Expression of N-acetyllactosamine and ß1,4-Galactosyltransferase (ß4GalT-I) During AdenomaCarcinoma Sequence in the Human ColorectumTetsuro Ichikawaa, Jun Nakayamaa, Naoki Sakurab, Tadashi Hashimotob, Minoru Fukudac, Michiko N. Fukudac, and Takao Takida Department of Laboratory Medicine, Shinshu University School of Medicine and Central Clinical Laboratories, Shinshu University Hospital, Matsumoto, Japan b Faculty of Pharmaceutical Sciences, Hokuriku University, Kanazawa, Japan c Glycobiology Program, Cancer Research Center, the Burnham Institute, La Jolla, California d Cellular Technology Institute, Otsuka Pharmaceutical Co., Ltd., Tokushima, Japan Correspondence to: Jun Nakayama, Central Clinical Laboratories, Shinshu Univ. Hospital, Asahi 3-1-1, Matsumoto 390-8621, Japan. We set out to determine the expression profiles of glycoproteins possessing N-acetyllactosamine, a precursor carbohydrate of sialyl Lex, during colorectal cancer development. We immunohistochemically analyzed the distribution of N-acetyllactosamine as well as of ß4GalT-I, a member of the ß1,4-galactosyltransferase family responsible for N-acetyllactosamine biosynthesis, in normal mucosa and in adenoma and carcinoma of the human colorectum. Using monoclonal antibody H11, N-acetyllactosamine was barely detectable in the normal mucosa. In low-grade adenoma, however, N-acetyllactosamine was weakly but definitely expressed on the cell surface, and its expression level was moderately increased in high-grade adenoma and markedly increased in carcinoma in situ as well as in advanced carcinoma. To detect ß4GalT-I, we used a newly developed polyclonal antibody (designated A18G), which is specific for the stem region of human ß4GalT-I. Faint expression of ß4GalT-I was detectable in normal mucosa, and the expression level was moderately increased in low-grade adenoma and in high-grade adenoma and markedly increased in carcinoma in situ and advanced carcinoma. The expression of N-acetyllactosamine was highly correlated with the expression of ß4GalT-I in these tumor cells. These results indicate that the expression level of ß4GalT-I is apparently enhanced during tumorigenesis in the colorectum and that ß4GalT-I mostly directs the carcinoma-associated expression of N-acetyllactosamine on the colorectal tumor cell surface. (J Histochem Cytochem 47:15931601, 1999) Key Words: tumor-associated, carbohydrate antigen, glycosyltransferase gene family, immunohistochemistry
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