Studies show that kidneys produce 2Ј,3Ј-cAMP, 2Ј,3Ј-cAMP is exported and metabolized to 2Ј-AMP and 3Ј-AMP, 2Ј-AMP and 3Ј-AMP are metabolized to adenosine, 2Ј,3Ј-cAMP inhibits proliferation of preglomerular vascular smooth muscle cells (PGVSMCs) and glomerular mesangial cells (GMCs), and A 2B (not A 1 , A 2A , or A 3 ) adenosine receptors mediate part of the antiproliferative effects of 2Ј,3Ј-cAMP. These findings suggest that extracellular 2Ј,3Ј-cAMP attenuates proliferation of PGVSMCs and GMCs partly via conversion to corresponding AMPs, which are metabolized to adenosine that activates A 2B receptors. This hypothesis predicts that extracellular 2Ј-AMP and 3Ј-AMP should exert A 2B receptormediated antiproliferative effects. Therefore, we examined the antiproliferative effects (cell counts) of 2Ј-AMP and 3Ј-AMP. In PGVSMCs and GMCs, 2Ј-AMP and 3Ј-AMP exerted concentration-dependent antiproliferative effects. 3Ј-AMP was equipotent with and 2Ј-AMP was 3-fold less potent than 5Ј-AMP (prototypical adenosine precursor). In PGVSMCs, the effects of 2Ј-AMP and 3Ј-AMP were mimicked by adenosine, and 8-[4-[((4-cyanophenyl)carbamoylmethyl)oxy]phenyl]-1,3-di(npropyl)xanthine (MRS-1754) (A 2B receptor antagonist) equally blocked the antiproliferative effects of 2Ј-AMP, 3Ј-AMP, and adenosine but less effectively blocked the effects of 2Ј,3Ј-cAMP. Similar results were obtained in GMCs except that MRS-1754 also incompletely blocked the effects of 3Ј-AMP. We conclude that in PGVSMCs, 2Ј-AMP and 3Ј-AMP are antiproliferative, the antiproliferative effects of 2Ј-AMP and 3Ј-AMP are mediated nearly entirely by adenosine/A 2B receptors, and some of the antiproliferative effects of 2Ј,3Ј-cAMP are independent of adenosine/A 2B