NO causes pulmonary vasodilation in patients with pulmonary hypertension. In pulmonary arterial smooth muscle cells, the activity of voltage-gated K+ (Kv) channels controls resting membrane potential. In turn, membrane potential is an important regulator of the intracellular free calcium concentration ([Ca2+];) and pulmonary vascular tone. We used patch clamp methods to determine whether the NO-induced pulmonary vasodilation is mediated by activation of Kv channels. Quantitative fluorescence microscopy was employed to test the effect of NO on the depolarizationinduced rise in [Ca2+] . Blockade of Kv channels by 4-aminopyridine (5 mM) depolarized pulmonary artery myocytes to threshold for initiation of Ca2+ action potentials, and thereby increased [Ca2+] . NO (-3 ,uM) and the NO-generating compound sodium nitroprusside (5-10 J,M) opened Kv channels in rat pulmonary artery smooth muscle cells. The enhanced K+ currents then hyperpolarized the cells, and blocked Ca2+-dependent action potentials, thereby preventing the evoked increases in [Ca2+],. Nitroprusside also increased the probability of Kv channel opening in excised, outside-out membrane patches. This raises the possibility that NO may act either directly on the channel protein or on a closely associated molecule rather than via soluble guanylate cyclase. In isolated pulmonary arteries, 4-aminopyridine significantly inhibited NO-induced relaxation. We conclude that NO promotes the opening of Kv channels in pulmonary arterial smooth Muscle cells. The resulting membrane hyperpolarization, which lowers [Ca2+1], is apparently one of the mechanisms by which NO induces pulmonary vasodilation.Endothelium-derived relaxing factor, which was first described by Furchgott and Zawadzki in 1980 (1), plays an important role in controlling vascular tone. NO, the best characterized endothelium-derived relaxing factor (2, 3), can be produced by both vascular endothelium and smooth muscle cells (4). Basal release of endothelium-derived NO may help to maintain low resting pulmonary vascular tone in normal humans (4, 5). Dysfunction of endothelial NO production and release is believed to be a major cause of pulmonary hypertension and its sequelae (6, 7). Inhaled NO selectively causes pulmonary vasodilation in patients with pulmonary hypertension (8, 9).The cellular mechanisms of NO-induced pulmonary vasodilation are not completely understood. They apparently involve an increase of intracellular cGMP (10,11) MATERIALS AND METHODS Cell Preparation. Rat PASMC primary cultured for 3-7 days were used for this study. Details of the methods used for isolation and culture of PASMC are published (25). Briefly, the intrapulmonary arterial branches (3rd and 4th order) as well as the right and left branches (2nd order) of rat main PA were incubated for 20 min in Hanks' balanced salt solution containing collagenase (1.5 mg/ml; Worthington). Adventitia and endothelium were removed after incubation. The PA smooth muscle was then digested with 1.5 mg/ml collagenase, 0.5 mg/ml elas...