The CCK-A (cholecystokinin-A) receptor is selectively expressed by human pa
ncreatic adenocarcinomas, suggesting a possible role In pancreatic tumorige
nesis. In animals, pancreatic CCK receptor expression varies during ontogen
y and neoplastic transformation. This study examined the temporal expressio
n of CCK receptors in human fetal, postnatal, and adult pancreas to determi
ne whether the appearance of CCK-A receptors in pancreatic adenocarcinomas
reflected oncofetal antigen or pancreatic neoantigen expression. Messenger
ribonucleic acid (mRNA) was isolated from six paraffin-embedded normal panc
reatic autopsy specimens ranging in age from 17 weeks postfertilization thr
ough 26 days following full-term delivery, and samples of adult human tissu
es, including pancreas and pancreatic adenocarcinoma. Using reverse transcr
iption-polymerase chain reactions, CCK-B receptor mRNA was expressed in all
specimens of normal fetal and postnatal human pancreas, adult pancreas, an
d pancreatic adenocarcinomas. CCK-A receptor mRNA was selectively expressed
only in pancreatic adenocarcinomas. These data suggest that selective CCK-
A receptor expression in pancreatic adenocarcinomas reflects neoantigen exp
ression in humans.