Adenosine exerts a potent cardioprotective effect that is mediated by adeno
sine A(1) and A(3) receptors. The signaling pathways activated by the A(1)
and A(3) receptors are distinct and involve selective coupling to phospholi
pases C and D, respectively. The objective of our study was to elucidate th
e signaling mechanism that mediates the coupling of each receptor to its re
spective phospholipase and to test the role of RhoA as a novel mediator lea
ding from adenosine receptors to cardioprotection. C3 transferase and domin
ant negative RhoA (RhoAT19N) blocked the A(3) receptor-mediated phospholipa
se D activation and cardioprotection but had no effect on A(1) receptor-med
iated phospholipase C activation or cardioprotection. In contrast, pertussi
s toxin treatment caused a greater inhibition of the diacylglycerol accumul
ation induced by the A(1) agonist than by the A(3) agonist, and it complete
ly abrogated the A(1) agonist-mediated cardioprotection. Thus, adenosine A(
1) and A(3) receptors are linked to different G-proteins. The A(3) receptor
is coupled via RhoA to activate phospholipase D in exerting its cardioprot
ective effect, whereas the A(1) receptor is linked via G(i) to phospholipas
e C to produce cardioprotective responses. The present study identifies a n
ovel role for RhoA and further suggests its importance in regulating cardia
c cellular function.