“…While MUC1 expression is limited to the apical surface of most ductal epithelium, in metastatic disease, MUC1 is overexpressed and becomes localized throughout the cell. 7 This has perhaps been most intensively studied in breast cancer, in which MUC1 expression has been evaluated clinically at the level of immunohistochemistry, 8,9 RNA, 10 shed MUC1 in sera, expression on circulating tumor cells (discussed below) and biochemically, 11 and has correlated with poor disease-free and overall survival, as well as axillary node metastases. 9 MUC1 expression is seen in all subtypes of breast cancer, including luminal, HER2 + studies in metastatic breast, colorectal, gall bladder, non-small cell lung and gastric cancer, using KL-6, discovered that MUC1 expression at the circumference of the plasma membrane and/or in the cytoplasm frequently correlated with deep invasion, lymph node or liver metastasis and decreased five-year survival.…”