The origin of the epithelial and myoepithelial cells in the human breast ha
s not been delineated. In this study we have addressed whether luminal epit
helial cells and myoepithelial cells are vertically connected, i.e., whethe
r one is the precursor for the other. We used a primary culture assay allow
ing preservation of basic phenotypic traits of luminal epithelial and myoep
ithelial cells in culture. The two cell types were then separated immunomag
netically using antibodies directed against lineage-specific cell surface a
ntigens into at best 100% purity. The cellular identity was ascertained by
cytochemistry, immunoblotting, and 2-D gel electrophoresis. Luminal epithel
ial cells were identified by strong expression of cytokeratins 18 and 19 wh
ile myoepithelial cells were recognized by expression of vimentin and alpha
-smooth muscle actin. We used a previously devised culture medium (CDM4) th
at allows vigorous expansion of proliferative myoepithelial cells and also
devised a medium (CDM6) that allowed sufficient expansion of differentiated
luminal epithelial cells based on addition of hepatocyte growth factor/sca
tter factor. The two different culture media supported each lineage for at
least five passages without signs of interconversion. We used parallel cult
ures where we switched culture media, thus testing the ability of each line
age to convert to the other. Whereas the myoepithelial lineage showed no si
gns of interconversion, a subset of luminal epithelial cells, gradually, bu
t distinctly, converted to myoepithelial cells. We propose that in the matu
re human breast, it is the luminal epithelial cell compartment that gives r
ise to myoepithelial cells rather than the other way around. (C) 1999 Acade
mic Press.