Brief exposure of the heart to hypoxia results in less cellular damage after subsequent hypoxia, an effect known as preconditioning (PC). PC has been widely studied but is still not fully understood. Adenosine (Ado), adenosine receptors, and protein kinase C (PKC) have been implicated as integral components of PC. Adenosine (nucleoside) transporters (NTs) facilitate flux of Ado across cell membranes, but their role in PC is unknown. Therefore, we used the murine cardiomyocyte cell line, HL-1, and asked if there was feedback regulation of NTs by Ado, Ado receptors, and PKC following either hypoxic or pharmacological PC. Activation (by specific agonists) of A 1 or A 3 Ado receptors or PKC resulted in PC in HL-1. The A 1 (but not A 3 ) receptor is coupled to PKC⑀, and activation of PKC⑀ (by specific peptide agonist) resulted in PC. Moreover, PKC⑀ stimulates Ado uptake via the predominant NT in HL-1, mouse equilibrative nucleoside transporter 1 (mENT1). Studies in primary neonatal mouse cardiomyocytes confirmed our observations in HL-1 cells. Hypoxic challenge led to a rapid increase in, and efflux of, intracellular Ado from cells, which was blocked by NT inhibitors (dipyridamole/nitrobenzylthioinosine). Moreover, NT inhibition during hypoxia or PC was highly protective, suggesting that Ado loss contributes to decreased cell viability. Our data suggest that hypoxic challenge causes an efflux of Ado via ENTs, activation of A 1 and/or A 3 receptors, signaling through PKC⑀, and activation of ENT1. Since Ado is required for ATP synthesis on reperfusion, this feedback regulation of mENT1 would promote reuptake of Ado.Ischemia (reduced blood flow) and hypoxia (reduced oxygen) are serious problems in cardiology, from prenatal to geriatric settings, and we need a better understanding of the causes and consequences of ischemia/hypoxia to develop strategies to combat resultant damage. Although cardiomyocytes cannot rapidly proliferate to replace damaged tissues, they can respond to, and resist, the cellular stress caused by ischemia/hypoxia. Thus, cardiomyocytes are less damaged by ischemia/hypoxia if they have previously been briefly exposed to ischemia/hypoxia, a phenomenon known as ischemic or hypoxic preconditioning