Recently, evidence was obtained that the ability to take up alpha-feto
protein (alpha-FP), which is characteristic of fetal cells, may be req
uired both in vivo and in vitro by different types of human and animal
tumor cells via expression of specific alpha-FP receptors. Mammary gl
and carcinomas belong to this class of tumor. In some neoplasms, expre
ssion of alpha-FP receptors is concomitant with activation of the alph
a-FP gene and synthesis of the protein, suggesting that an autocrine a
lpha-FP/alpha-FP-receptor pathway is operational in these tumors. In t
he present work, 18 human breast cancer biopsy specimens were subjecte
d to in situ hybridization with a human alpha-FP cDNA probe. Positive
labeling for alpha-FP mRNA transcripts was seen in 8 of the specimens.
Surprisingly, strong positive signals were seen in stromal fibroblast
s and lymphocytes infiltrating tumor nests and in adipocytes adjacent
to tumor areas, while the malignant cells themselves were hardly label
ed. This suggests paracrine stimulation of the alpha-FP gene, probably
as a result of epithelial-mesenchymal interactions. Pathological impl
ications arise from the ability of alpha-FP to regulate growth, either
alone or synergistically with other growth factors, as well as its ab
ility to enhance fatty acid entry into proliferating cells.