Retinoids are powerful regulators of epithelial differentiation and ar
e essential for its maintenance. Because retinoids are necessary for c
ervical epithelial differentiation, they have been used as chemopreven
tive agents of cervical dysplasia and neoplasia. We were interested in
determining whether different cervical epithelial phenotypes express
specific retinoid receptors. The cervical epithelium contains the two
phenotypes, stratified squamous and simple columnar, which join at the
squamocolumnar junction. In addition, the simple columnar epithelium
undergoes squamous metaplasia in response to vitamin A deficiency. The
refore, the cervical epithelium is suitable to study the expression pa
ttern of the retinoid receptors in the three phenotypes, simple column
ar, stratified squamous, and squamous metaplastic, simultaneously. The
distribution pattern of the major retinoic acid receptor (RAR) isofor
ms (alpha 1, alpha 2, beta 2, beta 3, gamma 1, and gamma 2) and retino
id-X receptors (RXR alpha, -beta, and -gamma) was studied by in situ h
ybridization. At the tissue level, RAR alpha (1 and 2) and RXR (alpha
and beta) transcripts and, to a lesser extent, RAR gamma (1 and 2) tra
nscripts were associated with the cervical stratified squamous subjunc
tional epithelium. The simple columnar epithelium, which is highly res
ponsive to vitamin A status, expressed high levels of RAR alpha (1 and
2), RAR beta (2 and 3), and RXR (alpha and beta) transcripts. Only RA
R beta (2 and 3) and RXR (alpha and beta) transcripts were downmodulat
ed by the condition of vitamin A deficiency and expressed less in squa
mous metaplastic foci than the simple columnar epithelium. RXR gamma w
as undetectable in all three cervical epithelia. At the cellular level
, basal and suprabasal expression was found for RARs, and preferential
localization of RXRs was seen in basal cells. RXRs are auxiliary prot
eins for a variety of other nuclear receptors with which they form het
erodimers, including RARs. The fact that RXRs are mainly localized in
basal and columnar cells of the cervix suggests the need for the regul
ation and diversity generated by potential heterodimeric interactions
in these rapidly proliferating cells in vivo. The unique pattern of ex
pression and localization of the RARs and RXRs in different cervical e
pithelial tissues and cell types supports the hypothesis that they per
form specific functions in cervical epithelial differentiation. This i
s in contrast to the major isoforms of each RAR, which have similar pa
tterns of expression in the different cervical epithelial phenotypes a
nd cell types, suggesting a redundancy in function.