Renal prostaglandin (PG) E 2 regulates salt and water transport, and affects disease processes via EP 1-4 receptors, but its role in the proximal tubule (PT) is unknown. Our study investigates the effects of PGE 2 on mouse PT fluid reabsorption, and its role in growth, sodium transporter expression, fibrosis, and oxidative stress in a mouse PT cell line (MCT). To determine which PGE 2 EP receptors are expressed in MCT, qPCR for EP 1-4 was performed on cells stimulated for 24 h with PGE 2 or transforming growth factor beta (TGFÎČ), a known mediator of PT injury in kidney disease. EP 1 and EP 4 were detected in MCT, but EP 2 and EP 3 are not expressed. EP 1 was increased by PGE 2 and TGFÎČ, but EP 4 was unchanged. To confirm the involvement of EP 1 and EP 4 , sulprostone (SLP, EP 1/3 agonist), ONO8711 (EP 1 antagonist), and EP 1 and EP 4 siRNA were used. We first show that PGE 2 , SLP, and TGFÎČ reduced H 3 -thymidine and H 3 -leucine incorporation. The effects on cell-cycle regulators were examined by western blot. PGE 2 increased p27 via EP 1 and EP 4 , but TGFÎČ increased p21; PGE 2 -induced p27 was attenuated by TGFÎČ. PGE 2 and SLP reduced cyclinE, while TGFÎČ increased cyclinD1, an effect attenuated by PGE 2 administration. Na-K-ATPase α1 (NaK) was increased by PGE 2 via EP 1 and EP 4 . TGFÎČ had no effect on NaK. Additionally, PGE 2 and TGFÎČ increased fibronectin levels, reaching 12-fold upon co-stimulation. EP 1 siRNA abrogated PGE 2 -fibronectin. PGE 2 also increased ROS generation, and ONO-8711 blocked PGE 2 -ROS. Finally, PGE 2 significantly increased fluid reabsorption by 31 and 46% in isolated perfused mouse PT from C57BL/6 and FVB mice, respectively, and this was attenuated in FVB-EP 1 null mice. Altogether PGE 2 acting on EP 1 and EP 4 receptors may prove to be important mediators of PT injury, and salt and water transport. Prostaglandin (PG) E 2 is a major product of cyclooxygenase activity in the kidney. It has a substantial role in maintaining hemodynamics, salt and water homeostasis, and affects growth, inflammation, oxidative stress, and fibrotic responses (reviewed in refs. 1-3 ). Four EP receptors (EP 1-4 ) mediate the signalling responses to PGE 2 , by altering intracellular cAMP and/or Ca 2+ levels. Renal cells often simultaneously express multiple EP receptors, and their relative levels determine the cell's response. Although the contribution of the proximal tubule (PT) to overall renal prostaglandin synthesis is minimal, the role of PGE 2 in PT transport function has been considered. For instance, PGE 2 stimulates cAMP and activates protein kinase A, and in turn regulates basolateral organic anion uptake. 4,5 In contrast, long-term exposure to PGE 2 inhibits its excretion by decreasing the levels of basolateral organic anion transporters that are responsible for PGE 2 uptake in rat renal PT cells. 6 The underlying regulatory pathways are not completely understood, but short-term vs long-term exposure to PGE 2 has opposite effects on the overall cell response. PGE 2 also reduces phosphate transpo...