Eicosanoids derived from polyunsaturated fatty acids are soluble mediators that exert a key role in the physiopathology of many disorders, including infl ammation, thrombosis, and cancer. Prostanoids derived from arachidonic acid (AAc) through the cyclooxygenase (COX) pathway are particularly relevant. The increasing interest in the role of prostanoids in the context of cancer originates in the large epidemiological trials that showed that COX-inhibiting nonsteroidal anti-infl ammatory drugs could be benefi cial against the development and growth of malignancies ( 1 ).Prostaglandin (PG)H 2 is the common cyclic-peroxide intermediate in the biosynthesis of prostanoids derived from AAc. The other prostanoids are formed in reactions catalyzed by specifi c synthases acting on PGH 2 ( 2 ). In contrast with the ubiquitous expression of COXs, expression of downstream synthases confers a cell-specifi c prostanoid profi le. COX-2 receives the most attention because, unlike COX-1, which is widely expressed, its expression is restricted in nonpathologic settings to a few cell types and tissues, but it is over-expressed in a wide range of cell types in tumors and infl amed tissues. COX-2 is transiently and Abstract Prostaglandin (PG)E 2 is relevant in tumor biology, and interactions between tumor and stroma cells dramatically infl uence tumor progression. We tested the hypothesis that cross-talk between head and neck squamous cell carcinoma (HNSCC) cells and fi broblasts could substantially enhance PGE 2 biosynthesis. We observed an enhanced production of PGE 2 in cocultures of HNSCC cell lines and fi broblasts, which was consistent with an upregulation of COX-2 and microsomal PGE-synthase-1 ( mPGES-1) in fi broblasts. In cultured endothelial cells, medium from fi broblasts treated with tumor cell-conditioned medium induced in vitro angiogenesis, and in tumor cell induced migration and proliferation, these effects were sensitive to PGs inhibition. Proteomic analysis shows that tumor cells released IL-1, and tumor cell-induced COX-2 and mPGES-1 were suppressed by the IL-1-receptor antagonist. IL-1 ␣ levels were higher than those of IL-1  in the tumor cell-conditioning medium and in the secretion from samples obtained from 20 patients with HNSCC. Fractionation of tumor cellconditioning media indicated that tumor cells secreted mature and unprocessed forms of IL-1. Our results support the concept that tumor-associated fi broblasts are a relevant source of PGE 2 in the tumor mass. Because mPGES-1 seems to be essential for a substantial biosynthesis of PGE 2 , these fi ndings also strengthen the concept that mPGES-1 may be \a target for therapeutic intervention in patients with HNSCC. Abbreviations: AAc, arachidonic acid; COX, cyclooxygenase; cPGES, cytosolic isoform of prostaglandin E synthase; FaDu-CM, FaDu-conditioned medium; HNSCC, head and neck squamous cell carcinoma; HUVEC, human umbilical vein endothelial cells; IL-1ra, interleukin-1 receptor antagonist; mPGES-1, microsomal prostaglandin E-synthase-1; MW, molecular weig...