Recent work from our laboratory has identified a network of constituti
vely class II MHC (Ia) bearing dendritic cells (DC) within the epithel
ium of the conducting airways of laboratory animal species and in huma
ns. The density of DC within the respiratory tract is highest in those
areas exposed to greater amounts of inhaled antigen and further work
has identified these DC as being critically important in controlling t
he induction of immune responses within the airways. The DC population
in the airway epithelium is renewed every 48-72 h; this represents a
more rapid turnover than DC in other tissues which are exposed to a sm
aller antigenic load. In addition to these results we will discuss oth
er work which shows that airway DC are a very reactive population, com
parable with neutrophils in their response to acute inflammatory stimu
li and that their numbers and Ia content can be modulated following ex
posure to topical and systemic steroids. Finally we will discuss the d
evelopment of these cells after birth and how this may influence the p
athogenesis of immune regulated diseases such as asthma and allergic r
hinitis.