Insulin and the insulin-like growth factors (IGFs) may be important re
gulators of breast cancer growth. The IGF-II receptor is identical to
the mannose 6-phosphate (Man-6-P) receptor, which is involved in lysos
omal enzyme pathways. In order to determine whether the Man-6-P/IGF-II
receptor gene copy number is altered in breast cancer we analysed spe
cimens of invasive breast carcinoma from 51 patients by Southern blott
ing. No amplification of the receptor gene was observed whatever the c
linical presentation of the tumour and irrespective of a concomitant a
mplification of c-erbB2 or int-2 genes in several tumours. As indicate
d by Northern blotting, the gene is transcribed in breast tumour tissu
es and non-tumour breast tissue. These results suggest that the recept
or gene is stable in breast carcinoma and that, if anything, the recep
tor involvement in breast cancer progression may be the result of a di
sregulation of its expression at a post-transcriptional or post-transl
ational level.