The naturally occurring purine 29,39-cAMP is metabolized in vitro to 29-AMP and 39-AMP, which are subsequently metabolized to adenosine. Whether in vivo 29,39-cAMP, 29-AMP, or 39-AMP are rapidly converted to adenosine and exert rapid effects via adenosine receptors is unknown. To address this question, we compared the cardiovascular and renal effects of 29,39-cAMP, 29-AMP, 39-AMP, 39,59-cAMP, 59-AMP, and adenosine in vivo in the rat. Purines were infused intravenously while monitoring mean arterial blood pressure (MABP), heart rate (HR), cardiac output, and renal and mesenteric blood flows. Total peripheral (TPR), renal vascular (RVR), and mesenteric vascular (MVR) resistances were calculated. Urine was collected for determination of urine excretion rate [urine volume (UV)]. When sufficient urine was available, the sodium excretion rate (Na 1 ER) and glomerular filtration rate (GFR) were determined. 29,39-cAMP, 29-AMP, and 39-AMP dose-dependently and profoundly reduced MABP, HR, TPR, and MVR with efficacy and potency similar to adenosine and 59-AMP. These effects of 29,39-cAMP, 29-AMP, and 39-AMP were attenuated by blockade of adenosine receptors with 1,3-dipropyl-8-(p-sulfophenyl)xanthine. 29,39-cAMP, 29-AMP, 39-AMP, adenosine, and 59-AMP variably affected RVR, but profoundly (nearly 100%) decreased UV at higher doses. GFR and Na 1 ER could be measured at the lower doses and were suppressed by 29,39-cAMP, 29-AMP, and 39-AMP, but not by adenosine or 59-AMP. 29,39-cAMP increased urinary excretion rates of 29-AMP, 39-AMP, and adenosine. 39,59-cAMP exerted no adverse hemodynamic effects yet increased urinary adenosine as efficiently as 29,39-cAMP. Conclusions: In vivo 29,39-cAMP is rapidly converted to adenosine. Because both cAMPs increase adenosine in the urinary compartment, these agents may provide unique therapeutic opportunities.