Hypoxia increases brain adenosine concentrations, which provides neuro
protection through activation of central adenosine A(1) receptors. Thi
s study was carried out to determine whether PD 81,273, which increase
s adenosine's binding to A(1) receptors, would reduce hypoxia-induced
brain injury. PD 81,273 (3 mg/kg, i.p.) decreased by about 50% the wei
ght loss of the left cerebral hemisphere caused by hypoxia-ischemia in
neonatal rats. Thus, enhancing adenosine's binding to the A(1) recept
or decreases hypoxic brain damage.