Objectives: To assess the expression of estrogen receptor (ER) in oral muco
sa and salivary glands, buccal mucosal biopsies from ten postmenopausal wom
en (taken before and during the hormone replacement therapy), as well as, s
ingle biopsies from 20 healthy 19-year-old women were analyzed for ER expre
ssion. Salivary gland biopsies were taken from the minor labial salivary gl
ands (n = 6), submandibular glands (n = 5) and parotid gland (n = I) from w
omen at different ages. Methods: total RNA extracted from the tissue sample
s was reverse-transcribted (RT) to single-stranded cDNA, and the RT-polymer
ase chain reaction (RT-PCR) product was subjected to nucleotide sequencing
to confirm the match with ER cDNA. Immunohistochemistry (IHC) with a monocl
onal ER antibody (ER-ICA, Abbott) and Western blot analysis with monoclonal
antibody against ER-related antigen (ER-D5, Amersham) were performed on th
e biopsies taken from the postmenopausal women. Results: ER mRNA was expres
sed in 18/20 (90%) and 20/20 (100%) of the mucosal biopsies in the postmeno
pausal and 19-year-old women, respectively. The expression of mRNA was dete
cted in all the submandibular gland samples, in the single parotid gland, a
s well as, in 4/6 (67%) of the labial glands. ER expression could not be de
tected by IHC, indicating either a very low level of expressed protein or d
ifficulties in recognizing the epitopes by IHC. However, Western blot demon
strated 8/8 (100%) of the mucosal biopsies of postmenopausal women positive
for ER-related antigen. Conclusions: the presence of ER mRNA and immunorea
ctive ER protein suggests that estrogens have a biological role in oral muc
osa and salivary glands: (C) 2000 Elsevier Science Ireland Ltd. All rights
reserved.