Recent evidence suggests that interactions between endothelial selecti
ons and tumor surface selectin ligands may be of importance in cancer
metastasis. To investigate the role of such mechanisms in cutaneous tu
mors, whole skin biopsies were examined immunohistochemically for a va
riety of selectin ligands including sialyl-Lewis-X, sialyl-Lewis-A (S-
Lea), sulfatides, and CD15. In 12 of 12 squamous cell carcinomas (SCCs
), there was expression of sialyl-Lewis-X and CD15, but no tumor expre
ssed S-Lea. Occasional keratinocytes in eight of 12 SCCs expressed sul
fatides. All selectin ligands were absent on keratinocytes in basal ce
ll carcinomas (BCCs, n = 8) and normal skin (n = 8), with the exceptio
n of one BCC that expressed S-Lea E-selectin was not present in normal
skin, but was strongly expressed by dermal endothelium in both SCC an
d BCC Keratinocyte cell lines A431, HaCaT, and SVK14 were investigated
by flow cytometry, which demonstrated sialyl-Lewis-X and S-Lea expres
sion by all three, whereas normal human keratinocytes did not express
these molecules. These findings suggest a potential role for selectin-
mediated events in early and late metastasis, and differential express
ion of these ligands by BCC and SCC may explain the relatively low met
astatic potential of the former.