Galectins, a family of beta -galactoside-binding animal lectins, might be i
nvolved in tumor progression. In this study, the expression patterns of gal
ectin-1 and -3 were examined immunohistochemically in intrahepatic cholangi
ocarcinoma (ICC), with emphasis on its development and progression as well
as its histopathologic features, by use of samples of normal intrahepatic b
ile duct (n = 20), biliary epithelial dysplasia (n = 15), ICC (n = 40), and
a cholangiocarcinoma cell line, CCKS1. In normal intrahepatic bile ducts,
galectin-3 was constitutively but weakly expressed, whereas galectin-1 was
not expressed. In hepatolithiasis, biliary epithelial dysplasia was strongl
y positive for galectin-3 but negative for galectin-1. Galectin-3 was frequ
ently and strongly expressed in the cytoplasm of well-differentiated ICCs,
and its expression was significantly decreased and less intense or even abs
ent in poorly differentiated ICCs. Galectin-1 was expressed in carcinoma ce
lls in ICC, and its incidence and extent were correlated with histologic de
differentiation of ICC. Proliferative cell nuclear antigen (PCNA) labeling
index (LI) was higher in ICC cases positive for galectin-1 than in those th
at were negative. Galectin-1 was strongly expressed in cancerous stroma of
ICC, and this stromal expression was related to histologic dedifferentiatio
n of ICC. In the carcinoma cell line CCKS1, galectin-1 and -3 were expresse
d in the cytoplasm of carcinoma cells, and galectin-1 was additionally dete
cted in the culture medium. These results suggest that galectin-1 was newly
expressed on carcinoma cells of ICC, and its overexpression seems to be as
sociated with neoplastic progression and proliferative activities, and the
expression of galectin-1 in cancerous stroma may also be related to the pro
gression of ICC. Galectin-3 expression in epithelial cells is up-regulated
in the preneoplastic and early neoplastic stages of ICC, although galectin-
3 tends to disappear at later stages of ICC. HUM PATHOL 32:302-310. Copyrig
ht (C) 2001 by W.B. Saunders Company.