MBTPS1 and chronic obstructive pulmonary disease: It is intriguing to note that the above-reported data suggest that pathologies associated with Cystic fibrosis (CF), Chronic obstructive pulmonary discease (COPD), Respiratory dystress syndrome (RDS), and respiratory tract infections, where inflammation contributes the most, all depend on a balance between ceramide and S1P/C1P concentrations in the lung.