Skarra DV, Cornwell T, Solodushko V, Brown A, Taylor MS. CyPPA, a positive modulator of small-conductance Ca 2ϩ -activated K ϩ channels, inhibits phasic uterine contractions and delays preterm birth in mice. Am J Physiol Cell Physiol 301: C1027-C1035, 2011. First published July 27, 2011; doi:10.1152/ajpcell.00082.2011.-Organized uterine contractions, including those necessary for parturition, are dependent on calcium entry through voltage-gated calcium channels in myometrial smooth muscle cells. Recent evidence suggests that small-conductance Ca 2ϩ -activated potassium channels (K Ca 2), specifically isoforms K Ca2.2 and 2.3, may control these contractions through negative feedback regulation of Ca 2ϩ entry. We tested whether selective pharmacologic activation of K Ca2.2/2.3 channels might depress uterine contractions, providing a new strategy for preterm labor intervention. Western blot analysis and immunofluorescence microscopy revealed expression of both KCa2.2 and KCa2.3 in the myometrium of nonpregnant (NP) and pregnant (gestation day 10 and 16; D10 and D16, respectively) mice. Spontaneous phasic contractions of isolated NP, D10, and D16 uterine strips were all suppressed by the KCa2.2/2.3-selective activator CyPPA in a concentration-dependent manner. This effect was antagonized by the selective KCa2 inhibitor apamin. Whereas CyPPA sensitivity was reduced in D10 and D16 versus NP strips (pIC50 5.33 Ϯ 0.09, 4.64 Ϯ 0.03, 4.72 Ϯ 0.10, respectively), all contractions were abolished between 30 and 60 M. Blunted contractions were associated with CyPPA depression of spontaneous Ca 2ϩ events in myometrial smooth muscle bundles. Augmentation of uterine contractions with oxytocin or prostaglandin F2␣ did not reduce CyPPA sensitivity or efficacy. Finally, in an RU486-induced preterm labor model, CyPPA significantly delayed time to delivery by 3.4 h and caused a 2.5-fold increase in pup retention. These data indicate that pharmacologic stimulation of myometrial KCa2.2/2.3 channels effectively suppresses Ca 2ϩ -mediated uterine contractions and delays preterm birth in mice, supporting the potential utility of this approach in tocolytic therapies.