Intrauterine Breast Development and the Mammary Myoepithelial Lineage

Article

Abstract

As their name implies, the myoepithelial cells found at the epithelial-mesenchymal interface of the human mammary gland disclose features suggestive of a dual epithelial-like and muscle-like differentiation, i.e. they co-express various keratins and vimentin intermediate filaments, as well as smooth muscle-related antigens. This article provides an overview of the literature on intrauterine breast development with special emphasis on the myoepithelial component of the fetal human mammary gland epithelium. It discusses original and recently published immunohistochemical data on myoepithelial precursors and reasserts the relevance of developmental, morphological fetal tissue-based studies to the understanding and the clinical management of adult diseases.

Key Words

breast development fetal breast human immunohistochemistry myoepithelial review 

Abbreviations used

αSMA

alpha-smooth muscle actin

ECM

extracellular matrix

EMA

epithelial membrane antigen

GA

gestational age

wk

week

KRT14

keratin 14

KRT17

keratin 17

KRT19

keratin 19

MMEC

mammary myoepithelial cell

PB

primary bud

PS

projection stalk

PE

projection end

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References

  1. (1).
    Nagato T, Yoshida H, Yoshida A, Uehara Y. A scanning electron microscope study of myoepithelial cells in exocrine glands. Cell Tissue Res 1980;209(1):1–10.PubMedCrossRefGoogle Scholar
  2. (2).
    Hayward SW, Brody JR, Cunha GR. An edgewise look at basal epithelial cells: three-dimensional views of the rat prostate, mammary gland and salivary gland. Differentiation 1996;60(4):219–27.PubMedCrossRefGoogle Scholar
  3. (3).
    Cardiff RD, Wellings SR. The comparative pathology of human and mouse mammary glands. J Mammary Gland Biol Neoplasia 1999;4(1):105–22.PubMedCrossRefGoogle Scholar
  4. (4).
    Foschini MP, Scarpellini F, Gown AM, Eusebi V. Differential expression of myoepithelial markers in salivary, sweat and mammary glands. Int J Surg Pathol 2000;8(1):29–37.PubMedGoogle Scholar
  5. (5).
    Russo J, Russo IH. Development of the human mammary gland. In: Neville MC, Daniel CW, editors. The mammary gland. Development, regulation, and function. New York: Plenum Press; 1987. p. 67–93.Google Scholar
  6. (6).
    Osin PP, Anbazhagan R, Bartkova J, Nathan B, Gusterson BA. Breast development gives insights into breast disease. Histopathology 1998;33(3):275–83.PubMedCrossRefGoogle Scholar
  7. (7).
    Howard BA, Gusterson BA. Human breast development. J Mammary Gland Biol Neoplasia 2000;5(2):119–37.PubMedCrossRefGoogle Scholar
  8. (8).
    Hughes ESR. The development of the mammary gland. Ann R Coll Surg Engl 1949;6:99–119.Google Scholar
  9. (9).
    Jolicoeur F, Gaboury LA, Oligny LL. Basal cells of second trimester fetal breasts: immunohistochemical study of myoepithelial precursors. Pediatr Dev Pathol 2003;6(5):398–413.PubMedCrossRefGoogle Scholar
  10. (10).
    Anbazhagan R, Nathan B, Gusterson BA. Prenatal influences and breast cancer. Lancet 1992;340(8833):1477–8.PubMedCrossRefGoogle Scholar
  11. (11).
    Dabelow A. Die Milchdrüse. In: Bargmann W, editor. Handbuch der mikroskopischen Anatomie des Menschen. Vol 3. Berlin: Springer-Verlag; 1957. p. 277–485.Google Scholar
  12. (12).
    Vorherr H. The breast. Morphology, physiology and lactation. New York: Academic Press; 1974.Google Scholar
  13. (13).
    Salazar H, Tobon H, Josimovich JB. Developmental, gestational and postgestational modifications of the human breast. Clin Obstet Gynecol 1975;18(2):113–37.PubMedCrossRefGoogle Scholar
  14. (14).
    Anbazhagan R, Osin PP, Bartkova J, Nathan B, Lane EB, Gusterson BA. The development of epithelial phenotypes in the human fetal and infant breast. J Pathol 1998;184(2):197–206.PubMedCrossRefGoogle Scholar
  15. (15).
    Tobon H, Salazar H. Ultrastructure of the human mammary gland. I. Development of the fetal gland throughout gestation. J Clin Endocrinol Metab 1974;39(3):443–56.PubMedCrossRefGoogle Scholar
  16. (16).
    Jolicoeur, F. Caracterisation de la cellule myoepitheliale du sein foetal, adulte normal et pathologique. Ph.D. thesis. University of Montreal; 2004. p. 1–206.Google Scholar
