1 The isoprostane 8-epi-prostaglandin (PG)F2a is produced by free radical-catalyzed peroxidation of arachidonic acid. It may also be formed as a minor product of the cyclo-oxygenase activity of platelet PGH synthase (PGHS)-l. We investigated 8-epi-PGF2. production associated with induction of the human monocyte PGHS-2 and its pharmacological modulation. 2 Heparinized whole blood samples were drawn from healthy volunteers, 48 h following oral dosing with aspirin 300 mg to suppress platelet cyclo-oxygenase activity. One ml aliquots were incubated with lipopolysaccharide (LPS: 0.1-50 ug ml-') for 0-24 h at 37'C. PGE2 and 8-epi-PGF2a were measured in separated plasma by radioimmunoassay and enzyme immunoassay techniques. 3 Levels of both eicosanoids were undetectable (i.e. <60 pg ml-') at time 0. LPS induced the formation of PGE2 and 8-epi-PGF2, in a time-and concentration-dependent fashion, coincident with the induction of PGHS-2 detected by Western blot analysis of monocyte lysates. After 24 h at 10 mig ml-' LPS, immunoreactive PGE2 and 8-epi-PGF2, averaged 10,480+4,643 and 295+ 140 pg ml-' (mean + s.d., n = 6), respectively. 4 Dexamethasone-and 5-methanesulphonamido-6-(2,4-difluorothiophenyl)-l-indanone (L-745,337), a selective inhibitor of the cyclo-oxygenase activity of PGHS-2, reduced PGE2 and 8-epi-PGF2. production in response to LPS.5 Isolated monocytes produced PGE2 and 8-epi-PGF2, in response to LPS (10 Mg ml-') in a timedependent fashion. Monocyte PGE2 and 8-epi-PGF2a production was largely prevented by dexamethasone (2 gM) and cycloheximide (10 Mg ml-') in association with suppression of PGHS-2 but not of PGHS-1 expression. 6 We conclude that the induction of PGHS-2 in human monocytes is associated with cyclo-oxygenasedependent generation of the vasoconstrictor and platelet-agonist 8-epi-PGF2,.