Although cancer cells have traditionally been thought to rely on the glycolytic pathway to generate ATP, recent studies suggest that cancer cells can shift to the fatty acid oxidation pathway as an alternative energy source. All of the factors that induce and regulate this adaptive shift in metabolism are not known. Cyclooxygenase-2-derived prostaglandin E 2 (PGE 2 ) is produced at high levels in colon cancer, and multiple lines of evidence from human-, animal-, and cell line-based studies indicate that PGE 2 plays a pro-oncogenic role in colorectal cancer progression. We have shown previously that exposure of colon cancer cells to PGE 2 promotes cell survival, in part by inducing the expression of the nuclear orphan receptor NR4A2. Here, we report that PGE 2 -induced NR4A2 increased fatty acid oxidation by inducing the expression of multiple proteins in the fatty acid oxidation pathway. NR4A2 was found to bind directly to Nur77-binding response elements located within the regulatory region of these genes. Nur77-binding response element binding also resulted in the recruitment of transcriptional coactivators and induction of gene expression. Collectively, our findings suggest that NR4A2 plays a key role as a transcriptional integration point between the eicosanoid and fatty acid metabolic pathways. Thus, PGE 2 is a potential regulator of the adaptive shift to energy utilization via fatty acid oxidation that has been observed in several types of cancer.Despite their extremely inefficient use of energy, cancer cells are able to generate sufficient ATP to maintain their survival. Although it has traditionally been thought that cancer cells rely solely on the glycolytic pathway to generate ATP (1), recent studies suggest that many types of cancer cells can adapt to alternative energy utilization pathways, especially in fluorodeoxyglucose positron emission tomography-negative tumors in which glucose metabolism is suppressed (2). For instance, an adaptive shift to fatty acid oxidation and metabolism as an alternative means to generate energy has been well documented in various malignancies that may be influenced by obesity (3-5). In fact, several fatty acyl -oxidation proteins are elevated in a variety of tumors (5, 6). Moreover, a recent report provides evidence that cancer cells can be sensitized to apoptosis by the inhibition of fatty acid oxidation (7).The transcription factor NR4A2 is an orphan member of the nuclear receptor superfamily and is an important regulator of dopaminergic neuronal pathways. Recent evidence has linked NR4A2 to the regulation of both glucose and fatty acid metabolism (8, 9). The NR4A family includes three members: Nur77 (NGIF-B/NR4A1), Nurr1 (NOT/NR4A2), and Nor-1 (MINOR/ NR4A3). NR4A nuclear receptors can act as monomers to transactivate target genes by binding to the consensus Nur77-binding response element (NBRE 2 ; AAAGGTCA) (10). Multiple lines of evidence from human-, animal-, and cell culture-based studies indicate that the cyclooxygenase-2 (COX-2) pathway plays an important role ...