The mechanism by which ubiquitous adenine nucleotide-gated K IR 6.0 4 /SUR 4 channels link membrane excitability with cellular metabolism is controversial. Is a decreased sensitivity to inhibitory ATP required, or is the Mg-ADP/ATP-dependent stimulatory action of the ATPase, sulfonylurea receptor (SUR), on K IR sufficient to elicit a physiologically significant open channel probability? To evaluate the roles of nucleotide inhibition versus stimulation, we compared K IR 6.1-based K NDP channels with K IR 6.2-based K ATP channels and all possible K IR 6.1/6.2 hybrids. Although K NDP channels are thought to be poorly sensitive to inhibitory ATP and to require Mg-nucleotide diphosphates for activity, we demonstrate that, like K ATP , and hybrid channels, they are inhibited with an IC 50(ATP) 100-fold lower than The primary signaling mechanism that attunes the P O to the cellular metabolic status remains controversial. Observations that K ATP channels burst spontaneously in inside-out patches and show reversible inhibition by submillimolar ATP (4 -6) suggested that opening these K IR s in vivo, in the face of millimolar nucleotide, would necessitate a significant decrease in their sensitivity to ATP. The reduction in the ATP sensitivity of isolated K ATP channels upon treatment with numerous substances has been interpreted as evidence for the plasticity of ATP-inhibitory gating in vivo. Following the report (7) that ATP weakly inhibits K IR 6.2-based channels in the absence of SUR (IC 50(ATP) ϭ ϳ0.2 mM versus ϳ5-20 M with SURs; Refs. 8 and 9), K IR -based plasticity of ATP inhibition has been considered a possible cause of the variable activity observed for K ATP channel isoforms in situ.An alternative idea is that SURs, obligatory regulatory subunits of K ATP channels and members of the ABC superfamily (10, 11), act as nucleotide sensors and, in vivo, SURs would exert a Mg-ADP/ATP-dependent stimulatory action sufficient to overcome the saturated inhibitory effect of nucleotides at noncanonical nucleotide binding site(s) on the K IR (1). This hypothesis is consistent with only a small fraction, ϳ1%, of the maximal NP O for K ATP channel population participating in the regulation of insulin secretion from pancreatic -cells (12) or shortening of action potentials of metabolically inhibited ventricular cardiomyocytes (13,14). The hypothesis is consistent with the marginal effect of a decreased submembrane concentration of ATP on K ATP channel activity in situ, e.g. the enhancement of K ATP currents observed when adenylyl cyclases are maximally stimulated, thus reducing ATP without producing stimulatory MgADP, in cardiomyocytes dialyzed with submillimolar ATP, but not in the perforated patch or conventional whole-cell configuration with millimolar [ATP] i (15). The physiologic significance of the Mg-nucleotide-dependent stimulation of K IR 6.2 has been established by the identification of SUR1 mutations that compromise the stimulatory, but not the inhibitory action of Mg-nucleotides on pancreatic -cell K ATP channels (...