BACKGROUND. Pancreatic cancer is the fifth leading cause of cancer deaths; current treatment options have been ineffective in prolonging survival. Peroxisome proliferator-activated receptor-~, (PPAR-~/) is a nuclear receptor that is expressed in certain human cancers; ligandinduced PPAR-',/activation can result in growth inhibition and differentiation in these cells. Increased cyclooxygenase-2 (COX-2) expression has been shown to enhance malignant potential in certain cells; PPAR-'y ligands can indirectly suppress COX-2 expression by interfering with the NF-KB signaling pathway or, conversely, directly activate COX-2 transcription. The purpose of this study was to assess the effect of PPAR-~/activation on cellular growth and the expression of COX-2 in human pancreatic cancer cell lines. METHODS. The effect of the PPAR--~ selective ligands, 15-deoxy-A~2'~'-proetaglandin J2 (15d-PGJ2) and ciglltazone, on pancreatic cancer cell growth was assessed by cell counting over a time course using three human pancreatic cancer cell lines (Mia PaCa-2, BxPC-3 and L3.6). In addition, expression of PPAR-x and COX-2 was evaluated by Western blots. RESULTS. Both 15d-PGJ2 (25/LM) and ciglitazone (35 ~M) inhibited the growth of the three pancreatic cancer cell lines in a temporal-dependent fashion. In addition, both 15d-PGJ2 and ciglitazone increased COX-2 protein and PPAR-~/expression at 4-6 h after treatment in BxPC-3 and L3.6 cells. CONCLUSIONS. Ligand-induced PPAR-~ activation significantly inhibited the growth of human pancreatic cancer cells in vitro', this inhibition of cell growth was associated with induction of COX2 expression suggesting that the mechanisms for PPAR--y-induced pancreatic cancer cell death is independent of COX-2 suppression. Therapeutic agents which activate PPAR-.,/may provide novel strategies for the adjuvant treatment of pancreatic cancers in which no effective therapy exists.