Pseudomonas aeruginosa adherence to the respiratory mucosa is the init
ial event in the colonization of airways. This is the case for cystic
fibrosis, for which P. aeruginosa colonization is the first cause of m
ortality. The adherence mechanism involves host receptors which are pr
esent in the respiratory mucosa, as well as bacterial adhesins. We wil
l describe the different cellular and molecular receptors for P. aerug
inosa adherence in the respiratory mucosa (mucins, glycolipids, transm
embrane glycoproteins, components of the basement membrane) as well as
the corresponding bacterial adhesins (pilus, flagellum, outer membran
e proteins, lipopolysaccharide). Updated specificity of these host rec
eptors in cystic fibrosis disease will be described.