Rationale: Indirect airway hyperresponsiveness (AHR) is a fundamental feature of asthma that is manifest as exercise-induced bronchoconstriction (EIB). Secreted phospholipase A 2 group X (sPLA 2 -X) plays a key role in regulating eicosanoid formation and the development of inflammation and AHR in murine models. Objectives: We sought to examine sPLA 2 -X in the airway epithelium and airway wall of patients with asthma, the relationship to AHR in humans, and the regulation and function of sPLA 2 -X within the epithelium. Methods: We precisely phenotyped 34 patients with asthma (19 with and 15 without EIB) and 10 normal control subjects to examine in vivo differences in epithelial gene expression, quantitative morphometry of endobronchial biopsies, and levels of secreted protein. The regulation of sPLA 2 -X gene (PLA2G10) expression was examined in primary airway epithelial cell cultures. The function of epithelial sPLA 2 -X in eicosanoid formation was examined using PLA 2 inhibitors and murine tracheal epithelial cells with Pla2g10 deletion. Measurements and Main Results: We found that sPLA 2 -X protein is increased in the airways of patients with asthma and that epithelial-derived sPLA 2 -X may be increased in association with indirect AHR. The expression of sPLA 2 -X increases during in vitro epithelial differentiation; is regulated by inflammatory signals including tumor necrosis factor, IL-13, and IL-17; and is both secreted from the epithelium and directly participates in the release of arachidonic acid by epithelial cells. Conclusions: These data reveal a relationship between epithelialderived sPLA 2 -X and indirect AHR in asthma and that sPLA 2 -X serves as an epithelial regulator of inflammatory eicosanoid formation. Therapies targeting epithelial sPLA 2 -X may be useful in asthma.Keywords: airway hyperresponsiveness; asthma; eicosanoid; epithelial cell; secretory phospholipase A 2Indirect airway hyperresponsiveness (AHR) refers to the propensity to develop airway narrowing in response to stimuli such as exercise, osmotic challenge, or adenosine that cause airflow obstruction via inflammatory or neuronal cells that release mediators (1). Exercise-induced bronchoconstriction (EIB) is a prototypical feature of indirect AHR in asthma that occurs in about 30 to 50% of subjects with asthma in cross-sectional studies (2, 3). Prior studies have identified epithelial shedding into the airway lumen and increased production of inflammatory eicosanoids such as leukotrienes in the airways of patients with EIB (4-8). The basis for the dysregulation of eicosanoids in asthma is incompletely understood. The rate-limiting step in eicosanoid biosynthesis is the release of unesterified arachidonic acid (AA) from the sn-2 position of membrane phospholipids by phospholipase A 2 (PLA 2 ) (9). Recent work has uncovered 10 mammalian secreted PLA 2 s (sPLA 2 s) that may coordinate eicosanoid synthesis with the well-described cytosolic PLA 2 -a (i.e., cPLA 2 a) (10-12). sPLA 2 s have several other inflammatory functions, including ...