Fifty-two lung carcinomas obtained at surgical resection were examined
by immunofluorescence for their expression levels and patterns of the
calcium-dependent intercellular adhesion molecule E-cadherin. In well
-differentiated squamous cell and adenocarcinomas expression of E-cadh
erin was confined to the lateral cell border, similar to the expressio
n level and pattern of normal lung tissue. The E-cadherin level was re
duced and the expression pattern was spotty or diffuse in moderately a
nd poorly differentiated squamous cell carcinomas and in small cell ca
rcinomas of the lung. Also, most metastases resected had a reduced lev
el and an altered pattern of E-cadherin expression. In contrast, no su
ch correlation was found in adenocarcinomas of the lung. This indicate
s that different cellular mechanisms are responsible in the progressio
n of squamous cell carcinomas versus adenocarcinomas of the lung.