Keywords:estradiol/progesterone/progesterone receptor/humansalivary gland/salivary adenoidcystic carcinomas ABSTRACT. Immunohistochemical analyses of estradiol, progesterone and progesterone receptor were carried out in human salivary gland and salivary adenoid cystic carcinoma. Immunoreactivity to estradiol and progesterone was found in cytoplasm of the cells of the excretory duct system within normal salivary glands, whereas the progesterone receptor was restricted to nuclei of the cells where both sex steroids were positive. In addition, we demonstrated the presence of both sex steroids and the receptor for progesterone in salivary adenoid cystic carcinomas. These data indicate that the human salivary gland is one of the target tissues of estrogen. This also suggests the good possibility that tumors which express progesterone receptors will respond to endocrine therapy.Humansaliva contains the steroid hormones estrogen and progesterone, which provide a basis for radioimmunoassay for the different types of salivary steroids (9, 18, 20). However, there is no evidence presently available to indicate the direct action of sex steroid hormones on humansalivary glands or salivary gland cancer. In addition, it is of great importance to know the exact localization of the two types of sex steroid hormonesto understand the function and metabolic properties of normal and tumor cells; however, there has been no previous attempt to directly identify estradiol and progesterone in microscopic sections of normal and neoplastic salivary glands. Kurmanet al. (8) in rats that progesterone receptors are present in cell nuclei of the intralobular duct system within submandibular glands (14). These findings suggest that the immunohistochemical technique, using specific antibodies against estradiol and progesterone or these receptors, makes possible investigation of this subject in the hor- (16) have further examined the immunocytochemical localization of progesterone receptors in frozen sections from human breast tumors with a monoclonal antibody to this receptor and demonstrated that the progesterone receptors are accumulated in tumor cell nuclei. In this article we describe our results whichdemonstrate estradiol, progesterone and progesterone receptors in routine paraffinsections of human salivary glands and salivary adenoid cystic carcinomas, using an indirect immunoperoxidase technique.
MATERIALS AND METHODSThe following specimens were examined: 5 cases of primary adenoid cystic carcinoma and 6 specimens of normal salivary gland tissue (2 submandibular glands, 2 parotid glands and 2 minor salivary glands of the palate). The 5 patients included a 42-year-old manand 4 postmenopausal women,whose age at first diagnosis ranged from 61 to 82 (average 68) years (Table I).All samples were fixed in 3.7% buffered formalin (in 0.1 M sodium phosphate buffer, pH 7.2) for 24 hrs, and embedded in paraffin for diagnostic surgical pathology. In addition to routine hematoxylin and eosin stains, sections from representative paraffin blocks of...