The first application of a monoclonal antibody (mAb clone 101AA6) to t
he membrane skeletal protein alpha-fodrin (nonerythroid alpha-spectrin
) in paraffin-embedded sections of adenocarcinomas (41 cases) and squa
mous cell carcinomas (28 cases) from a variety of sites is reported. N
onlesional glandular epithelial cells displayed a basolateral asymmetr
ical cell membrane localization of fodrin. There was also apical stain
ing in epithelial cells of the colon. In contrast, neoplastic cells re
vealed strong, often fragmented, circumferential membrane staining. In
addition, there was distinct cytoplasmic staining of fodrin that was
clearly granular in anaplastic tumor cells. There is a suggestion that
this staining pattern becomes accentuated with increasing grades of a
naplasia, being most prominent in the advancing fronts of tumors and w
ithin foci of poor differentiation in otherwise well-differentiated tu
mors. Strong cytoplasmic staining for fodrin, circumferential membrane
staining with fragmentation, and, less frequently, loss of membrane s
taining correlated with loss of epithelial tumor cell cohesiveness or
transformation to spindle shapes. In comparison with their nonneoplast
ic counterparts, neoplastic epithelial cells showed elevated levels of
fodrin staining regardless of tumor type. This overextending and redi
stribution of fodrin may have important implications in tumor cell adh
esiveness and metastatic potential.