Endothelial cells play a central role in the coordination of the inflammatory response. In mucosal tissue, such as the lung and intestine, endothelia are anatomically positioned in close proximity to epithelia, providing the potential for cell-cell crosstalk. Thus, in this study endothelial-epithelial biochemical crosstalk pathways were studied using a human intestinal crypt cell line (T84) grown in noncontact coculture with human umbilical vein endothelia. Exposure of such cocultures to endothelial-specific agonists (LPS) resulted in activation of epithelial electrogenic Cl Ϫ secretion and vectorial fluid transport. Subsequent experiments revealed that in response to diverse stimuli (LPS, IL-1 ␣ , TNF-␣ , hypoxia), endothelia produce and secrete a small, stable epithelial secretagogue into conditioned media supernatants. Further experiments identified this secretagogue as 6-keto-PGF 1 ␣ , a stable hydrolysis product of prostacyclin (PGI 2 ). Results obtained with synthetic prostanoids indicated that 6-keto-PGF 1 ␣ (EC 50 ϭ 80 nM) and PGI 2 stable analogues (EC 50 ϭ 280 nM) activate the same basolaterally polarized, Ca 2 ϩ -coupled epithelial receptor. In summary, these findings reveal a previously unappreciated 6-keto-PGF 1 ␣ receptor on intestinal epithelia, the ligation of which results in activation of electrogenic Cl Ϫ secretion. In addition, these data reveal a novel action for the prostacyclin hydrolysis product 6-keto-PGF 1 ␣ and provide a potential endothelialepithelial crosstalk pathway in mucosal tissue. ( J. Clin. Invest. 1998. 102:1161-1172.)