Cytokeratin 5/6 in normal human breast: lack of evidence for a stem cell phenotype

J Pathol. 2004 Oct;204(2):147-52. doi: 10.1002/path.1647.

Abstract

In recent studies, Böcker and colleagues described a population of cells in paraffin wax sections of normal human breast that express cytokeratins (CK) 5/6 without expression of CK8/18 or smooth muscle actin (SMA). They proposed that these represent stem cells that give rise to differentiated luminal and myoepithelial cells. The data have been used to generate a model for breast cancer progression and classification with associated implications for management of pre-invasive disease. In this study, the expression of CK5/6, CK8/18, and SMA was investigated using multiple immunofluorescence on matched pairs of paraffin wax-embedded and frozen breast specimens. The staining patterns reported previously in antigen-retrieved paraffin wax-embedded sections were confirmed but no CK5/6-only cells were found in frozen sections of normal breast. There were cells with low levels of CK8/18 expression in frozen sections that may correspond to the CK8/18 'negative' cells seen in paraffin wax sections. This study brings into question the previously described profile of breast 'stem cells' based on CK5/6 staining and hence the breast cancer progression model and classification based on this phenotype.

MeSH terms

  • Actins / analysis
  • Breast / chemistry*
  • Breast / cytology
  • Breast Neoplasms / pathology
  • Cell Transformation, Neoplastic
  • Disease Progression
  • Epithelial Cells / chemistry
  • Epithelial Cells / cytology
  • Female
  • Fluorescent Antibody Technique / methods
  • Humans
  • Immunohistochemistry / methods
  • Keratin-18
  • Keratin-5
  • Keratin-8
  • Keratins / analysis*
  • Muscle, Smooth / chemistry
  • Neoplasm Proteins / analysis
  • Phenotype
  • Stem Cells / chemistry

Substances

  • Actins
  • KRT18 protein, human
  • KRT5 protein, human
  • KRT8 protein, human
  • Keratin-18
  • Keratin-5
  • Keratin-8
  • Neoplasm Proteins
  • Keratins