E-cadherin, β-
catenin, and β1
integrin are important
cell adhesion molecules to maintain epithelial structure and function. We investigated the expression of these
cell adhesion molecules in
cholesteatomas to understand the role of cell-cell and cell-extracellular matrix interaction in
cholesteatomas. An immunohistochemical investigation was carried out on 35
cholesteatoma tissue samples (14 congenital, 21 acquired
cholesteatomas) and 10 normal retroauricular skin (RAS) tissues which are obtained during middle ear surgery. The expression rate was measured to find out differences between retroauricular skin and
cholesteatoma, as well as between congenital and acquired
cholesteatoma.
E-cadherin expression rate was significantly lower in the
cholesteatoma (spinous layer 88.7 ± 17.9 %, granular layer 54.6 ± 22.6 %) than in the RAS (100 %, 74.4 ± 7.4 %) and in the acquired (83.3 ± 19.4 %, 48.1 ± 22.9 %) than in the congenital (96.7 ± 12.0 %, 64.4 ± 18.8 %). β-
catenin expression rate was significantly lower in the
cholesteatoma (spinous layer 84.1 ± 17.2 %, granular layer 28.7 ± 30.8 %) than in the RAS (100 %, 75.9 ± 6.1 %) and in the acquired (78.1 ± 17.0 %, 17.1 ± 22.3 %) than in the congenital (93.2 ± 13.5 %, 46.1 ± 34.2 %). The expression pattern of β-
catenin is similar to that of
E-cadherin. In β1
integrin, there was no significant difference of the expression rate between RAS and
cholesteatoma, as well as between congenital and acquired
cholesteatoma. In conclusion, the expression of
E-cadherin and β-
catenin is reduced in
cholesteatoma, and the reduction is more pronounced in acquired
cholesteatoma than in
congenital cholesteatoma. Acquired
cholesteatomas showed more aggressive characteristics than congenital
cholesteatomas in terms of cell-cell adhesion.