Adenosine is an autacoid that exerts its physiological actions through specific cell surface receptors. Four adenosine receptors (A 1 , A 2A , A 2B , and A 3 ), belonging to the family of G protein-coupled receptors, have been cloned and pharmacologically characterized (1). Acting through different adenosine receptors, adenosine is a neuromodulator in both the central and peripheral nervous systems (2, 3). Via A 1 adenosine receptors (A 1 Rs), 1 adenosine reduces heart rate (4), glomerular filtration rate, and renin release in the kidney (5); it induces bronchoconstriction (6, 7) and inhibits lipolysis. A 1 Rs can be coupled to different pertussis toxin-sensitive G proteins (8 -10), which mediate inhibition of adenylate cyclase (11) and regulate Ca 2ϩ and K ϩ channels and inositol phosphate metabolism (1). A 1 R displays two different affinities for agonist, which have classically been attributed to a different coupling to heterotrimeric G proteins (12). According to this two-independent site model, coupled receptor-G protein complexes display high affinity for agonists (K d ϭ 0.1-0.2 nM), and uncoupled receptors display low affinity (1-2 nM) (12, 13). The recently reported cluster-arranged cooperative model predicts that the high and low affinity sites are a consequence of the negative cooperativity of agonist binding and do not seem to be related to the content of free and G protein-coupled receptors (14). According to the cluster-arranged cooperative model, the agonist-induced conversion of the high to the low affinity state may partially explain the ligand-induced desensitization of A 1 R (14, 15).Receptors belonging to the G protein-coupled receptor family are desensitized and down-regulated in response to agonist stimulation.  2 -Adrenergic receptors ( 2 -ARs) constitute the best characterized system within the G protein-coupled receptor family. Agonist-induced  2 -AR desensitization is caused by a conformational change of the agonist-occupied receptor that facilitates receptor phosphorylation by second messenger-activated kinases or G protein-coupled receptor kinases (16,17). Following  2 -AR phosphorylation, -arrestin binds to the phosphorylated receptor and uncouples the receptor from the heterotrimeric G proteins (18,19). -Arrestin not only desensitizes the receptor but also functions as a clathrin adaptor, mediating receptor sequestration, i.e. receptor internalization toward intracellular compartments (20,21). Although sequestration is not required for phosphorylation and desensitization, it appears to be necessary for dephosphorylation and resensitization of  2 -ARs (22, 23).Like other G protein-coupled receptor members, A 1 R expression is regulated in response to agonist or antagonist stimulation. Desensitization of A 1 R has been described in intact animals and in cell cultures. Prolonged administration of A 1 R agonists to animals leads to functional desensitization of A 1 R in guinea pig heart (24), rat adipocytes (25), rat atrial muscle (26), and rat brain (27,28). The reduced functiona...