The aim of this study was to investigate the variation of intercellular adhesion molecule (ICAM)-1 which occurs between individual airway epithelial cells of distinct phenotype. 16HBE14o ± (16HBE) and BEAS-2B cell lines and human airway explants were cultured with medium alone or a mixture of tumour necrosis factor (TNF)-a (10 ng . mL -1 ) and interferon (IFN)-c (40 ng . mL -1 ) before being immunogold-labelled and examined quantitatively using sensitive high-resolution electron microscopic techniques.By enzyme-linked immunosorbent assay there was a 1.6-fold increase of ICAM-1 in the BEAS-2B cells following the cytokine mix which was not apparent in the 16HBE cells. However, high-resolution scanning electron microscopy demonstrated that an upregulation had occurred; median and ranges for gold particle number per 10 mm 2 cell surface were: 7.9 (0±40) for nonstimulated and 19.1 (0±60 for stimulated) (p<0.01, Mann±Whitney U-test). The value for the nonstimulated BEAS-2B cells was 24.2 (0± 60), 3-times higher that the constituitive expression in the 16HBE cells (p<0.01), whereas following stimulation, it was 68.5 (20±130) (p<0.01). Values for explant epithelial outgrowths were similar to the 16HBE cells. Immunohistochemistry of the explanted mucosa showed both constitutive and upregulated expression of epithelial ICAM-1 associated with basal and indeterminate cells rather than with ciliated or goblet cells.These results using high-resolution techniques indicate that there is marked cell-tocell variation in cellular adhesion molecule expression and that it is the basal cells and less well differentiated (indeterminate) epithelial cells which are likely to play key roles in leukocyte retention via intercellular adhesion molecule-1. Eur Respir J 1999; 13: 1318±1328. Whilst ICAM-1 cell surface expression and alteration following stimulation of cultured cells has been determined by enzyme-linked immunoabsorbent assay (ELISA) and flow cytometry [4, 14±17], its cell surface localization, cell-to-cell variation and variation between cells of distinct phenotype can best be ascertained and quantified using high-resolution and immunohistological techniques [18]. These data are important as the ELISA technique measures a signal which is as a necessity averaged across the cell cultures and takes no account of the cell-to-cell variation nor the likelihood that cells of distinct phenotype may show large variations in their capacity to express ICAM-1.In the present study, two well-characterized human bronchial epithelial cell lines were used: 16HBE14o ± (16HBE) and BEAS-2B cells, and the results compared with primary cell outgrowths and intact mucosa in which distinct epithelial phenotypes could be identified. Whilst the expression of ICAM-1 on BEAS-2B cells has previously been reported by ELISA, the expression on 16HBE cells has not. The cells were stimulated in culture with a mixture of TNFa and IFN-c and the cell surface expression of ICAM-1 in stimulated and nonstimulated cells compared using two Eur Respir J 1999; 13...