Immunohistochemical mucin expression of short-segment Barrett's esophagus

Tokai J Exp Clin Med. 2003 Jul;28(2):57-63.

Abstract

Barrett's mucosa consists of metaplastic columnar epithelium (specialized columnar epithelium) of the esophagus. Recently, "short-segment Barrett's esophagus (SSBE)" was proposed. In the present study, we examined immunohistochemical mucin expression and the Ki-67 labeling index (LI) of SSBE, in 5-15 mm lengths. All 27 SSBE cases showed gastric mucin (MUC5AC, HGM, MUC6). CD10 and MUC2, which were markers of intestinal phenotypes, were detected in 13 (48.1%) and 14 (51.9%) of the 27 SSBE cases. Ki-67 LI of SSBE positive cases for CD10 was 23.6 %, while that of SSBE negative cases for CD10 was 14.4 % (p < 0.05). SSBE cases were divided into two groups: one was gastric epithelium type with low Ki-67 LI, and the other was metaplastic epithelium with intestinal metaplasia and high Ki-67 LI. The latter group was suggested to be more important as a premalignant lesion of esophageal adenocarcinoma.

MeSH terms

  • Barrett Esophagus / metabolism*
  • Barrett Esophagus / pathology
  • Gastric Mucosa / chemistry
  • Humans
  • Immunohistochemistry / methods
  • Intestinal Mucosa / chemistry
  • Intestinal Mucosa / pathology
  • Ki-67 Antigen / analysis
  • Metaplasia
  • Mucin-2
  • Mucins / analysis*
  • Neprilysin / analysis
  • Staining and Labeling

Substances

  • Ki-67 Antigen
  • MUC2 protein, human
  • Mucin-2
  • Mucins
  • Neprilysin