Oxygenation of arachidonic acid at the 5-carbon by 5-lipoxygenase (5-LOX) gives rise to 5 S -hydroperoxyeicosatetraenoic acid (5 S -HPETE). 5 S -HPETE undergoes further transformation by 5-LOX to the leukotriene epoxide LTA 4 or reduction to the hydroxy derivative, 5 S -HETE ( 1 ). 5-LOX is expressed in neutrophils, eosinophils, macro phages, and mast cells, and requires support by the accessory membrane protein 5-LOX activating protein (FLAP) for enzymatic activity in intact cells ( 2 ). Whereas 5-LOX is the only enzyme capable of oxygenating the 5-position of arachidonic acid, several enzymes can oxygenate the 15-carbon ( 3 ): two 15-lipoxygenases, 15-LOX-1 (the 12/15-LOX in the mouse) and 15-LOX-2 ( 4, 5 ), COX-1 and COX-2, both forming 15-HETE and 11-HETE as by-products of prostaglandin biosynthesis ( 6, 7 ), and aspirin-acetylated COX-2, a pure 15 R -oxygenase ( 8-11 ).Insertion of oxygen at one end of arachidonic acid does not impinge on the reactive pentadiene system at the other end, and, therefore, double oxygenation at both the 5-and 15-carbons of arachidonic acid is readily achievable. For example, formation of 5,15-diHETE in rat mononuclear cells and in human leukocytes is catalyzed by consecutive transformation of arachidonic acid by 5-LOX and 15-LOX in either order ( 12 ). Consecutive oxygenation of arachidonic acid by 5-LOX and 15-LOX is also instrumental in the biosynthesis of lipoxins. Lipoxin formation, however, additionally requires that one of the enzymes executes LTA-synthase activity, i.e., the dehydration of a hydroperoxide to an epoxide. Hydrolysis of the epoxide intermediate furnishes the fi nal trihydroxylated arachidonic acid derivative ( 13, 14 ). The 15 R -oxygenating activity of aspirin acetylated COX-2 can substitute for the 15-LOX activity in