The effects of adenosine and its analogs on the function of the respiratory center were studied in the spontaneously active rhythmic slice of neonatal and juvenile mice (4-14 days old). Whole cell, spontaneous postsynaptic currents (sPSCs) and single channel K-ATP currents were recorded in inspiratory neurons of the pre-Botzinger complex. Adenosine (50-600 mu M) inhibited the respiratory rhythm. This was accompanied by increase in the activity of K-ATP channels in cell-attached patches. The A(1) adenosine receptor agonist, 2-chloro-N-6-cyclopentyladenosine (CCPA, 0.3-2 mu M), inhibited the respiratory rhythm, sPSCs, and enhanced activity of K-ATP channels. The A(1) adenosine receptor antagonist, 8-cyclopentyl-1,3-dipropylxanthine (DPCPX, 1-3 mu M), showed opposite effects and occluded the CCPA actions. Agents specific for A(2) adenosine receptors (CGS 21860 and NECA, both applied at 1-10 mu M) were without effect. Elevation of intracellular cAMP concentration ([cAMP]i) by 8-Br-cAMP (200-500 mu M), forskolin (0.5-2 mu M), or isobutylmethylxantine (IBMX, 30-90 mu M) reinforced the rhythm, whereas NaF (100-800 mu M) depressed it. The open probability of single K-ATP channels in cell-attached patches decreased after application of forskolin and increased in the presence of NaF. [cAMP](i) elevation reversed the effects of A(1) receptors both on the respiratory rhythm and K-ATP channels. A(1) receptors and [cAMP](i) modified the hypoxic respiratory response. In the presence of A(1) agonists the duration of hypoxic augmentation shortened, and depression of the respiratory rhythm occurred earlier. Elevation of [cAMP](i) prolonged augmentation and delayed the development of the depression. We conclude that A(1) adenosine receptors modulate the respiratory rhythm via inhibition of intracellular cAMP production and concomitant activation of K-ATP channels.