In the COS7 cells transfected with cDNAs of the Kir6.2, SUR2A, and M1 muscarinic receptors, we activated the ATP-sensitive potassium (K ATP) channel with a K ؉ channel opener and recorded the wholecell KATP current. The KATP current was reversibly inhibited by the stimulation of the M 1 receptor, which is linked to phospholipase C (PLC) by the Gq protein. The receptor-mediated inhibition was observed even when protein kinase C (PKC) was inhibited by H-7 or by chelating intracellular Ca 2؉ with 10 mM 1,2-bis(2-aminophenoxy)ethane-N,N,N,N-tetraacetate (BAPTA) included in the pipette solution. However, the receptor-mediated inhibition was blocked by U-73122, a PLC inhibitor. M 1-receptor stimulation failed to inhibit the KATP current activated by the injection of exogenous phosphatidylinositol 4,5-bisphosphate (PIP2) through the wholecell patch pipette. The receptor-mediated inhibition became irreversible when the replenishment of PIP2 was blocked by wortmannin (an inhibitor of phosphatidylinositol kinases), or by including adenosine 5-[,␥-imido]triphosphate (AMPPNP, a nonhydrolyzable ATP analogue) in the pipette solution. In inside-out patch experiments, the ATP sensitivity of the KATP channel was significantly higher when the M1 receptor in the patch membrane was stimulated by acetylcholine. The stimulatory effect of pinacidil was also attenuated under this condition. We postulate that stimulation of PLC-linked receptors inhibited the KATP channel by increasing the ATP sensitivity, not through PKC activation, but most probably through changing PIP2 levels.T he ATP-sensitive potassium (K ATP ) channels play a key role in the coupling between cellular metabolism and electrical activity in a wide range of tissues. Although the primary characteristic of the K ATP channel is the inhibition by intracellular ATP, various cytosolic substances, such as divalent cations, protons, anions, and nucleoside diphosphates, are known as modulators of the K ATP channel (1-4).In addition to the cytosolic factors listed above, a component of membrane lipid bilayer also modulates the K ATP channel; phosphatidylinositol (PI)-4,5-bisphosphate (PIP 2 ) is known to increase the open probability and decrease the ATP sensitivity of the cardiac and reconstituted K ATP channel (5-8). Membrane PIP 2 content increases when PI and PI 4-monophosphate (PIP) are consecutively phosphorylated by PI 4-kinase and PIP 5-kinase (9). On the other hand, PIP 2 content should decrease when PIP 2 is dephosphorylated by inositolpolyphosphate phosphatase (10) or hydrolyzed by phospholipase C (PLC). In fact, it has been reported that the receptor-mediated activation of PLC decreased PIP 2 content in the plasma membrane of Chinese hamster ovary (CHO) cells and human neuroblastoma cells (11,12).PLC-linked receptors are distributed in many tissues, including cardiac myocytes and pancreatic -cells, where K ATP channels are also present. This raises the question of whether PLC-linked receptors might modulate the K ATP channel by changing PIP 2 levels (8) and ultima...