  17. (17).
    Naccarato AG, Viacava P, Vignati S, Fanelli G, Bonadio AG, Montruccoli G, et al. Bio-morphological events in the development of the human female mammary gland from fetal age to puberty. Virchows Arch 2000;436(5):431–8.PubMedCrossRefGoogle Scholar
  18. (18).
    Pechoux C, Clezardin P, Dante R, Serre CM, Clerget M, Bertin N, et al. Localization of thrombospondin, CD36 and CD51 during prenatal development of the human mammary gland. Differentiation 1994;57(2):133–41.PubMedCrossRefGoogle Scholar
  19. (19).
    Dawson EK. A histological study of the normal mamma in relation to tumour growth. Edinb Med J 1934;41:653–82.Google Scholar
  20. (20).
    Jolicoeur F, Seemayer TA, Gabbiani G, Robidoux A, Gaboury L, Oligny LL, et al. Multifocal, nascent, and invasive myoepithelial carcinoma (malignant myoepithelioma) of the breast: an immunohistochemical and ultrastructural study. Int J Surg Pathol 2002;10(4):281–91.PubMedGoogle Scholar
  21. (21).
    Deugnier MA, Teuliere J, Faraldo MM, Thiery JP, Glukhova M. The importance of being a myoepithelial cell. Breast Cancer Res 2002;4(6):224–30.PubMedCrossRefGoogle Scholar
  22. (22).
    Williams JM, Daniel CW. Mammary ductal elongation: differentiation of myoepithelium and basal lamina during branching morphogenesis. Dev Biol 1983;97(2):274–90.PubMedCrossRefGoogle Scholar
  23. (23).
    Cunha GR. Role of mesenchymal–epithelial interactions in normal and abnormal development of the mammary gland and prostate. Cancer 1994;74(Suppl 3):1030–44.PubMedCrossRefGoogle Scholar
  24. (24).
    Petersen OW, Gudjonsson T, Villadsen R, Bissell MJ, Ronnov-Jessen L. Epithelial progenitor cell lines as models of normal breast morphogenesis and neoplasia. Cell Prolif 2003;36(Suppl 1):33–44.PubMedCrossRefGoogle Scholar
  25. (25).
    Deugnier MA, Moiseyeva EP, Thiery JP, Glukhova M. Myoepithelial cell differentiation in the developing mammary gland: progressive acquisition of smooth muscle phenotype. Dev Dyn 1995;204(2):107–17.PubMedGoogle Scholar
  26. (26).
    Dulbecco R, Henahan M, Armstrong B. Cell types and morphogenesis in the mammary gland. Proc Natl Acad Sci USA 1982;79(23):7346–50.PubMedCrossRefGoogle Scholar
  27. (27).
    Lakhani SR, O’Hare MJ. The mammary myoepithelial cell—Cinderella or ugly sister? Breast Cancer Res 2001;3(1):1–4.PubMedCrossRefGoogle Scholar
  28. (28).
    Sternlicht MD, Barsky SH. The myoepithelial defense: a host defense against cancer. Med Hypotheses 1997;48(1):37–46.PubMedCrossRefGoogle Scholar
  29. (29).
    Batsakis JG, el Naggar AK. Myoepithelium in salivary and mammary neoplasms is host-friendly. Adv Anat Pathol 1999;6(4):218–26.PubMedCrossRefGoogle Scholar
  30. (30).
    Gudjonsson T, Ronnov-Jessen L, Villadsen R, Rank F, Bissell MJ, Petersen OW. Normal and tumor-derived myoepithelial cells differ in their ability to interact with luminal breast epithelial cells for polarity and basement membrane deposition. J Cell Sci 2002;115(Pt 1):39–50.PubMedGoogle Scholar
  31. (31).
    Gordon LA, Mulligan KT, Maxwell-Jones H, Adams M, Walker RA, Jones JL. Breast cell invasive potential relates to the myoepithelial phenotype. Int J Cancer 2003;106(1):8–16.PubMedCrossRefGoogle Scholar
  32. (32).
    Foschini MP, Eusebi V. Carcinomas of the breast showing myoepithelial cell differentiation. A review of the literature. Virchows Arch 1998;432(4):303–10.PubMedCrossRefGoogle Scholar
  33. (33).
    Jones C, Nonni AV, Fulford L, Merrett S, Chaggar R, Eusebi V, et al. CGH analysis of ductal carcinoma of the breast with basaloid/myoepithelial cell differentiation. Br J Cancer 2001;85(3):422–7.PubMedCrossRefGoogle Scholar
  34. (34).
    Gusterson BA, Monaghan P, Mahendran R, Ellis J, O’Hare MJ. Identification of myoepithelial cells in human and rat breasts by anti- common acute lymphoblastic leukemia antigen antibody A12. J Natl Cancer Inst 1986;77(2):343–9.PubMedGoogle Scholar
  35. (35).
    Stingl J, Eaves CJ, Kuusk U, Emerman JT. Phenotypic and functional characterization in vitro of a multipotent epithelial cell present in the normal adult human breast. Differentiation 1998;63(4):201–13.PubMedCrossRefGoogle Scholar
  36. (36).
