SUMMARY. We studied the effects of plasma high density and low density lipoproteins upon the synthesis of prostacyclin and prostaglandin E 2 by vascular smooth muscle cells. Prostaglandin synthesis was measured in 24-hour cultures by radioimmunoassay of the stable metabolites of prostacyclin, 6-keto-prostaglandin F,, t and of prostaglandin E 2 . High density lipoproteins induced dose-dependent increases in the release of 6-keto-prostaglandin F,,, and of prostaglandin E 2 from smooth muscle cells to values 14-and 50-fold above control. Incubations with low density lipoproteins at comparable cholesterol concentrations also induced dose-dependent release of 6-keto-prostaglandin Fi,, and prostaglandin E^ but to a lesser extent. Rat high density lipoprotein, which contained 2.5 times more cholesteryl arachidonate than human high density lipoproteins, stimulated 6-keto-prostaglandin Fi,, and prostaglandin E 2 release 2-to 3-fold more than human high density lipoproteins, whereas the delipidated apoproteins of high density lipoproteins had no significant effect on prostaglandin synthesis. II) with high density lipoprotein in stimulation of prostaglandin synthesis. The data indicate that both high and low density lipoproteins stimulate the synthesis of prostacyclin and prostaglandin E 2 by vascular smooth muscle cells. The results suggest that the lipoproteins provide arachidonate to a phospholipase-sensibve pool accessible to cyclooxygenase. (Circ Res 54: 554-565, 1984) PROSTACYCLIN (PGI 2 ) and prostaglandin E 2 (PGE 2 ) are vasodilator prostaglandins that are synthesized by blood vessels and vascular endothelial and smooth muscle cells grown in tissue culture (Moncada et al., 1977(Moncada et al., , 1979Weksler et al., 1977;Baenziger et al., 1979). Studies in perfused organs and in intact animals have indicated that the synthesis of PGI 2 and PGE 2 in vessels of organs such as the heart and kidneys, modulates the effects of vasoconstrictor stimuli, thus contributing to the maintenance of tissue perfusion (McGiff et al., 1970; Needleman et al., 1978;Oliver et al., 1980;Gunther and Cannon, 1980). Furthermore, Moncada and Vane have postulated that the balance between the production of thromboxane A 2 by platelets and the synthesis of PGI 2 by endothelial cells is important in the maintenance of vascular integrity (Moncada and Vane, 1979).The principal substrate for prostaglandin synthesis is arachidonate present in the phospholipids of cellular membranes; various mechanical and hormonal stimuli activate cell membrane phospholipases which liberate arachidonate, making it available to cyclooxygenase and other enzymes of the prostaglandin cascade (Ramwell et al., 1977;Whorton et al., 1982;and Hong and Deykin, 1982). However, arachidonate might also be derived from exogenous sources, and, in plasma, large amounts of arachidonic acid are present in esterified form in the phospholipids and cholesteryl esters of the plasma lipoproteins. In a previous study, we demonstrated that high density lipoproteins (HDL) markedly stim...