A critical process in angiogenesis is endothelial cell proliferation, which requires activation of extracellular signal-regulated kinase (ERK)1/2. This study analyzed the pathway responsible for adenosine-induced ERK1/2 phosphorylation in human umbilical vein endothelial cells (HUVEC). Characterization with adenosine receptor (AR) agonists and antagonists and the AR mRNA profile demonstrated that stimulation of the A 2B AR can mediate ERK1/2 phosphorylation in HUVEC. The lack of sensitivity of A 2B AR-mediated ERK1/2 phosphorylation to 3- -8220) indicated that protein kinase C stimulation is not required. The response did not involve transactivation of receptors for epidermal growth factor or vascular endothelial growth factor (VEGF). The A 2B AR-mediated response required functional G ␣s and was mimicked by forskolin and 8-bromoadenosine 3Ј,5Ј-cyclic monophosphate. However, ERK1/2 phosphorylation induced by A 2B AR stimulation and forskolin was insensitive to protein kinase A inhibitors. It was hypothesized that the A 2B AR-mediated ERK1/2 activation may involve exchange protein activated by cAMP (Epac), a cAMP-activated guanine nucleotide exchange factor for Rap GTPases. Reverse Transcription-polymerase chain reaction analysis detected Epac1 but not Epac2 in HUVEC. 8-(p-Chlorophenylthio)-2Ј-O-methyladenosine-3Ј,5Ј-cyclic monophosphate (8CPT-2Me-cAMP), an Epac activator, stimulated ERK1/2 phosphorylation. Overexpression of Epac1 enhanced A 2B AR-mediated and forskolin-induced ERK1/2 phosphorylation, whereas response to VEGF was unaffected. Inhibition of Epac1 expression with small interfering RNA substantially reduced A 2B AR-mediated and forskolin-induced ERK1/2 phosphorylation and abolished that by 8CPT-2Me-cAMP. A 2B AR stimulation and forskolin activated Rap1. Expression of a dominant-negative Ras protein did not affect either forskolin-induced or A 2B AR-mediated ERK1/2 phosphorylation. In summary, Epac1 activation in HUVEC results in ERK1/2 activation, and this protein, at least in part, mediates response to the physiologically relevant event of A 2B AR stimulation.Intracellular accumulation of the second messenger molecule cAMP may have positive or negative effects on cell proliferation. These qualitatively different responses are frequently consistent with the effects of cAMP on ERK1/2, which is a key regulator of cell proliferation and may reflect cell type-dependent