CXCL14, a recently described epithelial cytokine, plays putative multiple roles in inflammation and carcinogenesis. In the context that chronic obstructive pulmonary disease (COPD) and lung cancer are both smoking-related disorders associated with airway epithelial disorder and inflammation, we hypothesized that the airway epithelium responds to cigarette smoking with altered CXCL14 gene expression, contributing to the disease-relevant phenotype. Using genome-wide microarrays with subsequent immunohistochemical analysis, the data demonstrate that the expression of CXCL14 is up-regulated in the airway epithelium of healthy smokers and further increased in COPD smokers, especially within hyperplastic/metaplastic lesions, in association with multiple genes relevant to epithelial structural integrity and cancer.In vitro experiments revealed that the expression of CXCL14 is induced in the differentiated airway epithelium by cigarette smoke extract, and that epidermal growth factor mediates CXCL14 upregulation in the airway epithelium through its effects on the basal stem/progenitor cell population. Analyses of two independent lung cancer cohorts revealed a dramatic up-regulation of CXCL14 expression in adenocarcinoma and squamous-cell carcinoma. High expression of the COPD-associated CXCL14-correlating cluster of genes was linked in lung adenocarcinoma with poor survival. These data suggest that the smoking-induced expression of CXCL14 in the airway epithelium represents a novel potential molecular link between smoking-associated airway epithelial injury, COPD, and lung cancer.Keywords: CXCL14; airway epithelium; smoking; COPD; lung cancerThe airway epithelium, a pseudostratified layer of epithelial cells lining the tracheobronchial tree, is the initial cell population that interacts with inhaled environmental contaminants (1, 2). Among these, cigarette smoke, with its 4,000 compounds and greater than 10 14 free radicals per puff, is a major stressor for airway epithelial cells, and is causally associated with the development of chronic obstructive pulmonary disease (COPD) and lung cancer (1,(3)(4)(5)(6)(7)(8).COPD is a smoking-related disorder defined by irreversible airflow obstruction, associated with structural alterations in the small airways (9, 10), including the small airway epithelium (SAE), which becomes hyperplastic, secretes excessive amounts of mucus, and undergoes metaplastic changes (10-12). In addition to the epidemiological data establishing COPD as a risk factor for lung cancer, several lines of evidence indicate that the molecular mechanisms of COPD pathogenesis are relevant to smoking-induced lung cancer (5,7,8). Importantly, the airway epithelial pathology associated with COPD exhibits remarkable similarities to the pre-neoplastic phenotypes of smoking-induced lung cancer, with a continuum of hyperplastic, metaplastic, and dysplastic changes gradually evolving into an invasive phenotype (13).Studies using mouse models suggest that COPD and lung cancer are both driven, in part, by chronic inflamma...