Adenosine is formed in the intestinal lumen during active
inflammation from neutrophil-derived 5'
AMP. Using intestinal epithelial cell line T84, we studied the effect of
adenosine on the secretion of
IL-6, a proinflammatory
cytokine involved in neutrophil degranulation and lymphocyte differentiation. Stimulation of T84 monolayers with either apical or basolateral
adenosine induces A2b receptor-mediated increase in
IL-6 secretion, which is polarized to the apical (
luminal) compartment. In addition, Salmonella typhimurium,
TNF-alpha, and
forskolin, known inducers of
IL-6 secretion in intestinal epithelial cells, also stimulate
IL-6 secretion into the apical compartment. We show that
IL6 promoter induction by
adenosine occurs through cAMP-mediated activation of nuclear cAMP-responsive
element-
binding protein (CREB). We also show that
IL-6 released in the
luminal (apical) compartment achieves a sufficient concentration to activate neutrophils (from which the
adenosine signal originates), since such
IL-6 is found to induce an intracellular [Ca(++)] flux in neutrophils. We conclude that
adenosine released in the intestinal lumen during active
inflammation may induce
IL-6 secretion, which is mediated by cAMP/CREB activation and occurs in an apically polarized fashion. This would allow sequential activation of neutrophil degranulation in the lumen -- a flow of events that would, in an epithelium-dependent fashion, enhance microbicidal activity of neutrophils as they arrive in the intestinal lumen.