We have used culture conditions which simulate the microenvironment of
breast tumors for the isolation and propagation of primary breast tum
or cells in vitro. In this monolayer setup, the mixture of cells disso
ciated from primary breast tumors is subjected to self-created gradien
ts of oxygen and nutrients as well as metabolic waste and extracellula
r pH. The tumor populations isolated under these novel conditions have
displayed phenotypic properties characteristic of breast carcinomas,
including homogeneous expression of cytokeratin 19, and increased mito
chondrial retention of the cationic dye rhodamine 123. Nonmalignant cu
ltures from reduction mammoplasty were unable to survive these conditi
ons. One tumor population which reached passage 10 was aneuploid for c
hromosomes 15 and 17, and displayed a p53 mutation in exon 8. These st
udies strongly suggest that the culture conditions described here can
suppress the growth of normal breast cells, thereby allowing selective
isolation of some populations of slow-growing primary tumor cells in
vitro.