with
immunohistochemical staining (brown) showing normal high expression of DNA repair proteins
PMS2 (A),
ERCC1 (B) and ERCC4 (XPF) (C). This crypt is from the biopsy of a 58-year-old male patient who never had colonic
neoplasia and the crypt has high expression of these DNA repair proteins in absorptive cell nuclei throughout most of the crypt. Note that PMS2 and ERCC4 (XPF) expression (in panels A and C) are each reduced or absent in the
nuclei of cells at the top of the crypt and within the surface of the colonic
lumen between crypts. Original image, also in a publication. ERCC4 (XPF) is normally expressed at a high level in cell
nuclei within the inner surface of the
colon (see image, panel C). The inner surface of the colon is lined with simple columnar
epithelium with
invaginations. The invaginations are called
intestinal glands or colon crypts. The colon crypts are shaped like microscopic thick walled test tubes with a central hole down the length of the tube (the crypt
lumen). Crypts are about 75 to 110 cells long. DNA repair, involving high expression of ERCC4 (XPF), PMS2 and ERCC1 proteins, appears to be very active in colon crypts in normal, non-
neoplastic colon epithelium. Cells are produced at the crypt base and migrate upward along the crypt axis before being shed into the colonic
lumen days later. There are 5 to 6
stem cells at the bases of the crypts. There are about 10 million crypts along the inner surface of the average human
colon. If the
stem cells at the base of the crypt express ERCC4 (XPF), generally all several thousand cells of the crypt will also express ERCC4 (XPF). This is indicated by the brown color seen by immunostaining of ERCC4 (XPF) in almost all the cells in the crypt in panel C of the image in this section. A similar expression of PMS2 and ERCC1 occurs in the thousands of cells in each normal colonic crypt. The tissue section in the image shown here was also
counterstained with
hematoxylin to stain DNA in nuclei a blue-gray color. Nuclei of cells in the
lamina propria, cells which are below and surround the epithelial crypts, largely show hematoxylin blue-gray color and have little expression of PMS2, ERCC1 or ERCC4 (XPF). In addition, cells at the very tops of the crypts stained for PMS2 (panel A) or ERCC4 (XPF) (panel C) have low levels of these DNA repair proteins, so that such cells show the blue-gray DNA stain as well. ==ERCC4 (XPF) deficiency in the colon epithelium adjacent to and within cancers==