“…During the innate immune response, alveolar macrophages detach from alveolar epithelial cells and secrete more TNF-␣ to stimulate AECs (5,26,163). In response to TNF-␣ or direct Toll-like receptor binding, AECs secrete KC and LPS-induced chemokine (LIX) to recruit PMNs (9,78), secrete MCP-1 to recruit monocytes (143,163,187), and express ICAM-1 and MCP-1 to promote macrophage mobility and phagocytic potential (11,82,100,124,147,162). Viruses with direct epithelial infectivity, such as influenza A, enhance monocyte recruitment by inducing AECs to secrete CCL2 and CCL5 and by facilitating monocyte 1 and 2 integrin contact with integrin-associated protein (CD47), ICAM-1, VCAM-1, and junctional adhesion molecule-on the AEC surface (12,63,157).…”