Abstract: Cyclooxygenase-2 (COX-2),an inducible enzyme,is almost not expressed in normal human and rat liver tissues,but is highly expressed in liver tissues of patients with chronic hepatitis and cirrhosis.Inhibition or interference of COX-2 expression can significantly inhibit the formation of hepatic fibrosis in rats,suggesting that COX-2 is involved in the occurrence and development of hepatic fibrosis;however,the underlying mechanism is unclear.Recent studies have shown that the role of COX-2 in the development of hepatic fibrosis may be related to immune response.In this paper,we review the role of COX-2 and its metabolites in the immune response in liver fibrosis,with an aim to provide a theoretical basis for clinical prevention and treatment of hepatic fibrosis.