Cyclooxygenase (COX) is the rate-limiting enzyme in the production of prostaglandins. COX-2, the predominant COX isoform in brain, is induced by synaptic activity. COX-2-generated prostaglandins are important regulators for a range of activities under physiologic conditions. However, under pathologic conditions, COX-2 activity can produce reactive oxygen species and toxic prostaglandin metabolites that can exacerbate brain injury. In this study, we examine the developmental production of COX-2 and test the ability of a COX-2 inhibitor, SC58125, to attenuate traumatic brain injury in developing rats. We show that constitutive COX-2 concentration is low (0.5-fold adult concentration) during the first postnatal week and then increases to 3-fold of adult levels between days 14 -60. Controlled cortical impact (CCI) at postnatal day (PND) 17, but not PND 7, caused an additional 3-fold increase in COX-2 content and was associated with an increase in the COX-2 product PGE 2 . Treatment with the COX-2 inhibitor SC58125 in PND17 rats exposed to CCI attenuated the rise in PGE 2 but did not attenuate lesion volume or improve performance in the Morris water maze. C OX is the rate-limiting enzyme in the production of prostaglandins from arachidonic acid. There are two COX isoforms, COX-1 and COX-2. COX-1 is a constitutive isoform produced in many tissues including stomach, kidneys, blood vessels, and platelets. COX-2 is an inducible isoform found in inflammatory cells and brain; it is the predominant isoform in brain. In brain, COX-2 is induced by synaptic activity and COX-2-generated prostaglandins are important physiologic regulators for a range of activities including local cerebral blood flow and learning. The recent controversy surrounding the association of stroke and COX-2 inhibitors in otherwise healthy patients reinforces the notion that COX-2 has an important role in cerebrovascular homeostasis. On the other hand, overexpression of COX-2 can be harmful. Under pathologic conditions including trauma, ischemia, and chronic neurodegenerative conditions, COX-2 activity is up-regulated, producing reactive oxygen species and toxic prostaglandin metabolites that worsen injury [reviewed in (1)]. Accordingly, experimental models of ischemic brain injury show less damage in rodents treated with COX-2 inhibitors and in COX-2 knock out mice.Both COX-1 (2) and COX-2 are increased after traumatic brain injury (3-5). However, treatment using COX-2 inhibitors in models of traumatic brain injury have led to contradictory results, with some showing a benefit to therapy (6 -9) and others showing harm or no benefit (3,10).COX-2 in the immature brain is developmentally regulated. In the rodent, there is very little COX-2 expression immediately after birth. Expression then increases to achieve peak values during the third and fourth postnatal weeks before decreasing to the intermediate levels contained in adult brain (11,12). A similar pattern of expression is found for nitric oxide synthase (NOS). NOS, like COX, is an important...