Mammalian 5-lipoxygenase (5-LO) converts arachidonic acid (AA) to 5-hydroperoxyeicosatetraenoic acid (5-HPETE) and further to leukotriene A4 (LTA4) [1]. This substance is a key intermediate in the biosynthesis of two leukotriene families that act as potent mediators of cell proliferation [2], apoptosis [3], tumorigenesis and inflammatory processes such as allergy, atherosclerosis and asthma [4,5]. 5-LO is activated by intracellular Ca 2+ influx that leads to translocation and binding of 5-LO to the nuclear membrane [6][7][8][9][10][11]. It is commonly observed that the N-terminal domain of the enzyme may function like the protein kinase C C2 domain and facilitates Ca 2+ -mediated membrane binding [12][13][14][15][16].There are two main physicochemical factors influencing translocation of 5-LO to the membrane. First, the calcium-ion binding counteracts electrostatic repulsion of anionic C2 domain of 5-LO at the surface of anionic membranes [15]. Secondly, it may be regulated by membrane surface charge and membrane lipids. It was shown that phosphatidyl choline (PC) head groups facilitate the 5-LO C2-like domain binding to membranes, and that Trp13, Trp75, Trp102 of 5-LO are involved in these protein-lipid interactions [15] 5-Lipoxygenase (5-LO) is the key enzyme in the biosynthesis of leukotrienes (LTs), biological mediators of host defense reactions and of inflammatory diseases. While the role of membrane binding in the regulation of 5-LO activity is well established, the effects of lipids on cellular activity when added to the medium has not been characterized. Here, we show such a novel function of the most abundant sulfated sterol in human blood, cholesterol sulfate (CS), to suppress LT production in human polymorphonuclear leukocytes (PMNL) and Mono Mac6 cells. We synthesized another anionic lipid, cholesterol phosphate, which demonstrated a similar capacity in suppression of LT synthesis in PMNL. Cholesteryl acetate was without effect. Cholesterol increased the effect of CS on 5-LO product synthesis. CS and cholesterol also inhibited arachidonic acid (AA) release from PMNL. Addition of exogenous AA increased the threshold concentration of CS required to inhibit LT synthesis. The effect of cholesterol and its anionic derivatives can arise from remodeling of the cell membrane, which interferes with 5-LO activation. The fact that cellular LT production is regulated by sulfated cholesterol highlights a possible regulatory role of sulfotransferases ⁄ sulfatases in 5-LO product synthesis.