The anti-inflammatory drugs indomethacin and ramatroban, the latter showing clinical efficacy in treating allergic asthma, have been shown to act as a classic agonist and antagonist, respectively, of the G protein-coupled chemoattractant receptorhomologous molecule expressed on Th2 cells (CRTH2 receptor). Here, we report the identification of two indole derivatives 1-(4-ethoxyphenyl)-5-methoxy-2-methylindole-3-carboxylic acid and N ␣ -tosyltryptophan (hereafter referred to as 1 and 2, respectively), which are structurally related to indomethacin and ramatroban but which selectively interfere with a specific G protein-independent signaling pathway of CRTH2. In whole-cell saturation-binding assays, 1 and 2 both increase the number of [ 3 H]prostaglandin D2 (PGD2)-recognizing CRTH2 sites and the affinity of PGD2 for CRTH2. Enzyme-linked immunosorbent assays show that they do not alter the total number of CRTH2 receptors on the cell surface. Analysis of their binding mode indicates that unlike indomethacin or ramatroban, 1 and 2 can occupy CRTH2 simultaneously with PGD2. On a functional level, however, 1 and 2 do not interfere with PGD2-mediated activation of heterotrimeric G proteins by CRTH2. In contrast, both compounds inhibit PGD2-mediated arrestin translocation via a G protein-independent mechanism. In human eosinophils endogenously expressing CRTH2, 1 selectively decreases the efficacy but not the potency of PGD2-induced shape change, unlike ramatroban, which displays competitive antagonistic behavior. These data show for the first time that "antagonists" can cause markedly dissimilar degrees of inhibition for different effector pathways and suggest that it may be possible to develop novel classes of specific signal-inhibiting drugs distinct from conventional antagonists.The proximal event mediating cellular signaling by a seven-transmembrane (7TM) receptor is the binding of ligand, which causes the receptor to change its behavior toward the cell. In the past, ligands targeting 7TM receptors have been believed to cause a single type of functional response for all effectors linked to a given receptor; thus, compounds were classified as agonists or antagonists/inverse agonists, respectively, according to their intrinsic efficacy. Drugs with positive intrinsic efficacy stabilize the active receptor conformation and elicit a signaling response (agonists), whereas drugs with negative intrinsic efficacy preferentially stabilize the inactive receptor conformation and shut down a signaling response (antagonists/inverse agonists). In addition, this traditional view of either turning on or off receptor responses has been linked exclusively to signaling pathways involving the activation of heterotrimeric G pro- Article, publication date, and citation information can be found at http://molpharm.aspetjournals.org. doi:10.1124/mol.104.010520.ABBREVIATIONS: 7TM, seven transmembrane; CRTH2, chemoattractant receptor-homologous molecule expressed on Th2 cells; PGD2, prostaglandin D2; ELISA, enzyme-linked immunosorbent a...