Cyclooxygenase-2 (COX-2)-mediated prostaglandin synthesis has recently been implicated in human cholangiocarcinogenesis. This study was designed to examine the mechanisms by which COX-2-derived prostaglandin E 2 (PGE 2 ) regulates cholangiocarcinoma cell growth and invasion. Immunohistochemical analysis revealed elevated expression of COX-2 and the epidermal growth factor (EGF) receptor (EGFR) in human cholangiocarcinoma tissues. Overexpression of COX-2 in a human cholangiocarcinoma cell line (CCLP1) increased tumor cell growth and invasion in vitro and in severe combined immunodeficient mice. Overexpression of COX-2 or treatment with PGE 2 or the EP 1 receptor agonist ONO-DI-004 induced phosphorylation of EGFR and enhanced tumor cell proliferation and invasion, which were inhibited by the EP 1 receptor small interfering RNA or antagonist ONO-8711. Treatment of CCLP1 cells with PGE 2 or ONO-DI-004 enhanced binding of EGFR to the EP 1 receptor and c-Src. Furthermore, PGE 2 or ONO-DI-004 treatment also increased Akt phosphorylation, which was blocked by the EGFR tyrosine kinase inhibitors AG 1478 and PD 153035. These findings reveal that the EP 1 receptor transactivated EGFR, thus activating Akt. On the other hand, activation of EGFR by its cognate ligand (EGF) increased COX-2 expression and PGE 2 production, whereas blocking PGE 2 synthesis or the EP 1 receptor inhibited EGF-induced EGFR phosphorylation. This study reveals a novel cross-talk between the EP 1 receptor and EGFR signaling that synergistically promotes cancer cell growth and invasion.