Abstract: Renin-angiotensin system(RAS) is involved in the regulation of vascular smooth muscle cell(VSMC) tension.Angiotensin II(Ang II) as the main effector molecule of RAS can increase the intracellular Ca2+ concentration and cause VSMCs contraction by activating angiotensin II type 1 receptor(AT1R).The large-conductance Ca2+- and voltage-activated potassium(BK) channel is an essen-tial potassium channel in VSMCs,playing an important role in maintaining membrane potential and intracellular potassium-calcium balance.The BK channel in VSMCs mainly consists of α and β1 subunits.Functional BKα subunits contain voltage-sensors and Ca2+ binding sites.Hence,increase in the membrane potential or intracellular Ca2+ concentration can trigger the opening of the BK channel by mediating transient K+ outward current in a negative regulatory manner.However,increasing evidence has shown that although Ang II can raise the intracellular Ca2+ concentration,it also inhibits the expression and function of the BK channel by activating the PKC pathway,internalizing AT1R-BKα heterodimer,or dissociating α and β1 subunits.Under some specific conditions,Ang II can also activate the BK channel,but the underlying mechanism remains unknown.In this review,we summarize the potential mecha-nisms underlying the inhibitory or activating effect of Ang II on the BK channel,hoping that it could provide a theoretical basis for improving intracellular ion imbalance.