Adenosine can induce hypothermia, as previously demonstrated for adenosine A 1 receptor (A 1 AR) agonists. Here we use the potent, specific A 3 AR agonists MRS5698, MRS5841, and MRS5980 to show that adenosine also induces hypothermia via the A 3 AR. The hypothermic effect of A 3 AR agonists is independent of A 1 AR activation, as the effect was fully intact in mice lacking A 1 AR but abolished in mice lacking A 3 AR. A 3 AR agonist-induced hypothermia was attenuated by mast cell granule depletion, demonstrating that the A 3 AR hypothermia is mediated, at least in part, via mast cells. Central agonist dosing had no clear hypothermic effect, whereas peripheral dosing of a non-brainpenetrant agonist caused hypothermia, suggesting that peripheral A 3 AR-expressing cells drive the hypothermia. Mast cells release histamine, and blocking central histamine H 1 (but not H 2 or H 4 ) receptors prevented the hypothermia. The hypothermia was preceded by hypometabolism and mice with hypothermia preferred a cooler environmental temperature, demonstrating that the hypothermic state is a coordinated physiologic response with a reduced body temperature set point. Importantly, hypothermia is not required for the analgesic effects of A 3 AR agonists, which occur with lower agonist doses. These results support a mechanistic model for hypothermia in which A 3 AR agonists act on peripheral mast cells, causing histamine release, which stimulates central histamine H 1 receptors to induce hypothermia. This mechanism suggests that A 3 AR agonists will probably not be useful for clinical induction of hypothermia.