MUC4 is a one of the membrane mucins of the mucin gene (MUC) family, charac
terized by mucin tandem repeat domains and a transmembrane domain which ass
ociates it with the cell plasma membrane. Although MUC4 is encoded by a sin
gle gene, it is produced by epithelial cells as a heterodimer through a pro
teolytic cleavage mechanism. This heterodimer is found in both membrane and
soluble forms associated with epithelia. Functionally, MUC4 is proposed to
provide a protective mechanism for vulnerable epithelia, such as those of
the airway, eye, female reproductive tract and mammary gland. The protectiv
e mechanism(s) may be highjacked by some carcinomas, such as those of the b
reast, to increase tumor progression. Two mechanisms are proposed to contri
bute to the MUC4 functions. First, MUC4 acts as an anti-adhesive or anti-re
cognition barrier at epithelial or tumor cell surfaces. Second, MUC4 can bi
nd the receptor tyrosine kinase ErbB2 and alter its cellular signaling. Exp
ression of MUC4 in mammary gland is repressed by posttranscriptional mechan
isms involving basement membrane and TGF-beta, which are relieved during pr
egnancy to permit secretion of MUC4 into milk. These mechanisms are also ab
rogated in some breast cancers, providing a scenario for promotion of tumor
progression. These observations imply important functions for MUC4 in both
normal mammary function and in breast cancer.