Objective-Inducible expression of cyclooxygenase-2 (COX-2) and terminal prostaglandin synthases (tPGS) has been mainly analyzed in tumor, stromal, and inflammatory cells, and little is known about the regulation of prostanoid biosynthesis by endothelial cells. Here we characterize the profile of prostanoids produced by activated HUVECs and analyze the expression and activities of tPGS. Methods and Results-Enzyme immunoassays indicated increased endothelial prostanoid production after proangiogenic stimulation, but without parallel upregulation of tPGS. Endothelial prostanoid production instead depended on the induction of COX-2 and was abolished by COX-2 silencing or pharmacological inhibition. COX-2 is functionally coupled to prostacyclin and thromboxane synthases in HUVECs, but these cells show no detectable PGE 2 synthase (PGES) activity. Endothelial PGE 2 production is partly mediated by nonenzymatic decomposition of COX-2-derived PGH 2 , but endothelialproduced PGH 2 can also be metabolized enzymatically by microsomal PGES-1 in cocultured tumor cells. Conclusions-Our findings identify a novel transcellular metabolism of PGE 2 between the endothelial and tumor compartments. Given the role of PGE 2 as a mediator of COX-2 proangiogenic effects, transcellular metabolism of endothelial-derived PGH 2 is a potential target for treatment of pathological angiogenesis. Key Words: angiogenesis Ⅲ endothelium Ⅲ cyclooxygenases Ⅲ prostanoids Ⅲ transcellular metabolism N umerous studies indicate that enzymes involved in the metabolism of AA and its products might contribute to tumor-induced angiogenesis. 1,2 Cyclooxygenase-2 (COX-2), which converts AA into the prostanoid precursor PGH 2 , is induced by the proangiogenic factor VEGF, released by tumor cells. Moreover, proinflammatory cytokines such as IL-1 and TNF␣, potent COX-2 inducers, also have proangiogenic activity. 3 COX-2 expression is elevated in tumors, and genetic inactivation or pharmacological inhibition of COX-2 reduces tumor-induced neovascularization. 4 COX-2-associated angiogenesis is thought to be mediated by derived prostanoids, such as PGE 2 , PGI 2 , and TXA 2. Strong evidence exists for a link between PGE 2 and tumor angiogenesis; and of the PGES enzymes (cPGES, mPGES-1, mPGES-2), inducible mPGES-1 appears to be critical for tumor angiogenesis. 5 Moreover, in vivo models of TXAS or PGIS overexpression indicate proangiogenic effects for TXA 2 and antiantiogenic effects for PGI 2 . 6 Despite the evidence linking prostanoids to tumor angiogenesis, their mechanism of action is poorly understood. In particular, very little is known about the possible contribution made by the regulation of endothelial terminal prostanoid synthases. PGH 2 release by endothelium has been shown in vivo and ex vivo 7,8 ; however, whether PGH 2 is transformed into final prostanoids in endothelial cells spontaneously or enzymatically is unknown.We investigated the regulation of terminal prostaglandin synthases by VEGF and IL-1. Our results indicate that although endothelial cel...