Adenosine is released from the compromised brain and exerts a predominately neuroprotective influence. However, the timecourse of adenosine release and its relationship to synaptic activity during metabolic stress is not fully understood. Here, we describe experiments using an enzyme-based adenosine sensor to show that adenosine potently (IC 50 1 lM) inhibits excitatory synaptic transmission in area CA1 during oxygen/ glucose deprivation ('ischaemia'), and that the prolonged postischaemic presence of extracellular adenosine sustains the depression of the field excitatory postsynaptic potential (fEPSP). N-methyl-D-aspartate (NMDA) receptor antagonism promotes post-ischaemic recovery of the fEPSP, in parallel with reduced release of adenosine. Paradoxically, however, after ischaemia the fEPSP recovers in the face of concentrations of adenosine capable of fully eliminating synaptic transmission during ischaemia. This hysteresis is not prevented by NMDA receptor antagonism, is observed during repeated ischaemia when adenosine release is reduced, and does not reflect desensitization of adenosine A 1 receptors. We conclude that adenosine exerts powerful inhibitory actions on excitatory synaptic transmission both during, and for some considerable time after, ischaemia. Therapeutic strategies designed to exploit both the continued presence of adenosine and activity of A 1 receptors could provide benefits in individuals who have suffered acute injury to the CNS. Keywords: adenosine, epilepsy, hypoxia, ischaemia, neuroprotection, stroke. Adenosine is released during metabolic or traumatic insults to the mammalian, including human, brain and is widely regarded as exerting a neuroprotective influence. Adenosine acts via four G-protein-coupled receptors (A 1 , A 2A , A 2B and A 3 ), of which the A 1 receptor is expressed at the highest level in brain and provides both an important inhibitory and neuroprotective influence (Fredholm et al. 2005a). Various studies have shown that A 1 receptor agonists protect neurones from injury whilst A 1 antagonists generally exacerbate injury (Rudolphi et al. 1992). Similarly, increasing extracellular adenosine by preventing adenosine uptake or breakdown is also neuroprotective, whilst promoting adenosine metabolism worsens neuronal injury Stone 2002). These observations have led to the concept that adenosine, via inhibition of glutamate release and neuronal activity, is an endogenous neuroprotective compound. Conversely, similar pharmacological approaches have shown that the acute administration of A 2A and A 3 receptor agonists worsen, and antagonists improve, the outcome after cerebral ischaemia. One explanation for the contrasting actions of A 2A and A 3 receptors is that their activation limits the beneficial effects of the A 1 receptor, perhaps by inducing adenosine A 1 receptor desensitization (Pearson et al. 2003;Fredholm et al. 2005a).Considerable information regarding the consequences of adenosine receptor activation has been amassed using a