Nitric oxide (NO) is generated by a family of isoenzymes (NO synthases
) expressed in a wide range of mammalian cells. We have recently repor
ted NO synthase expression in human gynaecological cancers. In this st
udy we have assessed the activity and distribution of NO synthase in a
series of human breast tumours and in normal breast tissue. Calcium-d
ependent (constitutive) and -independent (inducible) NO synthase activ
ity, as well as NO biosynthesis, was high in invasive tumours compared
with benign or normal tissue. Furthermore, for invasive ductal carcin
omas, NO biosynthesis was significantly greater for grade III compared
with grade II tumours. Immunohistochemical investigations revealed im
munolabelling with a monoclonal antibody to murine inducible NO syntha
se predominantly within tumour-associated macrophages. Immunolabelling
with a polyclonal antiserum raised against rat brain NO synthase was
also observed in vascular endothelial and myoepithelial cells. Thus NO
synthase is expressed in human breast tumours, where its presence cor
relates with tumour grade.