Recently, a splicing variant of cyclooxygenase (COX)-1, arising via the retention of its intron 1, was identified in canine. It was called COX-3 and was reported to be differentially sensitive to inhibition by various nonsteroidal anti-inflammatory drugs (NSAIDs) as well as acetaminophen (Chandrasekharan et al., 2002). However, the existence of an orthologous splicing variant in human tissues has been questioned due to a reading frame shift and premature termination. In this study, we first confirmed the existence of intron 1-retained COX-1 in certain human tissues at both the mRNA and protein levels. Molecular biology studies revealed that three distinct COX-1 splicing variants exist in human tissues. The most prevalent of these variants, called COX-1b 1 , arises via retention of the entire 94 base pair (bp) of intron 1, leading to a shift in the reading frame and termination at bp 249. However, the other two variant types, called COX-1b 2 and COX-1b 3 , retain entire intron 1, but they are missing a nucleotide in one of two different positions, thereby encoding predicted full-length and likely COX-active proteins. Functional studies revealed that the COX-1b 2 is able to catalyze the synthesis of prostaglandin F 2␣ from arachidonic acid with K m and V max values of 0.54 M and 3.07 pmol/mg/ min, respectively. However, no significant differential selectivity for inhibition by selected NSAIDs was observed. Accordingly, we conclude that intron 1-retained human COX-1 is not likely to be the therapeutic target of acetaminophen or a candidate of COX-3.The commonly used nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin, ibuprofen, and naproxen, are known for their effects to relieve pain and inflammation and to reduce fever. This therapeutic benefit derives primarily from the ability to inhibit the activities of certain cyclooxygenase (COX) enzymes that are critically involved in de novo prostaglandin biosynthesis (Vane, 1971). To date, two isoforms of the COX enzyme, COX-1 and COX-2, have been identified (DeWitt and Smith, 1988;Merlie et al., 1988;Hla and Neilson, 1992). These two isozymes have different expression patterns and distinct enzymatic properties. It has been suggested that COX-1, constitutively expressed in many tissues, is responsible for the physiological production of prostanoids, whereas COX-2, inducible under inflammatory conditions, is mainly responsible for the pathological production of prostanoids (O'Banion et al., 1992). Subsequent experiments determined that most of the clinically used COX inhibitors, such as ibuprofen and naproxen, were nonselective (i.e., they blocked both COX-1 and COX-2), albeit with varying potency ratios. Consequently, the major therapeutic limitation of the nonselective COX inhibitors has been their tendency to cause gastrointestinal lesions due to reductions in gut levels of homeostatic prostanoids via COX-1 inhibition. Accordingly, significant effort has been committed to the discovery and development of selective COX-2 inhibitors that would be expe...