Objective To explore the influence of chronic hypoxia on expression and function of high-flux Ca2+- activated K+ channel (BK channel) in human glomerular podocytes, and to evaluate its roles in the progression of chronic kidney diseases (CKD). Methods A fully-differentiated and conditionally-immortalized human podocyte cell line was placed into the normoxic (21% O2) or hypoxic (2% O2 or 10% O2) environment in a duration of 6 to 48 h. The expressions of α, β3 and β4 subunits of BK channels were detected with real-time PCR and Western blot. The changes of BK channel function in podocytes under whole-cell model were examined by the patch clamp technique. Results Exposure of podocytes to 2% O2 for 24 h caused a significant reduction in currents at +80 mV from (14.45 ± 2.06) pS to (4.78 ± 1.12) pS (P < 0.05). Chronic hypoxia also caused a marked increase in the time constant for BK channel activation from (4.59 ± 1.67) to (25.16 ± 11.04) with significant difference (P < 0.05). The total expression of β4 subunit of BK channel significantly increased in a time- and dose-dependent manner. Conclusions Chronic hypoxia inhibits BK channel current by upregulating β4 subunit expression.