Smoking causes various changes in the lung. This report describes a case of cigarette smoke-inducedacute eosinophilic pneumonia (CS-AEP) with neutrophilia in the blood. However, the precise mechanismis unknown,so we examined the effect of exposure to cigarette smokeextracts on the production of interleukin (IL)-4, IL-5, IL-8, IL-18, granulocyte macrophage-colony stimulating factor (GM-CSF), and vascular endothelial growth factor (VEGF) by human bronchial epithelial cells (HBECs) obtained from the patient. Wefound that IL-8 released from HBECswas involved in neutrophilia in the blood, and is a new factor in the development ofAEP, especially in the early phase. (Internal Medicine 41: 993-996, 2002)