Immunohistochemical Assessment of BAP1 Protein in Mucoepidermoid Carcinomas

  • Aanchal Kakkar
  • Prerna Guleria
  • Karan Madan
  • Rajeev Kumar
  • Sunil Kumar
  • Deepali JainEmail author
Original Article


Mucoepidermoid carcinomas are common malignant salivary gland tumors. Despite recent advances in diagnosis and treatment, there has not been much improvement in outcome of these patients, necessitating identification of novel targeted therapeutic agents. Genomic profiling of mucoepidermoid carcinomas has recently revealed aberrations in BAP1 gene. Therefore, we conducted this study to identify BAP1 loss by immunohistochemistry in these tumors. Mucoepidermoid carcinoma cases were retrieved; hematoxylin-and-eosin stained sections were reviewed. Immunohistochemistry for BAP1 was performed. Forty cases were assessed, including 25 salivary gland and 15 pulmonary mucoepidermoid carcinomas. There were 19 cases in the parotid (76%), two in submandibular gland (8%), and remaining 16% from minor salivary gland locations. Ten (40%) were low grade, nine (36%) were intermediate grade, and six (24%) were high grade mucoepidermoid carcinomas. Thirteen (86.7%) pulmonary mucoepidermoid carcinomas were tracheobronchial, while two (13.3%) were intraparenchymal; all were low grade mucoepidermoid carcinomas. On immunohistochemistry, BAP1 nuclear staining was retained in all cases (100%), irrespective of tumor location or grade. Therapeutic connotations necessitate the identification of readily applicable techniques to detect BAP1 loss in mucoepidermoid carcinomas. Using immunohistochemistry, loss of BAP1 staining was not seen in any of our cases, suggesting insensitivity of BAP1 IHC to detect aberrations at genomic level in these tumors. Analysis of BAP1 alterations by targeted sequencing may therefore be performed prior to excluding the possibility of response to BAP1-targeted therapeutics based on immunohistochemistry alone.


BAP1 Mucoepidermoid carcinoma Salivary gland tumor Parotid Bronchopulmonary tumor 


Compliance with Ethical Standards

Conflict of interest

The authors declared that they have no conflict of interest.


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Copyright information

© Association of Otolaryngologists of India 2018

Authors and Affiliations

  • Aanchal Kakkar
    • 1
  • Prerna Guleria
    • 1
  • Karan Madan
    • 2
  • Rajeev Kumar
    • 3
  • Sunil Kumar
    • 4
  • Deepali Jain
    • 1
    Email author
  1. 1.Department of PathologyAll India Institute of Medical SciencesNew DelhiIndia
  2. 2.Department of Pulmonary Medicine and Sleep DisordersAll India Institute of Medical SciencesNew DelhiIndia
  3. 3.Department of Otorhinolaryngology and Head and Neck SurgeryAll India Institute of Medical SciencesNew DelhiIndia
  4. 4.Department of Surgical OncologyAll India Institute of Medical SciencesNew DelhiIndia

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