We previously reported that the aerolysin-like hemolysin of Aeromonas sobria stimulates T84 cells to produce cyclic AMP, which then emerges in the culture medium. In order to clarify the mechanism of action of the hemolysin, we examined the involvement of adenosine nucleotide. The results show that the hemolysin stimulates T84 cells to release ATP, which is then converted to adenosine by ectonucleotidase. The adenosine generated might stimulate the P1 adenosine receptors of T84 cells to produce cyclic AMP.We purified the enterotoxin from the culture supernatant of Aeromonas sobria and found that it possessed hemolytic activity in addition to enterotoxic activity (5). The analysis of the DNA sequence (GenBank accession number AY157998) showed that the hemolysin is homologous with aerolysin produced by Aeromonas hydrophila. Homology between the two toxins is 68.5% at the amino acid level (5). The aerolysin-like hemolysin and aerolysin bound to cells act to form small pores in the membrane and induce cell damage (5, 11). These results suggest that the mode of action of the hemolysin is identical to that of aerolysin. Since cultured intestinal cells are destroyed by incubation with the hemolysin, we had predicted that the diarrhea caused by the hemolysin was a result of such cytotoxic action of the hemolysin. However, micropathological examination showed that the diarrheic syndrome appeared before the cell damage occurred (5). So, we speculated that the diarrhea was not due to the cytotoxic action of the hemolysin but rather that the hemolysin stimulated the intestinal cells to send some signal(s) to induce diarrhea. Thus, we examined the levels of cyclic nucleotides in T84 cells, i.e., human colonic epithelial cells, after incubation with the hemolysin to obtain a clue as to the signal and found that the level of cyclic AMP in the culture medium increased after the incubation (6). However, it has remained unsolved how the hemolysin induces the elevation of the level in the extracellular cyclic AMP.In the meantime, the action of adenosine existing outside of the cell has been studied extensively and its receptor, P1, has been found (4). At present, P1 receptors are divided into three groups, A 1 to A 3 . A 2 is divided into two subtypes: A 2A and A 2B . These P1 receptors couple to adenylate cyclase, whose activity is regulated by G proteins. A 1 and A 3 function to inhibit the cyclase and A 2 , both A 2A and A 2B , functions to activate the cyclase (3, 4). It was also shown that T84 cells, which we used to examine the activity of the hemolysin, possessed the A 2B receptor (14). Thus, we suspected that the adenosine was involved in the action of the hemolysin.Addition of papaverine to the medium. We reported that the level of cyclic AMP in the medium increased on incubation with the hemolysin (6). The excess cyclic AMP produced by the cells is decomposed by phosphodiesterase. Therefore, the amount of cyclic AMP reported in a previous study should be the residual amount after the attack by phosphodiesterase. To exami...