Introduction: The p38 Mitogen-Activated Protein Kinase pathway is dysregulated in asthma. MK2 is a p38 terminal kinase that regulates multiple asthma relevant genes(e.g. ALOX5, TNF-a, IL-6, dendritic cell Toll-like receptors), but its role in human asthma is unknown. We hypothesized MK2 expression is increased in asthma. Methods: Whole transcriptome gene expression profiles in sputum and blood were measured(Affymetrix ST 1.0) from 112 asthmatics and 12 controls. MK2 gene expression was correlated with clinical, physiologic and inflammatory disease characteristics. Results: Sputum MK2 gene expression was increased in asthmatics vs. controls(p=0.04) and correlated positively with lifetime hospitalizations(p=0.03) and Severe Asthma Research Program(SARP) cluster designation, and negatively with serum IgE levels(r=-0.28,p Conclusions: Sputum MK2 gene expression is significantly elevated in asthma, associated with poor lung function, neutrophilic inflammation and increased sputum chitinase activity. These data suggest MK2 mediates airway inflammation in asthma, particularly in severe phenotypes of disease, and warrants investigation as a therapeutic target.