The cysteinyl leukotrienes (cys-LTs) mediate both acute and chronic inflammatory responses in mice, as demonstrated by the attenuation of the IgE/antigen-mediated increase in microvascular permeability and of bleomycin-induced pulmonary fibrosis, respectively, in a strain with targeted disruption of leukotriene C 4 synthase to prevent cys-LT synthesis. Our earlier finding that the acute, but not the chronic, injury was attenuated in a strain with targeted disruption of the cysteinyl leukotriene 1 (CysLT 1 ) receptor suggested that the chronic injury might be mediated through the CysLT 2 receptor. Thus, we generated CysLT 2 receptor-deficient mice by targeted gene disruption. These mice developed normally and were fertile. The increased vascular permeability associated with IgE-dependent passive cutaneous anaphylaxis was significantly reduced in CysLT 2 receptor-null mice as compared with wild-type mice, whereas plasma protein extravasation in response to zymosan A-induced peritoneal inflammation was not altered. Alveolar septal thickening after intratracheal injection of bleomycin, characterized by interstitial infiltration with macrophages and fibroblasts and the accumulation of collagen fibers, was significantly reduced in CysLT 2 receptor-null mice as compared with the wild-type mice. The amounts of cys-LTs in bronchoalveolar lavage fluid after bleomycin injection were similar in the CysLT 2 receptor-null mice and the wildtype mice. Thus, in response to a particular pathobiologic event the CysLT 2 receptor can mediate an increase in vascular permeability in some tissues or promote chronic pulmonary inflammation with fibrosis.The cysteinyl leukotrienes (cys-LTs), 1 leukotriene (LT) C 4 , LTD 4 , and LTE 4 , are lipid mediators (1, 2) that have been implicated in the pathobiology of allergic and asthmatic inflammatory responses on the basis of the efficacy of specific intervention with a biosynthetic inhibitor (3) or antagonists to a receptor subsequently shown to be the cysteinyl leukotriene 1 (CysLT 1 ) receptor (4). Two types of human receptors for cys-LTs, designated CysLT 1 receptor and CysLT 2 receptor, belonging to the seventransmembrane, G protein-coupled receptor family, were cloned and shown to be 38% homologous in their amino acid sequences (5-9). The rank order of affinities of the cys-LTs for the CysLT 1 and CysLT 2 receptors is LTD 4 Ͼ LTC 4 Ͼ LTE 4 Ͼ Ͼ LTB 4 and LTC 4 ϭ LTD 4 Ͼ Ͼ LTE 4 Ͼ Ͼ LTB 4 , respectively. The CysLT 1 receptor is expressed on airway smooth muscle, monocytes/ macrophages, eosinophils (5, 10, 11), a subset of neutrophils (11), mast cells (12, 13), and endothelial cells (14). The CysLT 2 receptor is expressed on monocyte/macrophages, airway smooth muscle, cardiac Purkinje cells, adrenal medulla cells, peripheral blood leukocytes, brain cells (7), eosinophils (11, 15), mast cells (16), and endothelial cells (17,18). We and others have reported that the mouse CysLT 1 receptor can function as a receptor for LTD 4 in transfected cells with a ligand preference similar to that of the...