Abstract-The goal of this study was to determine which adenosine receptor subtype mediates growth stimulation by adenosine in arterial endothelial cells. In porcine coronary artery and rat aortic endothelial cells, 2-chloroadenosine (Cl-Ad), a metabolically stable analog of adenosine, stimulated DNA synthesis ( 3 H-thymidine incorporation), cellular proliferation (cell number), collagen synthesis ( 3 H-proline incorporation), and cell migration. The growth effects of adenosine and Cl-Ad were mimicked by the adenosine receptor agonist 5Ј-N-methylcarboxamidoadenosine but not by the adenosine receptor agonists N 6 -cyclopentyladenosine, 4-aminobenzyl-5Ј-N-methylcarboxamidoadenosine or CGS21680, an agonist profile consistent with an A 2B receptor-mediated effect. The adenosine receptor antagonists KF17837 and 1,3-dipropyl-8-p-sulfophenylxanthine but not 8-cyclopentyl-1,3-dipropylxanthine blocked the growthstimulatory effects of Cl-Ad and 5Ј-N-methylcarboxamidoadenosine, an antagonist profile consistent with an A 2 receptor-mediated action. Treatment of endothelial cells with erythro-9-(2-hydroxy-3-nonyl) adenine plus iodotubericidin (inhibitors of adenosine deaminase and adenosine kinase, respectively) induced endothelial cell growth, and these effects were blocked by 1,3-dipropyl-8-p-sulfophenylxanthine and KF17837 but not 8-cyclopentyl-1,3-dipropylxanthine, suggesting that endothelial cell-derived adenosine induces growth via A 2 receptors. The growthstimulatory effects of Cl-Ad, 5Ј-N-methylcarboxamidoadenosine, and erythro-9-(2-hydroxy-3-nonyl) adenine plus iodotubericidin were abolished by antisense but not scrambled or sense oligonucleotides to the A 2B receptor. Our findings strongly support the hypothesis that adenosine induces endothelial cell growth by activating A 2B receptors. Thus, A 2B receptors may play a critical role in regulating vascular remodeling associated with endothelial cell proliferation in angiogenesis, collateral vessel development, and recovery after vascular injury. Pharmacological or molecular biological activation of A 2B receptors may be useful in modulating vascular remodeling.