title: Cytokeratin expression patterns in jaw cyst linings with metaplastic epithelium.
abstract: BACKGROUND
  Cytokeratin (CK) expression patterns have been studied in numerous intact and diseased oral tissues. However, CK expression in metaplastic squamous cells has not been explored in depth and the origin of metaplastic epithelial linings of the jaw cysts has not been sufficiently investigated.
  
  
  METHODS
  We examined CK expression in 46 postoperative maxillary cysts (POMCs) which were lined with pseudostratified columnar cells only, columnar and squamous cells, and squamous cells only, in 13, 30 and 3 cases, respectively.
  
  
  RESULTS
  The expression of CK8, CK13 and CK18 were observed in 39, 9 and all 43 of the columnar epithelial linings, respectively. Metaplastic squamous epithelia expressed more CK13, and less CK18 and CK8. Of the 33 metaplastic linings, 24 expressed CK8, 23 CK13 and 26 linings expressed CK18. The patterns of expression of CK13 and CK18 observed were CK18(+)-CK13(-) in 10 metaplastic linings, CK18(+)-CK13(+) in 16, and CK18(-)-CK13(+) in 7. The expression of CK13- and CK18-mRNA was generally correlated with level of protein expressed. CK18-mRNA expression was observed by in situ hybridization, not only in the 26 metaplastic linings which were positive for CK18 protein, but also in five of the seven metaplastic linings which did not express CK18 protein. In addition, RT-PCR revealed an expression of CK18-mRNA in all metaplastic squamous linings, although the expression level was weaker than that in the columnar epithelial linings. The CK13-mRNA was expressed inversely to the CK18-mRNA.
  
  
  CONCLUSIONS
  These results indicate that CK18-mRNA is preserved through metaplasia, although the protein expression decreased. Metaplastic squamous cells differentiate with a decrease of CK18 and an increase of CK13 expression.
authors.affiliation: Department of Oral Surgery, Kochi Medical School, Nankoku-city, Kochi, Japan.
authors.forename: Da-Peng
authors.initials: DP
authors.lastname: Lu
authors.forename: Yukihiro
authors.initials: Y
authors.lastname: Tatemoto
authors.forename: Takeshi
authors.initials: T
authors.lastname: Yokoyama
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Kimura
authors.forename: Tokio
authors.initials: T
authors.lastname: Osaki
mesh_terms: D002454:Cell Differentiation / Q000235:genetics / Q000502:physiology*; D004847:Epithelial Cells / Q000378:metabolism / Q000473:pathology; D015870:Gene Expression; D006801:Humans; D007150:Immunohistochemistry; D017403:In Situ Hybridization; D007525:Isoelectric Focusing; D007633:Keratins / Q000096:biosynthesis*; D008439:Maxillary Diseases / Q000378:metabolism* / Q000473:pathology; D008679:Metaplasia / Q000378:metabolism / Q000473:pathology; D009631:Nonodontogenic Cysts / Q000378:metabolism* / Q000473:pathology*; D012333:RNA, Messenger / Q000032:analysis; D020133:Reverse Transcriptase Polymerase Chain Reaction
chemical_list: D012333:RNA, Messenger; D007633:Keratins