1 We tested the e ects of 11 commercially-available isoprostanes on platelet aggregation directly or when triggered by the thromboxane receptor agonist U46619 or collagen in healthy human citrated blood using a whole blood aggregometer.2 None of the isoprostanes tested triggered aggregation alone, nor facilitated aggregation by a subthreshold dose of U46619 or collagen. Five isoprostanes inhibited aggregation (rank order of potency 8-iso PGE 1 48-iso PGE 2 48-iso PGF 2a 48-iso PGF 3a 48-iso-13,14-dihydro-15-keto PGF 2a ). 3 Blood incubated with LPS to induce a gross in¯ammatory response exhibited a time dependent (2 ± 12 h) reduction in aggregation to U46619 but maintained a consistent response to collagen. Under these conditions, as in control blood, none of the isoprostanes tested induced aggregation. In fact, the inhibitory actions of isoprostanes on U46619-induced aggregation were enhanced in blood treated with LPS. 4 L-NAME inhibited aggregation induced by U46619 in fresh blood and in blood treated with LPS. In the presence of L-NAME, (with or without LPS) none of the isoprostanes tested induced aggregation but retained their inhibitory action. 5 Thus, in human whole blood the action of 8-iso PGE 1 , 8-iso PGE 2 , 8-iso PGF 2a , 8-iso PGF 3a , and 8-iso-13,14-dihydro-15-keto PGF 2a is antiaggregatory. Moreover, this inhibitory capacity is still apparent and may be enhanced in blood subjected to in¯ammatory stimulation.