The effects of 20 μg/mL exogenous prostaglandin A 2 (PGA 2 ) were determined on Bax, Bcl-2 and proliferating cell nuclear antigen (PCNA) expression levels in MCF-7 cells. Flow cytometric analysis indicated a pronounced increase in the S phase and a decrease in the G 1 phase, whereas a significant increase in the DNA content preceding the G 0 /G 1 peak was also observed after 48 h of exposure to PGA 2 . Confirmation of apoptosis was determined after 12 h, 36 h and 48 h of PGA 2 exposure employing the mitosensor reagent that detects potential changes in the mitochondrial membrane. Twenty-eight percent of PGA 2 -exposed cells were in apoptosis when compared to the 7.1% vehicle-treated cells after 48 h. PGA 2 exposure led to statistically significant increase (1.25-fold) over vehicle-treated controls in Bax expression levels. Decreases in Bcl-2 (0.79-fold), as well as PCNA (0.69-fold) expression levels over vehicle-treated controls were observed. The Bax/Bcl-2 ratio for PGA 2 -exposed cells was 2.7. The present study suggests that an accumulation in the S phase, a decrease in expression levels of PCNA, as well as an altered ratio in favor of Bax, could lead to the induction of apoptosis in these cells.Research has shown that prostaglandin A 2 (PGA 2 ), a cyclopentenone and endogenous metabolite derived from arachidonic acid, exhibits potent anti-proliferative activity in vivo (5,14,20,22) and in vitro (1, 17-19, 21, 23). Concentration-dependent studies from previous research (12) revealed that 20 μg/mL results in optimal growth inhibition in vitro. This was confirmed in our laboratory where IC 50 = 20 μg/ mL was determined (results not shown). PGA 2 inhibited proliferation of tumor cells depending on dose, duration of exposure and cell type (12). In addition, we have demonstrated that the breast adenocarcinoma cells, MCF-7, were more susceptible to the anti-mitogenic effects of PGA 2 when compared to human epithelial cervix carcinoma (HeLa) cells (11). Furthermore, degree of differentiation of oesophageal carcinoma cells was also shown to influence tumor cell susceptibility to the anti-mitogenic effects of PGA 2 . More differentiated and normal cells appeared to be less affected, while more pronounced effects were observed in less differentiated cell lines (12).Since PGA 2 targets active proliferating cells and plays an active role in the induction of apoptosis, especially in cells that present with carcinogenic properties (12,25), the aim of this study was to confirm the anti-mitogenic effects of PGA 2 and to investigate the influence of PGA 2 on Bax, Bcl-2 and PCNA expression in MCF-7 cells in order to suggest a possible mechanism for induction of apoptosis.