Hematopoietic prostaglandin D synthase (HPGDS) is primarly expressed in mast cells, antigen-presenting cells, and Th-2 cells. HPGDS converts PGH 2 into PGD 2 , a mediator thought to play a pivotal role in airway allergy and inflammatory processes. In this letter, we report the discovery of an orally potent and selective inhibitor of HPGDS that reduces the antigen-induced response in allergic sheep.KEYWORDS Hematopoietic prostaglandin D synthase (HPGDS), PGH 2 , PGD 2 , airway allergy, inflammatory processes, cyclooxygenase (COX) A sthma is a chronic inflammatory disorder of the airways that causes recurrent episodes of wheezing, breathlessness, chest tightness, and coughing in susceptible individuals. 1,2 Prostaglandin D 2 (PGD 2 ), a mediator of allergy and inflammation, is produced by mast cells and Th-2 cells in a variety of human tissues. PGD 2 is the most abundant de novo cyclooxygenase-derived mediator produced following IgE-mediated degranulation of mast cells. 3 The mast cell, following allergen-provoked degranulation, is believed to be the major source of PGD 2 found in the nasal exudates of patients with allergic rhinitis. PGD 2 levels increase dramatically in bronchoalveolar lavage fluid following allergen challenge, and the observation that patients with asthma exhibit bronchoconstriction upon inhalation of PGD 2 underscores the pathologic consequences of high levels of PGD 2 in the lung. 4 Treatment with PGD 2 produces significant nasal congestion and fluid secretion in man and dogs, and PGD 2 is 10 times more potent than histamine and 100 times more potent than bradykinin in producing nasal blockage in humans, demonstrating a role for PGD 2 in allergic rhinitis. 5,6 Mast cell-derived PGD 2 exerts its effect by activating two distinct G-protein-coupled receptors (GPCRs): the DP-1 receptor, a member of the prostanoid receptor subfamily, and the recently discovered chemoattractant receptor-homologous molecule expressed on T-helper 2 cells (CRTH 2 receptor). The DP-1 receptor is localized on the nasal vasculature and in mucin-secreting cells and is associated with tissue swelling and a concomitant increase in nasal airway resistance, while the CRTH 2 receptor is expressed on a subset of infiltrating T cells in inflamed nasal mucosa and is associated with the induction of chemotactic migration and/or activation of Th-2, eosinophils, and basophils. 7-9 Collectively, these data support a role for PGD 2 in inflammatory diseases of the upper airways and suggest that blockade of PGD 2 action at either or both receptors might be beneficial for the treatment of nasal allergies and other PGD 2 -mediated inflammatory conditions. This has created significant interest in both DP-1 and CRTH 2 as targets, and several publications have appeared describing inhibitor design. 10,11 PGD 2 is synthesized from arachidonic acid via the oxidation by cyclooxygenase PGH 2 (COX) and isomerization of PGH 2 to PGD 2 by prostaglandin D synthase (PGDS). Hematopoietic PGDS (HPGDS) is responsible for the synthesis of PGD 2 b...