Prostaglandin (PG) D 2 acts through both the DP 1 receptor, which is coupled to adenylyl cyclase, and the DP 2 receptor (chemoattractant receptor-homologous molecule expressed on Th2 cells), which is present on eosinophils, basophils, and Th2 cells and results in cell activation and migration. The most potent prostanoid DP 2 agonist so far reported is 15R-methyl-PGD 2 , in which the hydroxyl group has the unnatural R configuration. In contrast, the corresponding analog possessing the natural 15S configuration is ϳ75 times less potent. This raised the question of whether the isoprostane 15R-PGD 2 might have potent DP 2 receptor-mediated biological activity. We therefore chemically synthesized 15R-PGD 2 and investigated its biological activity. This compound elicited DP 2 receptor-mediated CD11b expression in human basophils and eosinophils and induced actin polymerization and migration in eosinophils with a potency about the same as that of PGD 2 . In contrast, it had only a weak effect on DP 1 receptor-mediated adenylyl cyclase activity in human platelets. We also investigated the effects of modification of the 9-hydroxyl and 11-oxo groups of PGD 2 . Both PGK 2 , in which the 9-hydroxyl group is replaced by an oxo group, and 11-deoxy-11-methylene PGD 2 , in which the 11-oxo group is replaced by a CH 2 group, have little or no DP 1 or DP 2 agonist activity. However, the 11-methylene analog is a DP 2 antagonist (IC 50 , ϳ2 M). We conclude that 15R-PGD 2 , which may be generated by oxidative stress, is a potent and selective DP 2 agonist and that modification of the 11-oxo group of PGD 2 can result in DP 2 antagonist activity.