E-cadherin is a calcium-dependent cell-cell adhesion molecule expressed by
melanocytes and responsible for their adhesion to keratinocytes in vitro. I
n this study, the expression of E-cadherin and its associated cytoplasmic p
roteins alpha, beta-, and gamma-catenin was evaluated in melanocytic lesion
s by immunohistochemistry. E-cadherin expression was evaluated in 70 malign
ant melanomas and the catenins in 35 of these specimens. Twenty benign mela
nocytic naevi were also evaluated for E-cadherin and catenin expression. In
normal epidermis, E-cadherin/catenin immunostaining was localized at the i
ntercellular borders. In melanomas, a differential loss of E-cadherin expre
ssion was observed. Membranous E-cadherin staining was absent in dermal nes
ts of melanomas in their radial growth phase and in Clark level II and III
lesions, whereas it was present in a high proportion of melanomas in their
vertical growth phase, in Clark level IV and V lesions and in metastasizing
melanomas. In contrast, superficial compartments of naevi show-ed membrano
us E-cadherin immunoreactivity and junctional naevus cell nests displayed h
eterogeneous or diffuse cytoplasmic staining. Cytoplasmic alpha- and beta-c
atenin, but not gamma-catenin staining were detected in all benign and mali
gnant lesions. These findings indicate that qualitative changes in the expr
ession and cellular localization of E-cadherin and of alpha-, beta-, and ga
mma-catenin occur in melanocytic lesions and mag reflect different stages i
n their progression. (C) 1998 John Wiley & Sons, Ltd.