Cyclooxygenase, which converts arachidonic acid into prostaglandins, has tw
o types of isoforms, cyclooxygenase-1 and cyclooxygenase-2 (COX-2). The lat
ter is thought to be essential for the ovulatory mechanism. However, expres
sion or distribution of COX-2 in periovulatory human ovary has not been rep
orted. The aim of our study was to examine COX-2 expression and distributio
n in pre- and postovulatory human ovary. COX-2 was detected by Western blot
analysis of pre-ovulatory human ovarian follicular fluid. The levels of CO
X-2 in preovulatory fluid obtained from 20 subjects underwent in vitro fert
ilization and embryo transfer, and were assayed using enzyme immunoassay fo
r human COX-2. The results showed 7.3 +/-4.1 ng/ml (mean +/- SD) with a COX
-2 level range of 2.7 to 19.5 ng/ml of follicular fluid. Detection of COX-2
is considered to reflect its production in the preovulatory follicle. Immu
nofluorescence microscopic examination of an ovary obtained from a woman at
the postovulatory period showed distribution of COX-2 in interstitial but
not in granulosa cells in a ruptured follicle. These findings collectively
suggest the possibility that COX-2 is mainly produced in follicles in a pre
ovulatory phase, while after ovulation, COX-2 is produced in interstitial c
ells in human ovary.