Cooperative action of inflammatory mediators and adhesion molecules orchestrates eosinophil recruitment during allergic inflammation in the airways. This study investigated the mechanisms involved in increasing eosinophil adhesion to human bronchial epithelial cells (HBEC) following priming and activation of eosinophils with TNF-alpha and complement protein C5a, respectively. Under primed conditions, eosinophil adhesion increased Mold from basal (16%), and the effect was significantly greater (p < 0.05) than the increase following stimulation with C5a alone (2-fold). Eosinophil contact with HBEC was essential for priming. In contrast to C5a, adhesion of eotaxin-stimulated eosinophils to HBEC was not primed with TNF-alpha nor IL-5, a known eosinpphilpriming agent. Priming caused activation of alpha(M)beta(2) integrin; mAb against either the common 13, integrin subunit or its ICANI-I ligand reduced the primed component of adhesion. Using mAbs against beta(1) or alpha(5), but not alpha(4) integrin subunit, together with anti-beta(2), integrin mAb, reduced stimulated adhesion to basal levels. Cross-linking alpha(5)beta(1), integrin increased alpha(M)beta(2) integrin-dependent adhesion of eosinophils. There are no known adhesion molecule ligands of a,p, integrin expressed on HBEC; however, fibronectin, the major matrix protein ligand for alpha(5)beta(1) integrin, was detected in association with RBEC monolayers. A mAb against fibronectin, in combination with anti-beta(2), integrin mAb, reduced adhesion to basal levels. In conclusion, alpha(5)beta(1), integrin may provide a contactdependent costimulus for eosinophil priming that, together with TNF-alpha, potentiated C5a activation of alpha(5)beta(1) integrin and increased eosinophil adhesion to ICAM-1. Fibronectin, associated with HBEC, may act as a ligand for alpha(5)beta(1) integrin. Dual regulation of eosinophil priming may prevent inappropriate activation of eosinophils in the circulation.