Park, Gye Young, and John W. Christman. Involvement of cyclooxygenase-2 and prostaglandins in the molecular pathogenesis of inflammatory lung diseases. Am J Physiol Lung Cell Mol Physiol 290: L797-L805, 2006; doi:10.1152/ajplung.00513.2005.-Inducible cyclooxygenase (COX-2) and its metabolites have diverse and potent biological actions that are important for both physiological and disease states of lung. The wide variety of prostaglandin (PG) products are influenced by the level of cellular activation, the exact nature of the stimulus, and the specific cell type involved in their production. In turn, the antiand proinflammatory response of PG is mediated by a blend of specific surface and intracellular receptors that mediate diverse cellular events. The complexity of this system is being at least partially resolved by the generation of specific molecular biological research tools that include cloning and characterization of the enzymes distal to COX-2 and the corresponding receptors to the final cellular products of arachidonic metabolism. The most informative of these approaches have employed genetically modified animals and specific receptor antagonists to determine the exact role of specific COX-2-derived metabolites on specific cell types of the lung in the context of inflammatory models. These data have suggested a number of cell-specific, pathway-specific, and receptor-specific approaches that could lead to effective therapeutic interventions for most inflammatory lung diseases. asthma; acute lung injury; pulmonary fibrosis ASPIRIN IS AN ANCIENT REMEDY that was first marketed in 1898 and launched more than a century of research that has focused on the involvement of cyclooxygenase (COX) and its enzymatic products in diverse physiological and pathophysiological events. Thirty years after prostaglandins (PG) were identified, Orloff et al. (79a) elucidated their molecular structure and demonstrated that they were derived from arachidonic acid via the COX reaction. This seminal work was greatly advanced when John Vane (102) first demonstrated that aspirin and indomethacin inhibited COX in cell-free homogenated lung tissue from guinea pigs. For their contributions of identifying COX, prostanoids products, and effective pharmacological inhibitors, Bergstrom, Samuelsson, and Vane shared The Noble Prize for Physiology or Medicine in 1982. Armed with these molecular tools and the analytic chemistry necessary to measure prostanoids, many investigators have examined the role of COX-2 and its metabolites in diverse and potent biological action on individual organs and mediators of organ interactions, including work that identified a prominent role in normal physiology and disease state of lung. Although there are several recent general reviews about COX and PG (18,33,73,74,90), none are specifically focused on information about the role of COX-2 and its metabolites in inflammatory lung diseases. Here, we will mainly focus on recent developments and updated information regarding the role of COX-2 in lung disease with a...