Compared with prostaglandin E 2 , which has an established role in cancer, the role of the COX metabolite prostaglandin D 2 (PGD 2 ) in chronic inflammation leading to tumorigenesis is uncertain. In this study, we investigated the role of PGD 2 in colitis and colitis-associated colon cancer (CAC) using genetically modified mice and an established model of inflammatory colon carcinogenesis. Systemic genetic deficiency in hematopoietic PGD synthase (H-PGDS) aggravated colitis and accelerated tumor formation in a manner associated with increased TNFa expression. Treatment with a TNFa receptor antagonist attenuated colitis regardless of genotype. Histologic analysis revealed that infiltrated mast cells strongly expressed H-PGDS in inflamed colons. Mast cell-specific H-PGDS deficiency also aggravated colitis and accelerated CAC. In contrast, treatment with a PGD 2 receptor agonist inhibited colitis and CAC. Together, our results identified mast cell-derived PGD 2 as an inhibitor of colitis and CAC, with implications for its potential use in preventing or treating colon cancer. Cancer Res; 74(11); 3011-9. Ó2014 AACR.