Increased synthesis of insulin-like growth factor-1 is induced in murine macrophages by prostaglandin E 2 (PGE 2 ) and tumor necrosis factor-␣ (TNF␣). Accordingly, we have investigated mechanisms regulating synthesis of PGE 2 that might contribute to autocrine/paracrine effects on insulin-like growth factor-1 production. In response to zymosan, TNF␣ specifically induced a 5-fold increase in PGE 2 synthesis, at the same time decreasing PGD 2 production in a reciprocal fashion. Activators of cyclic AMP-dependent protein kinase (PKA), such as PGE 2 itself or dibutyryl cyclic AMP, did not modify PGE 2 production by themselves but potentiated the TNF␣-induced increase in PGE 2 ; this effect required both RNA and protein synthesis. No significant change in arachidonate release or production of other eicosanoids was observed. The inducible form of cyclooxygenase-2 (COX2) but not of the constitutive form COX1 was implicated in the generation of both PGE 2 and PGD 2 in these cells by use of specific inhibitors and effects of dexamethasone. Neither COX1 nor COX2 protein levels were affected by TNF␣ or PKA activators used alone, whereas in association, marked up-regulation of COX2 mRNA and protein was observed. Incubations of cells carried out with PGH 2 demonstrated that PGE 2 synthase activity was increased after a TNF␣ pretreatment. Taken together, our results suggest that TNF␣ induced a switch from the PGD 2 to PGE 2 synthesis pathway by regulating PGE 2 synthase expression and/or activity and that activators of PKA markedly potentiated the TNF␣-induced increase in PGE 2 through up-regulation of COX2 gene expression.