We sought a correlation between site and morphology of
colonic polyps by labeling with neoplastic and general Paneth cell markers,
monoclonal antibodies Adnab-9 and anti-
alpha-defensin 5, respectively. Proportions labeled by
Adnab-9 and anti-
alpha-defensin 5 were, respectively, 42 and 85% for
adenomas, 39 and 63% for early tubular
adenomas, 41 and 44% for serrated, 34 and 20% for mixed, and 11 versus 2.7% for hyperplastic
polyps. Compared with hyperplastic
polyps, the proportion of other
polyps labeled by
Adnab-9 or anti-
alpha-defensin 5 was higher but this difference was more significant for distal (P = 0.008 for Adnab-9 and P = 0.0001 for anti-
alpha-defensin 5) than proximal (P = 0.645 and P = 0.154, respectively)
polyps. While increased labeling of all proximal
polyps compared to distal ones mirrored the colonic distribution of Paneth cells, distal
adenomas tended to have a higher proportion labeled by
Adnab-9, suggesting that
Adnab-9 labels Paneth cells associated with increased neoplastic potential.