Polymorphic epithelial mucin (PEM), the protein product of the gene muc-1,
is a surface glycoprotein that is produced by a range of normal epithelial
cells, but has been shown to be expressed at high levels in a range of aden
ocarcinomas. It has not been investigated extensively in head and neck rela
ted tissues, and not at all in head and neck squamous cell carcinomas (HNSC
C). This immunohistochemical investigation using two monoclonal antibodies
to muc-1 represents a baseline study of 1.8 HNSCC.
In 13 cases, the glycoprotein was expressed at varying levels, usually in k
eratinizing foci. Although less prominent, expression was also present to s
ome degree in nine of 23 control specimens of non-neoplastic mucosa, mostly
at an epithelial level early in the parakeratinization process. Both antib
odies showed a pattern of staining.
The cellular basis for muc-1 expression is speculative at present and altho
ugh it is at a lower level than in adenocarcinomas, it may help to provide
further insight into epithelial cell differentiation in squamous cell carci
nomas.