. Adenosineinduced activation of ATP-sensitive K ϩ channels in excised membrane patches is mediated by PKC. Am. J. Physiol. 276 (Heart Circ. Physiol. 45): H488-H495, 1999.-Both protein kinase C (PKC) and adenosine receptor activation have been shown to enhance ATP-sensitive K ϩ (K ATP ) channels. The present studies were designed to determine whether PKC mediates adenosine effects on the K ATP channel. The dependence of K ATP channel activity (nP o ) on intracellular ATP concentration ([ATP] i ) was determined in excised rabbit ventricular membrane patches. External adenosine (100 µM in the pipette solution) significantly increased K ATP nP o at all [ATP] i between 5 and 50 µM by decreasing channel sensitivity to [ATP] i (dissociation constant increased from 7.4 Ϯ 0.8 to 22.2 Ϯ 3.1 µM, P Ͻ 0.001), an effect blocked by the adenosine receptor antagonist 8-phenyltheophylline (10 µM). When the highly selective PKC blocker bisindolylmaleimide (BIM) was included in the internal (bath) solution, the K ATP -stimulating action of adenosine was prevented. The addition of BIM to the superfusate rapidly inhibited K ATP channels activated by adenosine. Endogenous PKC activation by phorbol 12,13-didecanoate (PDD), but not administration of the inactive congener 4␣-PDD, enhanced K ATP activity. Internal guanosine 5Ј-O-(2-thiodiphosphate) prevented K ATP activation by adenosine, an effect which could be overridden by exposure to PDD. We conclude that PKC mediates adenosine activation of K ATP channels in excised membrane patches in a membranedelimited fashion. ischemic preconditioning; potassium channels; signal transduction; phorbol esters; protein kinase C