The human large conductance, calcium-activated potassium (maxi-K) channel (␣ and  subunits) and  2 -adrenergic receptor genes were coexpressed in Xenopus oocytes in order to study the mechanism of -adrenergic modulation of channel function. Isoproterenol and forskolin increased maxi-K potassium channel currents in voltage-clamped oocytes expressing the receptor and both channel subunits by 33 ؎ 5% and 35 ؎ 8%, respectively, without affecting current activation or inactivation. The percentage of stimulation by isoproterenol and forskolin was not different in oocytes coexpressing the ␣ and  subunits versus those expressing the only the ␣ subunit, suggesting that the ␣ subunit is the target for regulation. The stimulatory effect of isoproterenol was almost completely blocked by intracellular injection of the cyclic AMP dependent protein kinase (cAMP-PK) regulatory subunit, whereas injection of a cyclic GMP dependent protein kinase inhibitory peptide had little effect, indicating that cellular coupling of  2 -adrenergic receptors to maxi-K channels involves endogenous cAMP-PK. Mutation of one of several potential consensus cAMP-PK phosphorylation sites (serine 869) on the ␣ subunit almost completely inhibited -adrenergic receptor/channel stimulatory coupling, whereas forskolin still stimulated currents moderately (16 ؎ 4%). These data demonstrate that physiological coupling between  2 receptors and maxi-K channels occurs by the cAMP-PK mediated phosphorylation of serine 869 on the ␣ subunit on the channel.Hormones and neurotransmitters alter cellular excitability in part through the modulation of plasmalemmal ion channel function. Two prominent mechanisms by which hormone/neurotransmitter receptor occupation results in the modulation of membrane ion channels are the phosphorylation of one or more residues of the target channel protein(s) (for review see Ref. 1), and the binding of a heterotrimeric G protein subunit to a modulatory channel domain (for review see Ref.2). Stimulation of  2 receptors relaxes smooth muscle by modulating the activity of several protein targets (3). One prominent target of  2 adrenergic signaling in smooth muscle is the large conductance, calcium-activated potassium (maxi-K) 1 channel, the activity of which is markedly increased following receptor binding (4 -7). Modulation of maxi-K channel activity appears to be a functionally important component of -adrenergic relaxation of smooth muscle, since charybdotoxin and iberiotoxin, selective peptide inhibitors of maxi-K channels, markedly inhibit the relaxant ability of isoproterenol and other -adrenergic agents (8 -10). The molecular mechanism by which channel modulation occurs is unclear, however, since studies have indicated that single maxi-K channels are regulated by phosphorylation and by phosphorylation-independent G protein interactions (5,6,(11)(12)(13)(14). Further, with respect to channel phosphorylation, maxi-K channel stimulation has been attributed to channel phosphorylation by cAMP-dependent protein kinase (5,6,11,15,...