    Stingl J, Eaves CJ, Zandieh I, Emerman JT. Characterization of bipotent mammary epithelial progenitor cells in normal adult human breast tissue. Breast Cancer Res Treat 2001;67(2):93–109.PubMedCrossRefGoogle Scholar
  37. (37).
    Signoretti S, Waltregny D, Dilks J, Isaac B, Lin D, Garraway L, et al. p63 is a prostate basal cell marker and is required for prostate development. Am J Pathol 2000;157(6):1769–75.PubMedGoogle Scholar
  38. (38).
    O’Connell JT, Mutter GL, Cviko A, Nucci M, Quade BJ, Kozakewich HP, et al. Identification of a basal/reserve cell immunophenotype in benign and neoplastic endometrium: a study with the p53 homologue p63. Gynecol Oncol 2001;80(1):30–6.PubMedCrossRefGoogle Scholar
  39. (39).
    Barbareschi M, Pecciarini L, Cangi MG, Macri E, Rizzo A, Viale G, et al. p63, a p53 homologue, is a selective nuclear marker of myoepithelial cells of the human breast. Am J Surg Pathol 2001;25(8):1054–60.PubMedCrossRefGoogle Scholar
  40. (40).
    Pellegrini G, Dellambra E, Golisano O, Martinelli E, Fantozzi I, Bondanza S, et al. p63 identifies keratinocyte stem cells. Proc Natl Acad Sci USA 2001;98(6):3156–61.PubMedCrossRefGoogle Scholar
  41. (41).
    Cooper D, Schermer A, Sun TT. Classification of human epithelia and their neoplasms using monoclonal antibodies to keratins: strategies, applications, and limitations. Lab Invest 1985;52(3):243–56.PubMedGoogle Scholar
  42. (42).
    Troyanovsky SM, Leube RE, Franke WW. Characterization of the human gene encoding cytokeratin 17 and its expression pattern. Eur J Cell Biol 1992;59(1):127–37.PubMedGoogle Scholar
  43. (43).
    Verheijen R, Kuijpers HJ, van Driel R, Beck JL, van Dierendonck JH, Brakenhoff GJ, et al. Ki-67 detects a nuclear matrix-associated proliferation-related antigen. II. Localization in mitotic cells and association with chromosomes. J Cell Sci 1989;92(Pt 4):531–40.PubMedGoogle Scholar
  44. (44).
    Smith GH, Chepko G. Mammary epithelial stem cells. Microsc Res Tech 2001;52(2):190–203.PubMedCrossRefGoogle Scholar
  45. (45).
    Raymond WA, Leong AS. Co-expression of cytokeratin and vimentin intermediate filament proteins in benign and neoplastic breast epithelium. J Pathol 1989;157(4):299–306.PubMedCrossRefGoogle Scholar
  46. (46).
    Domagala W, Striker G, Szadowska A, Dukowicz A, Harezga B, Osborn M. p53 protein and vimentin in invasive ductal NOS breast carcinoma—relationship with survival and sites of metastases. Eur J Cancer 1994;30A(10):1527–34.PubMedCrossRefGoogle Scholar
  47. (47).
    Santini D, Ceccarelli C, Taffurelli M, Pileri S, Marrano D. Differentiation pathways in primary invasive breast carcinoma as suggested by intermediate filament and biopathological marker expression. J Pathol 1996;179(4):386–91.PubMedCrossRefGoogle Scholar
  48. (48).
    Perou CM, Sorlie T, Eisen MB, van de RM, Jeffrey SS, Rees CA, et al. Molecular portraits of human breast tumours. Nature 2000;406(6797):747–52.PubMedCrossRefGoogle Scholar
  49. (49).
    Zhang RR, Man YG, Vang R, Saenger JS, Barner R, Wheeler DT, et al. A subset of morphologically distinct mammary myoepithelial cells lacks corresponding immunophenotypic markers. Breast Cancer Res 2003;5(5):R151–6.PubMedCrossRefGoogle Scholar
  50. (50).
    Petersen OW, Ronnov-Jessen L, Weaver VM, Bissell MJ. Differentiation and cancer in the mammary gland: shedding light on an old dichotomy. Adv Cancer Res 1998;75:135–61.PubMedCrossRefGoogle Scholar
  51. (51).
    Ingber DE. Tensegrity: the architectural basis of cellular mechanotransduction. Annu Rev Physiol 1997;59:575–99.PubMedCrossRefGoogle Scholar
  52. (52).
    Hagios C, Lochter A, Bissell MJ. Tissue architecture: the ultimate regulator of epithelial function? Philos Trans R Soc Lond B Biol Sci 1998;353(1370):857–70.PubMedCrossRefGoogle Scholar
  53. (53).
    De Potter CR, Van Daele S, Van de Vijver MJ, Pauwels C, Maertens G, De Boever J, et al. The expression of the neu oncogene product in breast lesions and in normal fetal and adult human tissues. Histopathology 1989;15(4):351–62.PubMedGoogle Scholar

Copyright information

© Springer Science + Business Media, Inc. 2006

Authors and Affiliations

  1. 1.Pathology DepartmentSainte-Justine’s HospitalMontrealCanada

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