Alos Llucia, Lujan Blanca, Castillo Mireia, Nadal Alfons, Carreras Marta, Caballero Miguel, de Bolos Carme, Cardesa Antonio
Department of Pathology, Hospital Clínic, IDIBAPS, University of Barcelona, Villaroel 170, 08036 Barcelona, Spain.
Am J Surg Pathol. 2005 Jun;29(6):806-13. doi: 10.1097/01.pas.0000155856.84553.c9.
Mucins are glycoproteins normally synthesized by a variety of secretory epithelial cells. The aim of this study was to investigate the expression of mucins (MUC1, MUC2, MUC4, MUC5AC, MUCB, MUC6, MUC7) in mucoepidermoid carcinomas, the most frequent malignant tumor of salivary glands. Forty mucoepidermoid carcinomas and twenty-two normal salivary glands were studied for these mucins by immunohistochemistry from formalin-fixed and paraffin-embedded material. Normal salivary glands frequently expressed MUC1 and MUC4, mainly in ductal cells; MUC5B and MUC7 stained mucous and serous acini respectively of submandibular and minor salivary glands; and MUC5AC and MUC2 were poorly detected in excretory ducts. All mucoepidermoid carcinomas expressed MUC1, and 38/40 tumors expressed MUC4. Both membrane-bound mucins stained membranes and cytoplasm of all cell types (epidermoid, intermediate, mucous, clear and columnar). MUC5AC and MUC5B stained glandular differentiated cells in most tumors (29/40 and 33/40 cases, respectively). MUC6 was positive in 13/40 tumors, and both MUC2 and MUC7 in only 2/40 tumors. The high expression of MUC1 was related to high histologic grades, high recurrence and metastasis rates and a shorter disease-free interval (P < 0.05). Conversely, MUC4 high expression was mainly related to low-grade tumors, lower recurrence rates and a longer disease-free interval (P < 0.05). In conclusion, mucoepidermoid carcinomas of salivary glands usually express MUC1, MUC4, MUC5AC and MUC5B; less frequently MUC6; and rarely MUC2 and MUC7. This mucin expression pattern can be useful for diagnostic purposes. Therefore, MUC1 expression is related to tumor progression and worse prognosis, whereas MUC4 expression is related to a better prognosis.
黏蛋白是一类通常由多种分泌性上皮细胞合成的糖蛋白。本研究旨在调查黏蛋白(MUC1、MUC2、MUC4、MUC5AC、MUC5B、MUC6、MUC7)在涎腺最常见的恶性肿瘤——黏液表皮样癌中的表达情况。采用免疫组织化学方法,对40例黏液表皮样癌及22例正常涎腺的福尔马林固定石蜡包埋组织进行这些黏蛋白的研究。正常涎腺常表达MUC1和MUC4,主要在导管细胞中;MUC5B和MUC7分别对下颌下腺和小涎腺的黏液性腺泡和浆液性腺泡染色;而在排泄管中MUC5AC和MUC2表达较弱。所有黏液表皮样癌均表达MUC1,40例肿瘤中有38例表达MUC4。这两种膜结合黏蛋白对所有细胞类型(表皮样、中间型、黏液型、透明型和柱状型)的细胞膜和细胞质均有染色。MUC5AC和MUC5B在大多数肿瘤中对腺管分化细胞染色(分别为29/40和33/40例)。MUC6在40例肿瘤中有13例呈阳性,MUC2和MUC7仅在40例肿瘤中的2例呈阳性。MUC1的高表达与高组织学分级、高复发率和转移率以及较短的无病生存期相关(P<0.05)。相反,MUC4高表达主要与低级别肿瘤、较低复发率和较长无病生存期相关(P<0.05)。总之,涎腺黏液表皮样癌通常表达MUC1、MUC4、MUC5AC和MUC5B;较少表达MUC6;很少表达MUC2和MUC7。这种黏蛋白表达模式有助于诊断。因此,MUC1表达与肿瘤进展和较差预后相关,而MUC4表达与较好预后相关。