Prostacyclin (PGI(2)) plays important roles in hemostasis both as a vasodil
ator and an endogenous inhibitor of platelet aggregation. PGI(2) functions
in these roles through a specific IP receptor, a G protein-coupled receptor
linked to G. and increases in cAMP. Here, we report that intracellular pro
stacyclin formed by expressing prostacyclin synthase in human embryonic kid
ney 293 cells promotes apoptosis by activating endogenous peroxisome prolif
erator-activated receptor delta (PPAR delta). In contrast, treatment of cel
ls with extracellular prostacyclin or dibutyryl cAMP actually reduced apopt
osis. On the contrary, treatment of the cells with RpcAMP (adenosine 3',5'-
cyclic monophosphothioate, Rp-isomer), an antagonist of cAMP, enhanced pros
tacyclin-mediated apoptosis. The expression of an L431A/G434A mutant of PPA
R delta completely blocked prostacyclin-mediated PPAR delta activation and
apoptosis. These observations indicate that prostacyclin can act through en
dogenous PPAR delta as a second signaling pathway that controls cell fate.