PMID- 32959209 OWN - NLM STAT- MEDLINE DCOM- 20211206 LR - 20211214 IS - 1936-0568 (Electronic) IS - 1936-055X (Print) IS - 1936-055X (Linking) VI - 15 IP - 2 DP - 2021 Jun TI - Expression of Mucins in Salivary Gland Mucoepidermoid Carcinoma. PG - 491-502 LID - 10.1007/s12105-020-01226-z [doi] AB - Mucoepidermoid carcinoma (MEC) is the most common malignant salivary gland tumour in both adults and children. Histological grading of MEC is subjective, but plays an important role in predicting patient prognosis. Epithelial mucin (MUC) status may aid in establishing a more accurate grade. This study aimed to investigate the expression of various mucins (MUC1, MUC2, MUC4 and MUC5AC) in MECs to determine a possible correlation with tumour grade. Fifteen cases of each tumour grade (low-, intermediate-, and high-grade) were retrieved from the pathology archives of the Department of Oral Pathology and Oral Biology at the University of Pretoria. The patients included 23 men and 22 women, and ranged from 13 to 85 years (mean 49.8 years). Sections from formalin-fixed paraffin-embedded (FFPE) tissue were used for fluorescence in situ hybridization (FISH) for MAML2 rearrangements and MUC immunohistochemical analysis. The percentage immunohistochemical expression of the neoplastic mucous cells was evaluated first, followed by the overall percentage expression of all tumour cells. The results indicated that MUC1 overexpression may be a reliable marker of high-grade MECs, whereas MUC4 overexpression may be more indicative of low-grade tumours. MUC5AC expression was considered an unreliable marker in determining grade. MUC2 was only expressed in a single case of MEC and may be considered a useful marker to exclude MEC as a diagnostic possibility. This study demonstrates that MECs show an altered MUC expression pattern that can be used for diagnostic purposes and to aid in establishing a more accurate tumour grade. FAU - Robinson, Liam AU - Robinson L AUID- ORCID: 0000-0002-0549-7824 AD - Department of Oral Pathology and Oral Biology, School of Dentistry, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa. FAU - van Heerden, Marlene B AU - van Heerden MB AUID- ORCID: 0000-0002-3710-8352 AD - Department of Oral Pathology and Oral Biology, School of Dentistry, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa. FAU - Ker-Fox, Jason G AU - Ker-Fox JG AUID- ORCID: 0000-0002-4660-7612 AD - Department of Financial Management, Faculty of Economic and Management Sciences, University of Pretoria, Pretoria, South Africa. FAU - Hunter, Keith D AU - Hunter KD AUID- ORCID: 0000-0002-7873-0877 AD - Department of Oral Pathology and Oral Biology, School of Dentistry, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa. AD - Academic Unit of Oral and Maxillofacial Medicine and Pathology, School of Clinical Dentistry, University of Sheffield, Sheffield, UK. FAU - van Heerden, Willie F P AU - van Heerden WFP AUID- ORCID: 0000-0003-2494-667X AD - Department of Oral Pathology and Oral Biology, School of Dentistry, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa. willie.vanheerden@up.ac.za. LA - eng PT - Journal Article DEP - 20200921 PL - United States TA - Head Neck Pathol JT - Head and neck pathology JID - 101304010 RN - 0 (Biomarkers, Tumor) RN - 0 (Mucins) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Biomarkers, Tumor/*analysis/metabolism MH - Carcinoma, Mucoepidermoid/metabolism/*pathology MH - Female MH - Humans MH - Male MH - Middle Aged MH - Mucins/analysis/*biosynthesis MH - Salivary Gland Neoplasms/metabolism/*pathology MH - Young Adult PMC - PMC8134608 OTO - NOTNLM OT - Epithelial mucin expression OT - FISH OT - Histological grade OT - Immunohistochemistry OT - Mucoepidermoid carcinoma OT - Salivary gland carcinoma COIS- The authors declare that they have no conflict of interest. EDAT- 2020/09/23 06:00 MHDA- 2021/12/15 06:00 PMCR- 2021/09/21 CRDT- 2020/09/22 05:44 PHST- 2020/07/31 00:00 [received] PHST- 2020/09/11 00:00 [accepted] PHST- 2020/09/23 06:00 [pubmed] PHST- 2021/12/15 06:00 [medline] PHST- 2020/09/22 05:44 [entrez] PHST- 2021/09/21 00:00 [pmc-release] AID - 10.1007/s12105-020-01226-z [pii] AID - 1226 [pii] AID - 10.1007/s12105-020-01226-z [doi] PST - ppublish SO - Head Neck Pathol. 2021 Jun;15(2):491-502. doi: 10.1007/s12105-020-01226-z. Epub 2020 Sep 21.