The epithelium has long been regarded as a passive barrier intended to
protect the underlying tissues. Many regulatory signals, including cy
tokines, that control epithelial cell proliferation and differentiatio
n and cell function during inflammation were thought to be nonepitheli
al-derived. Now there is a growing appreciation that epithelial cells
provide some of the impetus for their own growth and differentiation,
and may also regulate the function of other cells through the elaborat
ion of certain cytokines. Moreover, because epithelial cells serve as
the interface between the organism and environment, they are in a posi
tion to signal changes in the environment. It is now clear that epithe
lial cells respond to injury or infection with cytokine secretion. Var
ious approaches to detecting cytokines in normal and diseased tissue h
ave been undertaken during the past few years to establish cytokine sy
nthesis by different epithelia. This review will examine these recent
investigations in various general contexts of epithelial cell function
.