DOG1: a novel marker of salivary acinar and intercalated duct differentiation

Mod Pathol. 2012 Jul;25(7):919-29. doi: 10.1038/modpathol.2012.57. Epub 2012 Mar 30.

Abstract

Anoctamin-1 (ANO1) (DOG1, TMEM16a) is a calcium-activated chloride channel initially described in gastrointestinal stromal tumors, but now known to be expressed in a variety of normal and tumor tissues including salivary tissue in murine models. We herein perform a comprehensive survey of DOG1 expression in 156 cases containing non-neoplastic human salivary tissues and tumors. ANO1 mRNA levels were significantly higher (8-fold increase, P<0.0001) in normal parotid tissue (n=6) as compared with squamous mucosa (n=15). By immunohistochemistry, DOG1 showed a diffuse moderate (2+) apical membranous staining pattern in normal serous acini, 1+ apical membranous pattern in mucous acini, and variable 1-2+ apical staining of distal intercalated ducts. Myoepithelial cells, striated and excretory ducts were invariably negative. All acinic cell carcinomas (n=28) were DOG1 positive demonstrating a complex mixture of intense (3+) apical membranous, cytoplasmic and complete membranous staining. Most ductal tumor types were negative or only showed a subset of positive cases. Within the biphasic tumor category, adenoid cystic carcinomas (18/24 cases) and epithelial-myoepithelial carcinomas (8/15 cases) were frequently positive, often showing a distinctive combined apical ductal and membranous/cytoplasmic myoepithelial staining profile. Thus, DOG1 staining is a marker of salivary acinar and to a lesser extent intercalated duct differentiation. Strong staining can be used to support the diagnosis of acinic cell carcinoma. DOG1 may also be a marker of a 'transformed' myoepithelial phenotype in a subset of biphasic salivary gland malignancies.

MeSH terms

  • Acinar Cells / metabolism
  • Acinar Cells / pathology
  • Anoctamin-1
  • Biomarkers, Tumor / analysis*
  • Carcinoma / metabolism
  • Carcinoma / pathology
  • Carcinoma, Acinar Cell / metabolism*
  • Carcinoma, Acinar Cell / pathology
  • Cell Differentiation*
  • Cell Transformation, Neoplastic / metabolism
  • Chloride Channels / biosynthesis*
  • Humans
  • Immunohistochemistry
  • In Situ Hybridization, Fluorescence
  • Neoplasm Proteins / biosynthesis*
  • RNA, Messenger / analysis
  • Reverse Transcriptase Polymerase Chain Reaction
  • Salivary Ducts / metabolism*
  • Salivary Ducts / pathology
  • Salivary Gland Neoplasms / metabolism*
  • Salivary Gland Neoplasms / pathology

Substances

  • ANO1 protein, human
  • Anoctamin-1
  • Biomarkers, Tumor
  • Chloride Channels
  • Neoplasm Proteins
  • RNA, Messenger