Huntington's disease is a neurodegenerative disease resulting from a CAG (glutamine) trinucleotide expansion in exon 1 of the Huntingtin (Htt) gene. The role of the striatum-enriched A(2A) adenosine receptor (A(2A)-R) in Huntington's disease has attracted much attention lately. In the present study, we found that expression of mutant Htt with expanded poly( Q) significantly reduced the transcript levels of the endogenous A(2A)-R in PC12 cells and primary striatal neurons. Cotransfection of various promoter constructs of the A(2A)-R gene and an expression construct of poly(Q)-expanded Htt revealed that the Htt mutant suppressed the core promoter activity of the A(2A)-R gene. Stimulation of the A(2A)-R using CGS21680, forskolin, and a constitutively active cAMP-response element-binding protein ( CREB) mutant elevated the reduced promoter activity of the A(2A)-R gene by mutant Htt. Moreover, the effect of CGS was blocked by an A(2A)-R- selective antagonist (CSC), two inhibitors of protein kinase A, and two dominant negative mutants of (CREB). The protein kinase A/CREB pathway therefore is involved in regulating A(2A)-R promoter activity. Consistently, an atypical CRE site (TCCAGG) is located in the core promoter region of the A(2A)-R gene. Electrophoretic gel mobility shift assay and mutational inactivation further demonstrated the functional binding of CREB to the core promoter region and showed that expression of poly(Q)-expanded Htt abolished the binding of CREB to this site. Stimulation of the A(2A)-R restored the reduced CREB binding caused by the mutant and concurrently reduced mutant Htt aggregation. Collectively, the poly(Q)-expanded mutant Htt suppressed expression of the A(2A)-R by inhibiting its core promoter at least partially by preventing CREB binding.