In vascular smooth muscle, increased expression of cyclooxygenase-2 (COX-2) has emerged as an important mechanism for regulation of prostanoid synthesis influenced by vessel injury, cytokines, and growth factors. We have investigated how COX-2 participates in angiotensin II (ANG II)-mediated cell responses in cultured human vascular smooth muscle cells (VSMCs). ANG II type 1 (AT1) receptors induce increased accumulation of COX-2, both at the mRNA and protein levels. ANG II increased transcription of the COX-2 gene; also, nuclear extracts from stimulated cells had increased NF-B binding to its DNA consensus sequence. ANG II-induced COX-2 expression was markedly blunted by inhibition of mitogen-activated protein kinase. Furthermore, the ANG II-induced increase in COX-2 protein abundance was attenuated by both the peroxisome proliferator-activated receptor ␣ (PPAR␣) activator Wy-14,643 [pyrinixic acid; 4-chloro-6-(2,3-xylidino)-2-pyrimidinyl)thioacetic acid] and the PPAR␥ activator 15d-PGJ2 (15-deoxy-⌬ 12-14 -prostaglandin J2). Not only did ANG II increase COX-2 expression and prostaglandin synthesis, ANG II-stimulated DNA synthesis and cell migration were dependent on COX-2 activity. PPAR␣ and PPAR␥ activators inhibited ANG II-stimulated DNA synthesis and cell migration. These results suggest that ANG II enhances COX-2 expression at the transcription level; also, COX-2 activity plays an important role in mediating ANG IIinduced proliferation and migration of VSMCs, suggesting the possibility of magnification of ANG II effects over time due to the induction of COX-2 expression. These results also demonstrate that both the ␣ and ␥ type of PPAR activators inhibit COX-2 expression induced by angiotensin II in VSMCs which may have therapeutic significance in vascular diseases.Proliferation and migration of VSMCs in arteries plays an important role in the pathophysiology of atherosclerosis, hypertension, and restenosis after angioplasty. A wide variety of growth factors, cytokines, and hormones have been found to activate these responses in blood vessels (Ross, 1999). A prominent growth factor for VSMCs is ANG II. These effects of ANG II are mediated via the ANG II type 1 (AT1) receptor signaling system (Kim and Iwao, 2000). Multiple signal transduction pathways, including activation of phospholipase C, phospholipase A 2 (PLA 2 ), tyrosine protein kinases/ mitogen-activated protein (MAP) kinase, and PI 3-kinase/p70 S6 kinase signaling pathways are involved in mediating AT1 receptor stimulation of cell responses (Schieffer et al., 1996;