We recently found that 12-O-tetradecanoyl phorbol-beta-acetate (TPA) induced apoptosis in cultured Madin-Darby canine kidney (MDCK) cells. The present study shows that the apoptosis was mediated by the activation of caspases including caspase-3 and -7. Moreover, nordihydroguaiaretic acid (NDGA), a general lipoxygenase (LOX) inhibitor, synergistically stimulated the TPA-induced apoptosis despite no activation with NDGA alone. TPA preferentially increased the transcription of cyclooxygenase (COX)-2 in MDCK cells, whereas the expression of LOXs was almost negligible. These findings suggested that the effect of NDGA was independent of the inhibition of LOXs. The study using a cell-permeable 2',7'-dichlorofluorescin diacetate confirmed the more remarked production of reactive oxygen species at 6 h after the cells were treated with a mixture of TPA and NDGA. Calcium ionophore A23187 was markedly effective to attenuate the TPA-induced apoptosis, indicating that elevated endogenous prostaglandins (PGs) served as survival factors through not only the activation of phospholipase A(2) by A23187 but also the induction of COX-2 by TPA. Consistent with this indication, exogenous addition of PGF(2alpha), a predominant prostanoid in MDCK cells, was the most potent to protect the cells from the apoptosis induced by a mixture of TPA and NDGA.