoxia-⌬ITASK-1 was neither recovered by H2O2 treatment nor prevented by antioxidant such as ascorbic acid. However, the hypoxia-⌬ITASK-1 was noticeably attenuated by succinyl acetone, a heme synthase inhibitor. To further evaluate the role of heme, we constructed and expressed various NOX4 mutants, such as HBD(Ϫ) lacking the heme binding domain, NBD(Ϫ) lacking the NADPH binding domain, FBD(Ϫ) lacking the FAD binding domain, and HFBD(Ϫ) lacking both heme and FAD domains. The hypoxia-⌬ITASK-1 was significantly reduced in HBD(Ϫ)-, FBD(Ϫ)-, or HFBD(Ϫ)-expressing cells, versus wild-type NOX4-expressing cells. However, NBD(Ϫ) did not affect the TASK-1 response to hypoxia. We also found that p22 is required for the NOX4-dependent TASK-1 regulation. These results suggest that O2 binding with NOX4 per se controls TASK-1 activity. In this process, the heme moiety and FBD seem to be responsible for the NOX4 regulation of TASK-1, and p22 might support the NOX4-TASK-1 interaction. ϩ channel family (K2P). Most of the K2P commonly show background activity that is represented as an ohmic current-to-voltage relation (I-V curve). Such property renders K2P as a primary player setting the hyperpolarized resting membrane potential (5). In contrast with K2P, significant activation of Kv requires membrane depolarization above a threshold. In this respect, the O 2 -sensitivity of TASK is an attractive explanation for the hypoxia-induced initial depolarization of carotid body, neuroepithelial body, cerebellar granule neurons, and pulmonary arterial smooth muscle (3,5,12,13,30).Although the O 2 sensitivity of TASK-like current has been demonstrated in various tissues mentioned above, the responses of heterologously expressed TASK showed somewhat controversial results depending on the expression system. The TASK-1 channels expressed in human embryonic kidney 293 (HEK293) cells showed decreased outward current by hypoxia while those expressed in Xenopus oocytes were insensitive to O 2 (28). Also, the TASK-like current in adrenomedullary chromaffin cell was O 2 insensitive (18). Such results suggested that the O 2 -dependent regulation of TASK is an indirect mechanism signaled from a separate O 2 sensor such as NADPH oxidase (NOX) as has been demonstrated recently (21).NOXs are heme-containing transmembrane proteins to gene...