Epoxide hydrolases have been detected in prokaryotes and eukaryotes ranging from plants to mammals.1,2, 3 In mammals these include the soluble epoxide hydrolase (sEH), microsomal epoxide hydrolase (mEH), cholesterol epoxide hydrolase, and leukotriene A4 (LTA4) hydrolase. These enzymes mediate the addition of water to both exogenous and endogenous epoxides, leading to the corresponding vicinal diols except for LTA4 hydrolase, and they display different substrate selectivity. For example, the mammalian sEH is selective for aliphatic epoxides and particularly fatty acid epoxides whereas mEH is more selective for cyclic and arene epoxides. Studies on the mEH have focused on its role in xenobiotic metabolism, but its distribution, particularly in the brain and adrenal gland suggests a possible endogenous role.4 Although its catalytic activity on fatty acid epoxides is low, the high level of the mEH in some brain regions may contributeto their hydrolysis. The catalytic activity of the sEH on arene oxides and other cyclic epoxides is so low that its contribution appears insignificant compared to the mEH as well as for chemical and glutathione S-transferase-catalyzed conjugation of reactive epoxides. Although the sEH can metabolize some aliphatic natural products, the sEH is thought to be involved largely in the metabolism of regulatory epoxylipids, particularly those of the arachidonic acid cascade (Figure 1). Titers of free arachidonic acid are very low, but when it is released it is converted to a wide variety of biologically active metabolites. Most research has focused on the cyclooxygenase and lipoxygenase pathways, but increasing attention is being paid to the cytochrome P450 branch of the cascade. One set of P450 enzymes carry out allylic and ω and ω-1 oxidation. Another set of P450 enzymes form regioisomeric epoxides of arachidonic acid and other unsaturated lipids. In the arachidonate series these epoxides are called epoxyeicosatrienoic acids (EETs). The EETs are metabolized by incorporation into phospholipids, chain shortening, chain elongation, hydroxylation and other pathways.5 However, the dominant pathway is hydration of the epoxides to the corresponding 1,2-diols by sEH. It should be noted that multiple drugs have already been discovered to act on the cyclooxygenase and lipoxygenase branches of the arachidonic acid metabolic cascade. For example, numerous non-steroidal anti-inflammatory drugs (NSAIDs) are inhibitors ofcyclooxygenase-1 (COX-1) and cyclooxygenase-2 (COX-2).6 In addition, montelukast is a leukotriene (LT) receptor antagonist blocking the action of LTD4 and secondary ligands LTC4 and LTE4.7 Zileuton inhibits 5-lipoxygenase, an enzyme of the eicosanoid synthesis pathway for the production of LTs.8 Both montelukast and zileuton are effective therapies for treatment of asthma. Lastly, laropiprant, an antagonist of the DP1 receptor of prostaglandin D2, is used in combination with niacin to suppress the niacin-induced vasodilation.9 Figure 1 Major pathways of arachidonic acid metabolism. As shown in Figure2, sEH in human (hsEH, EPHX2, EC 3.3.2.10) is a bifunctional homodimeric enzyme located in both cytosol and peroxisomes with both epoxide hydrolase and phosphatase activity.1 Specifically, the C-terminus epoxide hydrolase motif of sEH transforms four regioisomers of EETs, namely 5,6-, 8,9-, 11,12- and 14,15-EETs which are the endogenous chemical mediators derived from arachidonic acid by cytochrome P450 epoxygenases, to the corresponding dihydroxyeicosatrienoic acids (DHETs), whereby the biological effects of EETs are diminished, eliminated or altered.10 Recent work has shown that some fatty acid diols have unique biological activities, but the diols are far more polar than the epoxides and thus quickly move out of cells and often are conjugated.11, 12 The sEH hydrates all fatty acids so far tested. For example, sEH converts linoleic acid epoxides to proinflammatory linoleic acid diols which are proposed endogenous chemical mediators as well. Regarding the enzyme activity in tissues, it was found that human liver possesses the highest sEH specific activity followed by the kidney.13,14 Of note, specific cell types in the heart, vasculature, brain, lung, and kidney have quite high levels of enzyme. However much less is known about the N-terminal phosphatase regarding its endogenous substrates and physiological roles. Figure 2 Left: X-ray cocrystal structure of murine sEH (PDB code: 1CR6). One of the antiparallel monomers is shown in blue and the other in yellow. Right: X-ray cocrystal structure of a single subunit of the human sEH (PDB code: 1ZD3). The catalytic mechanism of epoxide hydrolases was worked out by a series of biochemical studies in several laboratories based on the homology of the mEH and sEH to haloalkane dehalogenase. Similarly the hypothetical arrangement of binding sites in the enzyme was predicted by three-dimensionalquantitative structure-activity relationship (3D QSAR).15 The X-ray crystal structure of human sEH complexed with an sEH inhibitor (PDB code: 1ZD3) and later structures revealed the catalytic pocket and the key structural features required to inhibit the epoxide hydrolase activity of this enzyme in great detail (Figure 3).16 The epoxide hydrolase catalytic pocket consists of two tyrosine residues (Tyr381 and Tyr465) which activate the epoxide ring opening by Asp333. The resulting ester is then rapidly hydrolyzed into DHETs. It has been recognized that amide, carbamate and urea groups fit well in the hydrolase catalytic pocket. Specifically, the carbonyl oxygen of amide or urea is involved in a hydrogen bonding interaction with Tyr381 and Tyr465, and the N-H of ureas or amides acts as a hydrogen bond donor to Asp333. Therefore, various ureas and amides (1 and 2) have been developed as competitive, reversible and often tight binding sEH inhibitors. Several of these inhibitors bind to the sEH in the picomolar range. The X-ray structure also showed that the two domains of the sEH were joined by a proline rich bridge, the enzyme in mammals is an anti parallel homodimer, and the putative catalytic site of the N-terminal domain suggested an active phosphatase of unknown role. The W334 niche and F265 binding pocket, as depicted in Figure 3, can each accommodate a variety of functional groups of sEH inhibitors. These structures not only have assisted with optimization of sEH inhibitors but have proven valuable to evaluate the biology associated with single nucleotide polymorphisms (SNPs) in the enzyme. Figure 3 X-ray cocrystal structure of human sEH C domain showing the binding site which exists as an “L” shape hydrophobic tunnel. (PDB code: 1ZD3) In mammals the mEH (EPHX1, EC 3.3.2.9) is membrane bound and largely in the endoplasmic reticulum.17,18 In some pathological states the mEH dissociates from the membrane and appears in the blood where it is known as the preneoplatic antigen and is a marker for tissue damage including cancer.19 Activity and polymorphisms of the enzyme have been associated with a variety of diseases, and this is a quite active area of research.20 With regard to this review it is important to note that although the mEH and sEH have similar catalytic mechanisms and are members of the α/β-hydrolase fold family of proteins, their evolutionary paths diverged at the level of prokaryotes. Thus it is possible to differentially inhibit the mEH and sEH with high selectivity.21 Evidence is excellent that the enzyme referred to as hepoxilin epoxide hydrolase is in fact the sEH. The cholesterol 5,6-epoxide hydrolase and leukotriene A4 hydrolase are in different enzyme families working by different catalytic mechanisms and will not be discussed further. In studying the evolution of the sEH, related genes were further found. These hypothetical products of these genes are known as EH3 and EH4. Their expression in vertebrates, particularly in man is under investigation and their biological activity is so far not clear.18 In light of the recent progress in this field, this perspective will provide biological rationales, medicinal chemistry approaches, and possible paths for sEH inhibitors to enter clinical trials.