A newly created hybrid enzyme (COX-2-10aa-mPGES-l), which mimics the specific biosynthesis ofthe inflammatory PGE 2 through COX-2's coupling to mPGES-l, was stably expressed in HEK293 cells. The stable cell line, which consistently expresses the superior triple catalytic (Trip-Cat) activities from COX-2 and mPGES-l, was able to directly convert arachidonic acid into the pathogenic PGE 2 and distinguish it from other PGE 2 synthesizing pathways, as confirmed by enzyme immunoassay, LC/MS analysis and a specific [I4C]-AA (arachidonic acid) metabolite analysis approach. A competitive assay confirmed that the endogenous cPGES and mPGES-2 in the HEK293 cells had little involvement in the presence of the expressed COX-2-10aa-mPGES-l for the synthesis of pathogenic PGE 2• Furthermore, subcutaneous injection of the stable cell lines into nulnu mice revealed 100% (10 out 10) occurrence of tumor mass formation beginning on Day 7 and a continuous progression of the masses to the maximal size which required sacrificing the mice. In contrast, only 10% occurrence oftumor masses, though smaller and with slower growth rates, were observed for the group ofvector-transfected HEK293 control cells expressing only endogenous cPGES andlor mPGES-2. The PGE 2 produced from multiple pathways by the HEK293 cells co-expressing the individual wild type COX-2 and mPGES-l, and in the presence of endogenous cPGES and mPGES-2, showed also a significantly increased tumor occurrence rate to 30%, which confirmed that the sole coupling of COX-2 to mPGES-l is a powerful tumor-advancing factor. This result implies that the engineered COX-2-10aa-mPGES-l could be a promising molecule as a drug developing target against the pathway ofCOX-2 coupled to mPGES-l to treat inflammatory diseases and cancers.Prostaglandin E z (PGE z ) is produced from arachidonic acid (AA) and requires three catalytic activities from two enzymes, cyclooxygenase (COX) isoform-I or -2 and PGE z synthase (PGES) (l, 2). During the reactions, endogenous AA is converted into PGG z and then PGH z by the cyclooxygenase and peroxidase activities of COX-lor -2. The unstable PGH z is further isomerized to PGE z by prostaglandin E z synthases. There are three PGES enzymes which share the same PGH z as a substrate, including the non-inducible cytosolic PGES (cPGES) (3), and the inducible microsomal PGES (mPGES) -1