“…Patients with COPD, cystic fibrosis and asthma show goblet cell metaplasia and this may be one of the reasons these patients are more susceptible to rhinovirus infection. In addition, airway epithelial mucins also interact with several other respiratory pathogens including Pseudomonas aeruginosa, Staphylococcus aureus, Heamophilus influenza, Streptococcus pneumonia, Burkholderia cenocepacia, influenza virus, adenovirus and coronavirus (Landry et al, 2006;Matrosovich and Klenk, 2003;Plotkowski et al, 1993;Ryan et al, 2001;Walters et al, 2002). The bound pathogens which are cleared under normal conditions, persist in the airway lumen when the mucociliary clearance is impaired and initiate inflammatory response and damage the airway epithelium.…”