We previously demonstrated that both Cladribine (2-chloro-deoxyadenosine) and the related compound 2-chloroadenosine induce apoptosis of human astrocytoma cells (Ceruti et al. [2000] J Neurosci Res 60:388-400). In the present study we have characterized the role of the most important ''effector'' caspase (caspase-3) in the same experimental model and the relationship between the intracellular phosphorylation of the two adenosine analogs and activation of this enzyme. Data show that: 1) both adenosine analogs can activate caspase-3 in a time-dependent fashion; 2) significant activation of the enzyme (i.e., 6-7-fold over control level) can be detected before any appearance of nuclear signs of apoptosis; 3) the degree of caspase-3 activation is proportional to the percentage of apoptosis at the end of the incubation period, suggesting a causal relationship between enzyme activation and induction of cell death; and 4) both activation of caspase-3 and induction of cell death can be completely prevented by preexposure of cultures to inhibitors of the intracellular phosphorylation of 2-chloroadenosine and 2-chloro-2 0 -deoxyadenosine (namely, 5-iodotubercidin and 2 0 -deoxycytidine, respectively). Adenosine analogs act, therefore, as prodrugs and the toxic species are represented by the corresponding chloronucleotides. The pathways upstream of caspase-3 activation in human astrocytoma cells still remain to be elucidated. Taken together, these data strongly suggest a possible use of adenosine analogs in the pharmacological treatment of central nervous system tumors and of all tumors characterized by a high activity of nucleoside kinases leading to selective intracellular accumulation of toxic chloro-nucleotides. Drug Dev. Res. 58:396-404, 2003.