The cysteinyl-leukotrienes (cysLTs) LTC 4 , LTD 4 , and LTE 4 , are involved in a variety of inflammatory diseases, including asthma, and act on at least two distinct receptors, CysLT 1 and CysLT 2 . Specific antagonists of CysLT 1 are currently used to control bronchoconstriction and inflammation in asthmatic patients. The potential role of CysLT 2 in asthma remains poorly understood. A polymorphism in the CysLT 2 gene, resulting in a single amino acid substitution (M201V), was found to be associated with asthma in three separate population studies. Here, we investigated whether the M201V mutation affected the affinity of CysLT 2 for its natural ligands and its signaling efficiency. Human embryonic kidney 293 cells were stably transfected with either wild-type (wt) or mutant (M201V) CysLT 2 . Affinity of the M201V receptor for LTC 4 was reduced by 50%, whereas affinity for LTD 4 was essentially lost. LTC 4 -induced production of inositol phosphates (IPs) in M201V-expressing cells was significantly decreased at suboptimal concentrations of the ligand, but no difference was observed at high concentrations. In contrast, LTD 4 -induced IP production was 10-to 100-fold less in M201V-than in wt-expressing cells. Similar results were also observed with the transactivation of the interleukin-8 promoter induced by LTC 4 or LTD 4 . Moreover, in contrast to wt-expressing cells, phosphorylation of nuclear factor B p65 was absent in LTD 4 -stimulated M201V-expressing cells. Likewise, phosphorylation of c-Jun N-terminal kinase was not induced in LTD 4 -stimulated M201V cells, whereas activation of extracellular response kinase and p38 was maintained, at least at higher LTD 4 concentrations. Our results indicate that the M201V polymorphism drastically affects CysLT 2 responses to LTD 4 and less to LTC 4 .