With interest waning in the use of cyclooxygenase-2 (COX-2) inhibitors for inflammatory disease, prostaglandin receptors provide alternative targets for the treatment of COX-2-mediated pathological conditions in both the periphery and the central nervous system. Activation of prostaglandin E2 receptor (PGE 2 ) subtype EP2 promotes inflammation and is just beginning to be explored as a therapeutic target. To better understand physiological and pathological functions of the prostaglandin EP2 receptor, we developed a suite of small molecules with a 3-aryl-acrylamide scaffold as selective EP2 antagonists. The 12 most potent compounds displayed competitive antagonism of the human EP2 receptor with K B 2-20 nM in Schild regression analysis and 268-to 4,730-fold selectivity over the prostaglandin EP4 receptor. A brain-permeant compound completely suppressed the up-regulation of COX-2 mRNA in rat cultured microglia by EP2 activation and significantly reduced neuronal injury in hippocampus when administered in mice beginning 1 h after termination of pilocarpine-induced status epilepticus. The salutary actions of this novel group of antagonists raise the possibility that selective block of EP2 signaling via small molecules can be an innovative therapeutic strategy for inflammation-related brain injury.yclooxygenase-2 (COX-2), the inducible isoform of COX, is rapidly up-regulated in damaged tissue, for example in the central nervous system (CNS) after a seizure or cerebral ischemia (1-3). COX-2 induction in CNS overall contributes to inflammation and injury mainly by producing prostanoids (4-7). However, the deleterious cardio-and cerebrovascular side effects from sustained inhibition of COX-2 suggest that some COX-2 downstream prostanoid signaling might be beneficial (8), such that modulation of a specific prostanoid receptor or synthase could be a superior therapeutic strategy compared with generic block of the entire COX-2 cascade. Prostaglandin E2 (PGE 2 ), a dominant enzymatic product of COX-2 in the brain, can activate four Gprotein-coupled receptors (GPCRs): EP1, EP2, EP3, and EP4. Among these, EP2 and EP4 receptors are positively coupled through Gαs to cAMP production (9). In turn, cAMP can initiate multiple downstream events mediated by protein kinase A (PKA) or exchange protein activated by cAMP (Epac) (9).The EP2 receptor is widely expressed in both neurons and glia (3, 10). Neuronal EP2 activation appears to mediate some beneficial effects, such as PKA-dependent neuroprotection in acute models of ischemia and excitotoxicity (3,11,12), early neuroprotection following seizures (13), and promotion of spatial learning (14). Conversely, on the basis of the phenotype of EP2 knockout mice, EP2 activation is thought to promote inflammation and neurotoxicity in animal models of neurodegenerative diseases including Alzheimer's disease (15), Parkinson's disease (16), and amyotrophic lateral sclerosis (10). Glial, especially microglial EP2, is considered to play a major role in brain inflammation associated with chronic ne...