PGD2-induced HA synthesis is through the DP1-cAMP signal pathway. A, DP1 activation by PGD2 or BW245C increases intracellular cAMP level. Orbital fibroblasts were treated with PGD2 or BW245C for up to 60 min, and intracellular cAMP was detected as described under ”Experimental Procedures.“ There was a significant increase in cAMP within 15 min of treatment with PGD2 compared with vehicle control (*, p < 0.05). cAMP further increased by 30 and 60 min (***, p < 0.001). B, cultures of confluent orbital fibroblasts were treated with 5 μm forskolin or 200 μm IBMX, with or without 5 μm PGD2 or 2 μm PGJ2, for 18 h, and the cell culture supernatant was collected for HA ELISA. There was a significant increase in HA when cells were treated with forskolin, PGD2, or PGJ2 compared with vehicle-treated (open bar) (*, p < 0.05; **, p < 0.01). Augmenting cAMP (via IBMX) in conjunction with PGD2 or PGJ2 significantly increased HA when compared with PGD2 and PGJ2 alone (#, p < 0.05). Results are expressed as the mean ± S.D. (error bars).