With the use of microdialysis techniques, we examined the effects of nicorandil, a hybrid of an ATP-sensitive K+ (K ATP) channel opener and a nitrate compound, on the production of interstitial adenosine in rat hearts in situ. The level of dialysate adenosine measured under a constant supply of adenosine 5'-monophosphate (AMP) reflected the activity of endogenous ecto-5'-nucleotidase. Nicorandil (0.3-3mM) increased the level of AMP (100 microM)-primed dialysate adenosine in a concentration-dependent manner, and this effect was completely abolished by the guanylate cyclase inhibitor, methylene blue (100 microM), but not by the K ATP channel blocker, glibenclamide (10 microM). Another K ATP channel opener, cromakalim (0.1-1mM), did not increase the production of AMP-primed dialysate adenosine. These results suggest that nicorandil increases the level of interstitial adenosine via cyclic guanosine monophosphate-mediated activation of ecto-5'-nucleotidase.