of their genes suggest that they have unique roles and distriTo date, seven apomucins have been characterized bution. [9][10][11][12][13][14][15][16][17][18] Changes in apomucin expression in carcinoma tisand their expression in malignant and premalignant lesues and their precursor lesions, as well as their relationship sions is under evaluation. In this study, we examined to the biological behavior of carcinoma, are under evaluathe expression of MUC1, MUC2, MUC3, and MUC5/6 apotion. [10][11][12][13][14][15][16][17][18] Some carcinoma cells retain the cell-or tissue-spemucins in cholangiocarcinoma (CC) and biliary epithecific apomucin expression of their source, whereas others exlial dysplasia. We used 14 liver samples from patients press aberrant apomucin or lose the original pattern. 10 with hepatolithiasis and CC, 11 with hepatolithiasisThere are a few reports describing the expression of aposhowing biliary epithelial dysplasia, 31 with CC alone mucins in normal and pathological livers. [11][12][13] We showed that (19 hilar, 10 peripheral, and 2 unclassifiable), and 14 with MUC1 apomucin is frequently expressed both in the develcombined hepatocellular-cholangiocellular carcinoma oping intrahepatic bile ducts in fetal liver 13 and in cholangio-(HC-CC) and immunohistochemically characterized the carcinoma (CC) but is absent in the normal adult intrahepatic expression profiles of apomucins. Nondysplastic biliary biliary tree. 11,12 Therefore, we proposed that MUC1 apomucin epithelial cells in the intrahepatic large bile ducts conis an ''oncofetal'' antigen in the intrahepatic biliary tree. 13 stantly expressed MUC3 apomucin. MUC5/6 and MUC3CC occurs at any segment of the intrahepatic biliary tree, apomucin expression was widespread in dysplastic biliwhereas the cell origin and the precursor lesions remain ary epithelial cells in hepatolithiasis, although the latter largely uncharted. Biliary epithelial dysplasia is considered was reduced or absent in dysplastic foci. CC extensively to be a precursor lesion of CC as a complication of hepatolithiexpressed MUC1 apomucin and focally expressed MUC2 asis and primary sclerosing cholangitis. [19][20][21][22] However, little apomucin. In addition, CC of the hilar type, including is known about the distribution of apomucins other than those with hepatolithiasis, frequently expressed MUC3MUC1 in CC and their precursor lesions. Furthermore, it apomucin (68% and 57%, respectively), whereas those of remains unclear whether and to what degree the apomucin the peripheral type infrequently expressed MUC3 apoprofiles of biliary epithelial cells are retained in CC. mucin (10%) (P õ .01). MUC5/6 apomucin was more freIn this study, we immunohistochemically examined the exquently expressed in well-differentiated (89%), compression of MUC1, MUC2, MUC3, and MUC5/6 apomucins pared with poorly differentiated CC (42%) (P õ .01).in CC, combined hepatocellular-cholangiocellular carcinoma Cholangiocellular elements of combined HC-CC fre-(HC-CC), and biliary epithelial dysplasia in hepatolith...