SummaryProstaglandin E 2 (PGE 2 ) is an important inducer of inflammation, which is also closely linked to the progress of tumours. In macrophages, PGE 2 production is regulated by arachidonic acid release and cyclooxygenase-2 (COX-2) expression. In the present study, we found that COX-2 expression can be achieved by activating Ca 2+ /Calmodulin (CaM)-dependent protein kinase II (CaMKII) and cAMP-response element-binding protein (CREB) in rat peritoneal macrophages. Our results indicated that lipopolysaccharide and PMA could elicit the transient increase of the concentration of intracellular free calcium ions ([Ca 2+ ] i ), which induced activation of CaMKs with the presence of CaM. The subtype of CaMKs, CaMKII, then triggered the activation of CREB, which elevated COX-2 expression and PGE 2 production in a chronological order. These results suggested that Ca 2+ /CaM-dependent CaMKII plays an important role in mediating COX-2 expression and PGE 2 production by activating CREB in macrophages. The study also provides more useful information to clarify the mechanism of calcium regulation of PGE 2 production, which plays an essential role in inflammation and cancers.