Prostaglandin E2 (PGE 2 ), a major product of cyclooxygenase, exerts its functions by binding to four G protein-coupled receptors (EP1-4) and has been implicated in modulating angiogenesis. The present study examined the role of the EP4 receptor in regulating endothelial cell proliferation, migration, and tubulogenesis. Primary pulmonary microvascular endothelial cells were isolated from EP4 flox/flox mice and were rendered null for the EP4 receptor with adenoCre virus. Whereas treatment with PGE 2 or the EP4 selective agonists PGE 1 -OH and ONO-AE1-329 induced migration, tubulogenesis, ERK activation and cAMP production in control adenovirus-transduced endothelial EP4 flox/flox cells, no effects were seen in adenoCre-transduced EP4 flox/flox cells. The EP4 agonist-induced endothelial cell migration was inhibited by ERK, but not PKA inhibitors, defining a functional link between PGE 2 -induced endothelial cell migration and EP4-mediated ERK signaling. Finally, PGE 2 , as well as PGE 1 -OH and ONO-AE1-329, also promoted angiogenesis in an in vivo sponge assay providing evidence that the EP4 receptor mediates de novo vascularization in vivo.Angiogenesis, the process of new blood vessel formation from pre-existing vessels, is a multistep event that requires endothelial cell proliferation, migration, and tube formation. Angiogenesis is controlled by diverse factors, including cytokines, growth factors, as well as cyclooxygenase-2-derived eicosanoids (1, 2). The pro-angiogenic effects of cyclooxygenase-2 are mediated primarily by three products of arachidonic acid metabolism: thromboxane A 2 , prostaglandin E 2 (PGE 2 ), 2 and prostaglandin I 2 . These pro-angiogenic eicosanoids directly stimulate the synthesis of angiogenic factors, promote vascular sprouting, migration, tube formation, as well as enhance endothelial cell survival (1, 2).PGE 2 exerts its cellular effects by binding to four distinct E-prostanoid receptors (EP1-4) that belong to the family of seven transmembrane G protein-coupled rhodopsin-type receptors (3). Even though there is similar signaling mechanisms among these receptors, it is clear that each receptor has different and often opposing biological effects (4). For example, although the EP2 and EP4 receptors are both Gs coupled receptors and up-regulate intracellular cAMP levels, they mediate differential phosphorylation of cAMP response element-binding proteins (5). In addition, following activation, these two receptors exert different downstream effects on important intracellular mediators, including the PI3K and ERK pathways (6, 7). Moreover, the EP3 receptor usually counteracts EP2-and EP4-mediated up-regulation of cAMP by preferentially coupling to G i proteins (3).Some information regarding the role of PGE 2 in angiogenesis has been obtained using cancer models in mice where the receptors have been deleted by homologous recombination. In this context, mice lacking the EP2 receptor produce significantly fewer and less vascularized tumors than wild type mice in a two-stage skin carcinogenesi...