Adenosine triphosphate (ATP) and its metabolite adenosine regulate airway mucociliary clearance via activation of purinoceptors. In this study, we investigated the contribution of goblet cells to airway epithelial ATP release. Primary human bronchial epithelial (HBE) cultures, typically dominated by ciliated cells, were induced to develop goblet cell metaplasia by infection with respiratory syncytial virus (RSV) or treatment with IL-13. Under resting conditions, goblet-cell metaplastic cultures displayed enhanced mucin secretion accompanied by increased rates of ATP release and mucosal surface adenosine accumulation as compared with nonmetaplastic control HBE cultures. Intracellular calcium chelation [1,2-bis(o-aminophenoxy)-ethane-N,N,N9,N9-tetraacetic acid tetraacetoxymethyl ester] or disruption of the secretory pathways (nocodazole, brefeldin A, and N-ethylmaleimide) decreased mucin secretion and ATP release in goblet-cell metaplastic HBE cultures. Conversely, stimuli that triggered calcium-regulated mucin secretion (e.g., ionomycin or UTP) increased luminal ATP release and adenyl purine accumulation in control and goblet-cell metaplastic HBE cultures. Goblet cellassociated ATP release was not blocked by the connexin/pannexin hemichannel inhibitor carbenoxolone, suggesting direct nucleotide release from goblet cell vesicles rather than the hemichannel insertion. Collectively, our data demonstrate that nucleotide release is increased by goblet cell metaplasia, reflecting, at least in part, a mechanism tightly associated with goblet cell mucin secretion. Increased goblet cell nucleotide release and resultant adenosine accumulation provide compensatory mechanisms to hydrate mucins by paracrine stimulation of ciliated cell ion and water secretion and maintain mucociliary clearance, and to modulate inflammatory responses.Keywords: goblet cell metaplasia; ATP release; mucin; airway epithelia; RSV Mucociliary clearance (MCC), a critical component of innate lung defense mediated by airway epithelia, requires coordination of airway surface liquid (ASL) hydration, ciliary beat, and mucin secretion. ATP and its metabolite adenosine are coordinators of these functions (1). ATP, released from airway epithelia to ASL, and adenosine activate epithelial cell surface P2Y 2 and A 2B purinoceptors, respectively, and regulate ion transport, maintain ASL hydration, and promote ciliary beat. The ATPgated P2X 4 receptor has also been proposed to regulate ion transport in airway epithelia (2, 3). In addition, ATP promotes mucin secretion via P2Y 2 receptors expressed on goblet cells (1).Airway epithelia are comprised of several different cell types, including basal, ciliated, and goblet cells. A crucial question in airway surface homeostasis is how goblet cells, which secrete mucins ''dry'' (i.e., without concurrent water secretion) (4), communicate with neighboring ciliated cells to secrete sufficient liquid for mucin hydration and maintenance of MCC. We hypothesize that goblet cells secrete ATP with mucins to signal to ciliated ce...