Immunohistochemical Coexpression of MUC1 and MUC4 in Oral Leukoplakia and Oral Squamous Cell Carcinoma

Head Neck Pathol. 2021 Sep;15(3):831-842. doi: 10.1007/s12105-021-01291-y. Epub 2021 Feb 5.

Abstract

MUC1 and MUC4 are two transmembranous proteins, which have been seen to express aberrantly in various human neoplasms and advocated as independent prognostic markers. Till now no extensive studies have been carried out on combined expression of MUC1 and MUC4 in oral leukoplakia and Oral squamous cell carcinoma. This study is an endeavour to evaluate Immunohistochemical coexpression of MUC1 and MUC4 in Oral Leukoplakia and Oral squamous cell carcinoma and furthr establish them as prognostic markers. Immunohistochemical analysis of MUC1 and MUC4 was done on 24 cases of Oral squamous cell carcinoma, 24 cases of leukoplakia and 12 normal oral mucosal tissues. Chi square test and one way ANOVA test were employed for statistical analysis. Normal oral mucosa and leukoplakia group showed higher frequency of negative immunoexpression compared to oral squamous cell carcinoma group. Furthur in Oral squamous cell carcinoma group, higher frequency of double positive coexpression in well and moderately differentiated oral squamous cell carcinoma and single positive coexpression in poorly differentiated oral squamous cell carcinoma was obtained. A definite rise of immunoexpression of MUC1 and MUC4 was observed from normal oral mucosa to leukoplakia to oral squamous cell carcinoma indicative of their contribution as diagnostic and prognostic markers.

Keywords: Coexpression; Immunohistochemistry; Leukoplakia; Oral squamous cell carcinoma.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Biomarkers, Tumor / analysis*
  • Cross-Sectional Studies
  • Female
  • Head and Neck Neoplasms / diagnosis
  • Head and Neck Neoplasms / metabolism
  • Head and Neck Neoplasms / pathology
  • Humans
  • Immunohistochemistry
  • Leukoplakia, Oral* / diagnosis
  • Leukoplakia, Oral* / metabolism
  • Leukoplakia, Oral* / pathology
  • Male
  • Middle Aged
  • Mucin-1 / analysis
  • Mucin-1 / biosynthesis*
  • Mucin-4 / analysis
  • Mucin-4 / biosynthesis*
  • Retrospective Studies
  • Squamous Cell Carcinoma of Head and Neck* / diagnosis
  • Squamous Cell Carcinoma of Head and Neck* / metabolism
  • Squamous Cell Carcinoma of Head and Neck* / pathology

Substances

  • Biomarkers, Tumor
  • MUC1 protein, human
  • MUC4 protein, human
  • Mucin-1
  • Mucin-4