Evidence for epithelial cell (EC)-derived cytokines (e.g. TSLP) activating human basophils remains controversial. We therefore hypothesize that ECs can directly activate basophils via cell-to-cell interaction. Basophils in medium alone or with IL-3±anti-IgE, were co-incubated with TSLP, IL-33, or IL-25. Analogous experiments co-cultured basophils (1–72h) directly with EC lines. Supernatants were tested for mediators and cytokines. Antibodies targeting receptors were tested for neutralizing effects. Lactic acid (pH 3.9) treatment combined with passive sensitization tested the role of IgE. Overall, IL-33 augmented IL-13 secretion from basophils co-treated with IL-3, with minimal effects on histamine and IL-4. Conversely, basophils (but not mast cells) released histamine and marked levels of IL-4/IL-13 (10-fold) when co-cultured with A549 EC and IL-3, without exogenous allergen or IgE cross-linking stimuli. The inability to detect IL-33/TSLP, or to neutralize their activity, suggested a unique mode of basophil activation by A549 EC. Half-maximal rates for histamine (4h) and IL-4 (5h) secretion were slower than observed with standard IgE-dependent activation. Immunoglobulin stripping combined with passive sensitization±omalizumab showed a dependency for basophil-bound IgE, substantiated by requirement for cell-to-cell contact, aggregation, and FcεRI-dependent signaling. A yet unidentified IgE-binding lectin associated with A549 EC is implicated after discovering that n-acetyllactosamine suppressed basophil activation in co-cultures. These findings point to a lectin-dependent activation of basophil requiring IgE but independent of allergen or secreted cytokine. Pending further investigation, we predict this unique mode of activation is linked to inflammatory conditions whereby IgE-dependent activation of basophils occurs despite absence of any known allergen.